Health-IT predictions for Europe€¦ · eHealth business climate: The business trend for eHealth...

1

© HIMSS Analytics | eHealth TRENDBAROMETER Q4/2018

1www.himss.eu/analytics

Annual European eHealth Survey 2018

Results, October 2018

Health-IT predictions for

Europe

2


KEY FINDINGS

eHealth business climate: The business trend for eHealth continues to be positive, but has flattened after a midyear peak in 2018.

5 Lessons from the European eHealth Survey 2018

Lesson 1: The empowered patientThe patient (or actually consumer) will become the key focus of eHealth professionals over the next years. The following features of patient empowerment are

expected to be the dominant eHealth trends: foremost patient-generated data (via wearables or other tools and gadgets made for consumers) as well as health

records owned and managed by patients/consumers.

Lesson 2: EMR-maturity is (still) a core priority In most of the surveyed countries, EMR implementation is on top of healthcare providers’ agendas. Once a country has reached a certain level of EMR-maturity,

priorities shift towards patient empowerment.

Lesson 3: IT security and inadequate IT budgets can be a perilous comboHealthcare providers are threatened by weak IT security infrastructures. Hacks and ransomware attacks are occurring to a greater extent, potentially with

devastating effects. In the context of the reported insufficient IT budgets, these findings should be a wake-up call.

Lesson 4: Successful digital transformation is a team gameDigitally advanced organisations and countries have already expanded the skill set of the management teams in charge of the digital transformation by creating new

roles. Since IT departments have taken on more responsibilities over the last years, a Chief Information Officer (CIO) is likely to need further support. The C-suite for

the digital leadership is likely to grow and could soon comprise Chief Clinical Officers, Chief Nurse Information Officers, Chief Innovation Officers and Chief Digital

Officers. If you only have some of them in your health institution, you might not (yet) be in trouble. However, should you have none of these positions (established

and funded), you may want to think twice.

Lesson 5: Nordics and the Netherlands are leaders in eHealth adoption and innovationWe are sure you have heard this before, and in fact, many of you confirmed it in this survey: Visit the Nordic countries (especially Denmark and Sweden), Estonia

and the Netherlands if you are keen to see modern eHealth in action.

3


TABLE OF CONTENT

• Key findings page 2

• Introduction & methodology page 4

• Survey questions page 5

• Results

Current eHealth priorities page 7

Current eHealth challenges page 9

eHealth trends (next 2-3 years) page 11

IT enables improved patient safety and care page 13

Digital maturity and the prevalence of digitised patient data page 14

Adequacy of IT budget in 2018/2019 page 15

Governmental support for eHealth page 16

Availability of clinically focused IT representatives page 17

Role models for European eHealth page 18

Business expectations page 19

4


HIMSS ANALYTICS – WHO WE ARE

HIMSS Analytics provides healthcare organisations, governments and industry with extensive data resources and services regarding the adoption and use of information and technology. HIMSS Analytics’ offerings include market intelligence, research and IT adoption assessments for topics like Electronic Medical Records (EMR), medical imaging or continuity of care.The portfolio is designed to provide eHealth professionals with insights and guidance on their digital transformation journey.

EHEALTH SURVEY AND TRENDBAROMETERS – METHODOLOGY

Objectives o Continued evaluation of trends and issues in the European eHealth sector:2 – 4 survey waves per year, with both varying and recurring topics

o Providing insights into current and expected developments of eHealth in Europe

o Initiating discussions within the European eHealth community

Study design o Structured quantitative online survey

o Fast completion time (< 5 min)

o Survey languages: English, German

o Participation via personal email invitation or a public link on www.himss.eu and other channels

