The digital transformation of health is dramatically requesting the use of digital technology in European health care systems. HCPs are core in accelerating the digital transformation of health. The EU Joint action Health Workforce Planning and Forecasting states digital skills are an important future skill for healthcare workers. Heath care professionals will require knowledge on how to transfer their health related skills to the new digitalised healthcare paradigm. DELIVER inspires to enhance the digital skills of HCPs by supporting the digital transformation of health within European regions.DELIVER target groups are multidisciplinary healthcare professionals and health care managers working in the hospital and/or community care sectors. The overall goal of the project is to enhance the digital skills of HCPs. To achieve this, DELIVER will produce five intellectual outputs: IO1 - Needs analysis IO2 - Digital and Organisational analysis IO3 - Educational program and e-learning toolsIO4 - Health care professionals’ e-learning platform (HELP) for digital skills IO5 - Policy and implementation recommendationsDELIVER will be a collaboration project of five partners from four EU countries: Denmark, Italy, Slovenia, and Italy. The partners have specific expertise, knowledge and research activities in the fields of health, education, innovation, telehealth, e-health, m-health, and in the development of training programs for HCPs.DELIVER is an action research project and produce high quality standard results, DELIVER will apply a co-creation and co-design methodology. Co-creation is a process that creates change by working with people, organisations and communities. It will involve a participatory approach where stakeholders will participate throughout the entire project through four organised dialogue meetings in each country.DELIVER provides high quality digital skills training for HCPs enabling them to achieve essential skills in ICT communication, home monitoring and telehealth solutions and more. The generic transnational educational program, e-learning tools and the health care professionals’ e-learning platform will be jointly developed by partner organisations. DELIVER will directly affect approximately 350-400 HCPs across the four countries as well as indirectly affecting other members of participating organisations and citizens within the local community. DELIVER will welcome all interested parties to the national seminars and the final European conference to share results, lessons learnt and best practices. The health care professionals’ e-learning platform for digital skills will be open and accessible to all Europeans, and provide long-long learning opportunities to enhance the digital skills of health care professionals.

We propose to establish a Centre of Excellence in Digital Health and Personalised Medicine (CLINNOVA), addressing future medical and societal needs. A prerequisite for personalised medicine is the establishment of clinical research in Luxembourg, the current weakness that we would like to overcome with the programme. The Centre will build on the previous investments into fundamental biomedical research and link to the hospitals in Luxembourg to ensure that innovation from the bench will reach the clinic and patient care. The Centre will fully incorporate personalised medicine approaches integrating medical history from eHealth records with newly generated molecular and phenotypic data as well as environmental and/or health data from mobile devices. Teaming up with the Center for Innovativ Medicinsk Teknologi, Region Syddanmark (CIMT-RSD) and the Nationale Centrum für Tumorerkrankungen, Deutsches Krebsforschungszentrum (NCT-DKFZ) will allow us to benefit from the immense experience and world-leadership has in setting up modern eHealth infrastructures and translational cancer research. We will focus on areas where there is both existing excellence in pre-clinical research and an important clinical unmet need, namely the disease areas of cancer and neurodegenerative diseases with the transversal axis immunology as important element in both disease areas. Environmental, nutritional and social influences interpreted together with the medical history of patients and molecular diagnostic information will be key to gain an understanding of the diseases for the individual person. A strong ICT component will be a major success factor: data integration and interpretation are needed to derive computational models and predictions on disease development. The Centre will combine all aspects of technological innovation with clinical care and bring innovations to patients and doctors serving as an attractor for companies and further develop the local ecosystem.

