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Health 2.0 in Poland: in search of quality
                      Artur Olesch
           Polish Health Care Journal / Poland
„The biggest problem of eHealth nowadays is that
    we are data reach but information poor...”
     - Dr. Roger Wallhouse (eHealth Expert / Great Britain) -
Where are we now?   - 38,5 mln habitants
                    - average age: 38,5 years (in 2050 – 51 years)
                    - +2,9% economic growth in 2012 (estimated
                    +2,1%/2,5% in 2013), meantime 0% in EU countries
                    - average income: 874 Euros gross/month/person
                    - unemployment rate: 12,4%
                    - 17 mln Internet users
                    - 50 mln mobiles / 47% smartphones
                    - ...and about 10% of them are iPhones
                    - 5,2 mln use Internet in smartphones
                    - 12,6 mln facebook accounts
                    - 91% GPs use Internet (=120 000 GPs)
                    - National Health System: centralised (National Health
                    Fund with 16 divisions)
                    - obligatory health contribution 9% of salary
                    - no private health funds and competition on the health
                    market (planned for 2014) but...
                    - private health sevices permanent growth (5% yearly = 8
                    mld Euros in 2012)
                    - 30% expenses for health in Poland are private – direct
                    payment or additional health insurances/ medical packages
                    - main problems: queues to specialists, low quality of
                    health care (paradox: quite high quality of medical
                    equipment), 10 minutes’ visit syndrome
Do we like it?
Do we like it?
                                Not satisfied at all
                                41%
QUESTION:
Are you satisfied how     78%
the Polish Health
                                Rather not satisfied
System works?
                                37%

                                Rather satisfied

  (Opinion Poll / 2012)
                                18%
                                Satisfied
                                1%
RESULTS
   Internet has become a
source of high quality health
    services, trustworthy
         information
When you are surfing in Internet, what
    Health in Internet                                   kind of information are you looking for?


                                                         93%               Local/
                                                                           international news

                                                         80%               Health


                                                         75%               Travelling


                                                         69%               Humour / Jokes


                                                         51%               Blogs

                                                         41%               Seeking job

Source: GEMIUS, September 2011 / 12.419 Internet users
What’s your source of knowledge
    Health in Internet                                   about health, illnesses and cure?


                                                         88%              Internet


                                                         73%              Doctors


                                                         56%              TV


                                                         53%              Family


                                                         46%              Friends

                                                         45%              Books

Source: GEMIUS, September 2011 / 12.419 Internet users
If there is something wrong with your
    Health in Internet                                   health, where FIRST are you looking
                                                         for a feedback?



                                                         50%             Internet


                                                         30%             Doctors


                                                         13%             Family


                                                         4%              Books


                                                         3%              Friends


Source: GEMIUS, September 2011 / 12.419 Internet users
When you are viewing health related
    Health in Internet                                   websites , what’s the main purpose?



                                                         53%             Drug facts, a
                                                                         composition of a drug


                                                         53%             Diet, nutrition, vitamins,


                                                         32%             Sport, fitness,
                                                                         wellness, lifestyle

                                                         29%             Treatments,
                                                                         therapies, surgeries

                                                         23%             My children’s health


                                                         22%             Sexual life


Source: GEMIUS, September 2011 / 12.419 Internet users
                                                         14%             Stress, mental problems
Internet is for me main source of
    Health in Internet                                   information about...
                                                         (health related answers)

                                                         73%              Drugs’ effects


                                                         68%              Addresses of GPs, clinics


                                                         44%              Opinions about
                                                                          doctors

                                                         44%              Medical advice


                                                         14%              Making an appointment


                                                          4%              E-registration


Source: GEMIUS, September 2011 / 12.419 Internet users
Would you be interested in
    Health in Internet                                   e-appointment with a doctor
                                                         (chat, e-mail, skype)?

                                                          Yes, I do
                                                         60%
                                                         If Internet appointment with a
                                                         doctor would cost you 10 Euros,
                                                         would you be still interested in?

