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Intro

Health

ICT offers new, connected healthcare solutions and services

Digitalization and the resulting innovation support the enhancement of quality and efficiency in healthcare. The electronic recording, transmission, processing and interpretation of health data gives health care providers involved more transparency about the condition of patients and the treatment steps. This promotes a closer networking of the different care providers and supports the holistic view of patient health. Digitalization contributes to individually tailored approaches in prevention, diagnosis, treatment and rehabilitation. Gathering and providing health data in protected patient records / electronic health records (EHR) is a key tool for exploiting this opportunity.

Current status
The digitalization of the healthcare industry is still in the early stages. Despite the increasing turnover of e-health solutions, this is not reflected in their broad use and application. For now, it is vital to develop and implement innovative solutions with high value benefits for users. The protection of personal data and the clear regulation of access rights are essential.

"There is still considerable room for digital solutions, especially when it comes to practical applications."

State of digitization in topic HealthFortschritt der Digitalisierung im Themenfeld Health

15.03.201621.11.2017
digital.swiss, Duemmler Patrick A

Topic Owner

Dr. Patrick Dümmler

Cluster Manager
Health Tech Cluster Switzerland

Measurement parameters


Turnover trends for digital health

Degree of implementation of framework conditions at cantonal level

Proportion of electronic referrals and prescriptions

Attitudes toward electronic health records

Turnover trends for digital health

This measurement parameter is used as indicator of the demand for digital health products. Increase in demand for digital health products and services shows whether an industry is developing and if it is providing a good environment for innovation.

Calculation: 40 companies from the digital health sector were interviewed about their turnover trends. The answers provided were analyzed using a linear scale: a decrease in turnover of more than 15% is rated as a 0% target achievement; no change in turnover is rated 20% of target achievement, while an increase in turnover of 0-15% is rated 50%. An increase in turnover of 15% or more is rated 100%.

The aim is for a year-on-year increase in turnover of over 15% at all surveyed companies. 

Data source: 

  • surveyed companies
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Degree of implementation of framework conditions at cantonal level

A decisive factor for creating the prerequisites for a comprehensive introduction of eHealth services and, in particular, fully exploiting the potential of the electronic health record is for the cantons to create framework conditions for the introduction of electrical services. The degree of implementation of eHealth solutions at cantonal level is measured.

Calculation: A survey of all 26 Cantons to see whether there is a business model for electronic collaboration of all participants in the healthcare system, or whether the implementation of eHealth solutions was planned or at least a decision was already made. The aim is for all cantons to provide eHealth services.

For cantons that have not yet defined a business model, a target achievement of 0% is defined. For cantons that have already decided whether they want to tackle the introduction of eHealth services on their own or with partners already named, a target of 25% applies. If the implementation had already begun, the target was already half achieved. If the cantons already provide electronic services that can be used by patients, full target fulfillment, which is valued at 100%, applies.

There is an acute need for action if fewer than the average of the cantons has begun to implement eHealth offers. If, on average, every second canton has developed a corresponding business model and started implementing it, we are on the right path, i.e. in the area of optimization.

Datenquelle: 

  • survey of the cantons
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Proportion of electronic referrals and prescriptions

Electronic referrals and prescriptions enhance efficiency and transparency in terms of treatment steps. This measurement parameter indicates the degree of utilization of digital data exchange as well as of integrated treatment processes.  

Calculations: Survey among major doctors’ networks and the largest hospitals as well as hospital net in Switzerland (based on BAG classification). The survey measures the proportion of referrals and prescriptions that have already been made electronically. The survey used a six-score scale to classify the answers given (each in 20% steps, 0%, 1-20%, …, 81-100%). The survey did not distinguish between external or internal referrals or prescriptions.

The measurement parameters are calculated from the weighted average of the referrals and prescriptions. If, on average, fewer prescriptions and prescriptions than a percentage of 21-40% are made electronically, this is a niche product and there is an acute need for action. From a majority implementation, starting at 60%, an optimization requirement is assumed. 

Data source: 

  • hospitals and networks
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Attitudes toward electronic health records

The electronic health record supports a holistic health assessment of a patient. It is up to the patients themselves to decide on the use of electronic health records. The attractiveness and acceptance of electronic health records among the population in Switzerland who would recommend its use is measured. 

Calculation: All results come from a survey of the population which was conducted within the digital.swiss initiative. All participants were surveyed independently of whether they themselves use electronic health records or not. Answers were rated on a scale from 1 to 5 (yes, absolutely; probably yes; indifferent, probably not; definitely not).

There is an acute need for action if those surveyed are not at least indifferent regarding the recommendation of an electronic patient dossier (50%). If the respondents were on average more likely to recommend their use (75%), this is interpreted as a positive attitude toward the storage of electronic health data, and is in the area of optimization. 

Data source:

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01.03.201621.11.2017
Number of start-ups in Digital Health

Startups stand for the innovative power of a sector. The number of newly established companies indicates new opportunities for creating future revenue in the sector of Digital Health. 

Calculation: The survey counts the number of ICT health companies that are enlisted on the startups.ch platform and are not older than five years. This is supplemented with findings from our own research.
This indicator has no target value.

The annual increase in the amount of digital health start-ups is rated positively. This indicator is not incorporated into the overall score in this topic area.

