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“The Electronic Health Services Space, established in 2017, already contains nearly one billion patient care data, which is continuously being expanded with more and more detailed information regarding the current state of patients with the implementation of innovations, in compliance with the GDPR rules, with access only to the specific specialist based on the TAJ number,” said the at a round table discussion, Bálint Szabó, head of the Health IT Service and Development Center (ESZFK), highlighted that the Tér can also receive data from several mobile health measuring devices that can be used at home, from September the blood sugar meter, and from November the pulse oximeter, cholesterol-triglyceride level, ECG and blood pressure monitor sent values ​​can also be displayed in the system.These smart diagnostic devices not only send real-time data to the family doctor, the patient can also monitor their condition changes, and even by providing access, they can also help family members care for their loved ones.

Bálint Szabó also spoke about the fact that during the epidemic, 20 developments supporting digitization were carried out on the system. Telemedicine, i.e. the remote health monitoring procedure, is especially important in regions and countries where you have to travel a lot for medical care, for example in Australia or Canada, this can mean a journey of up to 200 kilometers.

In the EESZT, one of the most important things is that the data travels and not the patient, thus making life easier for both the patient and reducing the overload experienced by practices during attendance care

the director underlined.

The majority of the Hungarian population took action in the system when registering for vaccinations, when obtaining a Covid-certificate, but the epidemic situation also made sending e-prescriptions more widely used, but the issuance of e-referrals was implemented. The central management of waiting lists in specialist care and the creation of central patient management systems mean administrative ease. “Mothers-to-be can apply online for their SZJA discount at the NAV without standing in line, with the pregnancy certificate uploaded to the system by the gynecologist, but the delivery of the health fitness certificate required for the driver’s license and the submission of the document about the chronic illness to the Hungarian State Treasury can all be carried out in by using EESZT, into which a diabetes diary was recently integrated,” said the conference.

The demand for telemedicine is increasing

The four most important expectations from Hungarian patients are: e-mail communication, electronic sharing of images and findings, online appointment booking, and remote consultation. Most people use e-prescriptions and online appointment bookings in practice, while nearly half of those interviewed would try televisits and would be happy if their doctor recommended them authentic websites and applications, according to a representative survey of Semmelweis University’s Institute of Behavioral Sciences.

70 percent of those surveyed now consider everyday medicine unimaginable without the digitization of healthcare. As mentioned, sending e-prescriptions is becoming more and more common, online appointment booking is also used by many people, just as health applications, smart diagnostic mobile devices and watches are also becoming more and more popular.

In addition to patients, doctors are also active users of new solutions, more than 90 percent of them use the Internet on a daily basis for their work, four-fifths of them regularly recommend preventive websites to their patients that encourage health care, and almost half of them also use related applications and social media resources, the research showed.

The World Wide Web is the primary source of information for many patients, not only do they browse the general pages regularly, a third of the respondents also get information from medical portals and online professional journals.

“Artificial intelligence is also gaining more and more ground, not only in theory, but there are already good examples in practice,” says István Csabai, ELTE TTK instructor. The XIX With the beginning of the 20th century, a number of examination methods – CT, MRI, high-resolution digital microscopes, genetic sequencing – became available almost at once, resulting in an extraordinary abundance of data, the challenge of the future will be their proper management.

The Covid data helped with the therapy

The Translational Medicine Research Center (TMKK) examines care and clinical data relevant to COVID-19 within the framework of an international partnership. István Vályi-Nagy, the director general of Dél-Pest Centrumkórház, spoke about the results at the event. Based on a sample of two million patients, comparing the data of 20,000 to 30,000 people, it was determined that those taking anticoagulants had a lower risk of cardiovascular events. And the post-Covid complications were reduced by the administration of the repeat vaccine.

The data collected during the epidemic and their analysis, in addition to the identification of risk patient groups according to the disease and its complications, inferred the effectiveness and efficiency of a given treatment strategy and therapy, which helped to find more effective therapies

– emphasized the general director of the DPC hospital, and added: the collected data created an opportunity to analyze the biological and genetic background of the disease parameters for the individual. The Research Center plans a monitoring program that can be carried out in a home environment for risk groups prone to long-Covid and coronavirus complications – with telemedicine tools such as digital measurements and symptom questionnaires – all of which can help in the rapid detection of more serious conditions.

(Cover photo: Conversation between Rita Koncsek, Zsolt Kiss and Zoltán Jenei at the Digital Health Summit health conference on November 22, 2022. Photo: Péter Papajcsik / Index)