eEducation and eHealth: A Call for Action

  • Antonio V. Gaddi


Education has a crucial role in the development and implementation of eHealth systems. The spread of knowledge among the different stakeholders involved in those process is crucial, provided that the correct target and the proper educational models are chosen. In a continous mutating scenario like the one of the ICT is, a traditional approach cannot be suitable: educational methods created when these technologies were still not known may be inapplicable for the current issues. On the other hand, the role of those same technologies, and the implications that their application in health-related contexts, have to be properly understood in order to take real advantages form them, avoiding a waste of resources. Yet, education cannot be intended only for those professionals that work within health or ICT frameworks. In fact, because health affects every human beings on the planet, the spread of knowledge has to be for everyone. It means that a common and proved way to reach the educational targets have to be found, so that a proper information, education, and formation can be delivered to all the actors involved. In this text, some of the main features of the educational actions needed to meet those standards are presented. In addition, the threats that lie in the same new technologies have been considered, as well as the possible menaces that come from the several visions of what medical and health education is or is supposed to be.


eHealth education telemedicine 


  1. 1.
    Davies P (2002) Management of chronic disease. Proactive medicine is better option. BMJ 324(7335):487Google Scholar
  2. 2.
    Davies B (2005) Moving from reactive to proactive care: the Welsh Health agenda. Community Pract 78(12):423–424PubMedGoogle Scholar
  3. 3.
    Hirsh DA, Ogur B, Thibault GE, Cox M (2007) “Continuity” as an organizing principle for clinical education reform. N Engl J Med 356 (8):858-866. doi:356/8/858 [pii]  10.1056/NEJMsb061660 Google Scholar
  4. 4.
    Metz JCM, Verbeek-Weel AMM, Huisjes HJ (2001) Core-Blueprint 2001: training of doctors in The Netherlands Universitair Publikatiebureau. University of Nijmegen, Nijmegen (NL)Google Scholar
  5. 5.
    Gaddi A, Tomasi A, Vettore L (2002) Il core Curriculum del Corso di laurea in Medicina e Chirurgia. Medicina e Chirurgia 18:629–693Google Scholar
  6. 6.
    The World of Learning 1997 (2001) 52st Edition edn. Europa Pubblications Limited, LondonGoogle Scholar
  7. 7.
    Mazzullo M, Mesirca R, Giordano V, Perrocco P, Ciaccia P, Gaddi A (2001) Medicat training and educatio: an interdisciplinary approach to integrate communication flow. Poster MedNet 2001. Accessed 11-2-2013
  8. 8.
    Sackett DL (1969) Clinical epidemiology. Am J Epidemiol 89(2):125–128PubMedGoogle Scholar
  9. 9.
    Sackett DL (2002) Clinical epidemiology. what, who, and whither. J Clin Epidemiol 55(12):1161–1166. doi: S0895435602005218 [pii]Google Scholar
  10. 10.
    Sackett DL, Haynes RB, Tugwell P (1985) Clinical epidemiology: a basic science for clinical medicine. Little, Brown & Company, BostonGoogle Scholar
  11. 11.
    Britton D, Cass AJ, Clarke PE, Coles J, Colling DJ, Doyle AT, Geddes NI, Gordon JC, Jones RW, Kelsey DP, Lloyd SL, Middleton RP, Patrick GN, Sansum RA, Pearce SE (2009) GridPP: the UK grid for particle physics. Philos Transact A Math Phys Eng Sci 367 (1897):2447-2457. doi: 10.1098/rsta.2009.0036367/1897/2447 [pii]Google Scholar
  12. 12.
