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Project acronym: PrimCare IT

Project title: Counteracting brain drain and professional isolation of health professionals in remote primary health care through tele-consultation and tele-mentoring to strengthen social conditions in remote BSR

Application call: 4

Priority: 4. Attractive & competitive cities and regions

Project website: www.primcareit.net

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Lead Partner:

Etelä-Pohjanmaan sairaanhoitopiiri
Huhtalantie 53
60220 Seinäjoki
FI
Sami Perälä
E-mail: sami.perala@eptek.fi
Phone: 00358443322270
Fax: 0035864154351

Project Manager:

Etelä-Pohjanmaan sairaanhoitopiiri
Huhtalantie 53
60220 Seinäjoki
FI
Minna Kamula
E-mail: minna.kamula@eptek.fi
Phone: +358 44 4155 452
Fax:


Information Manager:

DSN
Andreas-Gayk-Straße 7-11
24103 Kiel
DE
Gesine Stück
E-mail: gesine.stueck@dsn-online.de
Phone: +49 (0)431 99 69 66 80
Fax: +49 (0)431 99 69 66 99



Summary description of the project:

As our population ages, society faces new challenges. Demand for primary health care services is rising: with the retirement of older professionals and an unwillingness amongst younger professionals to re-locate to remote areas, there is a shortage of physicians, especially in rural areas. The regions round the Baltic Sea are more or less in similar situations. Each of them already pursued separately diverse approaches. One of the reasons could be the called “professional isolation” of health professionals working in remote primary health care that influences on the attractiveness of their jobs and working conditions compared to cities and urban areas. It was to study conjointly how to overcome this professional isolation that the project “PrimCareIT – Counteracting brain drain and professional isolation of health professionals in remote primary health care through tele-consultation and tele-mentoring to strengthen social conditions in remote Baltic Sea Region”, was initiated.

Professional isolation refers to the circumstance that health professionals such as family doctors, specialised doctors, health workers or nurses are to some extent isolated from their professional peers. The project partners decided to test two tools in order to reduce this isolation: tele-consultation and tele-mentoring. The first one enables the virtual communication between doctors of different disciplines or with specialists in other health care institutions like hospitals for a second opinion. Tele-mentoring is a form of virtual mentoring. It should be included in existing medical e-learning programs. Teaching practices in these medical e-learning programs have to be analysed or, where applicable, developed and tested. Good practices will be published in a handbook to promote tele-mentoring in remote areas.

Thus, the project partners analyse existing barriers for large scale deployment of tele-consultation and tele-mentoring such as technology acceptance, work flows, daily routines or legal uncertainties. They elaborate on strategic opportunities for better use of such tele-health to overcome brain drain of health professionals in remote primary care. They implement jointly developed tele-consultation and tele-mentoring solutions between health workers, general practitioners and medical specialists in pilot sites in Finland, Sweden, Lithuania, Estonia, Latvia and Belarus preparing their large scale implementation.

The partnership involves health workers, medical doctors associations, hospitals, planning and financing authorities, regional development administrations, and eHealth research organisations. Thus, the consortium represents the relevant sectors in the implementing regions for successful goal achievement.


Achievements of the project so far:

The last project period was dedicated to elaborating the lessons learned from the pilots in tele-consultation and tele-mentoring. For this, the project partners finalised their reports on fully implemented infrastructure and running processes in the pilot sites in tele-consultation and tele-mentoring. All involved partners came together for a transnational workshop in Karlskrona, Sweden, in order to exchange their experiences and to synchronise further proceeding. The result was a common structure for the “Guidelines for implementing tele-consultation and tele-mentoring”.

Afterwards all data was gathered from every pilot site by questionnaires, interviews and analysis of documents. The handbook focuses on the qualitative content analysis of the data and identifies the indicators for success: preparation, involvement, communication, technology, implementation, training, assessment, health economy.

Organisations and institutions intending to implement eHealth can read about good practices and follow the guidelines.

