CONTENTS

PREFACE .................................................................................................................................... 2

ACKNOWLEDGEMENTS ................................................................................................................. 2

CONTENTS .................................................................................................................................. 5

LIST OF TABLES .......................................................................................................................... 8

LIST OF FIGURES ......................................................................................................................... 8

LIST OF ACRONYMS AND ABBREVIATIONS ....................................................................................10

EXECUTIVE SUMMARY .................................................................................................................11

1 STUDY CONTEXT .................................................................................................................21

1.1 Background ...............................................................................................................21

1.2 Geography .................................................................................................................22

1.3 Objectives and Tasks ...............................................................................................22

1.4 Expected Results ......................................................................................................23

2 DIGITAL TRANSFORMATION OF HEALTH CARE: EU BASELINE ................................................24

2.1 Context ......................................................................................................................24

2.2 Key Documents and Sources...................................................................................25

2.2.1 EU policy and associated initiatives .....................................................................25

2.2.2 EU legislation and associated documents ............................................................26

2.2.3 EU eHealth (cross-border) interoperability and associated initiatives ...................27

2.2.4 Large-scale EU pilot eHealth projects and initiatives ............................................28

2.2.5 Main sources used ...............................................................................................29

2.3 Key Definitions ..........................................................................................................30

2.4 State of play of the EU’s eHealth Sector .................................................................32

2.4.1 The growing importance of eHealth .....................................................................32

2.4.2 eHealth market perspectives and stakeholders ....................................................36

2.4.3 Key objectives and benefits of eHealth ................................................................39

2.4.4 Key barriers for wider uptake of eHealth solutions ...............................................40

2.4.5 Challenges of implementing eHealth solutions ...............................................41

3 ASSESSMENT METHODOLOGY ..............................................................................................43

3.1.1 Gap assessment framework: benchmark indicators and targets ..........................43

3.1.2 Measurement method: scoring scales and computation of gaps ..........................46

3.1.3 Respondents and sources ...................................................................................51

4 RESULTS ............................................................................................................................53

4.1 Overview of the Region ............................................................................................53

4.1.1 State of play .........................................................................................................53

4.1.2 Gap analysis ........................................................................................................56

4.1.3 Gap mapping .......................................................................................................61

4.1.4 Common benefits of harmonisation with the EU ...................................................66

4.2 Overview of the Partner Countries ..........................................................................67

4.2.1 Armenia ...............................................................................................................67

4.2.2 Azerbaijan ............................................................................................................73

4.2.3 Belarus ................................................................................................................79

4.2.4 Georgia ................................................................................................................86

4.2.5 Moldova ...............................................................................................................93

4.2.6 Ukraine .............................................................................................................. 100

5 ROADMAPS ....................................................................................................................... 108

5.1 Roadmap for the Region ........................................................................................ 108

5.1.1 Harmonisation priorities: levels and pillars ......................................................... 108/

5.1.2 Harmonisation milestones .................................................................................. 113

5.1.3 Harmonisation actions/projects .......................................................................... 116

5.2 Roadmaps for Partner Countries ........................................................................... 122

5.2.1 Roadmap for Armenia ........................................................................................ 122

5.2.2 Roadmap for Azerbaijan .................................................................................... 125

5.2.3 Roadmap for Belarus ......................................................................................... 129

5.2.4 Roadmap for Georgia ........................................................................................ 133

5.2.5 Roadmap for Moldova ........................................................................................ 139

5.2.6 Roadmap for Ukraine ......................................................................................... 144

ANNEXES – COUNTRY QUESTIONNAIRES ................................................................................. 159