Duplaga Mariusz
Institute of Public Health, Jagiellonian University Medical College Centre of Innovation, Technology Transfer and University Development, Jagiellonian University, Krakow, Poland.
World Hosp Health Serv. 2007;43(2):34-8.
The paper brings insights on the process of e-health development in countries of Central and Eastern Europe, which joined European Union in 2004 years. The main part of the activities resulting in this review were carried out within the eHealth European Research Area (eHealth ERA) project established under the EU 6. Framework Programme. The research team involved in the project activities in the Centre of Innovation, Technology Transfer and University Development, Jagiellonian University focused the inquiries on the six countries: Poland, Czech Republic, Slovakia, Hungary, Lithuania and Latvia. The tool for data collection elaborated by the STAKES, Finland was applied. The main areas covered within the analysis included: health system characteristics, e-health policies definition process and deployment, specific activities in e-health subdomain as well as research and development programmes held in European countries. It seems that general background and intensive process of system and economy transformation was key factor influencing greatly the perception and status of the e-health domain in these countries. The opportunities related to the inclusion in the European Union was another essential factor bringing additional important impact on the e-health formation. All these countries started painful reform in early 90s after the fall of the communist governments. The health care system in general was not the prime benefactors of these changes.
本文介绍了2004年加入欧盟的中东欧国家电子健康发展进程的相关见解。促成此次综述的主要活动是在欧盟第六框架计划下设立的电子健康欧洲研究区（eHealth ERA）项目中开展的。参与该项目活动的研究团队来自雅盖隆大学创新、技术转移与大学发展中心，他们将调查重点放在了六个国家：波兰、捷克共和国、斯洛伐克、匈牙利、立陶宛和拉脱维亚。采用了芬兰STAKES精心设计的数据收集工具。分析涵盖的主要领域包括：卫生系统特征、电子健康政策定义过程与部署、电子健康子领域的具体活动以及欧洲国家开展的研发计划。似乎总体背景以及系统和经济转型的密集进程是极大影响这些国家电子健康领域认知和地位的关键因素。加入欧盟带来的机遇是对电子健康形成产生额外重要影响的另一个关键因素。所有这些国家在共产主义政府垮台后的90年代初都开始了痛苦的改革。总体而言，医疗保健系统并非这些变革的主要受益者。