                                                          Yes, I do

Source: GEMIUS, September 2011 / 12.419 Internet users
                                                         58%
800 websites about health in Poland
Patients are looking for a                     Doctors are looking for a
   support in Internet                           support in Internet
Blogs, health forums, websites for patients,   Medical databases, consultations,
      lifestyle websites, health chat...            with other specialists
800 websites about health in Poland
          Patients are talking about
             doctors in Internet
                Doctors’ rankings
National and european
eHealth Initiatives

                        e-Prescription
                        Start: 2014




                        National EHR
                        Start: 2014 (not realistic)




                        epSOS
                        Piloting phase
Will it be focused on health care
                                       costs or my health?

                                          Why does it
It takes years to make                    take so long?
     a new technology                    Tests, piloting phase and
             working...                  when will I be able to use it?

         When?                          Promises...
      How can I benefit?        Will I get what I really need from
       Will it really work?     these eHealth tools?
       Does it meet my needs?
                                Safety?
Private eHealth
                   - 20 years of experience
Initiative as an   - rising acceptance after years of
answer...          difficulties, lack of trust and
                   discussions about safety
                   - 1 mln health accounts created so far
                   - free of charge health account
                   - 65% pharmacies have already
                   joined the initiative (8500
                   pharmacies) + 2000 GP’s, clinics and
                   hospitals
                   - over 550 mln health transactions
                   registered in the system every year
                   - business reports for pharmacies,
                   market anylisis, National Health Maps
                   based on gathered data
                   - eHealth Magazine as an aducation
                   channel (11 000 copies monthly)
Conclusions
Unsatisfied people look for quality/support and
human-friendly health care in Internet. They find it in
many ways (blogs, patients’ websites, eHealth
services)

Poland’s economy growths constantly and it’s the best
time for Health 2.0 solutions’ providers to rollout. In
about 5-8 years the market will become more stable

Fast growing market fields: private health care
services (the fastest growing market in Europe, +7%
yearly, +5% in 2012), telemedicine and services for
seniors (ageing society process is quicker than in
other european countries), lifestyle and health
websites for young people

Crisis avoids health care market
Conclusions
After years of standstill, there is an eHealth boom in
Poland: 2 national projects are running (e-Prescription
and EHR) + private initiative like Nationwide Health
Care System

Data safety is important but it’s not the main topic.
Quality of service plays the biggest role

People require simply solutions and all-in-one instead of
viewing hundreds websites to find information

Healtcare is a sensitive business - most significant are
good relations, trust and dialogue with patients, doctors,
health organisations

Creating information instead of data and sharing it
makes business working (services for patients, services
for GPs and pharmacies, for society and system (f.e.
health maps)
THANK YOU FOR YOUR
   ATTENTION!




           Artur Olesch
Polish Health Care Journal / Poland
       +49 151 41 81 46 91
        aolesch@osoz.pl

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eHealth and Health 2.0 in Poland