Target audienceand participants

Key audience: eHealth professionals from multiple European countries, in particular:

o IT staff, administrative staff and clinicians from health facilities (e.g. CIOs, CEOs, physicians, nurses)

o Professionals from health-IT related software and consulting companies

o Professionals from other eHealth related sectors (e.g. health authorities, research, journalism)

o Number of participants: 300 – 500 per survey wave

Survey period o Typical field time: 2 months

o Specific field time for the „Annual European eHealth Survey“

September to October 2018

Access all eHealth

TRENDBAROMETER‘s here:

www.himss.eu/healthcare-providers/ehealth-trends

http://www.himss.eu/healthcare-providers/ehealth-trends

http://www.himss.eu/healthcare-providers/ehealth-trends

5


SURVEY QUESTIONS

1. What type of organisation are you working for?

2. What are the biggest eHealth PRIORITIES for healthcare providers at the moment?

3. What are the main eHealth CHALLENGES healthcare providers currently face?

4. What do you see as the biggest eHealth TRENDS within the next 2 – 3 years?

5. Is IT seen as an enabler to improved patient safety and care within your organisation?

6. How would you rate your organisation in terms of digital maturity?

7. What percentage of patient data in your organisation is digitised?

8. Do you think your organisation has sufficient IT budget for the next 12 months?

9. How would you describe the amount of central (governmental) direction and support you receive to progress your eHealth agenda?

10. Which of the following roles are established and financially supported in your organisation, in addition to the Chief Information Officer (CIO)?

11. Which country do you consider being a role model for eHealth innovation in Europe?

12. How will the environment for eHealth innovation and investment in your country develop over the next 12 months?

„Annual European eHealth survey“

6


Software vendor (15%)• Sales/Marketing Professional

(37%)• CEO (23%)• Organisational and Corporate

Governance (8%)• IT Staff (6%)• Software developer (5%)• Quality management Staff (4%)• CIO (2%)• Other (15%)

Consulting company (12%)• CEO (41%)• Organisational and Corporate

Governance (12%)• Sales/Marketing (11%)• Other position (36%), e.g. Consultant,

Director, Advisor, Analyst…

Governmental health authority (10%)• Organisational and Corporate

Governance (22%)• IT Staff (13%)• CIO (9%)• CEO (5%)• Other position (51%), e.g.

Advisor, Project Manager…

Health facility* (46%)• CIO (22%)• IT Staff (22%)• Medical Profession (Physician) (17%)• Chief Medical Officer (CMO) (7%)• Medical Profession (nurse,

pharmacist...) (7%)• CEO (5%)• Organisational and Corporate

Governance (5%)• Researcher/scientist (3%)

• Quality management (2%)• Others (10%)

SAMPLE DISTRIBUTION – SURVEY PARTICIPANTS

Geographic distributionRespondents by institution & role

n=571

Countries or regions with more than 30 respondents are shown individually.

Nordic Countries = Denmark, Finland, Iceland, Norway, Sweden

“Others“ include: Albania, Bulgaria, Croatia, Cyprus, Czech Rep., Estonia, Greece, Iceland, Lithuania, Malta, Poland, Russia, Slovakia, Slovenia, Ukraine, Turkey.

** The number of responsescan vary slightly by question (if individual questions are skipped)

Country n

Germany 99

Spain 56

Netherlands 55

Switzerland 54

Italy 47

United Kingdom 32

Denmark 30

Sweden 26

Austria 25

Norway 25

Ireland 22

Belgium 21

Finland 21

France 15

Portugal 10

Others* 33

Total** 571

Others (17%)• Researcher/scientist (32%)• Organisational and Corporate

Governance (9%)• Chief Executive Officer (CEO) (8%)• Sales/Marketing (8%)• Other position (43%), e.g. Business

Developer, Project Manager, Analyst…

*Health facility: e.g. hospitals, outpatient practice, social care centres

OrgType

7

© HIMSS Analytics | eHealth TRENDBAROMETER Q4/2018Valid responses 2017: Total: n = 548.

CURRENT EHEALTH PRIORITIES – BY TYPE OF ORGANISATION

What are the biggest eHealth PRIORITIES for healthcare providers at the moment?[Total also includes “others”; multiple choice with a maximum of 3 responses]

EMR implementation continues to be the top priority among respondents in Europe, although its relative importance has declined compared to last year. Initiatives to integrate and use patient-generated data as well as improve patients’ access to their information made it to second and third rank. These patient-related activities are of the highest importance for governmental health authorities, whereas healthcare providers put less emphasis on them. We expect those topics to become even more important over the coming years as the shift to consumer-driven health(care) is likely to accelerate.

