Original scientific paper

Declaration on eHealth - 10 years later

Josipa Kern orcid.org/0000-0002-0896-3018 ; University of Zagreb, School of Medicine, Zagreb, Croatia
Hrvoje Belani orcid.org/0000-0003-1392-7502 ; Ministarstvo zdravstva, Uprava za e-zdravstvo, Zagreb, Hrvatska
Biserka Bergman Marković ; Akademija medicinskih znanosti Hrvatske, Odbor za e-zdravlje; Društvo nastavnika opće/obiteljske medicine, Zagreb, Hrvatska
Katarina Gvozdanović orcid.org/0000-0002-7943-3030 ; Agencija za lijekove i medicinske proizvode, Zagreb, Hrvatska
Marijan Erceg orcid.org/0000-0002-7720-9422 ; Hrvatski zavod za javno zdravstvo; Akademija medicinskih znanosti Hrvatske, Odbor za e-zdravlje, Zagreb, Hrvatska
Kristina Fišter orcid.org/0000-0002-5160-4694 ; Sveučilište u Zagrebu, Medicinski fakultet; Akademija medicinskih znanosti Hrvatske, Odbor za e-zdravlje, Zagreb, Hrvatska
Karmen Lončarek orcid.org/0000-0003-2481-5098 ; Sveučilište u Rijeci, Medicinski fakultet, Rijeka; Akademija medicinskih znanosti Hrvatske, Odbor za e-zdravlje, Zagreb, Hrvatska
Silvije Vuletić ; Sveučilište u Zagrebu, Medicinski fakultet; Akademija medicinskih znanosti Hrvatske, Odbor za e-zdravlje, Zagreb, Hrvatska

Abstract

Declaration on eHealth (Declaration), the project of the eHealth Committee of the Croatian Academy of Medical Sciences (CAMS), was published in 2011 on the website of CAMS. With minor changes, the text of the Declaration in Croatian is available on the website of the CAMS and, in English, in the Bulletin of the Croatian Society for Medical Informatics (CroSMI) and on the social network ResearchGate.net. To find out what happened to the Declaration after 10 years, an evaluation was carried out according to the OECD's input-output-outcome-impact model, (a) through direct consequences, i.e., official documents quoting some of Declaration’s statements, and b) through facts being in line with the Declaration, occurred after the Declaration was published. The paper describes input, output, outcome, and impact as the steps in evaluation. The main outcomes are listed in the table, then titles of documents, as well as quotations confirming compliance with statements in the Declaration. Considering the effect, five statements in the Declaration have achieved a noticeable effect in the Croatian eHealth. Although not yet fully implemented (like, some hospitals have not yet implemented the system compatible with the central health information system; there is the health portal for communication with citizens, but it is unknown how many citizens use them for now; criteria and protocols for the certification process have been defined, but certification is not entirely in accordance with EuroRec criteria; medical / health informatics issue (MHI) for future healthcare professionals exists, but differently in different teaching programs, even for the same type and level of educational institutions). There are several outcomes in accordance with Declaration and international trends, which could be considered as the effect of the Declaration. Finally, there is no complete and satisfactory solution for eHealth even internationally. Thus, it takes more time and effort to fully achieve the digitalized health system at the national and international level.

Keywords

Declaration on eHealth; impact

Hrčak ID:

273449

URI

https://hrcak.srce.hr/273449

Publication date:

3.3.2022.

Article data in other languages: croatian

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