  • 1. Health 2.0 in Poland: in search of quality Artur Olesch Polish Health Care Journal / Poland
  • 2. „The biggest problem of eHealth nowadays is that we are data reach but information poor...” - Dr. Roger Wallhouse (eHealth Expert / Great Britain) -
  • 3. Where are we now? - 38,5 mln habitants - average age: 38,5 years (in 2050 – 51 years) - +2,9% economic growth in 2012 (estimated +2,1%/2,5% in 2013), meantime 0% in EU countries - average income: 874 Euros gross/month/person - unemployment rate: 12,4% - 17 mln Internet users - 50 mln mobiles / 47% smartphones - ...and about 10% of them are iPhones - 5,2 mln use Internet in smartphones - 12,6 mln facebook accounts - 91% GPs use Internet (=120 000 GPs) - National Health System: centralised (National Health Fund with 16 divisions) - obligatory health contribution 9% of salary - no private health funds and competition on the health market (planned for 2014) but... - private health sevices permanent growth (5% yearly = 8 mld Euros in 2012) - 30% expenses for health in Poland are private – direct payment or additional health insurances/ medical packages - main problems: queues to specialists, low quality of health care (paradox: quite high quality of medical equipment), 10 minutes’ visit syndrome
  • 5. Do we like it? Not satisfied at all 41% QUESTION: Are you satisfied how 78% the Polish Health Rather not satisfied System works? 37% Rather satisfied (Opinion Poll / 2012) 18% Satisfied 1%
  • 6. RESULTS Internet has become a source of high quality health services, trustworthy information
  • 7. When you are surfing in Internet, what Health in Internet kind of information are you looking for? 93% Local/ international news 80% Health 75% Travelling 69% Humour / Jokes 51% Blogs 41% Seeking job Source: GEMIUS, September 2011 / 12.419 Internet users
  • 8. What’s your source of knowledge Health in Internet about health, illnesses and cure? 88% Internet 73% Doctors 56% TV 53% Family 46% Friends 45% Books Source: GEMIUS, September 2011 / 12.419 Internet users
  • 9. If there is something wrong with your Health in Internet health, where FIRST are you looking for a feedback? 50% Internet 30% Doctors 13% Family 4% Books 3% Friends Source: GEMIUS, September 2011 / 12.419 Internet users
  • 10. When you are viewing health related Health in Internet websites , what’s the main purpose? 53% Drug facts, a composition of a drug 53% Diet, nutrition, vitamins, 32% Sport, fitness, wellness, lifestyle 29% Treatments, therapies, surgeries 23% My children’s health 22% Sexual life Source: GEMIUS, September 2011 / 12.419 Internet users 14% Stress, mental problems
  • 11. Internet is for me main source of Health in Internet information about... (health related answers) 73% Drugs’ effects 68% Addresses of GPs, clinics 44% Opinions about doctors 44% Medical advice 14% Making an appointment 4% E-registration Source: GEMIUS, September 2011 / 12.419 Internet users
  • 12. Would you be interested in Health in Internet e-appointment with a doctor (chat, e-mail, skype)? Yes, I do 60% If Internet appointment with a doctor would cost you 10 Euros, would you be still interested in? Yes, I do Source: GEMIUS, September 2011 / 12.419 Internet users 58%
  • 13. 800 websites about health in Poland Patients are looking for a Doctors are looking for a support in Internet support in Internet Blogs, health forums, websites for patients, Medical databases, consultations, lifestyle websites, health chat... with other specialists
  • 14. 800 websites about health in Poland Patients are talking about doctors in Internet Doctors’ rankings
  • 15. National and european eHealth Initiatives e-Prescription Start: 2014 National EHR Start: 2014 (not realistic) epSOS Piloting phase
  • 16. Will it be focused on health care costs or my health? Why does it It takes years to make take so long? a new technology Tests, piloting phase and working... when will I be able to use it? When? Promises... How can I benefit? Will I get what I really need from Will it really work? these eHealth tools? Does it meet my needs? Safety?
  • 17. Private eHealth - 20 years of experience Initiative as an - rising acceptance after years of answer... difficulties, lack of trust and discussions about safety - 1 mln health accounts created so far - free of charge health account - 65% pharmacies have already joined the initiative (8500 pharmacies) + 2000 GP’s, clinics and hospitals - over 550 mln health transactions registered in the system every year - business reports for pharmacies, market anylisis, National Health Maps based on gathered data - eHealth Magazine as an aducation channel (11 000 copies monthly)
  • 18. Conclusions Unsatisfied people look for quality/support and human-friendly health care in Internet. They find it in many ways (blogs, patients’ websites, eHealth services) Poland’s economy growths constantly and it’s the best time for Health 2.0 solutions’ providers to rollout. In about 5-8 years the market will become more stable Fast growing market fields: private health care services (the fastest growing market in Europe, +7% yearly, +5% in 2012), telemedicine and services for seniors (ageing society process is quicker than in other european countries), lifestyle and health websites for young people Crisis avoids health care market
  • 19. Conclusions After years of standstill, there is an eHealth boom in Poland: 2 national projects are running (e-Prescription and EHR) + private initiative like Nationwide Health Care System Data safety is important but it’s not the main topic. Quality of service plays the biggest role People require simply solutions and all-in-one instead of viewing hundreds websites to find information Healtcare is a sensitive business - most significant are good relations, trust and dialogue with patients, doctors, health organisations Creating information instead of data and sharing it makes business working (services for patients, services for GPs and pharmacies, for society and system (f.e. health maps)
  • 20. THANK YOU FOR YOUR ATTENTION! Artur Olesch Polish Health Care Journal / Poland +49 151 41 81 46 91 aolesch@osoz.pl