Establishing trust and user
acceptance



Dr Michael Wilks
Immediate Past - President, CPME
Chairman, E-Health users’ stak...
Is there a lack of trust?

• Trust in professionals
  • variety of HCPs
  • task shifting/ skill mixing
  • professional a...
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams
  • shari...
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams
  • shari...
Data Protection or Consent?

  Data Protection           Consent
• Contract between     • “Contract” between
  HCP and law...
Consent
LEVEL OF CONSENT
      FULLY
  ANONYMISED
   INFORMED                                             RESEARCH
     RE...
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams – the tea...
DOCTOR                   PATIENT




         Manual record
         Memory
         Familiarity
         Continuity
DOCTOR




DOCTOR   PATIENT




NURSE
PHYSIO-    COMMUNITY
                         PHARMACIST
THERAPIST     NURSE




DOCTOR      PATIENT       DENTIST



    ...
PHYSIO-    COMMUNITY
                          PHARMACIST
THERAPIST     NURSE




             ELECTRONIC
DOCTOR         P...
PHYSIO-    COMMUNITY
                        PHARMACIST
THERAPIST     NURSE




             SUMMARY
DOCTOR        RECORD ...
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams – skill m...
ACUTE CARE

  NURSE            TRIAGE   DOCTOR

LONG-TERM CARE


     NURSE                  DOCTOR


LONG-TERM MONITORING...
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams – skill m...
INFORMATION:
                                  • Patient groups
                 INTERPRETATION   • Web
(WEB-BASED?) RECOR...
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams – skill m...
Implementation


•   Interoperability
•   CALLIOPE
•   epSOS
•   eHealth Governance
    • Joined-up DGs
    • Stakeholder ...
Cross-border care
          COUNTRY A         COUNTRY B


PATIENT


HCP “A”    PATIENT SAFETY           HCP “B”

         ...
Cross-border care
               COUNTRY A   COUNTRY B
 SUMMARY

PRESCRIPTION

 HCPs:                     HCPs:
 - doctors...
Thank you
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How to move Forward the Implementation of the EU Interoperability Recommendation to Establish Trust and user Acceptance. Part 2: Perspective of a Professional Users Organisation

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How to move Forward the Implementation of the EU Interoperability Recommendation to Establish Trust and user Acceptance. Part 2: Perspective of a Professional Users Organisation. Wilks M. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

Published in: Health & Medicine
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How to move Forward the Implementation of the EU Interoperability Recommendation to Establish Trust and user Acceptance. Part 2: Perspective of a Professional Users Organisation

  1. 1. Establishing trust and user acceptance Dr Michael Wilks Immediate Past - President, CPME Chairman, E-Health users’ stakeholder group
  2. 2. Is there a lack of trust? • Trust in professionals • variety of HCPs • task shifting/ skill mixing • professional attitudes • Trust in systems • data protection • use of data beyond healthcare • confidentiality
  3. 3. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • “joined-up” implementation
  4. 4. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • “joined-up” implementation
  5. 5. Data Protection or Consent? Data Protection Consent • Contract between • “Contract” between HCP and law…. HCP and patient • …after the event • Precedes the event • Based on penalties • Based on trust • Discourages • Encourages working working together together
  6. 6. Consent LEVEL OF CONSENT FULLY ANONYMISED INFORMED RESEARCH RECORD CONSENT ? INFORMED FINANCIAL CONSENT AUDIT SPECIFIC EXTENDED CONSENT HEALTHCARE IMPLIED IMMEDIATE CONSENT HEALTHCARE DISTANCE FROM IMMEDIATE HEALTHCARE
  7. 7. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – the team • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • “joined-up” implementation
  8. 8. DOCTOR PATIENT Manual record Memory Familiarity Continuity
  9. 9. DOCTOR DOCTOR PATIENT NURSE
  10. 10. PHYSIO- COMMUNITY PHARMACIST THERAPIST NURSE DOCTOR PATIENT DENTIST THERAPIST NURSE CHIROPODY TRAINEE COMP. MED.
  11. 11. PHYSIO- COMMUNITY PHARMACIST THERAPIST NURSE ELECTRONIC DOCTOR PATIENT DENTIST RECORD NURSE THERAPIST NURSE
  12. 12. PHYSIO- COMMUNITY PHARMACIST THERAPIST NURSE SUMMARY DOCTOR RECORD DENTIST NURSE THERAPIST NURSE
  13. 13. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – skill mixing • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • joined-up” implementation
  14. 14. ACUTE CARE NURSE TRIAGE DOCTOR LONG-TERM CARE NURSE DOCTOR LONG-TERM MONITORING NURSE DOCTOR
  15. 15. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – skill mixing • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • joined-up” implementation
  16. 16. INFORMATION: • Patient groups INTERPRETATION • Web (WEB-BASED?) RECORD • Media • Clinicians • HCPs • Others DOCTOR PATIENT E-MAIL REMOTE MONITORING TELEMEDICINE
  17. 17. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – skill mixing • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • joined-up” implementation
  18. 18. Implementation • Interoperability • CALLIOPE • epSOS • eHealth Governance • Joined-up DGs • Stakeholder involvement
  19. 19. Cross-border care COUNTRY A COUNTRY B PATIENT HCP “A” PATIENT SAFETY HCP “B” • INTEROPERABILITY • INFORMATION QUALITY • STANDARDISATION • SEMANTICS
  20. 20. Cross-border care COUNTRY A COUNTRY B SUMMARY PRESCRIPTION HCPs: HCPs: - doctors - doctors - pharmacists - pharmacists Managers JOINT ACTIONManagers Patients: Patients: - information THEMATIC - information - consent NETWORK - consent
  21. 21. Thank you

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