    Anjum A, Bloodsworth P, Habib I, Lansdale T, McClatchey R, Mehmood Y (2009) Reusable services from the neuGRID project for grid-based health applications. Stud Health Technol Inform 147:283–288PubMedGoogle Scholar
  13. 13.
    eHealth Action Plan 2012-2020 - Innovative healthcare for the 21st century (6.12.201). BrusselsGoogle Scholar
  14. 14.
    States with the most health information exchanges: Based on eHealth initiative’s map of health information exchange activity in the U.S (2012). Mod Healthc 42(24):34Google Scholar
  15. 15.
    Ahn AC, Tewari M, Poon CS, Phillips RS (2006) The limits of reductionism in medicine: could systems biology offer an alternative? PLoS Med 3 (6):e208. doi:05-PLME-ES-0675R1 [pii]  10.1371/journal.pmed.0030208
  16. 16.
    Ahn AC, Tewari M, Poon CS, Phillips RS (2006) The clinical applications of a systems approach. PLoS Med 3 (7):e209. doi:06-PLME-ES-0173 [pii]  10.1371/journal.pmed.0030209
  17. 17.
    Topol E (2012) The Creative Destruction of Medicine. Basic Books, New YorkGoogle Scholar
  18. 18.
    Rinaldi G, Gaddi AV, Capello F (2013) Medical Data. The Concepts Underlying The Comprehensive Electronic Clinical Record Framework. Nova Biomedical, Information Economy and Federative NetworksGoogle Scholar
  19. 19.
    Showell C, Turner P (2013) The PLU Problem: Are We Designing Personal ehealth for People Like Us? Stud Health Technol Inform 183:276–280PubMedGoogle Scholar
  20. 20.
    Ellis L, Showell C, Turner P (2013) Social Media and Patient Self-Management: Not all Sites are Created Equal. Stud Health Technol Inform 183:291–295PubMedGoogle Scholar
  21. 21.
    Consorti F, Nanni M (2009) Manuale ECDL-H, 1st edn. ScriptaWeb, NaplesGoogle Scholar
  22. 22.
    Rossi Mori A, Consorti F, Ricci FL (2002) Sharing clinical information. principles and task-oriented solutions. Stud Health Technol Inform 87:102–114PubMedGoogle Scholar
  23. 23.
    Rossi Mori A, Consorti F, Galeazzi E (1998) Standards to support development of terminological systems for healthcare telematics. Methods Inf Med 37(4–5):551–563PubMedGoogle Scholar
  24. 24.
    Luft HS (2010) Becoming accountable-opportunities and obstacles for ACOs. N Engl J Med 363(15):1389–1391. doi: 10.1056/NEJMp1009380 PubMedCrossRefGoogle Scholar
  25. 25.
    Sinaiko AD, Rosenthal MB (2010) Patients’ role in accountable care organizations. N Engl J Med 363(27):2583–2585. doi: 10.1056/NEJMp1011927 PubMedCrossRefGoogle Scholar
  26. 26.
    Horton R (2010) Offline: the old school house. Lancet 375(9725):1510. doi: 10.1016/S0140-6736(10)60627-7 PubMedCrossRefGoogle Scholar
  27. 27.
    Vettore L (2004) Professional levels in relation to the needs and to self-education abilities: a pedagogy for continuing medical education. Rays 29(1):37–50PubMedGoogle Scholar
  28. 28.
    Topps D, Helmer J, Ellaway R (2013) YouTube as a platform for publishing clinical skills training videos. Acad Med 88(2):192–197. doi: 10.1097/ACM.0b013e31827c5352 PubMedCrossRefGoogle Scholar
  29. 29.
    Pereira BM, Calderan TR, Silva MT, Silva AC, Marttos AC Jr, Fraga GP (2012) Initial experience at a university teaching hospital from using telemedicine to promote education through video conferencing. Sao Paulo Med J (Revista Paulista de Medicina) 130(1):32–36Google Scholar
  30. 30.
    Sanchez-Mendiola M, Martinez-Franco AI, Rosales-Vega A, Villamar-Chulin J, Gatica-Lara F, Garcia-Duran R, Martinez-Gonzalez A (2013) Development and implementation of a biomedical informatics course for medical students: challenges of a large-scale blended-learning program. Journal of the American Medical Informatics Association : JAMIA 20(2):381–387. doi: 10.1136/amiajnl-2011-000796 PubMedCrossRefGoogle Scholar
