Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Environmental eHealth : A critical compenent of eHealth readiness assessment by Richard Scott


Published on

Environmental eHealth : A critical compenent of eHealth readiness assessment by Richard Scott, CEO & Principal
Consultant for NT Consulting, Editor - Journal ISfTeH, Canada

Published in: Healthcare
  • Be the first to comment

  • Be the first to like this

Environmental eHealth : A critical compenent of eHealth readiness assessment by Richard Scott

  1. 1. 1 ENVIRONMENTAL e-HEALTH - A CRITICAL COMPONENT of e-HEALTH READINESS ASSESSMENT - Dr. Richard E. Scott 1,2 and Dr. Maurice Mars 2 1 NT Consulting – Global e-Health Inc., Calgary, Alberta, Canada; Departments of Family Medicine and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada 2 Telehealth Department, University of KwaZulu-Natal, Durban, South Africa
  2. 2. e-Health and Environmental e-Health - What Exactly Are They ? -
  3. 3. e-Health - Perspective - Definition • “The use of Information and Communication Technologies (ICT) for health” • Reality • “There is no aspect of health or healthcare that has not been, is not being, or will not be impacted by e-Health”
  4. 4. Global Health / OneHealth e-Health Telehealth Health Informatics [Telemedicine] [Telepaediatrics] [Decision Support Systems] [Electronic Records] [Teleradiology] [Home Telehealth / Telecare] [EHRs] [PHRs] [EPRs] [Tele-Social Work; Tele-Pastoral care] [Surveillance Systems] [Websites; RPM; ‘Apps’] e-Learning (TEL / TEEL / TEET) e-Commerce [EMRs] Global e-Health [SMART Cards] [Telerehabilitation / Teleoccupational Therapy] [m-Health] [Surveillance; GPS location] [Blended Learning] [Distributed Learning] [Reimbursement] [Billing / Fee for Service] [Teledermatology] © Dr. Richard E. Scott; 2004, 2006, 2009, 2012, 2015; 2016 ; University Health Centres Education Clinical Care Research [Remote Personal Monitoring]
  5. 5. Environmental e-Health - Perspective - Environmental e-Health is: •“The study of the impact of e-health on the environment (harms and benefits) and means of mitigation (harms) or enhancement (benefits) of these impacts.” Mt. Kilimanjaro has been the subject of many scientific studies because of its shrinking glaciers
  6. 6. Environmental Impact Of e-Health - The (Brief) Low-Down -
  7. 7. Environmental e-Health - Environmental e-Health Impact Model - e W A S T E Upstream Issues Materials, Manufacturing, Packaging, Distribution Mid Strm Use (Energy / Water) Downstream Issues e-Waste / WEEE (Recycling / Reuse) R E S O U R C E D E P L E T I O N ENERGY / GHGs Holistic ‘Cradle to Grave’ or Life Cycle Analysis (LCA) Understand the types of environmental impact of e-Health Water Air Ground Natural (Global) Environment Opportunities for Change in Practice, Process, and Policy
  8. 8. Environmental e-Health Readiness - What’s Out There ? -
  9. 9. e-Health Readiness - Technology is not Enough !! - “The degree to which users, health- care institutions, and the health-care system itself, are prepared to participate and succeed with e-health implementation.” Jennett et al. (2005)
  10. 10. Environmental e-Health Readiness - Technology is not Enough !! - “The degree to which users, health-care institutions, and the health-care system itself, are aware of, and able to ameliorate, environmental impact of e-health implementations.” Scott and Mars. (2016)
  11. 11. Environmental e-Health Readiness - Literature Search - Papers Identified in e- Databases (PubMed + Google Scholar) - 269 Papers After Duplicates removed and Preliminary Screen - 28 Papers Excluded: Non- English; duplicates; ‘disaster’ related; no model or framework - 241 e-Health Readiness Models / Frameworks. (e-Health OR eHealth OR Telemedicine OR Telehealth) AND (Readiness OR Preparedness)
  12. 12. •Models or frameworks noting the environmental impact of e-health. NONE •Papers using the term ‘environment’ FOUR •BUT - only in reference to the e-health ‘setting’ Environmental e-Health Readiness - Findings -
  13. 13. So What ? - Importance -
  14. 14. Significance ? - What WE Contribute - • Twitter – a tweet ‘emits’ about 0.02g CO2 (50m/day = 1 tonne of CO2 • Google – a search query ‘emits’ 0.2g CO2 (= 3L water) • e-Mail – each email ‘emits’ 0.25g CO2
  15. 15. Significance ? - The Ever Increasing Volume of Activity - Medium Per SECOND Per DAY Per YEAR Tweets [1st] 10,520 15,148,800 5,529,312,000 Instagram Photos 2,963 4,266,720 1,557,352,800 Tumblr Posts 2,356 3,392,640 1,238,313,600 Skype calls 1,927 2,774,880 1,012,831,200 Google searches [2nd] 51,449 74,086,560 27,041,594,400 YouTube videos 111,132 160,030,080 58,410,979,200 e-Mails (mostly spam!) 2,441,657 3,515,986,080 1,283,334,919,200 Internet traffic [3rd – users] 30,949 GB 44,566,560 GB 16,266,794,400 GB
  16. 16. Sustainable e-Health - Not Just Now – But the FUTURE !! - A sustainable e-Health solution is: ”One that uses ICT resources to meet the health needs of the present without compromising the ability of future generations to meet their own health needs”. Scott RE, 2009. After: Bruntland Commission
  17. 17. Summary and Conclusions - What We Need To Do -
  18. 18. • Be aware of: • The existence of ‘Environmental e-Health’ as an issue • The growing depth and breadth of global application • Developed vs developing country realities • Identify only: • ‘Technologically appropriate’, ’culturally sensitive’, ‘locally relevant’, and ‘environmentally sustainable’ e-health solutions of overall value as determined by LCA • Require: • Meaningful EeIA from conception to termination (LCA) • Influence / change: • Policy, Process, and Practice to encompass EeH Environmental e-Health - Summary Thoughts ~ As Proponents WE must ….. - Endorse – Enable - Enforce
  19. 19. Environmental e-Health Readiness - Conclusion - A setting (Country, Community, Institution, Individual) must: • Recognise the environmental impact of e-health • Have - in place - training, process, policy, enforcement • Perform Environmental e-Health Impact Assessments (EeIA) including LCA • Ensure reduction of negative upstream, midstream, and downstream environmental impacts ONLY THEN is the setting truly ‘READY’ for implementation of e-Health
  20. 20. Comments – Questions !? - Environmental e-Health and Readiness Assessment - Richard Scott: Maurice Mars: