Health Telematics (AIM) Final Report
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Updated: Feb 1, 97 

EDUCTRA

Concerted Action on Education and Training in Health Care Informatics

Project Code:  A2102
Project value:  150 KECU
EC contribution:  150 KECU
No of partners:  24
No of countries:  12
Duration:  24 months
Contact:
Prof. Arie Hasman
University of Limburg
Dept. of Medical Informatics
PO Box 616
NL-6200 MD Maastricht, The Netherlands
Tel.: +31-43-388.22.41 / 22.42
Fax: +31-43-367.10.52
E-mail: hasman@mi.rulimburg.nl

Overview

The Concerted Action aimed at identifying gaps in the teaching and learning of IT in medical and other health careers, and to propose and execute to ameliorate the situation. It carried out a survey of courses taught across Europe and proposed a core curriculum. A spin-off was the ELITE showcase.

Purpose and objectives

More and more information systems are used in health care. Health care workers are mobile and may even start to work in other countries. It is important that they can easily accommodate to the available information systems in other institutions. For the industry it is also important that health care workers have a satisfactory knowledge of health care informatics. Only then can their products be evaluated in a fair way. Also health care workers will become more receptive for the advantages of health care information systems.

The project examined the way in which education and training in informatics and telematics in the health professions is organised in Europe. It started with a workshop held in Brussels in June 1992 in order to prepare the Concerted Action. The objective was to co-ordinate existing research and development activities. Since the topic education and training in health informatics was considered too broad to be covered, it was decided to focus on education and training in health informatics of professionals (including physicians, nurses, managers, etc.).

Since IT can only be used efficiently and effectively by people who have had some training in the use of this technology and who have also been introduced into the broader aspects of health informatics, it is mandatory that professionals receive training and education in this field.

The participants agreed about the need to:

Three different tracks were defined.

In Track I the representatives of the member states surveyed the status of training and education in IT in their country. This survey provided an overview of the current situation.

In Track II possible training needs for patient groups were analysed. However, on the basis of a position paper it was decided that further activities in this area were out of the reach of the project.

In Track III existing educational programs were combined into a software package. This led to the ELITE product, a software showcase with both DOS and Windows versions.

Results

The state-of-the-art in education and training of health informatics in Europe was reviewed in 12 countries (Belgium, Denmark, Finland, France Germany Greece. Ireland, Italy, Portugal, Spain, The Netherlands, United Kingdom), following a survey that described the situation for different types of healthcare staff (physicians, nurses, administrators, managers, technicians, etc).

Almost uniformly a lack is observed in the knowledge of healthcare professionals with regards to the possibilities and limitations of computer systems. Due to this lack of knowledge computer systems are often either regarded as a solution for all problems or as a threat. Also the lack of training may cause a sensation of "lost time" when healthcare professionals nevertheless are trying to use computer systems. This will finally result in a refusal to use computers.

The amount of knowledge about IT varies not only per country but even per region within countries, can be different for different professional groups and understandably depends on the age of the professional.

In almost every country health care workers use stand-alone PC's. Courses in the use of packages like dBASE, WP, Harvard Graphics, statistical packages, etc. are usually offered. GP's are increasingly using PC's. It can be concluded that the use of PC's for dedicated applications is appreciable. Only in some countries local area networks are used on a large scale.

In most countries hospitals and other health care institutions have installed information systems for administrative purposes. Only in a few countries the larger hospitals have also installed computer systems to support the medical services.

In most countries medical schools provide some courses in health informatics. Also in nursing schools some courses in health informatics are offered but usually the number of hours is small. It can be concluded that the situation concerning health informatics at the universities is far from optimal. In a large number of countries there are no departments of health informatics.

In post-graduate training the offerings of courses in IT and health informatics are of variable content and quality. This may be a consequence of the limited number of experts in health informatics.

The role of vendors in education and training is small. Usually a number of employees is trained in the use of their systems. They become the trainers of the remaining employees.

Education and training is provided via various delivery methods ranging from training by peers, computer aided instruction to distance learning .

On the basis of the results of the survey, guidelines for the contents of a curriculum that is meant for various groups of professionals were proposed. By defining such a European curriculum courses that have been developed according to these guidelines in one country can also be used in other countries. The final guidelines were available and presented in December 1994. The results of the Concerted Action were presented in a book published by IOS Press in the series "Studies in Health Technology and Informatics" vol. 25, 1995, entitled: "Education and Training in Health Informatics in Europe". Three hundred copies were disseminated to interested partners (see bibliography). This hook does not only contain the guidelines, but also examples of how the guidelines can he implemented.

The ELITE diskette, with examples of teaching programmes, was available and demonstrated at the AIM Final Conference in Lisbon, December 1994.

The project also wanted to develop courses on the basis of the guidelines, therefore a project proposal IT EDUCTRA was written and submitted to the Fourth Framework. This proposal was accepted. In the coming years courses in Health Informatics will be made available to all interested parties. The results of EDUCTRA have also been presented in a number of conferences and have been published in scientific journals.

