<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">farmaec</journal-id><journal-title-group><journal-title xml:lang="en">FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology</journal-title><trans-title-group xml:lang="ru"><trans-title>ФАРМАКОЭКОНОМИКА. Современная фармакоэкономика и фармакоэпидемиология</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2070-4909</issn><issn pub-type="epub">2070-4933</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2070-4909/farmakoekonomika.2021.085</article-id><article-id custom-type="elpub" pub-id-type="custom">farmaec-487</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW ARTICLES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРНЫЕ ПУБЛИКАЦИИ</subject></subj-group></article-categories><title-group><article-title>Review of foreign experience in the implementation of eHealth</article-title><trans-title-group xml:lang="ru"><trans-title>Обзор зарубежного опыта внедрения электронного здравоохранения</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8166-4583</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Минаев</surname><given-names>П. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Minaev</surname><given-names>P. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минаев Павел Владиславович – специалист отдела методологии информатизации здравоохранения ФГБУ «Центр экспертизы и контроля качества медицинской помощи» Минздрава России, магистрант кафедры общественного здоровья и здравоохранения им. Н.А. Семашко Института общественного здоровья им. Ф.Ф. Эрисмана ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России</p><p>Хохловский пер., д. 10/5, Москва 109028ул. Трубецкая, д. 8/2, Москва 119991</p></bio><bio xml:lang="en"><p>Pavel V. Minaev – Specialist, Department of Health Informatization Methodology, Center for Expertise and Quality Control of Medical Care; Master Student, Semashko Chair of Public Health and Health Care, Erisman Institute of Public Health, Sechenov University</p><p>10/5 Khokhlovskiy Pereulok, Moscow 1090288/2 Trubetskaya Str., Moscow 119991</p></bio><email xlink:type="simple">minaev@rosmedex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8977-5934</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федяев</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedyaev</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Федяев Денис Валерьевич – начальник отдела методологии информатизации здравоохранения ФГБУ «Центр экспертизы и контроля качества медицинской помощи» Минздрава России, научный сотрудник Центра финансов здравоохранения ФГБУ «Научно-исследовательский финансовый институт» Минфина России. ResearcherID: W-3848-2019; Scopus Author ID: 57206481925; РИНЦ SPIN-код: 6864-5660</p><p>Хохловский пер., д. 10/5, Москва 109028Настасьинский пер., д. 3/2, Москва 127006</p></bio><bio xml:lang="en"><p>Denis V. Fedyaev – Head of Health Informatization Methodology Department, Center for Expertise and Quality Control of Medical Care; Researcher, Health Finance Center, Financial Research Institute. ResearcherID: W-3848-2019; Scopus Author ID: 57206481925; RSCI SPIN-code: 6864-5660</p><p>10/5 Khokhlovskiy Pereulok, Moscow 1090283/2 Nastas’inskiy Pereulok, Moscow 127006</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2607-8765</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Серяпина</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Seryapina</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Серяпина Юлия Валерьевна – заместитель начальника отдела методологии информатизации здравоохранения. РИНЦ SPIN-код: 2670-7913</p><p>Хохловский пер., д. 10/5, Москва 109028</p></bio><bio xml:lang="en"><p>Yulia V. Seryapina – Deputy Head of Health Informatization Methodology Department. RSCI SPIN-code: 2670-7913</p><p>10/5 Khokhlovskiy Pereulok, Moscow 109028</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0684-168X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Скоморохова</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Skomorokhova</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Скоморохова Татьяна Владиславовна – к.м.н., доцент кафедры общественного здоровья и здравоохранения им. Н.А. Семашко Института общественного здоровья им. Ф.