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Proportion of people who use electronic health records

The electronic health record supports a holistic health assessment of a patient. It is up to the patients to decide on the use of electronic health records. The measurement parameter indicates the rate of use of electronic health records.

Calculation: All results come from a survey of the population, conducted within the context of the digital.swiss initiative. Participants were asked how often they use an electronic health record. Answers were rated on a scale from 1 to 5 (regularly; occasionally; seldom, never; I don’t know; prefer not to say). The value of the measurement parameter is summed up by taking the answers from the categories 1, 2, and 3. Due to the open formulation of the questions, it can be assumed that part of the answers refer to the electronic health record.

The aim is for the entire Swiss population makes use of the electronic health record. This indicator has already been considered in the topic area "Society and behavior". For this reason, it is not incorporated into the overall index for the topic area of health.
Data source: Social survey as part of the digital.swiss initiative.

Data source: 

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Further Indicators

The following figures are not necessarily based on scientific survey methods and have no impact on the status of digitalization in Switzerland in this topic area.

Number of start-ups in Digital Health

Startups stand for the innovative power of a sector. The number of newly established companies indicates new opportunities for creating future revenue in the sector of Digital Health. 

Calculation: The survey counts the number of ICT health companies that are enlisted on the startups.ch platform and are not older than five years. This is supplemented with findings from our own research.
This indicator has no target value.

The annual increase in the amount of digital health start-ups is rated positively. This indicator is not incorporated into the overall score in this topic area.

35 Start-ups in Digital Health

Proportion of people who use electronic health records

The electronic health record supports a holistic health assessment of a patient. It is up to the patients to decide on the use of electronic health records. The measurement parameter indicates the rate of use of electronic health records.

Calculation: All results come from a survey of the population, conducted within the context of the digital.swiss initiative. Participants were asked how often they use an electronic health record. Answers were rated on a scale from 1 to 5 (regularly; occasionally; seldom, never; I don’t know; prefer not to say). The value of the measurement parameter is summed up by taking the answers from the categories 1, 2, and 3. Due to the open formulation of the questions, it can be assumed that part of the answers refer to the electronic health record.

The aim is for the entire Swiss population makes use of the electronic health record. This indicator has already been considered in the topic area "Society and behavior". For this reason, it is not incorporated into the overall index for the topic area of health.
Data source: Social survey as part of the digital.swiss initiative.

Data source: 

10% of Swiss people already have used Electronic Health Records

Team of experts

digital.swiss, Andy  Fischer  Medgate  Photo

Dr. med. Andy Fischer

CEO
Medgate

digital.swiss, Gregor Emch

Gregor Emch

Expert Digital Health
Accenture AG

digital.swiss, Felber Herbert

Herbert Felber

Lead ICT-PSP
Hirslanden Private Hospital Group

digital.swiss, Peter Fischer

Dr. Peter E. Fischer

Head of the Competence Center Information Security
Lucerne School of Business

digital.swiss, Peter  Meyer

Dr. Peter Meyer

MIT Group

digital.swiss, Matthias  Sembach

Dr. Matthias Sembach

Head of Open Innovation
Sanitas

digital.swiss, Thomann

Mario Thomann

CEO
ABILITY Switzerland AG

digital.swiss, Willhalm 00106598

René K. Willhalm

Head of med. processes
Universitätsspital Basel

Opinions and Dialog


Current Projects

Current Publications

Digital Index Switzerland 2016 - Road to RODI: A framework to drive Return On Digital Investment

Due to the growing importance of digitalization for consumers and companies in Switzerland, Google and Accenture decided to collaborate to ensure a holistic expert view on Swiss companies’ digital readiness. Based on publicly available information only, they investigated the digital maturity and mobile readiness for 100 of Switzerland’s biggest companies. This investigation revealed that, on average, Swiss companies do not prioritize digital initiatives applying outcome-based assessments of value creation potential and customer needs. Therefore, Accenture and Google created a framework based on cross-industry best practice examples that intends to support Switzerland’s companies in driving value creation through digital initiatives.

https://www.accenture.com/ch-en/insight-digital-index-2016

LinkDigital Index Switzerland 2016

Swiss eHealth Barometer

Seit 2010 zeigt das Swiss eHealth Barometer jährlich den aktuellen Stand und die Entwicklung von eHealth in der Schweiz auf. Innerhalb der letzten zwölf Monate haben die elektronische Aufzeichnung von Gesundheitsdaten und der routinemässige interne Austausch solcher Daten zugenommen. 

Im Vorjahr zeigten die verschiedenen Indikatoren trotz verbreitetem Einsatz von IT im Gesundheitswesen noch eine wenig systematische Vernetzung von Spitälern, Alters- und Pflegeheimen, Ärzteschaft oder Apotheken. Die Vernetzung innerhalb der eigenen Gesundheitsorganisation ist innerhalb der letzten zwölf Monate angestiegen. Am stärksten intern vernetzt sind dabei Spitäler und Ärztinnen und Ärzte. Der Empfang vom Daten von ausserhalb der eigenen Institution und der Austausch von Daten mit externen Akteuren findet dagegen weniger routinemässig statt und hat sich gegenüber dem Vorjahr nur wenig entwickelt.

Mehr Infos und Studienergebnisse auf infosocietydays.ch

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