eHealth
Per Erlend Hasvold
Section Manager - Home Care and Personal Health Systems
Norwegian Centre for Integrated Care and Telemedicine (NST)
University Hospital of North Norway HF (UNN)
eHealth
current use of the term: use of ICT for
practicing or using health services, as well
as accessing or collecting health
information
politically related to the eCitizen term
“…eHealth saves lives, saves money,
improves the health of individuals and the
population at large; strengthens health
systems, promotes equity and social justice,
and does much more besides. Its strategic
application by governments reflects the
latest and best ideas, innovations and
ambitions for progress in public and
individual health.”
WHO and ITU National eHealth Strategy
Toolkit
WHO & ITU National
eHealth Strategy
Toolkit
• develop vision: why?, what?, and how?
• part 1: develop national eHealth vision
• part 2: develop national eHealth action
plan
• part 3: develop national eHealth
monitoring and evaluation systems
Champions of
eHealth
• Denmark: national portal sundhed.dk
provides access to information and
services, as well as access to personal
health record
• Estonia: rich set of eHealth services
available through the X-Road
infrastructure
eHealth in Norway
• regularly revised government strategies for use of ICT
in healthcare - professional systems as well as public
services
• Norwegian Health Net infrastructure
• national portal: helsenorge.no
• slutta.no - smoking cessation
• “One citizen - one record” Government Report changes the laws and creates a new vision of
interoperability of infrastructures, services, and
participation
the big challenge
• today: 1 out of 6 students in secondary school is
educated into a health or care profession
• 2035: 1 out of 3 students must be educated into a
health or care profession in order to deliver the
same services in the same way we do today
• changes in demography, more people will live with
complex medical conditions, increase in number of
people with a chronic condition
• the biggest problem in healthcare in Norway is not
money, but access to human resources
related topics
• mHealth: mobile services, apps, new business
models (combined with micro financing, micro
insurance), distributed access to care and
management of health
• pHealth: personal and personalized services,
sensors, wearables, tailored motivation and
feedback
• Health 2.0: social networking and welfare
technology
• i.e. enabling self management, patient
empowerment, citizen-centered health and care
services, pro-active services
future
• now: informed patient through access to
health information on the web
• future: patient has tried health services
through apps and eHealth; some health
workers provide services through apps
• future: patient is a member in a
coordinated and interoperable team of
health and care service providers
future
• stronger focus on prevention of disease and
of secondary problems - i.e. pro-active care
• self management and empowerment for the
patients who have to live with a chronic
disease
• even the most severe chronic patients are
99,98% of the time on their own, making all
the important decisions affecting their own
current and future health - eHealth needs to
support this reality
(some) examples of
eHealth-projects at
NST
• slutta.no - smoking cessation, tailored motivation
• diabetes diary - app for self management, learning through data from your own
lifestyle (diet, insulin, activity, blood-glucose values), Android (soon also on iOS)
• sjekkdeg.no - understanding risk behavior related to sexually transmitted
diseases, gamification, avatars
• erdusyk.no - register symptoms and find probable explanations depending on
realtime prevalence of diseases in your region
• rehabilitation projects: COPD - treadmill, pulse-oxymeter, iPad, video conference
with physiotherapist; and cardiac patients (ikkegideg.no), tailored feedback and
motivation for prolonged adherence to exercise program
• VictoryaHomes - use of the Giraff telepresence remote controlled robot, and
integration with mHealth services for relatives and other support persons,
independent living
• access to your own medical records through the helsenorge.no portal
thank you!
per.hasvold@telemed.no