  31. 31.
    Noera G (2002) Pax Mundi Strategy in health research and human careGoogle Scholar
  32. 32.
    Yuan K, Cheng P, Dong T, Bi Y, Xing L, Yu D, Zhao L, Dong M, von Deneen KM, Liu Y, Qin W, Tian J (2013) Cortical thickness abnormalities in late adolescence with online gaming addiction. PLoS One 8 (1):e53055. doi: 10.1371/journal.pone.0053055 PONE-D-12-17595 [pii]
  33. 33.
    Hilberts S, Gray K (2013) Education as ehealth infrastructure: considerations in advancing a national agenda for ehealth. Advances in health sciences education: theory and practice. doi: 10.1007/s10459-013-9442-z Google Scholar
  34. 34.
    Kuijpers W, Groen WG, Aaronson NK, van Harten WH (2013) A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: relevance for cancer survivors. J Med Internet Res 15(2):e37. doi: 10.2196/jmir.2281 PubMedCrossRefGoogle Scholar
  35. 35.
    Sohn S, Helms TM, Pelleter JT, Muller A, Krottinger AI, Schoffski O (2012) Costs and benefits of personalized healthcare for patients with chronic heart failure in the care and education program “Telemedicine for the Heart”. Telemed J E Health 18(3):198–204. doi: 10.1089/tmj.2011.0134 PubMedCrossRefGoogle Scholar
  36. 36.
    Peled JU, Sagher O, Morrow JB, Dobbie AE (2009) Do electronic health records help or hinder medical education? PLoS Med 6(5):e1000069. doi: 10.1371/journal.pmed.1000069 PubMedCrossRefGoogle Scholar
  37. 37.
    Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T, McKinstry B, Procter R, Majeed A, Sheikh A (2011) The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med 8(1):e1000387. doi: 10.1371/journal.pmed.1000387 PubMedCrossRefGoogle Scholar
  38. 38.
    Robertson A, Cresswell K, Takian A, Petrakaki D, Crowe S, Cornford T, Barber N, Avery A, Fernando B, Jacklin A, Prescott R, Klecun E, Paton J, Lichtner V, Quinn C, Ali M, Morrison Z, Jani Y, Waring J, Marsden K, Sheikh A (2010) Implementation and adoption of nationwide electronic health records in secondary care in England: qualitative analysis of interim results from a prospective national evaluation. BMJ 341:c4564. doi: 10.1136/bmj.c4564 PubMedCrossRefGoogle Scholar
  39. 39.
    Sheikh A, Cornford T, Barber N, Avery A, Takian A, Lichtner V, Petrakaki D, Crowe S, Marsden K, Robertson A, Morrison Z, Klecun E, Prescott R, Quinn C, Jani Y, Ficociello M, Voutsina K, Paton J, Fernando B, Jacklin A, Cresswell K (2011) Implementation and adoption of nationwide electronic health records in secondary care in England: final qualitative results from prospective national evaluation in “early adopter” hospitals. BMJ 343:d6054. doi: 10.1136/bmj.d6054 PubMedCrossRefGoogle Scholar
  40. 40.
    Catwell L, Sheikh A (2009) Evaluating eHealth interventions: the need for continuous systemic evaluation. PLoS Med 6(8):e1000126. doi: 10.1371/journal.pmed.1000126 PubMedCrossRefGoogle Scholar
  41. 41.
    Sorbonne Joint Declaration (1998) Joint declaration on harmonisation of the architecture of the European higher education system, Paris, The Sorbonne, 25 May 1998Google Scholar
  42. 42.
    Council of Europe (1954) European Cultural ConventionGoogle Scholar
  43. 43.
    The European Higher Education Area (1999) The Bologna Declaration of 19 June 1999 Google Scholar

Copyright information

© Springer-Verlag Italia 2014

Authors and Affiliations

  1. 1.EuroGenLab and Caravelli LaboratoryBolognaItaly

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