The views expressed in this presentation are those of the author  and do not (necessarily) reflect the position of the Eur...
SIMPHS findings <ul><li>Market findings: size, trends, outlook </li></ul><ul><li>Country studies & regional approach – Hea...
Exploratory research <ul><li>Reinforcing data gathering through active collaboration with Healthcare Actors </li></ul><ul>...
Health professionals
Objectives <ul><li>Health professionals </li></ul><ul><li>Identify doctors and nurses’ utilization of ICT, specially RMT <...
Methods <ul><li>The questionnaires were piloted and following consultation with the institutions two final versions were d...
Surveys technical information Region Collaboration Health professional Universe / Population Sample / Rates Date   Catalon...
ICT use in medical practice Intra-mural Patient & Drug management Extra-mural
RMT barriers Awareness and readiness Socio-economic and technological
RMT Impact Quality Throughput Activity Throughput
Barriers Health professionals ICT usage Impact Intra-mural Patient & Drug management Extra-mural Awareness and readiness S...
Primary care data gathering Region Collaboration Universe Population covered Indicators per centre Date   Catalonia Catalo...
What’s next? <ul><li>Technological innovation – Market evolution </li></ul><ul><li>Adoption models (Health professionals a...
TECHNOLOGY FEATURES HEALTH  PROFESSIONALS ORGANISATIONAL  SETTINGS HEALTH SYTEM CHARACTERISTICS SOCIO-ECONOMIC AND POLITIC...
Citizens Health Professionals Health organisations Triangulation Tech uses Web 2.0 Basic uses Individual uses ICT Readines...
Proposal for research <ul><li>Which data from what sources? </li></ul><ul><ul><li>Regional - National </li></ul></ul><ul><...
Thank you very much for your attention Dr. Francisco Lupiáñez-Villanueva http://www.ictconsequences.net Information Societ...
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Health professionals and ICT for Health

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Exploratory modelling study at a regional level Andalusia, Basque Country and Catalonia

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  • 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
  • Health professionals and ICT for Health

    1. 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)
    2. 2. SIMPHS findings <ul><li>Market findings: size, trends, outlook </li></ul><ul><li>Country studies & regional approach – Health indicators </li></ul><ul><li>Integrated care cross-country comparison </li></ul><ul><li>Citizen survey online panel outcomes </li></ul><ul><li>IPHS deployment and its impact </li></ul>Additional data gathering through active collaboration with healthcare actors at regional level Limitations Data collection Transparency Comparability Granularity
    3. 3. Exploratory research <ul><li>Reinforcing data gathering through active collaboration with Healthcare Actors </li></ul><ul><li>To develop ICT for Health indicators with the maximum level of granularity </li></ul><ul><li>Modeling different information sources and different levels of analysis (micro, meso and macro) </li></ul><ul><li>Analysing the demand side </li></ul><ul><li>Health professionals (nurses and doctors) </li></ul><ul><li>Primary care (inputs, outputs, outcomes, health status, prevalence, ICT uses) </li></ul><ul><li>Hospitals eHealth deployment </li></ul><ul><li>Health status of the population </li></ul>
    4. 4. Health professionals
    5. 5. Objectives <ul><li>Health professionals </li></ul><ul><li>Identify doctors and nurses’ utilization of ICT, specially RMT </li></ul><ul><li>D evelop and characterize a typology of doctors’ utilization of ICT, specially RMT </li></ul><ul><li>Identify factors that can enhance or inhibit the role and use of these technologies </li></ul><ul><li>Collaboration between the Institute for Prospective Technological Studies (IPTS) and the following institutions from Catalonia, Basque Country and Andalusia: </li></ul><ul><ul><li>Physicians Association of Barcelona (Col•legi Oficial de Metges de Barcelona); </li></ul></ul><ul><ul><li>Nurses Association of Barcelona (Col•legi Oficial de Infermeres de Barcelona); </li></ul></ul><ul><ul><li>Department of Health of Catalonia </li></ul></ul><ul><ul><li>Department of Health of Andalusia - Andalusia National Health Service </li></ul></ul><ul><ul><li>Department of Health of Basque Country - Basque Country National Health Service. </li></ul></ul>
    6. 6. Methods <ul><li>The questionnaires were piloted and following consultation with the institutions two final versions were developed: one for physicians and one for nurses </li></ul><ul><li>The consequent survey instrument was organised into five blocks: </li></ul><ul><li>Socio demographic and practice details; </li></ul><ul><li>Access and use of ICT </li></ul><ul><li>ICT and the health professional/patient relationship </li></ul><ul><li>Barriers, benefits and impact of ICT and RMT </li></ul><ul><li>Diffusion and implementation of innovation . </li></ul><ul><li>An invitation to participate in the online survey was sent with a link to the online questionnaire . </li></ul><ul><li>The invitation outlined the nature of the study, the confidentiality of individual responses and ethical safeguards. There was no financial inducement to take part in the survey. </li></ul>
    7. 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. 8. ICT use in medical practice Intra-mural Patient & Drug management Extra-mural
    9. 9. RMT barriers Awareness and readiness Socio-economic and technological
    10. 10. RMT Impact Quality Throughput Activity Throughput
    11. 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. 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
    13. 13. What’s next? <ul><li>Technological innovation – Market evolution </li></ul><ul><li>Adoption models (Health professionals and Citizens). Address: Incentives, Motivations, Barriers, Skills… </li></ul><ul><li>Diffusion of innovation within organisations: readiness and efficiency </li></ul><ul><li>Health for ICT policy planning and impact in the current socio-economic enviroment </li></ul><ul><li>IPHS deployment and its impact </li></ul>
    14. 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. 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
    16. 16. Proposal for research <ul><li>Which data from what sources? </li></ul><ul><ul><li>Regional - National </li></ul></ul><ul><ul><li>IT systems information availability </li></ul></ul><ul><li>What should be modeled first? </li></ul><ul><ul><li>Health status </li></ul></ul><ul><ul><li>Care and cure / Prevention and Promotion / Independent living </li></ul></ul><ul><ul><li>Adoption of health professionals and citizens </li></ul></ul><ul><ul><li>Diffusion of innovation within the organizations… </li></ul></ul><ul><li>Methods </li></ul><ul><ul><li>Micro-level estimation parameters linked to country-level framework </li></ul></ul><ul><ul><li>Dynamic modeling considering general or partial equilibrium </li></ul></ul>Challenges: better data  better models  policies?
    17. 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

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