Ruotsalainen Pekka, Pohjonen Hanna
National Research and Development Centre for Welfare and Health (Stakes), Centre of Excellence for IC, Helsinki, Finland.
Stud Health Technol Inform. 2003;96:128-34.
eHealth and telemedicine services are promising business areas in Europe. It is clear that eHealth products and services will be sold and ordered from a distance and over national borderlines in the future. However, there are many barriers to overcome. For both national and pan-European eHealth and telemedicine applications a common security framework is needed. These frameworks set security requirements needed for cross-border eHealth services. The next step is to build a security infrastructure which is independent of technical platforms. Most of the European eHealth platforms are regional or territorial. Some countries are looking for a Public Key Infrastructure, but no large scale solutions do exist in healthcare. There is no clear candidate solution for European-wide interoperable eHealth platform. Gross-platform integration seems to be the most practical integration method at a European level in the short run. The use of Internet as a European integration platform is a promising solution in the long run.
电子健康和远程医疗服务在欧洲是很有前景的商业领域。很明显，未来电子健康产品和服务将在远距离且跨越国界的情况下进行销售和订购。然而，仍有许多障碍需要克服。对于国家和泛欧洲的电子健康与远程医疗应用而言，需要一个通用的安全框架。这些框架设定了跨境电子健康服务所需的安全要求。下一步是构建一个独立于技术平台的安全基础设施。大多数欧洲电子健康平台都是区域性或地域性的。一些国家正在寻求公钥基础设施，但医疗保健领域尚无大规模的解决方案。对于全欧洲范围内可互操作的电子健康平台，没有明确的候选解决方案。短期内，总平台集成似乎是欧洲层面最实际的集成方法。从长远来看，将互联网用作欧洲一体化平台是一个很有前景的解决方案。