Totaln = 566

Softwarevendorn = 84

Governmentalhealth authorityn = 56

Consulting companyn = 68

Health facilityn = 260

Updating hardware or network resources

Reorganisation of health systems

Medication safety

Use of mobile devices

Telemedicine

Improve clinicians’ access to information

Integration and use of patient-generated data

IT security

Improve patients’ access to information

Data exchange with external partners

EMR implementation

Archiving and documentation

Enterprise Imaging

Results from 2017

5%

8


CURRENT EHEALTH PRIORITIES – BY COUNTRY / REGION

The results reflect countries’ different policy and regulatory priorities, which manifest themselves in healthcare delivery organisations’ varying degrees of digital maturity. As such, eHealth priorities diverge by country/region: EMR implementation is a top priority in Germany (24%) and Switzerland (23%), but plays a minor role in more EMR-mature countries like the Nordics (8%), Spain (6%) or the Netherlands (3%), where healthcare providers are occupied improving patients’ access to information and establishing external health information exchanges.

• Improve clinicians’ access to information (17%)

• Improve patients’ access to information (14%)

• Integration and use of patient-generated data (14%)

• Reorganisation of health systems (13%)

• Integration and use of patient-generated data (15%)



• Data exchange with external partners (21%)

• EMR implementation (24%)• IT security (15%)

• EMR implementation (23%)

• Data exchange with external partners (17%)

• EMR implementation / IT security (14%)

Ge

rman

y

Ital

y

Ne

the

r-la

nd

s

No

rdic

C

ou

ntr

ies

Spai

n

Swit

zer-

lan

d

Un

ite

d

Kin

gdo

m

Tota

l

EMR implementation 24% 14% 3% 8% 6% 23% 12% 15%

Integration and use of patient-generated data

7% 13% 15% 14% 15% 8% 11% 11%

Improve patients’ access to information

6% 11% 24% 12% 14% 8% 14% 11%

Improve clinicians’ access to information

6% 11% 6% 11% 11% 8% 17% 10%

IT security 15% 14% 7% 10% 10% 9% 8% 10%

Data exchange with external partners

7% 2% 21% 9% 7% 17% 9% 9%

Reorganisation of health systems

4% 11% 5% 13% 9% 10% 9% 9%

Use of mobile devices 8% 7% 6% 7% 9% 6% 2% 7%

Telemedicine 7% 7% 2% 9% 8% 1% 3% 6%

Medication safety 4% 5% 5% 4% 6% 3% 5% 5%

Updating hardware and/or network resources

6% 2% 3% 1% 3% 1% 4% 3%

Archiving and documenting 5% 4% 1% 1% 1% 4% 3% 3%

Enterprise imaging 0% 1% 1% 1% 0% 0% 1% 1%

n 99 47 54 103 56 54 32 566

What are the biggest eHealth PRIORITIES for healthcare providers at the moment?

Top 3 answers

Bottom 3 answers

9



CURRENT EHEALTH CHALLENGES – BY TYPE OF ORGANISATION

What are the main eHealth CHALLENGES healthcare providers currently face?[Total also includes “others”; multiple choice with a maximum of 3 responses]

Overall, funding is perceived as the major challenge (12%). However, healthcare providers see IT security as the main eHealth challenge (13%), a significant increase from 6% in 2017. The fact that respondents rated the majority of issues fairly hey receive ratings which are very close to each other indicates that eHealth professionals are challenged from many angles at the moment. But they also hide provider- and country-specific differences (see next page). From a consulting specialist’s view, healthcare providers lack the support from political stakeholders, which restrain them to focus and invest into the right tools, people and processes.

Totaln = 568




IT security

Being GDPR-compliant

Patient empowerment and self-management

Resistance from clinical staffto use eHealth solutions

Mobile health: Implementing the right tools

Lack of leadership

Lack of political direction

Struggles with EMR implementation

Finding & hiring sufficiently skilled employees

Interoperability standards (e.g. HL7, XML…)

Funding

Big data analytics

Legislation issues (other than GDPR)

Valid responses 2017: Total: n = 542, whx not 548 see sl 7. Results from 2017

10


CURRENT EHEALTH CHALLENGES – BY COUNTRY / REGION

What are the main eHealth CHALLENGES healthcare providers currently face?

There are substantial differences among countries regarding perceived challenges. Funding remains a serious problem for healthcare providers in the UK. In the Netherlands, clinicians' resistance to use eHealth and mobile solutions, of which there is a high installed base, and interoperability are major concerns. Providers in Germany and the UK have difficulties hiring the right specialists, a problem they already faced in the previous year. In Italy providers made no significant differences when assessing the severity of the various challenges.

