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Presentation eHealth-monitor - English

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Please note that the headings in the different slides are not conclusions, but are food for thought meant to foster dialogue and discussion.

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Presentation eHealth-monitor - English

  1. 1. Consciously choose eHealth Myrah Wouters January 2018 What is the goal and who is it for? Is it a necessity or is it of added value?
  2. 2. Facts & Figures Research background Healthcare consumers Healthcare professionals 536 physicians medical specialists and general practitioners 712 nurses elderly care, hospital care and general practice nurses 225 mental health nurse practitioners MHNPs 741 healthcare users 3.040 chronically ill patients and frail elderly 11 workshop participants Consumentenpanel Gezondheidszorg What is the goal and who is it for? Is it a necessity or of added value?
  3. 3. 2. Online access to medical records 3. Self- management and online treatment 4. Remote guidance and support 1. Ease and service for healthcare users 5. Electronic record-keeping and communications between health professionals 5 themes Research background
  4. 4. Rightly concerns or conceived obstacles? The use of an e-consult depends on the context.” GP fears an increase of questions: GP doesn’t offer an e-consult (n=109) GP offers an e-consult (n=181) Not applicable if a diagnosis has not yet been made, if the doctor is unknown or if body language is important.” Healthcare users: disagree agree I don’t know disagree agree I don’t know “An e-consult will lead to patients asking more questions” 1. Ease and service for healthcare users
  5. 5. 46% 76% 37% 62% 21% 4% 100% offer = 100% usage? 1. Ease and service for healthcare users Medical specialist GP Ask a question Request repeat prescription Reminder appointment Ask a question Use by healthcare users 4% 18%
  6. 6. Patient access: why again? 2. Online access to medical records 74% thinks it is desirable that patients have access to prescribed medication 0% 5% 10% 15% 20% 25% 30% 2015 2016 2017 Increase in the number of general practitioners who have doubts about providing online access to patients 12% 19% 25% (now possible with 24% of GPs)
  7. 7. Doing = experiencing Percentage of chronically ill who experience the advantages of online access to medical data 2. Online access to medical records 30% Improved preparationfor appointments 34% Betterinvolvement intreatment 43% Checkandverifymy data 47% Fasterandbetter insights Addedvalue
  8. 8. 75% Objective achieved. What now? 3. Self-management and online treatment Yes No, but wants to No, wants to, but can’t Objectives Ministry of Health, Welfare and Sport: ‘75% of chronically ill patients and frail elderly that want to and are able to do so can independently perform self- measurements, often combined with remote data monitoring by a healthcare professional.’ No, doesn’t want to Chronical ill and frail elderly who measure and record their own health values (50-55%) (32-36%) (3-6%)(8-10%)
  9. 9. eMental Health: How do we get everything organised? misses guidelines to help decide which form of eMental Health to use for whom wants research about effects eMental Health 73% of mental health nurse practitioners sees added value in eMental Health for patients 58% 49% 73% needs decision support in choosing eMental Health 3. Self-management and online treatment
  10. 10. Doelstellingen VWS: ‘75% of chronically ill patients and frail elderly that want to and are able to do so can independently perform self- measurements, often combined with remote data monitoring by a healthcare professional.’ Telemonitoring: it’s in the eye of the beholder… 4. Remote guidance and support GPs Medical specialists 48% thinks it’s desirable with diabetes 39% thinks it’s desirable with diabetes 7% use by diabetics 11% used by department
  11. 11. We need to work on digital medication support 4. Remote guidance and support Digital double-check medication Thinks it’s necessary or desirable Nurses in elderly care see opportunities in improving medication safety. 87% ACTUAL USE 23% Medication dispenser Thinks it’s necessary or desirable 71 % ACTUAL USE 34 %
  12. 12. A shared, accurate and up-to-date picture of the patient hardly exists on a local level 5. Electronic record-keeping and communications between healthcare professionals Yes, this is possible No, but desirable No, not necessary I don’t know 71% 3 % 13% 12% 63% 5%15% 17% 67% 2 % 15% 17% District nurses Nursing homes Home care organisations City’s social support services 66% 3 % 5% 26% GPs are not able to digitally share medical data with all local organisations and healthcare professionals:
  13. 13. What's keeping the digital solutions for nurses? 5. Electronic record-keeping and communication between healthcare professionals Data exchange Alignment 94%Necessary or desirable 96% 96% 91% 91% 91% Elderly care Hospital care GP nurses Elderly care Hospital care GP nurses actual use 56% actual use 69% actual use 86% actual use 36% actual use 34% actual use 65%
  14. 14. As a physician you are on your own without electronic data exchange Medical specialists that can send or receive up-to-date medication overviews: 5. Electronic record-keeping and communications between healthcare professionals Send Medical specialist Medical specialist Pharmacy Receive GP Pharmacy Medical specialist 2017 2016 2015 2014 49% of medical specialists do not receive up-to-date medication overviews from pharmacies but would like to
  15. 15. 1. Consciously choose eHealth Recommendations eHealth-monitor What is the goal and who is it for? Is it a necessity or of added value?
  16. 16. 1. Consciously choose eHealth 2. Encourage improvement of digital information exchange and digital medication checks Recommendations eHealth-monitor What is the goal and who is it for? Is it a necessity or of added value?
  17. 17. Recommendations eHealth-monitor 1. Consciously choose eHealth 2. Encourage improvement of digital information exchange and digital medication checks 3. Encourage gaining experience in education and higher education, create ambassadors What is the goal and who is it for? Is it a necessity or of added value?
  18. 18. 1. Consciously choose eHealth 2. Encourage improvement of digital information exchange and digital medication checks 3. Encourage gaining experience in education and higher education, create ambassadors 4. Inform, communicate and guide Recommendations eHealth-monitor What is the goal and who is it for? Is it a necessity or of added value?
  19. 19. 1. Consciously choose eHealth 2. Encourage improvement of digital information exchange and digital medication checks 3. Encourage gaining experience in education and higher education, create ambassadors 4. Inform, communicate and guide 5. Study good/bad practices Recommendations eHealth-monitor What is the goal and who is it for? Is it a necessity or of added value?
  20. 20. Care to deliberate? info@ehealth-monitor.nl Download the infographic or the report on www.ehealth- monitor.nl Thank you for your attention

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