SESSION IV
SESSION IVInternational Working Conference, Hotel La Reserve, Bellevue/Geneva, Switzerland
THE USE OF INTERNET AND WORLD-WIDE WEB FOR TELEMATICS IN HEALTHCARE
Rapporteur'’s notes
Friday, September 8, 1995 (Dr. François Borst, CIH-HUG, Geneva, Switzerland)
Chair: Professor Christian PELLEGRINI, Geneva University Informatics Center, Geneva, SWITZERLAND
Co-Chair: Professor Jean-Raoul SCHERRER, Geneva University Hospital, SWITZERLAND
PRESENTATIONS:
PANEL:
J.-F. ABRAMATIC, M.J. BALL, J.-C. HEALY, D. LINDBERG, G.-O.SEGOND, M.SELBY,
D. TSICHRITZIS, J.VAN BEMMEL, P. ZANELLA
joined by:
Dr. Tetsuro KIYOTANI, Director, Medical Information Sys. Dev. Center, Tokyo, JAPAN
Dr. Michael SENDALL, Director, CERN, Geneva, SWITZERLAND
Me. Donald ETIENNE - Legal Council, Geneva, SWITZERLAND
D. Tsichritzis:
Presented projects developed by GMD in the field of telematics in medicine, each project is impressive. Among these projects of particular note are:
J.-F. Abramatic:
Presented the short but impressive history of the WWW:
M. Selby:
See the IAHIT CHARTER (the yellow document)
More details are needed on:
D. Lindberg:
There is a general agreement towards the proposal.
The focus of the foundation should be international and biomedical, with an emphasis on healthcare, in order to avoid redundancy. The foundation should accept individual persons as members, coming themselves from universities, government, laboratories, industry or professional associations. There is no present association that gathers all of these kinds of members together. There should be a time limit of membership, perhaps 5 years. A public policy has to be strongly encouraged, like in the case for NCSA, where all conclusions are made public and where everything is open, on the Web and downloadable. The activities of the foundation might be technology transfer and evaluation. Geneva is an appropriate site for the foundation. Activities have to be carefully selected and prioritised. Initiation of these activities has to be given to institutions and nations, for helping the right body to take the right decision.
In order to rapidly come to action, here are three examples:
What has to be particularly sponsored?
J. van Bemmel:
A few projects have to be chosen in order to have a rapid start. They should include selected data for testing exchange and privacy. Exchange of knowledge has to be very open. Particular attention has to be given to the developing world to provide them with better access to education. Funding the cost to enable travelling could have dramatically positive effects to members of these countries.
A bridge to other organisations has to be set up, like IMIA, EU Healthcare Telematics and W3C.
D. Detmer:
Goals of the foundation have to be clearly defined towards an improvement of the human condition. The foundation has to be encouraged. Geneva's location is fine.
J.-C. Healy:
The EU position is very clear and positive, as confirmed by the active participation of Messrs. M. Carpentier and M. Richonnier and myself to this conference. It is a very good initiative. An official position on the foundation regarding the EU has to be established if the foundation desires to obtain EU funding.
T. Kiyotani:
I agree to a foundation located in Geneva. But decentralisation is also important. As travelling from Japan is difficult and expensive, communication such as a continuous conference using Internet has to be envisaged.
M. Sendall:
CERN is very concerned with new technology finding applications in the healthcare field, as symbolised by computerised tomography, hadronic radiotherapy, etc.
CERN is willing to collaborate actively and will be involved in further development in fields such as engineering data management, front-end applications and virtual reality.
M.J. Ball:
I will underline this unique situation and this unique opportunity to have gathered here together a group of leaders from governments, private institutions and universities. I would ask Mr. F. Mariotti, as a representative of industry, and Prof. G. De Moore, to support this foundation and to do so now !
Reply from:
Mr. Franco Mariotti: (European American Industrial Council, Geneva, SWITZERLAND)
I represent here neither my company nor the Electronic Medical Industry, but a group of U.S. Multinationals operating in Europe in different fields. Of course, my 35 years spent in HP give me some opinion of the market and I also have an opinion as a private citizen paying for healthcare. I believe that the foundation represents a bridge into 3 dimensions:
G. De Moore:
We need to go fast. If we do not act fast, others may do it and they may not be so critical. As a detail, I would prefer the title 'Telematics in Medicine', which is wider than 'Telemedicine'.
J.-R. Scherrer:
We are a living organism, where several processes act simultaneously.
I agree with the declarations of Dr. Lindberg and I agree with a EU representation.
I would ask you to find an answer to a few questions in the next few weeks. We need representatives for the 3 main areas of the world, US, EU and Asia (including Japan and Australia).
First, please explore who could be a representative for your country, preferably deeply involved in a professional association, and transmit to us a name as soon as possible.
Second, I also ask you to decide what should be the scope of the foundation, and communicate your ideas to us through the Web, email or fax.
RECOMMENDATIONS
J.-C. Peterschmitt: Underlined the great success of the conference and the wish to "go ahead".
M. Selby: Closes the conference by the reading of a resolution to create the Foundation. With the exception of one abstention. the resolution was approved by all present. Thanks was given to everyone for their very active participation and, in particular, to those involved in organising the conference.
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