This document discusses eHealth and mHealth. It defines eHealth as using modern technologies to meet the needs of citizens, patients, healthcare professionals, and policymakers. mHealth involves using mobile devices like phones to access health information and provide care. The document outlines several applications of eHealth, including electronic medical records, telemedicine, and consumer health informatics. It also describes the five stages of eHealth from basic information provision to full electronic health record integration. mHealth applications mentioned include collecting and sharing health data via mobile phones and using them for tasks like medication alerts and remote patient monitoring.

1. eHealth and mHealth
Col Md Emdadul Haque
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2. mHealth
Health knowledge management
Electronic Medical Records
Telemedicine
Consumer Health Informatics
Virtual healthcare teams
eCardiology
eRadiology

3. EC definition of eHealth
“….the use of modern information and
communication technologies to meet
needs of citizens, patients, healthcare
professionals, healthcare providers, as
well as policy makers"
http://europa.eu/

4. WHO definition of
eHealth
"eHealth is the cost-effective and secure use of
information and communications technologies in
support of health and health-related fields,
 including health-care services
 health surveillance
 health literature
 health education, knowledge and research"
(World Health Organization , Ninth plenary meeting, 25 May 2005 - Committee A, seventh report)

5. Common Terms in eHealth
• Electronic health record (EHR), or electronic medical
record (EMR): systematized collection of patient and population
health data in a digital format that is electronically-stored
• Clinical decision support system (CDSS): ICT solution
designed to provide health professionals with clinical decision
support (CDS) such as assistance with clinical decision-making
tasks
• Telemedicine: physical and psychological diagnosis and
treatments at a distance, including telemonitoring of patient
functions
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6. Why eHealth?
• In many low- and middle-income countries (LMICs), health system
challenges relating to weak governance, health workforce
shortages, and geographic and economic barriers to care impede
effective delivery of health services to those in need.
• Information and communication technology (ICT) offers the
potential for addressing some of these challenges with innovative
solutions.
• LMICs account for three-quarters of the rapidly expanding Internet
and mobile cellular subscriptions globally, thus creating
opportunities for innovative and cost-effective health services
through the use of ICT.
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7. 5 Steps of eHealth
Information
Communication
Interaction
Transaction
No information
Stage 4
Stage 3
Stage 2
Stage 1
Efficiency
and
quality
of
service
Level of process orientation
Low
High
Low High
Integration
Stage 5
Electronic
Patient
Record
Electronic
Health Record
Electronic diabetes diary

8. Steps of eHealth…
 Step 1 - Information
 Providing information for patients or doctors e.g. via the web
(information in one direction), Medical databases like PUB
MED
 Step 2 - Communication (action)
 The exchange of information between two people involved
(patient - doctor, doctor - doctor...) without direct and current
reaction of the communication partner (e.g. on-line diabetes
diary)
 Step 3 - Interaction (action + reaction)
 Exchange of information between people involved with
immediate reaction of the communication partner (e.g.
telemonitoring, telesurgery…)

9. Steps of eHealth…
 Step 4 - Transaction
 Electronic handling of a complete (treatment)process (“All or
nothing”)
 Step 5 - Integration (e.g. Electronic health record - EHR)
 Electronic health biography – central documentation for all health
relevant data from birth to death

10. mHealth
 Mobile Health
 Mobile technologies such as
mobile phones to collect and
access health information.

11.  mHealth or m-Health: includes the use of mobile devices in:
• Collecting aggregate and patient-level health data
• Providing healthcare information to practitioners, researchers, and
patients via Short Message Services (SMS) platforms such as
mHero
• Real-time monitoring of patient vital signs and direct provision of
care
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12. mHealth Applications
• Rapid collection/sharing of current data via mobile
phones
• Public health and lifestyle messages over mobile phones
• Medication alerts using mobile phones
• E-prescribing for repeat prescriptions via mobile phones
• Telemonitoring to transmit patient results to clinicians
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13. mHealth Applications
• Transmission of test results to patients via SMS
messages
• Online electronic health records via computer or phone
• Clinical emergency care for accidents, natural disasters
• Patient appointment booking and alerts via wireless e-
mail (continuity of care)
• Efficient workflow via wireless communication
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14. Summary
eHealth is not able to solve the problems of
the health and social systems
BUT
the problems of the health and social
systems cannot be solved WITHOUT
eHealth

15. ...working together towards an ehealthy future