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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 main achievement of PrimCareIT was certainly having implemented in sum twelve pilots in six different countries (Belarus, Estonia, Finland, Latvia, Lithuania, and Sweden). Seven pilots of tele-consultation and five pilots of tele-mentoring. The different scenarios cover the full scope of possible settings: specialists and generalists, nurses and GPs, clinical centers and Primary Health Care Units, elderly and younger health care professionals. A very important issue is the selection of IT: User's tolerance with tele-equipments is quite low. So precondition of successful sessions are easy access, user friendliness and handiness. All sorts of different functions should be in one place together so that later physicians would start to use it daily. In order to guarantee the functionality of tele-mentoring sessions, all the pilots found that there should always be technical support available at both ends in the beginning and also during the session.

In the Baltic Sea Region is a big interest in eHealth, e.g. in tele-consultation and tele-mentoring. But until now there are not so many practical trials tests. There is no comparable approach in the regions. Politicians hope to solve existing problems as the lack of doctors in rural areas and increasing costs. Therefore they are keen on the results. Many presentations were hold providing information to decision-makers. In order to bring the information also nearer to regional stakeholders PrimCareIT developed project flyers in all seven partner languages. More details – also in all partner languages – are available on the different website sections.

The pilots are supported by theoretical works. A transnational focus group with experts from each partner country was carried out. As well as a strategic workshop with participants from the pilot regions as well as different decision makers and institution representatives experienced in strategy development in health care

The focus group participants named lots of recommendations for successfully implementing such solutions in the daily routines in practices and health centres. Those include for example well working remuneration systems in those countries, where health care is not publicly driven, such as Germany, or patient centred incentives in the systems with mainly public health care providers, such as Finland or Sweden. The recommendation also focussed a lot on technical aspects, such as an easy usability and IT trainings for the health care professionals. In the strategic meeting the focus laid more on strategy development. The disputants recommended to focus on recent health care developments and the difference of the various health care systems. Benefit for the users and decision-makers as well as for the health care system in should be clear.



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