Ф. Эрисмана. РИНЦ SPIN-код: 1637-1150</p><p>ул. Трубецкая, д. 8/2, Москва 119991</p></bio><bio xml:lang="en"><p>Tatiana V. Skomorokhova – MD, PhD, Associate Professor, Semashko Chair of Public Health and Health Care, Erisman Institute of Public Health. RSCI SPIN-code: 1637-1150</p><p>8/2 Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение «Центр экспертизы и контроля качества медицинской помощи» Министерства здравоохранения Российской Федерации; Федеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет им. И.М. Сеченова» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Center for Expertise and Quality Control of Medical Care; Sechenov University<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение «Центр экспертизы и контроля качества медицинской помощи» Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное учреждение «Научно-исследовательский финансовый институт» Министерства финансов Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Center for Expertise and Quality Control of Medical Care; Financial Research Institute<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">Федеральное государственное бюджетное учреждение «Центр экспертизы и контроля качества медицинской помощи» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Center for Expertise and Quality Control of Medical Care<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru">Федеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет им. И.М. Сеченова» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Sechenov University<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>27</day><month>04</month><year>2021</year></pub-date><volume>14</volume><issue>1</issue><fpage>63</fpage><lpage>71</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Minaev P.V., Fedyaev D.V., Seryapina Y.V., Skomorokhova T.V., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Минаев П.В., Федяев Д.В., Серяпина Ю.В., Скоморохова Т.В.</copyright-holder><copyright-holder xml:lang="en">Minaev P.V., Fedyaev D.V., Seryapina Y.V., Skomorokhova T.V.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.pharmacoeconomics.ru/jour/article/view/487">https://www.pharmacoeconomics.ru/jour/article/view/487</self-uri><abstract><p>A review of studies, presentations and reports of the Regional Office for Europe of the World Health Organization (WHO) devoted to the experience of European countries in the formation of cross-border eHealth and the use of quality management tools for medical activities to reduce risks when introducing innovative solutions in health systems was carried out. In order to comprehensively assess the information received, a SWOT analysis was fulfilled – an analysis of strengths (S), weaknesses (W), opportunities (O) and threats (T), internal and external factors that influenced the development of cross-border eHealth in the European Union. It is shown that in European countries with a developed health care system, the leading direction in building cross-border e-Health are innovative technologies and advanced solutions aimed at improving the interaction of medical systems: Electronic Health Record (EHR), Health Information Exchange (HIE), Telemedicine Technologies (Telehealth), and Personal Health Records (PHR). The analysis of the strengths and weaknesses of this technologies, as well as the main problems that have affected the transition to eHealth and the implementation of information and communication technologies in medical organizations of European countries has revealed common factors and patterns that can be taken into account for the digital transformation of the health system in the Russian Federation.</p></abstract><trans-abstract xml:lang="ru"><p>Проведен обзор исследований, докладов и отчетов Европейского регионального бюро Всемирной организации здравоохранения (ВОЗ), посвященных опыту европейских стран в формировании трансграничного электронного здравоохранения и применении инструментов менеджмента качества медицинской деятельности для снижения рисков при внедрении инновационных решений в системы здравоохранения. С целью комплексной оценки полученной информации проводился SWOT-анализ – анализ сильных (S), слабых (W) сторон, возможностей (O) и угроз (T), внутренних и внешних факторов, повлиявших на развитие трансграничного электронного здравоохранения в Евросоюзе. Показано, что в европейских странах с развитой системой здравоохранения ведущим направлением в построении трансграничного электронного здравоохранения являются инновационные технологии и передовые решения, направленные на усовершенствование взаимодействия медицинских систем: Электронная медицинская карта (англ. Electronic Health Record, EHR), Обмен медицинской информацией (англ. Health Information Exchange, HIE), Телемедицинские технологии (англ. Telehealth) и Личные медицинские записи (англ. Personal Health Record, PHR). При анализе сильных и слабых сторон указанных технологий, а также основных проблем, которые повлияли на переход к электронному здравоохранению и внедрение информационно-коммуникационных технологий в медицинских организациях европейских стран, выявлены общие факторы и закономерности, которые могут быть учтены при цифровой трансформации системы здравоохранения в Российской Федерации.