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Abstract:
The validity of work fitness certificates has long been discussed among the seafaring nations and the scientific community. Worldwide, each year more than 2 million seafarers and other seagoing personnel visit different doctors, for health examinations. Due to the working conditions the seafarers often have to use different clinics for their health examinations (HE). Furthermore, fit-for-work exams may take place anywhere across the globe. Their medical history is kept in the clinics without possibility to communicate the data due to lack of coherence among medical practices. E-health solutions in combination with mobile health equipments can help a lot to cost containment in the shipping sector and contribute to effectiveness and efficiency of health services by responding to clients/patients needs. The aim is to develop a framework for digitalized health care records with some specific requirements. Data should be useful for the seafarers to follow their risk indicators in the biannual health examinations, for all clinics and on board. Further, data export facilities are needed for the personal diagnostic trend analysis of the risk indicators for the personal prevention and for epidemiological research and prevention in the seafaring population. Finally the personal data should be exportable to the seafarers own Smartphone.
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