<< Background >>In recent years, there has been a focus on that not all young people follow the flow towards the larger cities, and that there is a need to focus on the young people for whom rural life is an option. For those who choose to stay and for those who return after having ended their study, it may be a culture shock, as the present rural culture is based on other forms of relationships and traditions than those conveyed by the media and displaced friends. Studies from Netherlands and Denmark show that the youth have difficulties finding their own room for developing and participating in cultural life. Arlie Hochschild has shown how the feeling of one's values being accepted, included, and taken seriously is important for the cohesion of society. These tendencies point to the need to systematically support the creation of a youth culture that can find its place in the already established more traditionally based rural culture. The Salto Youth Strategy produces a similar conclusion of the importance for the youth to have their own space, for enhancing their participation in democratic processes. Ex-ante need analysis in the three participating countries shows that cultural workers lack knowledge on what characterizes young people’s cultural interest, and what different age groups demand. They lack insight into tools to ensure innovative involvement, and that not only the most resourceful youth with a mainstream cultural interest participate. Cultural institutions recognize that cultural activities contribute to young people's identity shaping, belonging, and anchoring. There is no continuous dialogue between cultural institutions and young people as initiatives do not capture the perspectives of young people. Professionals working with youth would like to give youth more ownership of their own cultural development. In addition, they want to introduce forms of culture to the youth that they do not meet via home or school, e.g., strengthening the relationship with their region via the local museum. Difficult issues for professionals are related to the discrepancy between local customs and the stimulation of new cultural expressions. R YOUCULT takes the starting point suggested in important European wide goals and strategies for: a) The EU funded Voices of Culture report, which states that although culture cannot solve all the problems in non-urban areas, it is a change-maker as we know from many (difficult) urban quarters. b) The EU New Culture Strategy, which on the social dimension of culture states the importance of harnessing the power of culture and cultural diversity for social cohesion and well-being and supporting the cultural capability of all Europeans by making available a wide range of cultural activities and providing opportunities to participate actively. c) The 11 European Youth Goals 2019-2027, especially Goal 3 Inclusive Societies, Goal 6 Moving Rural Youth Forward and Goal 9 Space and Participation for All.<< Objectives >>The objectives of R YOUCULT is to develop and design a universal high-quality training program for cultural workers in rural municipalities and rural cultural institution in the EU. The training program should provide the cultural workers with core competences to facilitate processes that can lead to the anchoring and building of a dynamic rural youth culture with their own room as an integrated space in their home rural area. R YOUCULT suggests an innovative framework for quality training of cultural workers as a central action. for meeting these political aims. Such suggestion follows up on the structured dialogue among experts in the cultural sectors and recommendation in the Voices of Culture report. Here it is stated that there is a lack of cross-generational cooperation and intergenerational dialogue and that formal cultural training programs and education do not target mobilization of this group.<< Implementation >>R YOUCULT is methodologically based on citizen-based research and co-creation between young people, cultural workers, regional partners, and university teachers. This will lead to an easier and more successful implementation and achievement of the objective. The project includes the following activities:Transnational project meeting 1 is the kick-to-start transnational meeting secures all partners a solid ground, an effective communication platform and transparency. Project result 1 the local need analysis and the local pilot testing of course material is co-created with young people and cultural workers. The innovative method design for the local need analysis gives the rural young people a voice and lays the ground for the delivering the objective of facilitating young people a room of their own. A desk-research of local rural youth policies provides insights needed for addressing policy recommendation on cultural workers improved competences for reaching out to young people in rural areas. Multiplier event 1-3 are three local seminars with invited teachers/ researcher and cultural actors will introduce the environment to the R YOUCULT and secure that knowledge about R YOUCULT can be spread so that cultural institutions can begin considering enrolling their cultural workers when it is fully developed Transnational project meeting 2 for developing the framework for the universal high-quality R YOUCULT training program: This activity is central for moving from the local perspective to the transnational perspective and support the objective that the high-quality R YOUCULT training course will be universal. Project result 2 is the testing universal program. The national testing of the universal R YOUCULT training course supports the objective that the program should have a high-quality. The learning, teaching, and training activities 1-3 Is a part of the testing and it supports the objective that the program should have a high-quality and that leaners should be able to catch in local as well as universal perspectives. Transnational project meeting 3 will merge the universities results from evaluations from pilot testing the R YOUCULT training material and courses with the findings from impact evaluations. This lay the ground for highly qualified policy recommendation that could support the objective of supporting cultural workers in rural areas in the EU in having improved competences for reaching out to young people in rural areas. Project result 3 follows up on the transnational meeting 3 and will formulate precise and highly qualified policy recommendations at the local, regional and EU level that could support the objective of supporting cultural workers in rural areas in the EU in having improved competences for reaching out to young people in rural areas. Multiplier event 4 will spread information about R YOUCULT in more EU countries. It will inspire suppliers high-quality training courses to integrate the R YOUCULT training course in their teaching program portfolio and it will inspire more cultural institutions to integrate the policy recommendation in their rural and youth politics.