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>Электронное здравоохранение</kwd><kwd>eHealth</kwd><kwd>трансграничное электронное здравоохранение</kwd><kwd>электронная медицинская карта</kwd><kwd>телемедицинские технологии</kwd><kwd>система контроля качества медицинской деятельности</kwd><kwd>медицинские информационные системы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Electronic health care</kwd><kwd>eHealth</kwd><kwd>cross-border eHealth</kwd><kwd>electronic health record</kwd><kwd>telemedicine technologies</kwd><kwd>quality control system of medical activities</kwd><kwd>medical information systems</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Tools and methodologies to assess the efficiency of health care services in Europe. An overview of current approaches and opportunities for improvement. Available at: https://ec.europa.eu/health/sites/health/files/systems_performance_assessment/docs/2019_efficiency_en.pdf (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Tools and methodologies to assess the efficiency of health care services in Europe. An overview of current approaches and opportunities for improvement. Available at: https://ec.europa.eu/health/sites/health/files/systems_performance_assessment/docs/2019_efficiency_en.pdf (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Ossebaard H.C., Van Germert-Pijnen L. eHealth and quality in health care: implementation time. Int J Qual Health Care. 2016; 28 (3): 415–9. https://doi.org/10.1093/intqhc/mzw032.</mixed-citation><mixed-citation xml:lang="en">Ossebaard H.C., Van Germert-Pijnen L. eHealth and quality in health care: implementation time. Int J Qual Health Care. 2016; 28 (3): 415–9. https://doi.org/10.1093/intqhc/mzw032.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Priorities for health systems strengthening in the WHO European Region 2015–2020: walking the talk on people centredness. Available at: https://www.euro.who.int/__data/assets/pdf_file/0003/282963/65wd13e_HealthSystemsStrengthening_150494.pdf (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Priorities for health systems strengthening in the WHO European Region 2015–2020: walking the talk on people centredness. Available at: https://www.euro.who.int/__data/assets/pdf_file/0003/282963/65wd13e_HealthSystemsStrengthening_150494.pdf (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Consultation: transformation health and care in the digital single market. Available at: https://ec.europa.eu/health/sites/health/files/ehealth/docs/2018_consultation_dsm_en.pdf (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Consultation: transformation health and care in the digital single market. Available at: https://ec.europa.eu/health/sites/health/files/ehealth/docs/2018_consultation_dsm_en.pdf (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Communication on enabling the digital transformation of health and care in the Digital Single Market; empowering citizens and building a healthier society. Available at: https://digital-strategy.ec.europa.eu/en/library/communication-enabling-digital-transformation-health-andcare-digital-single-market-empowering (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Communication on enabling the digital transformation of health and care in the Digital Single Market; empowering citizens and building a healthier society. Available at: https://digital-strategy.ec.europa.eu/en/library/communication-enabling-digital-transformation-health-andcare-digital-single-market-empowering (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Fulgencio H. E-Health for developing countries: a theoretical model grounded on literature. In: Kadry S., El Hami A. (Eds.) E-Systems for the 21st century: concept, developments, and applications. Vol. 1. Apple Academic Press; 2019: 305.