• Lack of leadership (12%)

• Patient empowerment and self-management/

• Struggles with EMR implementation/ IT security (11%)

• IT security (14%)• Finding and hiring sufficiently

skilled employees (12%)• Interoperability

standards (15%)• Funding (12%)

• IT security (10%)• Interoperability

standards / Patient empowerment and self-management / Struggles with EMR implementation (9%)• Funding (16%)

• Big data analytics (12%)

• Funding (22%)• Interoperability

standards (19%)

• Resistance from clinical staff to use eHealth solutions (14%)

• Interoperability standards / Patient empowerment and self-management (13%)

Ge

rman

y

Ital

9y

Ne

the

r-la

nd

s

No

rdic

C

ou

ntr

ies

Spai

n

Swit

zer-

lan

d

Un

ite

d

Kin

gdo

m

Tota

l

Funding 12% 7% 10% 9% 16% 12% 22% 12%

Interoperability standards (e.g. HL7, XML…)

11% 9% 13% 8% 10% 15% 19% 10%

IT security 14% 10% 9% 11% 9% 9% 8% 10%

Finding and hiring sufficiently skilled employees

12% 7% 9% 5% 4% 9% 14% 8%

Struggles with EMR implementation

8% 9% 4% 11% 3% 7% 6% 8%

Lack of leadership 4% 7% 9% 12% 7% 11% 5% 7%

Lack of political direction 8% 9% 6% 8% 10% 8% 2% 7%

Mobile health: Implementing the right tools

7% 9% 12% 8% 10% 10% 1% 7%

Resistance from clinical staff to use eHealth solutions

5% 9% 14% 7% 3% 11% 5% 7%

Patient empowerment and self-management

3% 9% 13% 11% 11% 5% 7% 7%

Being GDPR-compliant 8% 9% 3% 4% 7% 4% 2% 6%

Big data analytics 2% 9% 6% 6% 12% 5% 6% 5%

Legislation issues (other than GDPR)

9% 4% 1% 9% 4% 5% 1% 5%

n 99 47 54 103 56 53 31 568

Top 3 answers

Bottom 3 answers

11


EHEALTH TRENDS – BY TYPE OF ORGANISATION

What do you see as the biggest eHealth TRENDS within the next 2 – 3 years?[Total also includes “others”; multiple choice with a maximum of 3 responses]

The outlook for the coming few years has not changed much in 2018 compared to 2017 ‘s vision. This suggests that progress in the key areas identified last year has been slow and that a lot still remains to be done. Hence, the next two to three years will see more of the same: patient (owned) medical records, health information exchange with external providers, patient self-monitoring initiatives and EMR implementations. Contrary to the hype, and in line with last year’s results, few blockchain-based solutions will be implemented.

Patient self-monitoring

Population Health Management

Use of mobile devices by clinical staff

Provision of telemedicine services

Data analytics

Artificial intelligence

Personalised medicine

EMR implementation and adoptionby healthcare providers

Health information exchangewith external providers

Patient Health Records

Disruption of traditional healthcareprovision by new players

Blockchain


Totaln =567




Resultsfrom 2017

Valid responses 2017: Total: n = 1173. No mentioning 2017 data us

12


EHEALTH TRENDS – BY COUNTRY / REGION

What do you see as the biggest eHealth TRENDS within the next 2 – 3 years?

As mentioned before, political agendas and existing levels of digital maturity are decisive factors for the variations in country’s (region’s) specific trend perceptions. Patient (owned) health records will be high on the agenda everywhere, except for the Nordics where they are already widely adopted. Countries with a high digital maturity such as the Nordics, the Netherlands and to some extent the UK and Spain will start tackling issues like patient-self monitoring or the use of AI. A disruption of the European healthcare market by new entrants is not expected to happen too soon.

