Opportunities for provision of electronic administrative health services through the library network
e-ADMINISTRATIVE SERVICES: A FUTURE BENFICIAL OPPORTUNITY
Strategic DocumentsCommon e-Government Strategy of the Republic of Bulgaria 2011 – 2015;Strategy for Introducing e-Healthcare in Bulgaria.
Mission of e-Government in the Republic of Bulgaria:Through accelerated building and development of e-governance, thegovernment of the Republic of Bulgaria will provide higher qualityand easier to access services to citizens and the business, enhance theefficiency and effectiveness of administration, improve visibility andaccountability, curb corruption, generate new opportunities forparticipation of civil society structures in government.
e-Government Principles:User-centered administrative services (accessibility at any time, regardless of location);Efficiency and effectiveness;Accountability and visibility of administration in e-service provision and decision making (public information accessibility, reporting);Trust and safety.
e-Healthcare:e-Healthcare is a fast developing sector characterized by interactionbetween medical informatics, public healthcare, health service andinformation provision based on modern information andcommunication technology. It characterizes not only a technicaldevelopment, but also a commitment to global thinking, to improvehealthcare locally, regionally and worldwide.From a modern perspective, e-healthcare is a complex of measuresbased on an organizational, technological and legal frameworkspanning over the entire functioning aspect of the healthcare system.
Strategic Goal of e-Healthcare:To improve Bulgarian citizens’ health andquality of life by providing equal access tomodern, effective and quality healthcareservices based on existing and new technologyopportunities compliant with the population’schanging needs and increased mobility.
e-Healthcare Principles:Effectiveness;Quality healthcare services;Evidence based medicine (aims to facilitate medical decision making);Adequate training of healthcare staff;Equal access (opportunity for all citizens to access medical information through the internet; enhance opportunities for choice of healthcare services);Ethics (e-healthcare builds new forms of patient-doctor relationships and poses new challenges and ethical issues in relation to online practices, informed consent, confidentiality, etc.)
Measures for implementation of e-healthcare objectives:Develop an integrated information system for information exchange among healthcare employees: Adoption of e-healthcare cards; Adoption of software applications for real-time complex information processing (e-referrals, e-prescriptions, laboratory data and other tests); Development of complex and cross-integrated hospital information systems; Setting up complete e-patient records; Building the necessary infrastructure – networks, connectors, etc.; Building facilities and equipment for tele-medical projects.
Measures for implementation of e-healthcare objectives:Standardization and information security: The development of an information system in any sector is preceded by structuring and unification of processed information through: Adoption of national health information standards; Development of a national health information network model; Development of compatibility standards for healthcare information systems; Adoption of security policies for healthcare information systems; Access to the personal electronic health record through electronic smartcards, encrypted data exchange forms.Application of good practices and operating compatibility;
Measures for implementation of e-healthcare objectives :Information and training: Provision of real-time web based services; Electronic provision of easily accessible information to the population through creation of portals on: provision of information about different methods of treatment; rights and obligations of health insured citizens and health-care providers; health education; health prevention; Adoption of electronic systems for qualification maintenance and continuing training of health specialists; Development of systems for assisting decision making by health specialists and exchange of clinical information; Provision of public registers for medical institutions, pharmacies, etc.
LegislationE-Government Act (stipulates the activities of administrative authorities in dealing with electronic documents, the provision of electronic administrative services and the exchange of electronic documents among administrative bodies; implemented also in relation to activities of persons performing public functions and organizations providing public services);Electronic Document and Electronic Signature Act;Electronic Communications Act (provides legal definitions of concepts like internet, e-mail, interface, etc.);Regulation on Electronic Administrative Services.
Useful LinksMinistry of Health: http://www.mh.government.bg
Useful LinksNational Health Insurance Fund: http://www.nhif.bg
Useful LinksRegional Public Health Inspectorate, Veliko Tarnovo: http://www.rzi-vt.org
Useful LinksNational Center for Public Health and Analysis: http://www.ncphp.government.bg
Useful LinksWorld Health Organization: http://www.who.int/en/index.html