</mixed-citation><mixed-citation xml:lang="en">Fulgencio H. E-Health for developing countries: a theoretical model grounded on literature. In: Kadry S., El Hami A. (Eds.) E-Systems for the 21st century: concept, developments, and applications. Vol. 1. Apple Academic Press; 2019: 305.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Ruxwana N.L., Herselman M.E., Conradie D.P. ICT applications as e-health solutions in rural healthcare in the Eastern Cape Province of South Africa. Health Inf Manag. 2010; 39 (1): 17–26. https://doi.org/10.1177/183335831003900104.</mixed-citation><mixed-citation xml:lang="en">Ruxwana N.L., Herselman M.E., Conradie D.P. ICT applications as e-health solutions in rural healthcare in the Eastern Cape Province of South Africa. Health Inf Manag. 2010; 39 (1): 17–26. https://doi.org/10.1177/183335831003900104.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Malik M.A., Khan H.R. Understanding the implementation of an electronic hospital information system in a developing country: a case study from Pakistan. In: Warren J.R. (Ed.) Proceedings of the Third Australasian Workshop on Health Informatics and Knowledge Management. Vol. 97. Australian Computer Society; 2010.</mixed-citation><mixed-citation xml:lang="en">Malik M.A., Khan H.R. Understanding the implementation of an electronic hospital information system in a developing country: a case study from Pakistan. In: Warren J.R. (Ed.) Proceedings of the Third Australasian Workshop on Health Informatics and Knowledge Management. Vol. 97. Australian Computer Society; 2010.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Mars M., Scott R.E. Global e-health policy: a work in progress. Health Aff (Millwood). 2010; 29 (2): 237–43. https://doi.org/10.1377/hlthaff.2009.0945.</mixed-citation><mixed-citation xml:lang="en">Mars M., Scott R.E. Global e-health policy: a work in progress. Health Aff (Millwood). 2010; 29 (2): 237–43. https://doi.org/10.1377/hlthaff.2009.0945.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Mishra S., Singh I.P. mHealth: a developing country perspective. Bellagio (Italy); 2008: 1–9.</mixed-citation><mixed-citation xml:lang="en">Mishra S., Singh I.P. mHealth: a developing country perspective. Bellagio (Italy); 2008: 1–9.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Qureshi Q.A., Bahadar Shah, Najeebullah, et al. Infrastructural barriers to e-health implementation in developing countries. Eur J Sustain Devet. 2013; 2 (1): 163–70.</mixed-citation><mixed-citation xml:lang="en">Qureshi Q.A., Bahadar Shah, Najeebullah, et al. Infrastructural barriers to e-health implementation in developing countries. Eur J Sustain Devet. 2013; 2 (1): 163–70.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Omary Z., Lupiana D., Mtenzi F., Wu B. Analysis of the challenges affecting e-healthcare adoption in developing countries: a case of Tanzania. Int J Inform Stud. 2010; 2 (1): 38–50.</mixed-citation><mixed-citation xml:lang="en">Omary Z., Lupiana D., Mtenzi F., Wu B. Analysis of the challenges affecting e-healthcare adoption in developing countries: a case of Tanzania. Int J Inform Stud. 2010; 2 (1): 38–50.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Health 2020: a European policy framework and strategy for the 21st century. Copenhagen: WHO Regional Office for Europe; 2013. Available at: https://www.euro.who.int/en/publications/abstracts/health-2020.-a-european-policy-framework-and-strategy-for-the21st-century-2013 (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Health 2020: a European policy framework and strategy for the 21st century. Copenhagen: WHO Regional Office for Europe; 2013. Available at: https://www.euro.who.int/en/publications/abstracts/health-2020.-a-european-policy-framework-and-strategy-for-the21st-century-2013 (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">From innovation to implementation: eHealth in the WHO European region. Available at: https://www.euro.who.int/__data/assets/pdf_file/0012/302331/From-Innovation-to-Implementation-eHealthReport-EU.pdf (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">From innovation to implementation: eHealth in the WHO European region. Available at: https://www.euro.who.int/__data/assets/pdf_file/0012/302331/From-Innovation-to-Implementation-eHealthReport-EU.pdf (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Justinia T. The UK’s National Programme for IT: why was it dismantled? Health Serv Manage Res. 2017; 30 (1): 2–9. https://doi.org/10.1377/10.1177/0951484816662492.