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Health Day in the Senate and the future of European e-medicine: The system needs a functional data space and less bureaucracy

During a preventive examination of the vascular system as part of the Health Day in the Senate, I opened a debate on the fundamental changes that our health care sector expects from the EU level in the coming years. Mr. Senator Fiala and I discussed the introduction of the European Health Data Area (EHDS), which must finally bring patients easy and secure access to documentation without unnecessary paperwork, into which billions have been spent in vain for twenty years. At the same time, I warn against the overblown European MDR legislation for medical devices, which burdens manufacturers with thousands of pages of bureaucracy instead of actually increasing patient safety.

Ondřej DostálJune 29, 20263 min read0 comments

So the arteries are said to be 100% OK

Today I took part in the Health Day event in the Czech Senate, under the auspices of the Chairman of the Health Committee, Senator MUDr. Tomas Fiala. So I immediately got tested. And an unexpected "bonus for prevention" was a wonderful view from the examination bed of the ceiling paintings in the representative hall of the Senate, where I have been going for twenty years due to health legislation, but never had the opportunity to view the ceiling lying down

With the senator, who is also the long-term director of the hospital in Strakonice, we also discussed what is coming at us "from Europe" - regulations on the purchase of critically important medicines, on healthcare AI, on the healthcare data space ("health dataspace")... The latter should give people the opportunity to look at their healthcare documentation, or even have it easily shared, across hospitals and surgeries not only in the Czech Republic, but also elsewhere in the EU. This is very practical, for example, when traveling, or for more serious illnesses or injuries, where the patient requests a consultation, and there is no reason for him to run from devil to devil with papers in the 21st century, as if he were a postman. This is exactly what we should have had a long time ago, billions have been poured into various projects from IZIP to e-prescriptions to national ÚZIS registers over the past twenty years, but we still haven't reached a state where the patient can have it all together easily and, if necessary, from home.

Medical device people have complained about the excessive legislation of their authorization ("MDR"), which requires thousands of pages of paperwork, but the reason for which it is checked, that is, the safety of the patient, is only a tiny fraction of it.

All these challenges and unfinished business are solvable, both at the legislative and technical level. Although we are now in opposition, I believe that one day we will reach a state where we can really solve these matters from the position of the executive power. Perhaps something can be pushed towards results already now - from my point of view, it is not important whether this or that minister signs, the important thing is that it happens.

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