Tuesday, June 14, 2011, Hotel Golf Jupiter I, 11:00 - 12:30

Introduction of National Chip-based eHealth Card Systems: How can such systems be introduced successfully?

Juergen Seitz, Professor
DHBW Heidenheim, Germany

Helen Cripps, Lecturer
Edith Cowan University, Australia

Wilfred V. Huang, Professor
Alfred University, United States

Miroslav Koncar, Healthcare Business Development Director
Oracle Healthcare & Life Sciences, Eastern Europe and CIS

Marjana Pikec
SRC Infonet, Slovenia

Vesna Prijatelj
General Hospital Celje, Slovenia

Nilmini Wickramasinghe, Professor
Information Management & Library Science RMIT University, Melbourne, Australia

Panel Outline

It would appear that the introduction of chip-based eHealth card systems is not successful in a large number of countries around the world. Resistance comes not only from patients, but also from doctors, pharmacists, and insurance companies. There is not only resistance because of the expected high cost. In fact, it seems that the control of data and the risk of data misuse are the main reasons.

Yet why do more and more people publish their personal private data by choice in Web 2.0 applications like Facebook. Although misuse of data is well known people do this without hesitation. There is no resistance to do this. Nobody is obliged to do this and a lot of people do it.

The question is: Are there perhaps other paths for a successful implementation of such systems? Another question is: Do we need a single solution in each country. There is already inconsequence in the process of implementation. There are many reasons mentioned that there is only one single system in a country. Does this make sense? Why should there be different, non-compatible systems in each country of a global world
where people are used to travel?

We use for example a large variety of online banking solutions. These software solutions are interfaces to the global financial transaction system. Different banks use different systems for authentification. This is not a problem for the system. Credit, debit and other bank cards even still use different data structures to store the data on the card. The card readers respectively the systems behind know all these different data structures.
Updates are necessary from time to time. But the systems works and we can get money from an ATM nearly all over the world at any time. But we canít get appropriate medical services in time because we donít trust doctors and therefore, we donít want to give data for a treatment to them. How can we trust in the diagnosis of a doctor if we donít trust that he uses the data responsibly? There appear to be many contradictions here so the panel will try to unravel the underlying reasons and discuss strategies that might help to make implementation of such systems less problematic, address the various concerns and resistance issues and ultimately lead to better healthcare delivery.

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