</mixed-citation><mixed-citation xml:lang="en">Justinia T. The UK’s National Programme for IT: why was it dismantled? Health Serv Manage Res. 2017; 30 (1): 2–9. https://doi.org/10.1377/10.1177/0951484816662492.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Beebeejaun M.R., Chittoo H. An assessment of e-Health readiness in the public health sector of Mauritius. Int J Sci Basic Appl Res. 2017; 35 (1):193–210.</mixed-citation><mixed-citation xml:lang="en">Beebeejaun M.R., Chittoo H. An assessment of e-Health readiness in the public health sector of Mauritius. Int J Sci Basic Appl Res. 2017; 35 (1):193–210.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Mauco K.L., Scott R.E., Mars M. Critical analysis of e-health readiness assessment frameworks: suitability for application in developing countries. J Telemed Telecare. 2018; 24 (2): 110–7. https://doi.org/10.1177/1357633X16686548.</mixed-citation><mixed-citation xml:lang="en">Mauco K.L., Scott R.E., Mars M. Critical analysis of e-health readiness assessment frameworks: suitability for application in developing countries. J Telemed Telecare. 2018; 24 (2): 110–7. https://doi.org/10.1177/1357633X16686548.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Mauco K.L., Scott R.E., Mars M. Development of an eHealth readiness assessment framework for Botswana and other developing countries:interview study. JMIR Med Med Inform. 2019; 7 (3): e12949. https://doi.org/10.2196/12949.</mixed-citation><mixed-citation xml:lang="en">Mauco K.L., Scott R.E., Mars M. Development of an eHealth readiness assessment framework for Botswana and other developing countries:interview study. JMIR Med Med Inform. 2019; 7 (3): e12949. https://doi.org/10.2196/12949.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Ćwiklicki M., Schiavone F., Klich J., Pilch K. Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis. BMC Health Serv Res. 2020; 20 (1): 171. https://doi.org/10.1186/s12913-020-5034-9.</mixed-citation><mixed-citation xml:lang="en">Ćwiklicki M., Schiavone F., Klich J., Pilch K. Antecedents of use of e-health services in Central Eastern Europe: a qualitative comparative analysis. BMC Health Serv Res. 2020; 20 (1): 171. https://doi.org/10.1186/s12913-020-5034-9.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">eHealth Network. Interoperability guidelines for approved contact tracing mobile applications in the EU. Available at: https://www.huntonprivacyblog.com/wp-content/uploads/sites/28/2020/06/contacttracing_mobileapps_guidelines_en.pdf (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">eHealth Network. Interoperability guidelines for approved contact tracing mobile applications in the EU. Available at: https://www.huntonprivacyblog.com/wp-content/uploads/sites/28/2020/06/contacttracing_mobileapps_guidelines_en.pdf (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">eHealth Network. Mobile applications to support contact tracing in the EU’s fight against COVID-19. Available at: https://ec.europa.eu/health/sites/health/files/ehealth/docs/covid-19_apps_en.pdf (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">eHealth Network. Mobile applications to support contact tracing in the EU’s fight against COVID-19. Available at: https://ec.europa.eu/health/sites/health/files/ehealth/docs/covid-19_apps_en.pdf (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">eHealth. Digital health and care. Available at: https://ec.europa.eu/health/ehealth/cooperation_en (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">eHealth. Digital health and care. Available at: https://ec.europa.eu/health/ehealth/cooperation_en (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Benchmarking deployment of eHealth among general practitioners (2018). Available at: https://op.europa.eu/en/publication-detail/-/publication/d1286ce7-5c05-11e9-9c52-01aa75ed71a1/language-en (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Benchmarking deployment of eHealth among general practitioners (2018). Available at: https://op.europa.eu/en/publication-detail/-/publication/d1286ce7-5c05-11e9-9c52-01aa75ed71a1/language-en (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">eHealth DSI Patient Summary and ePrescription. Section III Congruity and suitability analysis. Available at: