Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Horses for courses on e-insurance trail

09.01.2008
Rapid and effective access to healthcare for mobile citizens via online solutions and smart card – or scanned eye-readable – technology is a vital e-services goal in a borderless Europe. But how can it work if countries surge ahead with incompatible e-health systems? Horses for courses, suggests the group behind efforts to streamline development towards electronic European Health Insurance Cards (e-EHIC).

The ability to move freely between Member States is one very concrete outcome of greater union in Europe. But with mobility comes potential insecurity. What happens if I get sick on holidays in Italy? Is insurance reciprocal when I work abroad in the EU? How is the hospital bill processed?

The little blue European Health Insurance Card (eye-readable EHIC), valid since June 2004, takes the worry out of inter-European travel and work assignments, replacing a number of different forms that needed to be carried while on the move, such as the E111 and E110. This plastic card legally(1) entitles insured citizens from EU/EFTA countries to equivalent (unplanned) healthcare while abroad in any of the other 27 Member States or four EFTA countries. This means the eye-readable EHIC has been implemented in a total of 31 countries Europe-wide. Quite an achievement already!

“But this is all back-story to the challenging task we now face of digitising the process,” says Noël Nader, director for international areas at GIE Sesame-Vitale in France who heads a consortium of Commission-funded partners now deploying ICT solutions to simplify and improve EHIC.

As the most advanced pan-European project in this field, NETCARDS For eEHIC was mandated by the European Commission to implement this in a “step-wise” fashion. The EU’s executive called for a card “which can be electronically read [on] the premises of the healthcare providers (general practitioners, pharmacists, hospitals, dentists, and other health related practitioners) equipped with the appropriate card reader (off the shelf) and whose validity can, under appropriate interoperability conditions and depending [on] the Member States, be verified on-line.”(2)

Leading the cry
Healthcare is leading the cry for more and better e-government and e-identification in Europe. But this pioneering ICT spirit throws up its own set of challenges. Challenges that NETC@RDS For eEHIC has been tackling since 2002, thanks to EU eTEN funding, which supports the concept and realisation from market validation to later implementation and deployment in 15 Member States (with three other countries agreeing to take up the service outside the ongoing contractual agreement).

Principal among the challenges, Nader told ICT Results ahead of NETC@RDS' appearance at the e-Challenges conference (24-26 October), is convincing Member States to resist rolling out their own version of the health insurance cards until a more systematic approach and technologies can be put in place across the bloc.

For example, Germany, France, Austria and Slovenia already have insurance cards with embedded microchips, or ‘smart cards’, containing the holder’s health insurance data. Others are in various stages of developing them. A few are taking the ‘wait and see’ approach.

It could be easy to put a pan-European scheme like e-EHIC into the ‘too-difficult’ basket, suggests Nader, “but that would be missing a milestone opportunity to harness the benefits of ICT in this very important field – and one that is so critical to Europe’s internal market.”

So the consortium of 26 partners – made up of health insurance organisations, hospital associations, regional governments, research institutions, industrial sponsors, and relevant standards bodies and other authorities – came up with scenarios of varying degrees of on- and offline technology allowing progressive migration of different countries to e-EHIC.

The scenarios range from using chip cards, data readers and security solutions all handled off-line; to a combination of chip cards with network services handling data and authentication online; to all data managed online with no chip cards; to data being read by machines or optically scanned from the eye-readable EHIC.

It is horses for courses. But the underlying idea is to develop a unified workstation capable of processing/reading different chip cards and/or transferring data from a remote health insurance data server over a secure extranet link.

Thanks to its pilot testing, consultation and careful assessment of the legal basis for pan-European health services, NETC@RDS For eEHIC learnt that it would be a “waste [of] effort and credibility” to invest in the notion of an “all-embracing gigantic deployment scheme [for eEHIC]”.

The best solution, they note, is to focus on card-reading technology and systems that guarantee interoperability wherever deployed in Europe; a gradual migration to full-scale network functionality (server and user side) to access health insurance databases remotely.

Tests in Greece during the Olympic Games in 2004, and later in Germany for the Football World Cup in 2006, showed the clear benefits of eEHIC systems for healthcare providers, health insurance providers and patients – less administration, better reliability and security of data with simpler and faster procedures.

Flight control for health insurance?
“We are like air-traffic controllers,” quips Nader, “before we can deliver the best solution from 2010 onwards, we have to understand and accommodate the different legal and political implications, organisational issues and technological solutions, and think of how it will all keep running afterwards with appropriate standards.”