The reports on successful implementation of the pilots facilitate the discussion and further activities for large-scale deployment of tele-consultation and tele-mentoring in the partner regions and in Europe. Decision makers can clearly see the obstacles and hindering factors and how to overcome them. The diffuse prejudice ‘eHealth is good but difficult to realise’ will be answered by well-structured arguments and clearly defined procedural steps.

The Final Conference “Connecting health care professionals via ICT - tele-mentoring and tele-consultation in primary health care” was held on 14th of February 2014 in Tallinn, Estonia. The results of the PrimCareIT project and its consequences for the future health care provision in rural areas were presented.

The conference was a platform for more than 120 health care workers, academics and political decision makers to share their ideas and views about the remote primary care challenge all of Europe is facing.

The summary of the – mainly positive – statements made during the Final Conference were integrated in the report on “Joint transnational conclusions and political statements” underlining the role and importance of tele-health to attract health workers to primary care in remote areas. The report also contains more than 20 written agreements for ongoing cooperation and letters of intent to promote the eHealth activities signed by stakeholders, decision makers, professionals and politicians in primary health care in participating countries. This should be an effective support to promote the aim of the project.

In the future the project partners will work on the deployment of the tested IT solutions: Almost all involved pilot organisations will continue the implemented structures.



Project Duration: Sep 2011 - Mar 2014
Approximate total project budget in EUR: 2.556.710,00
ERDF co-financing: 1.820.700,00
ENPI co-financing: 223.060,00
Norwegian national contribution: 0,00