https://ec.europa.eu/cefdigital/wiki/display/EHOPERATIONS/Section+III+-+Congruity+and+Suitability+Analysis (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">eHealth DSI Patient Summary and ePrescription. Section III Congruity and suitability analysis. Available at: https://ec.europa.eu/cefdigital/wiki/display/EHOPERATIONS/Section+III+-+Congruity+and+Suitability+Analysis (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Study on Big Data in Public Health, Telemedine and Healthcare. Available at: https://digital-strategy.ec.europa.eu/en/library/study-bigdata-public-health-telemedicine-and-healthcare (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Study on Big Data in Public Health, Telemedine and Healthcare. Available at: https://digital-strategy.ec.europa.eu/en/library/study-bigdata-public-health-telemedicine-and-healthcare (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Multi annual work programme (MWP) 2018–2021. Available at: https://ec.europa.eu/health/sites/health/files/ehealth/docs/ev_20170509_co01_en.pdf (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Multi annual work programme (MWP) 2018–2021. Available at: https://ec.europa.eu/health/sites/health/files/ehealth/docs/ev_20170509_co01_en.pdf (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Exchange of Electronic Health Records across the EU. Available at: https://digital-strategy.ec.europa.eu/en/policies/electronic-healthrecords (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Exchange of Electronic Health Records across the EU. Available at: https://digital-strategy.ec.europa.eu/en/policies/electronic-healthrecords (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Recommendation on a European Electronic Health Record exchange format. Available at: https://digital-strategy.ec.europa.eu/en/library/recommendation-european-electronic-health-recordexchange-format (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Recommendation on a European Electronic Health Record exchange format. Available at: https://digital-strategy.ec.europa.eu/en/library/recommendation-european-electronic-health-recordexchange-format (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">eHealth DSI Operations Home. Available at: https://ec.europa.eu/cefdigital/wiki/display/EHOPERATIONSeHealth+DSI+Operations+Home (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">eHealth DSI Operations Home. Available at: https://ec.europa.eu/cefdigital/wiki/display/EHOPERATIONSeHealth+DSI+Operations+Home (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Regulation (EU) 2016/679 of the European parliament and of the council. Available at: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=celex%3A32016R0679 (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Regulation (EU) 2016/679 of the European parliament and of the council. Available at: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=celex%3A32016R0679 (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Mobile contact tracing apps in EU Member States Available at: https://ec.europa.eu/info/live-work-travel-eu/coronavirus-response/travel-during-coronavirus-pandemic/mobile-contact-tracing-apps-eumember-states_en (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Mobile contact tracing apps in EU Member States Available at: https://ec.europa.eu/info/live-work-travel-eu/coronavirus-response/travel-during-coronavirus-pandemic/mobile-contact-tracing-apps-eumember-states_en (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Market study on telemedicine. Available at: https://ec.europa.eu/health/sites/health/files/ehealth/docs/2018_provision_marketstudy_telemedicine_en.pdf (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Market study on telemedicine. Available at: https://ec.europa.eu/health/sites/health/files/ehealth/docs/2018_provision_marketstudy_telemedicine_en.pdf (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Digital health technologies addressing the pandemic. Available at: https://ec.europa.eu/digital-single-market/en/digital-healthtechnologies-addressing-pandemic (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">Digital health technologies addressing the pandemic. Available at: https://ec.europa.eu/digital-single-market/en/digital-healthtechnologies-addressing-pandemic (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Jetty A., Moore M.A., Coffman M., et al. Rural family physicians are twice as likely to use telehealth as urban family physicians. Telemed J E Health. 