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THALES PROGRAM

THE DETECTION, TRANSCRIPTION, AND ANALYSIS

OF INEQUALITIES TO HEALTH CARE ACCESS FOR

IMMIGRANTS LIVING IN GREECE. Acronym: “IHAIGBeneficiary

Coordinating Institution: National & Kapodistrian University of Athens (UoA)

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• Maria ZafeiropoulouPhD, EU Expert, GerontologistDeputy Director of General Hospital of Patras, Greecemail: marozafir@gmail.com

• Mary XenouMSc Public Health Inspector/Speech therapist, Directorate of Public Health & Social Welfare, Regional Unit of Achaia , Region of Western Greecemail: xenmr@yahoo.gr/ m.xenou@pde.gov.gr

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The initial project :

• co-financed by European Social Fund – ESF) and Greek national funds through the Operational Program “Education and Lifelong Learning” of the National Strategic Reference Framework (NSRF) - Research Funding Program: THALES –UOA –

• Budget: 600 000.00 ESF co-financed: 80%

• Duration :2013-2015 (extended)

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Detection, record and analysis of social inequalities in health care access for immigrants /migrants living in Greece

HEALTH POLICY CHALLENGES:

• Best practices implemented in other EU countries and Review of European policies have been taken into account in order to define ICT valuable tools that facilitate the diffusion of data by electronic means and assist healthcare givers and migrants

• Proposals and actions to overcome the inequalities in immigrants' access to health services and improve the quality of health care included also recommendations to governmental organizations and NGOs.

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Major outcomes:limit access to health carelack of health informationlack of data on chronic and lifestyle diseasesneed for systematic health measurementneed to estimate the prevalence of communicable diseasesvaccination gaps: need for prevalence of vaccine preventable diseases

• ICT= invaluable tools that facilitate the diffusion of data by electronic means and assist healthcare givers and migrants.

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PROJECT knowledge use -networks

ICT SUPPORT in

• Automating ProcessRedesigning Procedures Management support in decision makingMedical imagesSocio-demographic characteristics (country of origin, gender, age, educational level, financial status etc

• non medical determinants of health (body weight, nutrition status - food supply and consumption -, tobacco and alcohol consumption) and quality of life

• Early warning system for potential health problems : communicable diseases

• Morbidity indicators

• Management - financial data of medical operations and hospitalizationsMedical care

HEALTH CARE WITHOUT WALLS

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Under the funded research program a web portal was developed and adapted accordingly to fit the technical requirements for its integration for use via info-kiosks, designed to facilitate the access of migrants to healthcare services in Greece via its discrete modules of interaction (www.healthgate4all.gr).

• Informative Interactive Health kiosks : info kiosks

• Web-portal (developed and adapted to fit the technical requirements for use via info kiosks) discrete modules of interaction (www.healthgate4all.gr).

• Health information, early warning system for potential health problems. Cost effective solution , easily replicated by different countries, one stop shop in migrants’ pathways personalized health care.

• ICT tools of the project outcomes can be extended to elderly, chronic patients, people with special needs and care givers

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• Interactive Info -Health kiosks for migrants.: 4

• Placement: 2 in Athens, 2 in Thessaloniki (Central places)

• Cloud service provider: On line / Store & Forward DBMS

• Personalized health care

• Touch screen

• Examples: Active X multi media effects (great access to Microsoft windows operating systems ), web based forms Java applets (flexible multiplatform)

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FUTURE CHALLENGES OF ICT

• On line Implementation : B2B (Business to Business, B2C (Business to Consumer), C2C (Consumer to Consumer, peer to peer)

• Smartphone Health applications/ wearable devices: monitoring vital signs – early warning system

• On-Device Portal (ODP), VPN Technology (Virtual Private Network)

What do patients want from Health Care Technology (Cole, 2018):

• m- health relevant to the real needs, require less time, not too complicated , real time data collection, personal data protection

• Ability to alert both patient & health care professionals to sudden changes

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Interoperability of patient / migrants records. Example of

Continua standard for mobile applications

Interoperable standard interfaces in the Continua Personal Health Eco-System (Source: Continua Health Alliance)