List of partners

South Ostrobothnia Health Care District
60220 Seinäjoki | FINLAND
Huhtalantie 53
Region: Länsi-Suomi
Contact person: Sami Perälä
Phone: 00358443322270
E-mail: sami.perala@eptek.fi
Web: www.epshp.fi
Approximate total partner budget in EUR:288.277,00
ERDF co-financing:216.207,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
Seinäjoki University of Applied Sciences
60101 Seinäjoki | FINLAND
P.O. Box 412 (visiting address: Keskuskatu 34)
Region: Länsi-Suomi
Contact person: Helli Kitinoja
Phone: 00358 201245000
E-mail: helli.kitinoja@seamk.fi
Web: www.seamk.fi
Approximate total partner budget in EUR:104.176,00
ERDF co-financing:78.132,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
Regional Council of South Ostrobothnia
60101 Seinäjoki | FINLAND
Kampusranta 9 C pl 109
Region: Länsi-Suomi
Contact person: Jaakko Hallila
Phone: 00358403565630
E-mail: jaakko.hallila@etela-pohjanmaa.fi
Web: www.epliitto.fi
Approximate total partner budget in EUR:82.573,00
ERDF co-financing:61.929,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
Kauhava Primary Health Care District
62200 Kauhava | FINLAND
Kauppatie 127 A
Region: Länsi-Suomi
Contact person: Raimo Rintala
Phone: 00358504962444
E-mail: raimo.rintala@kaksineuvoinen.fi
Web: www.kaksineuvoinen.fi
Approximate total partner budget in EUR:178.888,00
ERDF co-financing:134.166,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
eHealth Institute, Linnaeus University
39182 Kalmar | SWEDEN
eHealth Institute, Linnaeus University
Region: Småland med öarna
Contact person: Göran Petersson
Phone: 0046-480-497124
E-mail: goran.petersson@lnu.se
Web: www.ehalsoinstitutet.se
Approximate total partner budget in EUR:102.964,00
ERDF co-financing:77.223,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
Blekinge Institute of Technology
37179 Karlskrona | SWEDEN
Blekinge Tekniska Högskola
Region: Sydsverige
Contact person: Tobias C. Larsson
Phone: 0046455385000
E-mail: tlr@bth.se
Web: http://www.bth.se
Approximate total partner budget in EUR:285.540,00
ERDF co-financing:214.155,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
County Council of Västerbotten
90189 Umeå | SWEDEN
Västerbottens läns landsting
Region: Övre Norrland
Contact person: Annika Blomster
Phone: 0046907858702
E-mail: annika.blomster@regionvasterbotten.se
Web: www.vll.se
Approximate total partner budget in EUR:214.173,00
ERDF co-financing:160.630,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
Flensburg University of Applied Sciences
24943 Flensburg | GERMANY
Kanzleistr. 91-93
Region: Schleswig-Holstein
Contact person: Prof. Dr. Roland Trill
Phone: 0049 (0)461 805 1473
E-mail: roland.trill@fh-flensburg.de
Web: http://www.fh-flensburg.de
Approximate total partner budget in EUR:161.790,00
ERDF co-financing:121.343,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
The Estonian Society of Family Doctors
50406 Tartu | ESTONIA
Puusepa 1a
Region: Eesti
Contact person: Ruth Kalda
Phone: 0037256985599
E-mail: ruth.kalda@ut.ee
Web: www.perearstiselts.ee
Approximate total partner budget in EUR:194.425,00
ERDF co-financing:165.261,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
Institute of Clinical Medicine of the Technomedicum of the Tallin Technical Unviversity
12618 Tallinn | ESTONIA
Akadeemia tee 15
Region: Eesti
Contact person: Professor Ruth Sepper
Phone: 00372 620 4460
E-mail: kmi@ttu.ee
Web: kmi.ttu.ee
Approximate total partner budget in EUR:90.316,00
ERDF co-financing:76.768,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
Vilnius University Hospital Santariškių Klinikos
8661 Vilnius | LITHUANIA
Santariškių str. 2
Region: Lietuva
Contact person: Domantas Stundys
Phone: 00370 5 2365005
E-mail: dstundys@takas.lt
Web: www.santa.lt
Approximate total partner budget in EUR:252.080,00
ERDF co-financing:214.268,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
Kaunas University of Technology
44029 Kaunas | LITHUANIA
K.Donelaicio 73
Region: Lietuva
Contact person: Arunas Lukosevicius
Phone: 0037037407118
E-mail: arunas.lukosevicius@ktu.lt
Web: www.ktu.lt
Approximate total partner budget in EUR:97.248,00
ERDF co-financing:82.660,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
State Educational Institution Belarusian Medical Academy of Post-Graduate Education
220013 Minsk | BELARUS
3, Brovki str., build.3
Region: Brestskaya Oblastj.
Contact person: Yuri Demidchik; Maksim Makouski
Phone: 00375 17 2909838
E-mail: oms@belmapo.by
Web: http://www.belmapo.by/
Approximate total partner budget in EUR:178.070,00
ERDF co-financing:0,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
Health Care Institution Ostrovec Cenral Regional Hospital
231201 Ostrovec | BELARUS
Oktuabrski per. 11
Region: Brestskaya Oblastj.
Contact person: Uladzimir Mazheika
Phone: 375159123089
E-mail: 1971mv@mail.ru
Web: http://www.oscrb.by/
Approximate total partner budget in EUR:69.774,00
ERDF co-financing:0,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
Lithuanian University of Health Sciences
44307 Kaunas | LITHUANIA
Mickeviciaus 9
Region: Lietuva
Contact person: Assoc. Prof. Giedrius Vanagas, PhD, MPH
Phone: 0037037396057
E-mail: giedrius.vanagas@kmu.lt
Web: www.lsmuni.lt
Approximate total partner budget in EUR:159.642,00
ERDF co-financing:135.696,00
ENPI co-financing:0,00
Norwegian national contribution:0,00
National Health Service
LV-1012 Riga | LATVIA
31k-3 Cesu Street
Region: Latvija
Contact person: Aigars Miezitis, Agnese Zile-Veisberga
Phone: 0037167387674
E-mail: aigars.miezitis@vmnvd.gov.lv
Web: www.vmnvd.gov.lv
Approximate total partner budget in EUR:96.766,00
ERDF co-financing:82.251,00
ENPI co-financing:0,00
Norwegian national contribution:0,00