In fact, Nader sees other parallels with the skies. He says putting together plausible and sustainable e-health systems and technologies Europe-wide is a bit like managing Airbus, and that the final body proposed to oversee eEHIC could even work something like IATA, the air traffic authority.

There is still a lot of air-miles to cover in the coming years and it is sometimes hard to predict how the political winds might shift, but NETC@RDS For eEHIC is confident that it can get all the actors and technologies onboard to deliver a reliable system of systems using on- and offline methods befitting the different situations in different European countries.

Notes:
(1) European Regulations coordinating social security – Council Regulations (EC) 1408/71 and 574/72

(2) CEN/ISSS workshop on interoperability of eEHIC (WS/eEHIC), Adopted Business Plan, version 1.0

Christian Nielsen | alfa
Further information:
http://cordis.europa.eu/ictresults/index.cfm/section/news/tpl/article/BrowsingType/Features/ID/89288

More articles from Information Technology:

nachricht Researchers illuminate the path to a new era of microelectronics
23.04.2018 | Boston University College of Engineering

nachricht Researchers achieve HD video streaming at 10,000 times lower power
20.04.2018 | University of Washington

All articles from Information Technology >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Molecules Brilliantly Illuminated

Physicists at the Laboratory for Attosecond Physics, which is jointly run by Ludwig-Maximilians-Universität and the Max Planck Institute of Quantum Optics, have developed a high-power laser system that generates ultrashort pulses of light covering a large share of the mid-infrared spectrum. The researchers envisage a wide range of applications for the technology – in the early diagnosis of cancer, for instance.

Molecules are the building blocks of life. Like all other organisms, we are made of them. They control our biorhythm, and they can also reflect our state of...

Im Focus: Spider silk key to new bone-fixing composite

University of Connecticut researchers have created a biodegradable composite made of silk fibers that can be used to repair broken load-bearing bones without the complications sometimes presented by other materials.

Repairing major load-bearing bones such as those in the leg can be a long and uncomfortable process.

Im Focus: Writing and deleting magnets with lasers

Study published in the journal ACS Applied Materials & Interfaces is the outcome of an international effort that included teams from Dresden and Berlin in Germany, and the US.

Scientists at the Helmholtz-Zentrum Dresden-Rossendorf (HZDR) together with colleagues from the Helmholtz-Zentrum Berlin (HZB) and the University of Virginia...

Im Focus: Gamma-ray flashes from plasma filaments

Novel highly efficient and brilliant gamma-ray source: Based on model calculations, physicists of the Max PIanck Institute for Nuclear Physics in Heidelberg propose a novel method for an efficient high-brilliance gamma-ray source. A giant collimated gamma-ray pulse is generated from the interaction of a dense ultra-relativistic electron beam with a thin solid conductor. Energetic gamma-rays are copiously produced as the electron beam splits into filaments while propagating across the conductor. The resulting gamma-ray energy and flux enable novel experiments in nuclear and fundamental physics.

The typical wavelength of light interacting with an object of the microcosm scales with the size of this object. For atoms, this ranges from visible light to...

Im Focus: Basel researchers succeed in cultivating cartilage from stem cells

Stable joint cartilage can be produced from adult stem cells originating from bone marrow. This is made possible by inducing specific molecular processes occurring during embryonic cartilage formation, as researchers from the University and University Hospital of Basel report in the scientific journal PNAS.

Certain mesenchymal stem/stromal cells from the bone marrow of adults are considered extremely promising for skeletal tissue regeneration. These adult stem...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Invitation to the upcoming "Current Topics in Bioinformatics: Big Data in Genomics and Medicine"

13.04.2018 | Event News

Unique scope of UV LED technologies and applications presented in Berlin: ICULTA-2018

12.04.2018 | Event News

IWOLIA: A conference bringing together German Industrie 4.0 and French Industrie du Futur

09.04.2018 | Event News

 
Latest News

Structured light and nanomaterials open new ways to tailor light at the nanoscale

23.04.2018 | Physics and Astronomy

On the shape of the 'petal' for the dissipation curve

23.04.2018 | Physics and Astronomy

Clean and Efficient – Fraunhofer ISE Presents Hydrogen Technologies at the HANNOVER MESSE 2018

23.04.2018 | Trade Fair News

VideoLinks
Science & Research
Overview of more VideoLinks >>>