UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
“Platform project” dataset:
E-HEALTH
Elisa Lenti – DESP, University of Urbino
Eiburs Project on “The Diffusion of Pubic e-services in Europe”
Kick off meeting
Urbino, June 10th 2011
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UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
EUROPEAN PROJECTS AND POLICIES FOR E-HEALTH
UE “White
paper”
The white paper promotes ICT for the diffusion of
e-Health
• Together for Health: A Strategic
Approach for the EU 2008-2013
Progetto SOS,
ora epSOS
Smart Open Services for European Patients. The
main approach of epSOS is to define services for a
pan-European electronic patient summary and
ePrescription.
•2008 - 2011
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UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
Between – Ehealth
platform project
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
Technical
E-Readiness
How digitalised is the
community of interest
Organisational
E-Readiness
Reengineering of
processes within the
public sector
 Regional electronic
health record
 Regional booking
centre
 % of stakeholders
which have the
Electronic Health
card
 Family doctors
network
 Use and adoption of
Electronic Health
Record (EHR)
Service
provision
Service Use
and adoption
Availability of the main
application services for
the end-user
Adoption and use of eservices by users and the
community of interest
 On line schedule
appointments for
patients
 % of use of on line
schedule
appointments
service
 On line ticket
payment
 Electronic test
results
 % of on line ticket
payment services
 % of use of
electronic test
results service
 Pharmacy on line
network
 % of citizens which
have the electronic
health card
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UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
Trasformazione
Technical
della Sanità
E-Readiness
Organisational
E-Readiness
Service
provision
Service use and
adoption
INDICATORS:
- Electronic Health card
- Pharmacy on line network
- Family doctor network
- Regional booking centre
- Regional Electronic Health Record
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UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
E-READINESS ANALYSIS
Unit of analysis: Italy’s Regional Public Administrations
Methodology: Phone interviews using a pre-filled
questionnaire (on website-based info)
Years: Two waves (2009 and 2010)
Sample design: First & second wave: 21 regions
Indicators: On line services, ICT adoption and infrastructure,
eReadiness, regional project management, regional platform
development (Dummy variables)
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
Health eReadiness in Italy (number regions having access to e-health enabling factors)
Source: TAIPS elaborations on Between data
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
E-Readiness by region (Enabling factors available in each region as a percentage
share of a total of 5 factors)
Source: TAIPS elaborations on Between data
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
Technical
E-Readiness
Organisational
E-Readiness
Service
Provision
Service use
and adoption
INDICATORS:
- Electronic test results
- On line ticket payment
- On line schedule appointments for patients
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UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
SERVICE PROVISION ANALYSIS
Unit of analysis: Local Health Unit & hospital
Methodology : Web site analysis
Years : Two waves (2009 and 2010)
Sample design : First & second wave: 384 Local Health
Units and hospitals
Indicators : On line schedule appointments for patients, on
line ticket payment, electronic test results (Dummy
variables).
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
EHealth on line service provision (number of regions in which a e-health service is available)
Source: TAIPS elaborations on Between data
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
EHealth on line service provision by region (E-services available in each region
as a percentage share of a total of 4 services)
Source: TAIPS elaborations on Between data
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
Technical
E-Readiness
Organisational
E-Readiness
Service
provision
Service use
and adoption
 % of use of on line schedule appointments service
 % of on line ticket payment services
 % of use of electronic test results service
Data not available, because they have been collected at a
regional level through the Broadband Observatory Surveys.
