Dalibor Stanimirovic and Mirko Vintar
Training, promotion and education
|
hAOP |
|
|
|
hNET |
Entry point Service … Teleradiology eDischarge eOrdering National waiting list Basic services hAOP Framework
Entry point
Vertical services( reference lists, metadata, etc.)
ICT infrastructure
|
EHR |
Strategic tasks
Development, management and operational tasks
Administrative tasks
International integration tasks
The tasks of improving health care processes and accessibility of health services
|
Centre for Health Care Informatics |
|
Back-office systems |
|
|
|
Figure 1: Planned infrastructure of e‐health in Slovenia
Nevertheless, despite ambitious e‐health strategy and objectives, most of the project goals have remained unfulfilled. Namely, the current infrastructure of e‐health includes components facilitating only a few peripheral functionalities( Smart card, Professional card), which do not yield tangible benefits neither for patients nor for health workers and health system managers. Due to leadership issues and lack of coordination, as well as inadequate budgeting and technical problems, the e‐health development has stagnated in the recent period on almost all key areas. Consequently, the current infrastructure of Slovenian e‐ health is non‐functional and causes time and resource losses.
3.1 Evaluation of the e‐health development in Slovenia
The evaluation of the e‐health development in Slovenia was conducted in the second half of 2012. During that time we carried out extensive document analysis and information retrieval through in‐depth investigation of primary and secondary online resources, interviews, policy papers, strategies, project reports and records, action plans and other forms containing e‐health related contents. Reflecting the substantial scope, complexity and various settings, as well as the asymmetrical development of the individual thematic and organizational areas within, evaluating the development of the entire e‐health projects was unfeasible. Therefore we had to apply the structural decomposition, through which we identified and extracted 12 relatively autonomous infrastructure components within e‐health projects. Subsequently, by evaluating the development level of selected components, we transformed these components into 12 equally weighted indicators( see Figure 2), which in sum reflect the actual development level of overall e‐health project. Development level of the individual components, and ultimately the overall development of e‐health, was evaluated applying the following grades( see their explanations in parentheses):
1 – Conceptual phase( component and its operations are based only on the conceptual design; its development, sourcing and implementation procedures have not yet been defined or started).
2 – Development phase( there is a concrete blueprint for the construction of the component encompassing all planned operations. Development, sourcing and implementation procedures have been defined, initiated and monitored).
494