eHEALTH*-MONITOR 2014
* eHealth is the use of ICT - and In
to support or impro ternet technology in particular ve health and
healthcare
The eHealth monitor is an ongoing study in
which Nictiz and the NIVEL Institute map out
the status of eHealth in the Netherlands on an
annual basis. What options do healthcare
users, physicians, nurses, care providers and
practice assistants have available to them?
Which ones do they use? This infographic
gives a bird’s eye overview of the results of the
2nd edition of the eHealth Monitor.
eHEALTH - ON THE ROAD TO ADDED VALUE!
No major shifts in the use
of eHealth compared to 2013.
£
£ The use of some forms
of eHealth has increased
since 2013:
£ There will be greater coordination in
the area of eHealth. The Ministry of
Health, Welfare and Sport sets
concrete objectives and parties
‘in the field’ seek each other out for
joint activities.
More healthcare users say
their GP allows them to make
online appointments
7% à 13%
or request repeat prescriptions.
£ Four things stood out in the study:
21% à 30%
More GPs
1. eHealth in the workplace is still
not always ‘plug and play’
and medical specialists
2. process innovation is difficult
use mainly or exclusively
electronic records.
3. healthcare users and healthcare
providers do not always see
sufficient added value
93% à 98%
66% à 75%
4. healthcare users are often
unaware of possibilities
already available
For a real, large-scale use of eHealth a good balance is needed between
the investment in money and effort and the experienced added value in
terms of improved care, convenience and financial benefits.
SEARCHING FOR AND MAINTAINING HEALTH INFORMATION
Healthc
tablet
smartphone
use the Internet
earch for
are users s
49% use a
51% use a
93% of healthcare users
n about:
informatio
Use of eHealth for
selfmanagement:
ent.
ss or treatm
e
ln
il
n
A
65%
e.
n or exercis
50% Nutritio
their GP
need to see
y
e
th
r
e
th
e
39% Wh
blem.
about a pro
rnet
on the Inte
d
n
u
fo
n
o
formati
14% Show inhealthcare provider.
to their
12% Recording physica
l activity
,
for example with a ste
p counter
when exercising.
11%
Measuring own healt
h values
(weight, blood pressu
re) and
maintaining them on
line.
9%
Maintaining informati
on
about own health onlin
e.
3%
Maintaining informati
on
about doctors’ visits an
d/or
treatments online.
COMMUNICATION BETWEEN HEALTHCARE USER AND HEALTHCARE PROVIDER
Requesting repeat
prescription from GP
via the Internet
Asking GP a
question via e-mail
or website
Access to medical
data via the Internet
Possible at
Possible at
Possible at
of GPs
of GPs
of GPs
(for medication)
67%
49%
48%
Of GPs
47%
Of healthcare users don't
know if this is an option
14%
Of healthcare users say
this is an option
69%
67%
Of healthcare users don't
know if this is an option
30%
e.g. improved
accessibility,
patients like it
12%
58%
Of healthcare users don't
know if this is an option
Positive effects
through online
interaction with
patients
Of medical specialists
3%
Of healthcare users say
this is an option
Of healthcare users say
this is an option
Patients are not very aware of the options
provided by their healthcare provider. Access
to medical data for patients is still limited.
ONLINE TREATMENT
Telemonitoring
by the GP:
Use of online treatment by healthcare users:
Diabetes
15%
Congestive
heart failure
8%
Completed a psychological self-evaluation
via the Internet.
1%
Underwent treatment for mental problems
anonymously via a website.
1%
Used online treatment with a physiotherapist.
4%
REMOTE SUPPORT
NURSES AND CARE PROVIDERS
10%
USED BY
THE CARE INSTITUTE
OF THE NURSE/
CARE PROVIDER:
‘SCREEN-TOSCREEN
TELECARE’
44%
SUPERVISORY
TECHNOLOGIES (E.G.
MOTION MONITOR,
FALL DETECTOR)
10%
21%
MEDICINE
DISPENSERS
TELEMONITORING
41%
52%
of nurses and care providers experience
obstacles when using ICT applications
want to become more involved in
new ICT applications
RECORD MANAGEMENT
HOW ARE PATIENT
RECORDS MAINTAINED?
Exclusively or mainly
electronically
Effects of electronic record
management for nursing/care
98%
GPs
75%
Medical specialists
Alerts in the case of interaction
with other prescribed medication:
100% GPs
Nurses and care providers
79% In the cure sector
31% In the care sector
60%
Medical specialists
72%
Higher quality of care
67%
Increased safety for
patients
30%
Reduction of the
administrative burden
ELECTRONIC COMMUNICATION BETWEEN HEALTHCARE PROVIDERS
GP SHARES
INFORMATION
ELECTRONICALLY WITH:
MEDICAL SPECIALISTS
SHARE INFORMATION
ELECTRONICALLY WITH:
NURSES AND
CARE PROVIDERS:
Out-of-hours GP services,
pharmacies, laboratories,
hospitals
Other departments
Use of electronic
data exchange:
77%
84-93%
In the cure sector
Laboratories and
GP practices
56%
47-56%
Nursing homes and
home care organisations
8-11%
In the care sector
31%
Other hospitals and
public pharmacies
10-16%
MEDICAL SPECIALISTS WHO ARE
ABLE TO RECEIVE UP-TO-DATE
MEDICATION OVERVIEW:
DOCTORS EXPERIENCE POSITIVE
EFFECTS FROM THE ELECTRONIC
EXCHANGE OF DATA:
From the hospital pharmacy
Information is available faster
(32% are unable to do so but would like
to be able to)
More efficient care provision
55%
From the public pharmacy upon admission
16%
(66% are unable to do so but would like
to be able to)
TELECONSULT
In dermatology
In cardiology
of GPs
of GPs
76%
35%
71% - 79%
67% - 77%
Improved quality of care
57% - 74%
Video contact between
medical specialists
(outside the own institute):
21%
RECOMMENDATIONS
Make healthcare users more aware of the
possibilities that already exist
Organise online file access for patients,
starting with medication
Improve the exchange of information; there is a lot
of support for this among healthcare professionals
Increase the eHealth expertise of healthcare
professionals, promote knowledge transfer
between fellow practitioners
Aim for tangible added value, improve the balance
between investments and benefits (not just
financially, but also in terms of improved care)
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