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UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
LITIS – Livelli di
Innovazione Tecnologica
in Sanità
(Technological innovation in Health Services)
DIT – Department for digitalization of public
administration and technological innovation
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
Unit of analysis: Local Health Unit & hospital
Methodology : Questionnaire
Years : 2009
Sample design : 147 Local Health Units and hospitals
Indicators : 51 synthetic indicators
• 145 micro indicators about functions (Service provision)
• 20 micro indicators about structural characteristics (EReadiness)
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
Technical
E-Readiness
Service
provision
Service use and
adoption
3 AREAS of analysis:
Indicators about structural characteristics (E-Readiness)
C1 – Technological and infrastructural components
C2 – Pratical infrastructural components
C3 – Organisational and structural components for health
on web
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UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
Technical
E-Readiness
Service
Provision
Service use
and adoption
INDICATORS:
Indicators about functions (Service Provision)
F1 – Functions for citizen’s participation
F2 – Functions for health care and assistance
F3 – Functions for health governance and administration
F2a – Functions for healthcare professionals
F2b – Prescriptions, tests results, certificates
F2c – Functions to support healthcare professionals collaboration
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UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
Indicators
F1 - On line ticket payment
F1 - On line schedule appointments for patients
F1 - Schedule appointments through family doctors, pharmacy, post offices, banks
F2 - Recruitment for screening via web/email
F2 - Sharing of medical data - Integrated management of clinical pathology
F2 - Diffusion of Electronic Health Record
F2 - Issue of electronic prescription (% of family doctors and pediatricians)
F2 - Issue of electronic certificates (% of family doctors and pediatricians)
F3 – Procurement (Competitions and purchases)
F3 - Procurement and logistic (storehouses)
C1 – Doctors PC endowments (% of family doctors and pediatricians)
C1 - Use of regional telematic network
C1 - Citizens served by family doctors and pediatricians on line
C1 - Electronic signature
C2 - Infrastructure for EHR
C3 - Training on ICT solutions for health operator
Number of
health units
115
135
43
96
86
32
53
8
111
139
77
32
46
53
47
135
%
78%
92%
29%
65%
59%
22%
36%
5%
76%
95%
52%
22%
31%
36%
32%
92%
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
LITIS E-Readiness and service provision (% of local units in which a e-health service is available)
C3 - Training on ICT solutions for health operator
C2 - Infrastructure for EHR
C1 - Electronic signature
C1 - Citizens served by family doctors and…
C1 - Use of regional telematic network
C1 - Doctors PC endowment (% of family doctors and…
F3 - Procurement and logistic (storehouses)
F3 - Procurement (Competitions and purchases)
F2 - Issue of electronic certificates (% of family…
F2 - Issue of electronic prescription (% of family…
F2 - Diffusion of Electronic Health Record
F2 - Sharing of medical data - Integrated…
F2 - Recruitment for screening via web/email
F1 - Schedule appointments through family doctors,…
F1 - On line schedule appointments for patients
F1 - On line ticket payment
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
BETWEEN DATASET
LITIS DATASET
 Web site analysys
 No Web site analysys
 Ereadiness analysis
based on 21 regions
administrations
 Detailed questionnaire
analysis
 Dicotomic variables
 Dicotomic and ordinal
variables
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
E-Health and Infomobility
dataset: preliminary
comparison results
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
E- HEALTH - Between dataset
E Readiness
Service provision
Regional Electronic
Health Record
85.24%
On line schedule
appointments for patients
26%
68.09%
Electronic Test Results
25%
46.19%
On line Ticket payment
13%
Regional Booking
Centre
Pharmacy on line
network
Family Doctor Network
43.33%
Electronic Health Card
23.57%
Mean
48.33%
21.33%
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
INFOMOBILITY- Between dataset
E Readiness
Service provision
Datawarehouse
95.28%
Route planning
E-Ticket
49.37%
On line tickets purchace
Vehicles tracking
Traffic monitoring
system
46.54%
Smart traffic lights
Mean
63.13%
38.47%
5.66%
40.88%
61.32%
28.34%
UNIVERSITÀ DEGLI STUDI DI URBINO
"CARLO BO“, Italy
Department of Economics, Society and Politics (DESP)
E-Health vs Infomobility – year 2010
70.00%
63.13%
60.00%
50.00%
41.33%
40.00%
E-Health
28.34%
30.00%
21.33%
20.00%
10.00%
0.00%
Ereadiness
Service provision
Infomobility