HEALTHCARE SYSTEMS TRASNFORMATION – THE ROLE OF
R. J Richardson
International Society for Telemedicine and eHealth, UK eHealth Association, Imperial
College, London & Director – European eHealth Forum
Healthcare Systems around the world are increasingly under pressure as a result of the
growing burden of chronic disease, the scale of which has been unmasked by the changing
demographics in both developed and developing countries alike.
The role of eHealth is now being seen more as an enabler for healthsystem transformation as
healthcare providers and governments recognise that they have to meet the healthcare
demands of the future citizens. The role of IT and the development of integrated Clinical
Information Systems are both fundamental to this transformational process.
At the same time technology is advancing apace and the concept of The Biological
Continuum allowing an understanding through body systems to viscera to cells and molecules
down to genes will be discussed and considered.
Examples of healthcare system transformational change both on small and also on national
scale will be described and some predictions made as to the likely direction as healthcare
provision evolves over the next 30 years.
Key words: eHealth, Health Systems Transformation, Radical Change, Barriers, The future