Healthcare Systems Sustainability. The "conundrum" of Health
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Transcript of Healthcare Systems Sustainability. The "conundrum" of Health
The “conundrum” of eHealth
Misha Kay
Manager
Global Observatory for eHealth
World Health Organization, Geneva
Global Observatory for eHealth (GOe)
Established 2005
• Provide timely and quality evidence to improve
policy, practice and management of eHealth
• Raise awareness and commitment of
governments to advance eHealth
• Disseminate research findings on key eHealth
areas as a reference for governments and
policy-makers
Survey activity on eHealth
• 2005/2006 – First global survey
• 2009 – Second global survey
(closed November 2009)
60% response rate from Member States
GOe publications
• eHealth tools and services – Needs of the
Member States (2006)
• Building foundations for eHealth – Progress of
Member States (2007)
• Building foundations for eHealth in Europe
(2008)
http://www.who.int/goe
eHealth series planned for
2010 - 2011
• eHealth foundation policies
• eHealth policies – systematic review
• mHealth
• Telehealth
• eLearning in health sciences
• Management of patient information
• Legal and ethical frameworks for eHealth
• eHealth country profiles
In seven languages
Definitions
• Sustainability is the capacity to endure
(Wikipedia)
• Conundrum is a logical postulation that evades
resolution, an intricate and difficult problem
(Merriam-Webster Dictionary)
Conundrum
• Is sustainability of healthcare possible without
eHealth?
OR
• Is eHealth itself sustainable?
Key indicators from global eHealth
survey 2009
Trends in:
• eHealth policy
• Funding scenarios for eHealth
• Capacity building
All data currently unpublished
eHealth policy - global
eHealth policy - World Bank income
group
Implementation of eHealth policy -
global
eHealth policy implementation –
World Bank income group
Public funding - global
Private funding - global
Donor support - global
Public-private partnerships - global
Funding scenarios - WB income
group
ICT training - global
ICT training - WB income group
Sustainability – criteria
Favourable policy environment
• Visionary eHealth policy which recognizes the
scope and potential
• Legal and ethical frameworks for eHealth
• Actual implementation
Criteria
Funding scenarios
• Public funding
• Multiple funding sources
• Sufficient resources to complete / sustain
projects
Criteria
Workforce capacity
• ICT training for health sciences students at
university and continuing education for
professionals
• Specialist training for specific eHealth
applications
eHealth sustainability?
High and upper-middle income countries
• More advanced
• Generally solid support from governments – on the agenda
• eHealth policies / funding support / capacity of workforce - relatively advanced
• Legal and ethical issues – on the agenda
• Interoperability - priority
• Research and experimentation
eHealth sustainability?
Low and lower-middle income countries
• Behind but may be able to leapfrog in some cases
• Variable government support
• eHealth policies / funding support / capacity of
workforce - require significant support
• Legal and ethical issues – early days
• Interoperability – more work
• Research and experimentation – funding and
exchanges required
The prognosis?
Thank you!
Misha Kay