Gonder University Institute of Public Health PuHi7022 eHealth and Telemedicine Dr. Mengistu Kifle



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eHealth and Telemedcine Lecture 1

History of eHealth 1/2

  • 1960s – technical uses of computers for biomedical and engineering purposes (e.g. calculating appropriate radiation dosages, etc.)
  • 1970s – applications in medical labs and hospitals for record keeping, and for medical research (using mini-computers and mainframes)
  • 1980s – advent of PC and communications networks widened scope of applications, with much experimentation in functions performed
  • 1990s – explosion of administrative applications and growth in clinical applications, primarily in hospitals and other institutions. Internet communications began to have a major impact on spread of knowledge about health among consumers.

History of eHealth (2/2)

  • 2000 – the term “eHealth” came into use. Efforts began to develop EHR standards, and development of communication linkages among proprietary systems.
  • 2005 – significant efforts underway to develop common EHR standards, and overcome difficulties due to “silos” that have grown up over the years as “legacy” systems. Major difficulties due to differing levels of automation in communicating entities. Maintaining privacy and confidentiality has become an over-riding issue.
  • Average spending on IT in health still far below other industries

eHealth as Enabler

eHEALTH system is an enabler for more integration, improved access, and better health care through better information management and use.

    • Information exchange between providers on secure networks to enable providers to have timely access to critical information at the point of care;
    • Telemedicine help to address access to health services;
    • Electronic health records , consolidated health information, and integrated decision support tools at point of care to reduce medical errors, improve health system efficiency;
    • Internet enabled consumer health information tools to empower consumers to interact with care providers in new ways and to manage their health more actively.
  • (CMA, 2002)

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