List of Deliverables

List of Participants

Prof. A. Albert
Informatique médicale
CHU du sart Tilman (b35)
B-4000 Liege, Belgium
Tel.: +32-41-56.25.91
Prof. Leo Bossaert
Universitair Ziekenhuis Antwerpen
Intensive Care & Emergency Medicine
Wilrijkstraat 10
B-2650 Edegem Antwerp, Belgium
Tel.: +32-3-829.11.11
Fax: +32-3-828.48.82
Mr Niels Stockmarr
Centre Leader, Video-medie Centret
Carl Nielsens Allé 9
DK-2100 Copenhagen, Denmark
Tel.: +45-31-29.02.29
Fax: +45-31-908.72
Mr Christian Nøhr
Aalborg University
Dept of Communication and Planning
Frbijerstraede 2
DK-9220 Aalborg, Denmark
Tel.: +45-98-15.85.22
Fax: +45-98-15.32.98
Prof. W. Van der Kooij
Head of the Expercentre Health Care
Hogeschool Van Amsterdam
Sector Gezondheidszorg Informatiekunde
Vlaardingenlaan 3
NL-1059 GL Amsterdam, The Netherlands
Tel.: +31-20-669.05.51
Fax: +31-20-615.65.34
Prof. Dr. Ir. Arie Hasman
University of Limburg
Medical Informatics
PO Box 616
NL-6200 MD Maastricht, The Netherlands
Tel.: +31-43-88.22.42 / 22.41
Fax: +31-43-67.10.52
Prof. B. Auvert
Informatique Médicale
Hospital Ambroise Paré
9 Avenue Charles de Gaulle
F-92104 Boulogne Cedex, France
Tel.: +33-1-49.09.56.69
Fax: +33-1-49.09.58.27
Prof. Rüdiger Klar
Klinikum der Albert-Ludwigs-Univ. Freiburg
Abteilung Medizinische Informatik
Stefan-Meier-Str. 26
D-7800 Freiburg, Germany
Tel.: +49-761-203.30.32 / 30.33
Fax: +49-761-203.48.38
Dr. Josef Michel
Humboldt-Universität Berlin
Bereich Medizin
Institut für Med. Informatik und Biometrie
Schumannstr. 20/21
D-1040 Berlin, Germany
Tel.: +49-30-28.97.23.06
Dr. V.A. Haralambides
Centre of Continuing Medical Education
PO Box 74240
Kaisariani
GR-16000 Athens, Greece
Tel.: +30-1-722.99.89 / 512.19.21
Fax: +30-1-721.74.00
Prof. P. Behrakis
University of Athens
Lab. of Experimental Physiology
Mikras Assias 75 Goudi
GR-11527 Athens, Greece
Tel.: +30-1-777.11.51 / 692.55.01
Fax: +30-1-777.52.95
Mrs Maura Madden
Institute of Public Administration
57-61 Lansdowne Rd.
IRL-Dublin 4, Ireland
Tel.: +353-1-68.62.33
Fax: +353-1-68.91.35
Prof. Dr. Eunice McCarthy
Department of Psychology
University College Dublin
Belfield
IRL-Dublin 4, Ireland
Tel.: +353-1-269.32.44
Fax: +353-1-289.44.09
Mrs Christine Thayer
Council of Europe
Health Division
PO Box 431 56
F-67006 Strasbourg Cedex, France
Tel.: +33-88-41.21.74
Fax: +33-88-41.27.85
Dr. Luigi di Cecco
Istituto Di Ginecologia e Ostetricia
Viale Benedetto XV°, No°10
Padiglione 1
I-16132 Genova, Italy
Tel.: +39-1-353.75.88
Fax: +39-1-353.76.45
Prof. Antonio Chiesa
Director
Istituto de Radiologia
Spedali Civili de Brescia
I-25175 Brescia, Italy
Tel.: +39-30-39.59.00
Fax: +39-30-39.59.00
Marta Lima Basto
Director
Escola Superior de Enfermagem
Maria Fernanda Resende
Ava Brasil - 53 B
P-1700 Lisboa, Portugal
Tel.: +351-1-797.33.21
Fax: +351-1-793.91.04
Prof. Manuel A. Coimbra Sobrinho Simoes
Professor of Pathology, Chairman
Institut of Moleculer Pathology
Faculty of Medicine of Universidade do Porto
Al. Prof. Hernani Monteiro
P-4200 Porto, Portugal
Tel.: +351-2-49.05.91
Fax: +351-2-410.39.40
Prof. Josep Roma Millan
Chief Service of Education and Training
Institut d'Estudis de la Salut (IES)
Generalitat de Catalunya
Rda. Sant Pere 19-21, 3
E-08010 Barcelona, Spain
Tel.: +34-3-412.16.16
Fax: +34-3-412.11.22
Prof. José Luis Martin Jiménez
Escuela Andaluza de Salud Pública
Campus Universitario de la Cartuja
Ap de Correos 2070
E-19080 Granada, Spain
Tel.: +34-958-27.50.44
Fax: +34-958-27.05.51
Mr Paul Adams
NHS Training Directorate
St Bartholomew's Court
18 Christmas Street
Bristol BS1 5BT, U.K.
Tel.: +44-272-29.10.29
Fax: +44-272-25.05.74
Mr Paul Wainwright
Mid & West Wales College of Nursing
and Midwifery
Meadow Building
University College of Swansea
Singleton Park
Swansea SA2 8PP, U.K.
Tel.: +44-792-29.57.89
Fax: +44-792-29.54.87
Mrs Marianne Tallberg
Chairman, EFMI Nursing Working Group
Katajaharjuntic 10c
SF-0200 Helsinki, Finland
Tel.: +358-0-67.58.87
Fax: +358-0-682.11.29
Prof. Tim de Dombal (*)
University of Leeds
Clinical Information Science Unit
22 Hyde Terrace
Leeds LS2 9LN, U.K.
Tel.: +44-532-33.49.61
Fax: +44-532-42.90.78
(*) Deceded 31.12.95 contact: Dr. S. Clamp

[ IT EDUCTRA (4 FW, 1994-1998) ]

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