<< Results >>The R YOUCULT project has three main project results. 1) The results of the three local need analysis will be three pilot tested local course material that are developed in collaboration with the future learners and rural young people who are learner's final the target group. Also, a manual that describe step-by-step the involvement of cultural workers and young people by on-line deliberative polls and workshops is an outcome from the need analysis. 2) The results of the transnational analysis of the three local need analysis together with the testing of transnational course material results in a R YOUCULT high quality universal training course material. The material is innovative by being developed with the specific learning elements inbuild that makes it capable of approaching the very local rural conditions and in a combination with the European conditions for young people in rural areas. 3) The three regional partners will discuss the findings at each region, compare and identify eventual differences. They will share learnings on how they themselves at the regional level approach young people and discuss obstacles. The discussion will lead to a common baseline which at the end of the project implementation will be used in the development of policy recommendations to other European regions. The R YOUCULT develops universal high-quality training course. Cultural workers having participated in the pilot testing of the training course will have deeper understanding of the rural youth and their way of creating their own room for cultural activities and events. They will know how to identify different forms and manifestation of youth culture in rural areas. They will have improved their competences in reaching out to young people in rural areas and encourage cultural initiatives initiated by the youth and they will know how to facilitate a dynamic cultural environment for rural young people in various locations in their home country and abroad. Rural cultural institutions and municipalities having be involved in R YOUCULT will have a catalog of good practices and well-grounded policy recommendations that will improve their capability to follow up on the EU New Culture Strategy and to meet at minimum three of the 11 European Youth Goal: Goal 3 Inclusive societies, Goal 6 Moving Rural Youth Forward and Goal 9 Space and Participation for All and they will have more competent and satisfied employed cultural workers. Rural young people having participated in the deliberative online poll and the rural young people having been involved in the need analysis and the multiplier events will have experienced that they have a voice in developing a dynamic rural youth culture and that they will be supported in creating a cultural room of their own. They will have experienced that participation gives influence. They will be inspired and motivated to initiate rural youth cultural events. Rural development/rural communities having young people involved in the R YOUCULT project will experience a more active youth culture, claiming the right to have their own space as an integrated in the rural community culture. The rural communities will experience a new rural – urban dynamic, because rural youth events will attract some of the young people having moved to the cities and because the rural youth events initiated by the rural youth them self will take urban trends up and transform them to a rural setting.

Millions of Europeans undergo optical colonoscopy (OC) every year. OC may be associated with discomfort, complications and sick-days, which affect acceptability, and constitutes a heavy burden on European hospital capacities. Colon capsule endoscopy (CCE) is a new technology, which has the potential to replace 50 ? 65 % of all OCs. CCE is preferred by patients, has a lower complication rate and can be performed out of hospital. CCE holds great potential for both patients and hospitals. However, the diagnostic process of CCE includes a time-consuming manual reading done by trained personnel and is expensive and prone to human error. For CCE to be a viable alternative to OC these challenges need to be addressed. Thus, our goal is to create a complete and validated AI-assisted pathway that improves CCE diagnostics making the technology clinically viable for the good of patients, health care systems and society. We have already completed development of several AI algorithms (AIA) for CCE diagnostics, and more will be completed within 1 ?2 years. The AICE concept will focus on: 1) completing development of the remaining AIAs, 2) external validation the all AIAs, 3) creating a clinical support system for data handling, storage and transmission, 4) developing a diagnostic pathway that considers quality, efficiency, patient preferences, ethics and economy 5) promotes the integration of AICE solutions into clinical practice via guidelines and upscaling adjustments. To achieve these goals, AICE will use an unprecedented large and diverse collection of existing patient data from nation-wide clinical studies, and will include extensive initiatives in the fields of ethics, communication and patient engagement. To ensure the right competences are present, AICE brings together clinical researchers, epidemiologists, data scientists, digital health experts, health economists, ethics researchers, SMEs, communication experts and experts in regulatory affairs.