• Artificial Intelligence (14%)

• Patient self-monitoring (through health wearables) (13%)

• Patient Health Records (21%)• Health Information Exchange (14%)

• Patient Health Records (14%)• Provision of telemedicine

services (by providers) (13%)

• Patient Health Records (18%)• Personalised medicine (15%)

• Patient Health Records (14%)• Data Analytics (13%)

• Patient self-monitoring (through health wearables) (13%)

• Patient Health Records (12%)

• Patient Health Records (25%)• Patient self-monitoring (through

health wearables) (15%)

Ge

rman

y

Ital

y

Ne

the

r-la

nd

sN

ord

ic

Co

un

trie

s

Spai

n

Swit

zer-

lan

dU

nit

ed

K

ingd

om

Tota

l

Patient Health Records (owned and managed by citizens, not clinicians)

14% 18% 25% 11% 14% 21% 12% 15%

Health Information Exchangewith external providers

9% 3% 14% 7% 7% 14% 11% 10%

Patient self-monitoring (through health wearables)

5% 9% 15% 13% 10% 6% 13% 9%

EMR implementation and adoption by healthcare providers

12% 10% 3% 6% 1% 10% 10% 9%

Artificial Intelligence 9% 7% 7% 14% 10% 8% 10% 9%

Personalised medicine 10% 15% 5% 11% 12% 5% 7% 9%

Data Analytics 3% 12% 7% 11% 13% 10% 6% 8%

Provision of telemedicine services (by providers)

13% 11% 5% 5% 11% 3% 9% 8%

Use of mobile devices by clinical staff

9% 6% 4% 6% 8% 9% 8% 7%

Population Health Management 6% 5% 6% 9% 6% 5% 11% 7%

Disruption of traditional healthcare provision by new players (e.g. Apple, Google, Amazon, Startups, etc.)

7% 3% 8% 7% 5% 7% 3% 6%

Blockchain 3% 1% 1% 0% 3% 2% 0% 2%

n 99 47 54 103 55 53 31 567Top 3 answers

Bottom 3 answers

13


IT ENABLES IMPROVED PATIENT SAFETY AND CARE

Is IT seen as an enabler to improved patient safety and care within your organisation?[Only respondents working in health facilities. Total includes other surveyed countries]

There is a strong consensus among professionals working in health facilities that IT enables improved patient safety and care; 96% of survey respondents find this – at least somewhat – to be the case (95% in 2017). There is a higher level of scepticism in the Netherlands than in the other countries, especially when compared to Germany (94%) and Spain (95%). The Dutch assessment dropped quite significantly compared to last year’s results. This year, 39% of Dutch respondents saw IT as an enabler, down from 79% in 2017.

Yes Somewhat No

Totaln = 259

Spainn = 19

Nordic Countriesn = 34

Switzerlandn = 29

Italyn = 19

United Kingdomn = 18

Netherlandsn = 28

Germanyn = 49

(2017: 64%) (2017: 31%) (2017: 5%)

Valid responses 2017: Total: n = 236.

14


DIGITAL MATURITY AND THE PREVALENCE OF DIGITISED PATIENT DATA

While there is a lot of talk about eHealth and digital transformation, judging by health facilities’ own assessment, they have not progressed very much on their respective transformation journey over the past year overall. EMRs are by now more common than paper-based records. According to the study, almost three quarters (73%) of patient data are digitised. In the Netherlands and the Nordic countries nearly 90% of patient data are digitised. Health professionals from Italy and the Nordics are most confident about their organisation’s digital maturity.

How would you rate your organisation in terms of digital maturity? [mean values; scale from 1 ”not mature at all” to 10 “extremely mature”; only participants who work in a health facility]

What percentage of patient data in your organisation is digitised?[Scale from 0% - 100%; only participants who work in a health facility]

Digital Maturity (self-assessment) Patient Data in Digital Format (self-assessment)

Extremelymature

Not mature

at all 1

10

Total

*

*

* When comparing the HIMSS Analytics Electronic Medical Record Adoption Model (EMRAM), maturity scores for Italy were much lower than for hospitals in the Netherlands or the Nordics.

Valid responses 2017: Total: n = 209/207; Italy: n = 12/13; Nordic Countries: n = 18/14; Netherlands: n = 27/26; Spain: n = 26/26; United Kingdom: n = 18/14; Switzerland: n = 25/26; Germany: n = 23/23.

