Michael Rigby
Emeritus Professor
Health Information Strategy, Keele University, UK
Disse tre budskaber kan deltagerne forvente at få med hjem efter at have hørt indlægget.
Citizens expect effective and personalised health and care delivery. This needs the use of modern ICTs to ensure individual delivery and also quality and reliability
The systems necessary for ICT use and for organisational management can be very inflexible, and produce many barriers to access and to meeting of personalised patterns of care
European Science Foundation and OECD work shows the essential role of ICTs in smarter health care, but that social science research, and new ways of thinking, are the keys to progress

Modern citizens are very service aware, thanks to better education, appreciation of service standards set by many commercial sectors, and the opportunities of the Information Age. Since health is a very individual and a very personal issue which has always emphasised attention to the individual, in the modern age citizens expect at least as personally tailored service in health and social care as in other aspects of life. The implication of this is that service delivery must be adjusted to the individual – both their clinical needs and their personal preferences.

To achieve safe, quality assured services the citizen recognises that organisations must have systems, for every aspect from coordinating diagnostic and treatment facilities through to quality assurance and coverage of sick leave. Health and social care organisations have to provide a complex set of services, and these have to be managed. 

Without systems this would be impossible. However, systems themselves can be very restricting for the citizen, and provide a major barrier to their access and to system flexibility. So the means necessary for running a reliable service can be the very barrier to its success.  How can this be resolved?

The solution can be reached by a new understanding of consumer-oriented heath informatics. Work by the European Science Foundation on harnessing ICTs to support health and wellness delivery in Europe emphasises the importance of social science research to find the best ways of making e-health effective in supporting patients and informal carers. The OECD has also published recent work on ICTs to support smarter heath systems. This need to take a smarter, person-centric view of the design and use of ICTs in health and social care will be explored in the session.