2018; 24 (4): 268–76. https://doi.org/10.1089/tmj.2017.0161.</mixed-citation><mixed-citation xml:lang="en">Jetty A., Moore M.A., Coffman M., et al. Rural family physicians are twice as likely to use telehealth as urban family physicians. Telemed J E Health. 2018; 24 (4): 268–76. https://doi.org/10.1089/tmj.2017.0161.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Ross J., Stevenson F., Lau R., Murray E. Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update). Implement Sci. 2016; 11 (1): 146. https://doi.org/10.1186/s13012-016-0510-7.</mixed-citation><mixed-citation xml:lang="en">Ross J., Stevenson F., Lau R., Murray E. Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update). Implement Sci. 2016; 11 (1): 146. https://doi.org/10.1186/s13012-016-0510-7.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Li J., Talaei-Khoei A., Seale H., et al. Health care provider adoption of eHealth: systematic literature review. Interact J Med Res. 2013; 2(1): e7. https://doi.org/10.2196/ijmr.2468.</mixed-citation><mixed-citation xml:lang="en">Li J., Talaei-Khoei A., Seale H., et al. Health care provider adoption of eHealth: systematic literature review. Interact J Med Res. 2013; 2(1): e7. https://doi.org/10.2196/ijmr.2468.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Antoun J. Electronic mail communication between physicians and patients: a review of challenges and opportunities. Fam Pract. 2016; 33(2): 121–6. https://doi.org/10.1093/fampra/cmv101.</mixed-citation><mixed-citation xml:lang="en">Antoun J. Electronic mail communication between physicians and patients: a review of challenges and opportunities. Fam Pract. 2016; 33(2): 121–6. https://doi.org/10.1093/fampra/cmv101.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Varsi C. Implementation of eHealth patient–provider communication tools into routine practice Facilitators and barriers from the perspectives of patients, middle managers and health care providers. https://doi.org/10.13140/RG.2.2.15516.08325.</mixed-citation><mixed-citation xml:lang="en">Varsi C. Implementation of eHealth patient–provider communication tools into routine practice Facilitators and barriers from the perspectives of patients, middle managers and health care providers. https://doi.org/10.13140/RG.2.2.15516.08325.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Gagnon M.P., Nsangou É.R., Payne-Gagnon J., et al. Barriers and facilitators to implementing electronic prescription: a systematic review of user groups’ perceptions. J Am Med Inform Assoc. 2014; 21(3): 535–41. https://doi.org/10.1136/amiajnl-2013-002203.</mixed-citation><mixed-citation xml:lang="en">Gagnon M.P., Nsangou É.R., Payne-Gagnon J., et al. Barriers and facilitators to implementing electronic prescription: a systematic review of user groups’ perceptions. J Am Med Inform Assoc. 2014; 21(3): 535–41. https://doi.org/10.1136/amiajnl-2013-002203.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Palabindala V., Pamarthy A., Jonnalagadda N.R. Adoption of electronic health records and barriers. J Community Hosp Intern Med Perspect. 2016; 6 (5): 32643. https://doi.org/10.3402/jchimp.v6.32643.</mixed-citation><mixed-citation xml:lang="en">Palabindala V., Pamarthy A., Jonnalagadda N.R. Adoption of electronic health records and barriers. J Community Hosp Intern Med Perspect. 2016; 6 (5): 32643. https://doi.org/10.3402/jchimp.v6.32643.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Aller M.B., Vargas I., Coderch J., Vázquez M.L. Doctors’ opinion on the contribution of coordination mechanisms to improving clinical coordination between primary and outpatient secondary care in the Catalan national health system. BMC Health Serv Res. 2017; 17: 842. https://doi.org/10.1186/s12913-017-2690-5.</mixed-citation><mixed-citation xml:lang="en">Aller M.B., Vargas I., Coderch J., Vázquez M.L. Doctors’ opinion on the contribution of coordination mechanisms to improving clinical coordination between primary and outpatient secondary care in the Catalan national health system. BMC Health Serv Res. 2017; 17: 842. https://doi.org/10.1186/s12913-017-2690-5.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">de la Torre-Díez I., González S., López-Coronado M. EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care. J Med Syst. 2013; 37 (1): 9914. https://doi.org/10.1007/s10916-012-9914-3.