The document discusses the potential benefits of eHealth (ICT for health) in Europe. It notes that while the health sector employs over 9% of the EU workforce, ICT penetration in health is relatively low compared to other sectors. eHealth can improve efficiency and productivity, support chronic disease management and preventive care, and empower patients. The EU is a world leader in deploying ICT in primary care settings. Further development of eHealth requires addressing issues like interoperability, business models, and research into areas like personalized medicine.

1. Ilias Iakovidis PhD Deputy Head, " ICT for Health “ Unit Information Society & Media DG European Commission Empowering patients through e-health http://europa.eu.int/information_society/activities/health/index_en.htm European Connected Health Leadership Summit Belfast 6-7 May, 2009

7. Region 3 Hospital Home Pharmacy Health Centre mobile PC Mobile , Wireless & Broadband Emergency Secure Networks Region 2 Mobility Region 1 Step 1 (past EU R&D activities) Health Information Networks Connecting providers: Messaging, EHR GP

8. EU World Leader in deployment in primary care (EC Study 2007) 87.4% 80% 66.1% 69% 62.5% 62.3% 55.2% 44.4% 13.9% 15.1% 2.7% 0.9%

9. IT use among primary care physicians in seven countries

10. EU GPs using a computer during consultation, in % (EC Study 2007) Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008 100% 66% 3% Random samples of 6,789 GPs in 29 countries

11. GPs: Electronic exchange of patient data by purpose (selected countries) Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008 0.5 2.9 25.5 34.8 18.6 88.2 NO 0.4 5.1 31.5 26.5 43.2 84.9 UK 1.5 80.9 15.7 13.1 8.2 82.4 SE 0.4 0.4 20.8 54.8 7.6 90.0 FI 4.7 71.0 27.5 26.0 45.4 83.8 NL 0.0 0.7 1.3 1.3 5.3 39.3 EE 1.9 97.3 74.0 73.6 47.9 96.2 DK 1.0 2.4 5.8 3.4 9.7 5.3 BG 0.9 1.6 12.9 12.9 2.5 73.5 BE 0.7 6.3 9.7 10.3 15.1 39.8 EU27 Medical data cross border Prescription to pharmacies Admin data to other care providers Medical data to care providers / professionals Admin data to reimbursers Lab results from laboratories

12. Interoperability across borders Linking basic information between patient summary systems or giving access to physicians to patient summary in your home country Country or Region 3 Secure Networks Country or Region 2 Mobility Country or Region 1 Patient Summary 1 Patient Summary 2 Standardised exchange/access to common data sets Direct access of physicians when legal

14.  Quality/Efficacy of Healthcare services  Lifestyle: what we eat, drink, breath, …  Physical and social environment  Genetic “blueprint” /profile at birth  Acquired genetic changes ICT – important tool for all factors! (not only health delivery systems) Factors determining a health status of an individual & population Exogenous Determinants (Nurture) Endogenous Determinants (Nature) Health delivery system

15. Step 2:Current EU activities Connecting individuals with providers/Health Information Networks Region 3 Hospital Home Pharmacy Health Centre mobile PC Mobile , Wireless & Broadband Emergency Secure Networks Region 2 Mobility Region 1 GP

17. Step 3 : The full picture of individual’s health status Integrated Health Records Environmental Data Biosensors Phenomic data Genomic data Biochips

18. New Options for Disease Management Philips Presentation Disease progression Mortality & costs Genetic predis - position First cell mutations asympto - matic disease Diseased cells release biological markers First symptoms/ manifestation Disease proliferation Environmental trigger Current approach In vitro markers Diagnostic (anatomic) imaging, biopsies symptoms diagnosis • Non - personalized medication • Chemotherapy • Radiotherapy • Surgery Follow up Molecular Imaging Molecular Imaging Molecular Medicine approach Molecular Therapy Molecular Therapy DNA screens Protein screens Monitor Treatment Monitor Treatment Earlier Personalized Integrated Efficient

19. EU Wide eHealth Policy and support to deployment 1. eHealth Action Plan - COM(2004)356 final 2. I2010 flagship initiative - ICT for Ageing Well 3. Lead Market initiative for Europe (eHealth) 4. EC Recommendation on EHR Interoperability (2008) 5. Telemedicine Communication - COM(2008)689 final ec.europa.eu/information_society/activities/health/policy/index_en.htm

23. Annex •••

24. EU GPs using a computer during consultation, in % (EC Study 2007) Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008 100% 66% 3% Random samples of 6,789 GPs in 29 countries

25. Access to broadband in practices Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008

26. Connectivity: to other GPs Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008

27. Use: storage of medical patient data Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008

28. % GPs connected to secondary healthcare (hospitals and/or specialist)

29. Electronic exchange of data for at least one purpose

30. Connectivity: to specialists Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008

31. Connectivity: to hospitals Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008

32. Connectivity: to health authorities Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008

33. Link to insurers (reimbursers) Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008

34. GP Attitudes towards ICT use in healthcare Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008