2017 results

http://www.himss.eu/healthcare-providers/emram

15


ADEQUACY OF IT BUDGET IN 2018/19

Do you think your organization has sufficient IT budget for the next 12 months?[Total includes “other“ countries; only participants who work in a health facility]

The majority (59%) of healthcare employees think their institutions’ IT budget is too low, this is a slight decline from last year’s results (62%). Hence, it is not surprising that the average level of digital maturity has not increased significantly (see previous slide). However, on a country-by-country comparison, the Dutch are mostly satisfied with their IT budgets, whereas professionals working in a UK or Spanish healthcare facility are most worried. Physicians and nurses are more concerned about the adequacy of the IT budget than their colleagues in IT.

… by profession 2018

Switzerlandn = 28


Italyn = 17

Germanyn = 40

Spainn = 18


Netherlandsn = 23

Totaln = 227

25%

75%

Physicians & Nurses

43%57%

IT staff

… by profession 2017

Valid responses total 2017: n = 215 and by profession: IT Staff 2018: n = 48; Physicians & Nurses 2018: n = 44; IT Staff 2017: n = 115; Physicians & Nurses 2017: n = 40.

(2017: 38%) (2017: 62%)

Yes

No

16


GOVERNMENTAL SUPPORT FOR EHEALTH

How would you describe the amount of central (governmental) direction and support you receive to progress your eHealth agenda? [Total includes “others”; mean values; scale from 1 “inadequate” to 10 “adequate”]

eHealth professionals are lukewarm about their received level of governmental direction and support. Overall, their assessment is marginally below that in 2017 (4.8 in 2018 compared to 5.0 in 2017). Only eHealth professionals from governmental health authorities paint a slightly more positive picture. German eHealth professionals are under the impression that governmental support for eHealth is even weaker than one year ago, also indicating that their hopes for a stimuli initiative in this field have grown further. At the same time, their Dutch and Nordic peers are more satisfied with their own governmental programmes and retain last year’s (already) more positive perceptions.

10Adequate

1Inadequate

… by type of organisation

10Adequate

1Inadequate

Switzerlandn = 44


Italyn = 41

Germanyn = 82

Spainn = 47


Netherlandsn = 42


Software vendorn = 73

Totaln = 477


Governmental health authorityn = 44

… by country / region

2017 results

Valid responses 2017: Total: n = 470; Governmental health authority: n = 53; Software vendor: n = 86; Health facility: n = 193; Netherlands: n = 59; Nordic Countries: n = 81; Switzerland: n = 56; United Kingdom: n = 30; Italy: n = 25; Spain: n = 49; Germany: n = 57.

17


AVAILABILITY OF CLINICALLY FOCUSED IT REPRESENTATIVES

Which of the following roles are established and financially supported in your organisation, in addition to the Chief Information Officer (CIO)? [Total includes “others”; only participants who are working in a health facility; multiple answers possible]

Chief Innovation Officers (CINO) and Chief Digital Officers (CDO) are roles rarely found in European health facilities other than in the Netherlands and the Nordic countries. In the UK and Germany, a CINO is almost unheard of. These positions, however, are important to help with the digital transformation, especially when it comes to drive added value and patient empowerment.

Totaln (2017) = 232n (2018) = 282

Chief ClinicalInformation Officer

(2017)

Chief Innovation Officer(2018)

Chief Digital Officer(2018)

Chief NursingInformation Officer

(2017)

Ge

rman

y

Ital

y

Net

he

rlan

ds

No

rdic

C

ou

ntr

ies

Spai

n

Swit

zerl

and

Un

ite

d

Kin

gdo

m

Chief Clinical Information Officer (2017)

12% 40% 60% 38% 49% 25% 55%

Chief Innovation Officer(2018)

5% 26% 36% 36% 25% 18% 0%

Chief Digital Officer(2018)

19% 16% 11% 27% 6% 7% 19%

Chief Nursing Information Officer (2017)

12% 13% 14% 14% 14% 14% 24%

n(2017)

26 15 35 37 35 36 33

n(2018)

43 17 26 28 16 28 16

18


ROLE MODEL FOR EUROPEAN EHEALTH

Which country do you consider being a role model for eHealth innovation in Europe?[Total includes “others”]

Overall, Denmark is seen as the leading country for eHealth innovation in Europe, followed closely by Estonia and the Netherlands. This ranking changes when different stakeholders’ perspectives are considered: eHealth professionals from governmental health authorities regard Estonia as the reigning role model , whereas business consultants see Denmark as the leading contender for the top spot. The picture changes yet again from an individual country’s perspective: eHealth professionals from Spain, Italy or the UK value their own achievements much more than their colleagues from other countries. Perhaps this represents a communication opportunity missed.

