Health professionals and ICT for Health
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Exploratory modelling study at a regional level Andalusia, Basque Country and Catalonia
![SIMPHS findings ,[object Object],[object Object],[object Object],[object Object],[object Object],Additional data gathering through active collaboration with healthcare actors at regional level Limitations Data collection Transparency Comparability Granularity](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
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Health professionals and ICT for Health
- 1. The views expressed in this presentation are those of the author and do not (necessarily) reflect the position of the European Commission. Neither the Commission nor any person acting on behalf of the Commission can be hold responsible for the use which is made of this presentation Exploratory modelling study at a regional level Andalusia, Basque Country and Catalonia Enhanced data gathering through active collaboration with Healthcare Actors SIMPHS 2 - Validation Workshop 30/01/2012 (Brussels)
- 7. Surveys technical information Region Collaboration Health professional Universe / Population Sample / Rates Date Catalonia Nurses Association of Barcelona Nurses 26,200 emails 1,169 responses 4.47% May - June 2011 Physicians Association of Barcelona Physicians 24,025 emails 1,862 responses 7.75% Basque Country Basque Country National Health Service Nurses 9,417 emails 655 responses 7.5% May - June 2011 Physicians 8,731 emails 534 responses 5.67% Andalusia Andalusia National Health Service Nurses 11,636 emails 876 responses 7.5% Jul – Oct 2011 Physicians 9057 emails 720 responses 7.9%
- 8. ICT use in medical practice Intra-mural Patient & Drug management Extra-mural
- 9. RMT barriers Awareness and readiness Socio-economic and technological
- 10. RMT Impact Quality Throughput Activity Throughput
- 11. Barriers Health professionals ICT usage Impact Intra-mural Patient & Drug management Extra-mural Awareness and readiness Socio-economic and technological barriers Quality Throughput Activity Throughput
- 12. Primary care data gathering Region Collaboration Universe Population covered Indicators per centre Date Catalonia Catalonia National Health Service Institut Catalan de Salut Primary care Centre 6,028,200 inhabitants (80%) Socio-demographics Prevalence Visits / home visits Health professionals Chronic activities Pharmaceutical expenditure EHR usage 2011 Hospitals Basque Country Basque Country National Health Service Primary care Centre 2,155,546 inhabitants 2011 Andalusia Andalusia National Health Service Primary care Centre 8,370,975 inhabitants 2011
- 14. TECHNOLOGY FEATURES HEALTH PROFESSIONALS ORGANISATIONAL SETTINGS HEALTH SYTEM CHARACTERISTICS SOCIO-ECONOMIC AND POLITICAL CONTEXT CITIZENS MOTIVATIONS ATTITUDES INTENTIONS DEPLOYMENT AVAILABILITY OF APPLICATIONS INTENSITY AND PURPOSE OF USAGE IMPACT BENCHMARKING INDICATORS/INDEX EXPLAINING WHAT HAMPERS DRIVES FURTHER DEPLOYMENT/USE SKILLS ACCESS INCENTIVES BARRIERS
- 15. Citizens Health Professionals Health organisations Triangulation Tech uses Web 2.0 Basic uses Individual uses ICT Readiness ICT for Health Usage Intra-mural Patient & Drug management Extra-mural Awareness and readiness Socio-economic and technological barriers Quality Throughput Activity Throughput Services & devices Information & Communication
- 17. Thank you very much for your attention Dr. Francisco Lupiáñez-Villanueva http://www.ictconsequences.net Information Society Unit European Commission, DG JRC Institute for Prospective Technological Studies (IPTS) Edificio Expo - Calle Inca Garcilaso, s/n E-41092 Seville - Spain http://ipts.jrc.ec.europa.eu [email_address] Phone +34 954 488 206 (direct) Fax +34 954 488 208
Editor's Notes
- FIRST WE START DEFINING AND CONTEXTUALISING THE THEORETICAL FRAMEWORK FOR POLICY MAKING IN TWO STEPS
- The research reported here is the result of a collaboration between the Institute for Prospective Technological Studies (IPTS) and the following institutions from Catalonia, Basque Country and Andalusia: Physicians Association of Barcelona (Col•legi Oficial de Metges de Barcelona); Nurses Association of Barcelona (Col•legi Oficial de Infermeres de Barcelona); Department of Health of Andalusia - Andalusia National Health Service Department of Health of Basque Country - Basque Country National Health Service. Appropriate ethical approval was provided by all institutions, which were also involved in the design and distribution of the survey instrument. Procedures were put in place to ensure that all responses were rendered anonymous to both the researchers and institutions involved. The questionnaires were piloted and following consultation with the institutions two final versions were developed: one for physicians and one for nurses (see Annex 1). The consequent survey instrument was organised into five segments: (a) socio demographic and practice details; (b) access and use of ICT; (c) ICT and the health professional/patient relationship; (d) perceptions and impact of ICT and RMT and (e) diffusion and implementation of innovation.
- FAC1_2 RMT Barriers Technological, organizational and HR barriers FAC2_2 RMT Barriers Lack of interest FAC1_4 RMT Impact Quality Throughput FAC2_4 RMT Impact Activity Throughput
- FAC1_4 RMT Impact Quality Throughput FAC2_4 RMT Impact Activity Throughput
- integrated information system for primary care
- Is there an optimal eHealth deployment level? Which conditions should be targeted first? Is severity of illness an important factor? Several methods: Micro-level estimation parameters linked to country-level framework Dynamic modelling considering general or partial equilibrium