</mixed-citation><mixed-citation xml:lang="en">de la Torre-Díez I., González S., López-Coronado M. EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care. J Med Syst. 2013; 37 (1): 9914. https://doi.org/10.1007/s10916-012-9914-3.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Young H.M., Nesbitt T.S. Increasing the capacity of primary care through enabling technology. J Gen Intern Med. 2017; 32 (4): 398–403. https://doi.org/10.1007/s11606-016-3952-3.</mixed-citation><mixed-citation xml:lang="en">Young H.M., Nesbitt T.S. Increasing the capacity of primary care through enabling technology. J Gen Intern Med. 2017; 32 (4): 398–403. https://doi.org/10.1007/s11606-016-3952-3.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Alami H., Gagnon M.P., Fortin J.P. Digital health and the challenge of health systems transformation. Mhealth. 2017; 3: 31. https://doi.org/10.21037/mhealth.2017.07.02.</mixed-citation><mixed-citation xml:lang="en">Alami H., Gagnon M.P., Fortin J.P. Digital health and the challenge of health systems transformation. Mhealth. 2017; 3: 31. https://doi.org/10.21037/mhealth.2017.07.02.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Alami H., Gagnon M.P., Wootton R., et al. Exploring factors associated with the uneven utilization of telemedicine in Norway: a mixed methods study. BMC Med Inform Decis Mak. 2017; 17 (1): 180. https://doi.org/10.1186/s12911-017-0576-4.</mixed-citation><mixed-citation xml:lang="en">Alami H., Gagnon M.P., Wootton R., et al. Exploring factors associated with the uneven utilization of telemedicine in Norway: a mixed methods study. BMC Med Inform Decis Mak. 2017; 17 (1): 180. https://doi.org/10.1186/s12911-017-0576-4.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Atherton H., Brant H., Ziebland S., et al. The potential of alternatives to face-to-face consultation in general practice, and the impact on different patient groups: a mixed-methods case study. Health Servi Deliv Res. 2018; 6 (20). https://doi.org/10.3310/hsdr06200.</mixed-citation><mixed-citation xml:lang="en">Atherton H., Brant H., Ziebland S., et al. The potential of alternatives to face-to-face consultation in general practice, and the impact on different patient groups: a mixed-methods case study. Health Servi Deliv Res. 2018; 6 (20). https://doi.org/10.3310/hsdr06200.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Atherton H., Brant H., Ziebland S., et al. Alternatives to the face-to-face consultation in general practice: focused ethnographic case study. Br J Gen Pract. 2018; 68 (669): e293–300. https://doi.org/10.3399/bjgp18X694853.</mixed-citation><mixed-citation xml:lang="en">Atherton H., Brant H., Ziebland S., et al. Alternatives to the face-to-face consultation in general practice: focused ethnographic case study. Br J Gen Pract. 2018; 68 (669): e293–300. https://doi.org/10.3399/bjgp18X694853.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Kooienga S. Rural patients’ and primary care clinic staffs’ perceptions of EHR implementation: an ethnographic exploration. J Ambul Care Manage. 2018; 41 (1): 71–9. https://doi.org/10.1097/JAC.0000000000000199.</mixed-citation><mixed-citation xml:lang="en">Kooienga S. Rural patients’ and primary care clinic staffs’ perceptions of EHR implementation: an ethnographic exploration. J Ambul Care Manage. 2018; 41 (1): 71–9. https://doi.org/10.1097/JAC.0000000000000199.</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">European Hospital Survey: Benchmarking Deployment of e-Health Services (2012–2013). Available at: https://digital-strategy.ec.europa.eu/en/library/european-hospital-survey-benchmarking-deploymentehealth-services-2012-2013 (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">European Hospital Survey: Benchmarking Deployment of e-Health Services (2012–2013). Available at: https://digital-strategy.ec.europa.eu/en/library/european-hospital-survey-benchmarking-deploymentehealth-services-2012-2013 (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">eHDSI monitoring and reporting framework. Available at: https://ec.europa.eu/cefdigital/wiki/pages/viewpage.action?pageId=35210477 (accessed 20.03.2021).</mixed-citation><mixed-citation xml:lang="en">eHDSI monitoring and reporting framework. Available at: https://ec.europa.eu/cefdigital/wiki/pages/viewpage.action?pageId=35210477 (accessed 20.03.2021).</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
