1. Bo Jordin Bo Jordin, MD Director of Primary Care Brugge Nov 28-29th 2002 bo.jordin@sos.se +46 8 55 55 31 20 mobile +46 733 84 93 66

2. Bo Jordin ICT in health care - The Swedish Government Strategy programme for ICT in Health Care Definition –”Medicine and health care practised at a distance” –it is not possible or relevant to distinguish telemedical applications from other IT applications. Conclusion –since telemedicine include both health care undertaken by medically trained persons as well as health and social care- oriented aspects of health services, it is more proper to expand the field of application and use the concept TELECARE

3. Bo Jordin The Tasks and Role of the Government The Swedish Government Strategy programme for ICT in Health Care Fundamental principle: Health care providers (i.e. Counties and local authorities) have full responsibility for their operations including priorities, development and financing but

4. Bo Jordin The Tasks and Role of the Government The Swedish Government Strategy programme for ICT in Health Care The Government has a responsibility to stimulate a development in the health care sector to have a reasonably simultaneous introduction of ICT in health care to ensure that all parts of the health services can utilise them for exchange of information and interaction.

5. Bo Jordin Strategy and Investment Areas The Swedish Government Strategy programme for ICT in Health Care 1establish basic preconditions for telemedicine/telecare 2telemedicine in hospital and primary care 3telemedicine in nursing and for local authorities/health providers 4empowering patients and relatives 5promote a market for ICT in health care

6. Bo Jordin Strategy area 1 - basic preconditions for telemedicine/telecare Improve infrastructure with related support services for ICT in health care Specify common demands for telemedicine/telecare and other ICT applications in telemedicine/telecare Identify the need for and identify existing standards within telemedicine/telecom in health care Give practical guidance on legal framework – especially in projects encompassing multiple member countries - and other applicable rules when implementing and using ICT in health care. Develop terminologies for adapting existing classifications to telemedicine/telecare

7. Bo Jordin Strategy area 1 Improve infrastructure with related support services for ICT in health care Create solutions for routine use of ICT based videoconferences for multiple partners in different parts of the health care system Develop catalogue services for telemedicine/telecare Practical testing of existing security solutions in full scale use with multiple actors Create an environment of shared values for further extension/expansion of physical infrastructure

8. Bo Jordin Actions The Swedish Government Strategy programme for ICT in Health Care Background and implication Desired effects Participants and actors Implement ation and financing

9. Bo Jordin The Tasks and Role of the Government The Swedish Government Strategy programme for ICT in Health Care Government initiatives and economic support for increased and broader use of T/T are necessary. –commissions to Government agencies –targeted financial incentives –Initiatives which include economic support to development and –experimental activities via a research & development programmes

10. Bo Jordin Financing Health care producers will be responsible and bear the costs, primarily by reallocation withing existing budgets. the Government –activities initiated and supported by the ministries (Health and Social Affairs, Education and Science, Industry, Employment and Communications and authorities and agencies affiliated with these ministries) Research & development programmes Initiatives which include economic support to development and experimental activities via

11. Bo Jordin STRATEGY and INVESTMENT AREAS (5) Detailed STRATEGIES (23) for each area Specific MEASURES (33) for each strategy EVALUATION AIMS and OBJECTIVES EFFECTS MAIN- AREAS STRATE - GIES MEA- SURES 5 23 33 AIM: ” Better health care ” Objective: ” Broad use of telemedicine/ telecare Strategies - summary The Swedish Government Strategy programme for ICT in Health Care