National Institute for Public Health and the Environment Digital decision aids at the Dutch national health and care portal

Size: px

Start display at page:

Download "National Institute for Public Health and the Environment Digital decision aids at the Dutch national health and care portal"

Elmer Barnaby Quinn
5 years ago
Views:

1 and the Environment Digital decision aids at the Dutch national health and care portal etelemed, Feb Hans C. Ossebaard [University of Twente]

2 Collaboration in ehealth and the Environment (RIVM) > National health portal kiesbeter University of Twente > Center for ehealth Research [Faculty Behavioral sciences] and the Environment etelemed 2009, Feb Hans C. Ossebaard 2

3 National health and care portal 2004 Assignment of NL Ministry of Health Background: - Consumer centered health care system (choice) - Demography - E-citizens > e-patients - Increasing health costs and the Environment etelemed 2009, Feb Hans C. Ossebaard 3

4 National health and care portal Objectives: - Reliable and objective (comparative) information on health, care and insurances - Consumer oriented (accessibility, simplicity) - Multi-channel (internet, phone, help desks) and the Environment etelemed 2009, Feb Hans C. Ossebaard 4

5 National health and care portal Anno 2009 Comparative healthcare information Display information on the full spectrum of care Quality information (performance indicators, benchmarks) Health insurances Additional information on Medicines Healthy living Patients rights Medical information (decision aids) and the Environment etelemed 2009, Feb Hans C. Ossebaard 5

6 Visitors per month ( ) 20: > 3M visitors 500, , , , , , , , ,000 50,000 0 jan feb mrt apr mei jun jul aug sep okt nov dec and the Environment etelemed 2009, Feb Hans C. Ossebaard 6

7 Decision aids Sub site Medical information visited by 2:3 visitors Decision aids: Assignment of Ministry of Health Developed by Dutch Institute for Healthcare Improvement (CBO) in collaboration with major stakeholders Disclosed on national healthcare portal (medical information) and the Environment etelemed 2009, Feb Hans C. Ossebaard 7

8 Decision aids Patient involvement has beneficial effect on process and outcomes (O Connor 2004, et al.) Shared decision making model Decision aids: - interventions to help people make choices - innovative e-tools to improve doctor-patient communication and the Environment etelemed 2009, Feb Hans C. Ossebaard 8

9 Decision aids - Developed according to IPDAS standards, Based on clinical guidelines - Preference-sensitive decisions and the Environment etelemed 2009, Feb Hans C. Ossebaard 9

10 Decision aids - ADHD (children) - Anxiety disorders - Breast cancer non-metastatic - Depression - Diabetes - Cardiovascular risk management (+HR) - Lumbar disc prolapse - Pneumothorax - Post-menopausal symptoms - Prenatal screening on Down s syndrome - Screening for prostate cancer and the Environment etelemed 2009, Feb Hans C. Ossebaard 10

11 and the Environment etelemed 2009, Feb Hans C. Ossebaard 11

12 Portal vs Medical information vs DA visitors per month (20) Bezoekers per maand jan- feb- mrt- apr- mei- jun- jul- aug- sep- okt- nov- dec- Totaal kb MI DA and the Environment etelemed 2009, Feb Hans C. Ossebaard 12

13 Total amount of DA visitors nov dec and the Environment etelemed 2009, Feb Hans C. Ossebaard 13

14 Visitors per Decison aid November/December Overgang Depressie Borstkanker Prostaatkanker Hart- en vaatziekten Prenatale screening ADHD bij kinderen Diabetes Hernia Klaplong Verhoogde kans op hart- en vaatziekten and the Environment etelemed 2009, Feb Hans C. Ossebaard 14

15 Visitors duration (min.) per Decison aid November/December nov dec 5 0 Overgang Depressie Borstkanker Prostaatkanker Hart-envaatziekten Prenatalescreening ADHDbijkinderen Diabetes Hernia Klaplong Verhoogdekansophart-envaatziekten and the Environment etelemed 2009, Feb Hans C. Ossebaard 15

16 Visitors clicks within decison aid November/December Overgang Depressie Borstkanker Prostaatkanker Hart- en vaatziekten Prenatale screening ADHD bij kinderen Diabetes Hernia Klaplong Verhoogde kans op hart- en vaatziekten and the Environment etelemed 2009, Feb Hans C. Ossebaard 16

17 Decison aids > promoting use by professionals > promoting use by patients - decentralised use - e-awareness among public, professionals en policymakers slowly increases > further research needed and the Environment etelemed 2009, Feb Hans C. Ossebaard 17

18 and the Environment etelemed 2009, Feb Hans C. Ossebaard 18

Corporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,

Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907