Totaln = 464

Switzerland

Norway

Italy

Austria

Germany

United Kingdom

Estonia

Finland

Sweden

Spain

Denmark

Belgium

FranceOthers*

Netherlands

* Other countries: Portugal, Turkey, Poland

Consultingcompanyn = 61



Health facilityn = 197 G

erm

any

Ital

y

Ne

the

r-la

nd

s

No

rdic

C

ou

ntr

ies

Spai

n

Swit

zer-

lan

d

Un

ite

d

Kin

gdo

m

Denmark 27% 17% 8% 28% 9% 43% 9%

Estonia 23% 3% 34% 13% 22% 4% 30%

Netherlands 16% 14% 21% 24% 16% 13% 13%

Sweden 7% 8% 11% 5% 9% 13% 9%

United Kingdom

1% 8% 5% 7% 11% 0% 26%

Finland 2% 8% 3% 17% 2% 4% 0%

Spain 0% 6% 3% 1% 24% 4% 4%

Norway 4% 0% 8% 2% 2% 4% 0%

Austria 6% 0% 0% 0% 0% 9% 0%

Germany 1%* 3% 0% 1% 0% 2% 4%

Italy 2% 22% 0% 0% 0% 0% 0%

Switzerland 7% 0% 0% 0% 4% 2% 0%

Belgium 0% 0% 5% 0% 0% 0% 0%

France 0% 0% 0% 0% 0% 2% 0%

Other 1% 11% 3% 2% 0% 0% 4%

n 81 36 38 88 45 47 23

Top 3 answers Bottom 3 answers*own country/region rated

19


RESULTS – BUSINESS EXPECTATIONS

From a general perspective: How will the environment for eHealth innovation and investment in your country develop over the next 12 months?[Score for “Balance of business expectations” = (percentage “improve” – percentage “worse”)*100]

Bal

ance

of

bu

sin

ess

exp

ecta

tio

ns

Very positive expectations

Very negative expectations

2015 – Q2 Q3

Results by country (2018 – Q3)

Q3

Worse Steady Improve n

Austria 12% 56% 32% 25

Denmark 7% 10% 83% 29

Finland 5% 14% 81% 21

Germany 7% 49% 43% 99

Italy 15% 49% 36% 47

Netherlands 2% 25% 73% 55

Norway 0% 44% 56% 25

Spain 4% 48% 48% 56

Sweden 4% 31% 65% 26

Switzerland 6% 50% 44% 54

United Kingdom 16% 31% 53% 32

All Countries 6% 40% 54% 570

2016 – Q2 Q3 Q4 2017 – Q2 Q3 2018 – Q1 Q2

Overall business expectations for the eHealth sector continue to be positive but have flattened over the past few months. Danish, Finnish and Dutch eHealth professionals remain particularly optimistic, at least 73% of respondents across those countries anticipate improvements and between 2% and 7% believe the situation will become worse. Although the UK shows the most pessimistic outlook with 16% of participants expecting a downturn, this is already a better result than last year.

*UK: Q2 2018 not shown in chart due to low response rates during that survey wave

20


We drive the health IT market in the direction it needs to go

Analytics Maturity Adoption Model

Continuity of Care Maturity Model

Digital Imaging Adoption Model

EMR Adoption Model

Improved

Patient Care

and Health IT

Insights

Infrastructure Adoption Model

21


Thank you for your participation!

HIMSS Analytics

Office Leipzig

Schwägrichenstraße 9

04107 Leipzig

Germany

www.himss.eu/analytics

www.himssanalytics.org

Join the European eHealth community panel

[email protected]

mailto:[email protected]?subject=eHealth community panel - TRENDBAROMETER

http://www.himssanalytics.org/

http://www.himss.eu/analytics

http://www.himss.eu/analytics

http://www.himssanalytics.org/

mailto:[email protected]?subject=eHealth Trend Barometer

Health-IT predictions for Europe€¦ · eHealth business climate: The business trend for eHealth...

Documents

Transcript of Health-IT predictions for Europe€¦ · eHealth business climate: The business trend for eHealth...