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
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?
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:
(2) CEN/ISSS workshop on interoperability of eEHIC (WS/eEHIC), Adopted Business Plan, version 1.0
Christian Nielsen | alfa
Drones learn to navigate autonomously by imitating cars and bicycles
23.01.2018 | Universität Zürich
Cloud technology: Dynamic certificates make cloud service providers more secure
15.01.2018 | Technische Universität München
Physicists have developed a technique based on optical microscopy that can be used to create images of atoms on the nanoscale. In particular, the new method allows the imaging of quantum dots in a semiconductor chip. Together with colleagues from the University of Bochum, scientists from the University of Basel’s Department of Physics and the Swiss Nanoscience Institute reported the findings in the journal Nature Photonics.
Microscopes allow us to see structures that are otherwise invisible to the human eye. However, conventional optical microscopes cannot be used to image...
On the way to an intelligent laboratory, physicists from Innsbruck and Vienna present an artificial agent that autonomously designs quantum experiments. In initial experiments, the system has independently (re)discovered experimental techniques that are nowadays standard in modern quantum optical laboratories. This shows how machines could play a more creative role in research in the future.
We carry smartphones in our pockets, the streets are dotted with semi-autonomous cars, but in the research laboratory experiments are still being designed by...
What enables electrons to be transferred swiftly, for example during photosynthesis? An interdisciplinary team of researchers has worked out the details of how...
For the first time, scientists have precisely measured the effective electrical charge of a single molecule in solution. This fundamental insight of an SNSF Professor could also pave the way for future medical diagnostics.
Electrical charge is one of the key properties that allows molecules to interact. Life itself depends on this phenomenon: many biological processes involve...
At the JEC World Composite Show in Paris in March 2018, the Fraunhofer Institute for Laser Technology ILT will be focusing on the latest trends and innovations in laser machining of composites. Among other things, researchers at the booth shared with the Aachen Center for Integrative Lightweight Production (AZL) will demonstrate how lasers can be used for joining, structuring, cutting and drilling composite materials.
No other industry has attracted as much public attention to composite materials as the automotive industry, which along with the aerospace industry is a driver...
08.01.2018 | Event News
11.12.2017 | Event News
08.12.2017 | Event News
23.01.2018 | Life Sciences
23.01.2018 | Earth Sciences
23.01.2018 | Physics and Astronomy