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== THCS SRIA (2023) ==
The ''[https://www.thcspartnership.eu/thcs/strateig-overview/strategic-research-and-innovation-agenda.kl THCS SRIA (2023)]'' outlines a coordinated European effort to transform health and care systems into sustainable, resilient, and people-centred structures. It emphasizes digitalisation, interoperability, integrated care models, and evidence-based policymaking as key enablers for transformation.

For OPENVERSE, [https://www.thcspartnership.eu/ THCS] represents a strategic collaboration target for applying immersive, interoperable, and simulation-based technologies to health ecosystems. Joint work could advance digital twins for health systems, ethics-by-design governance, and data-driven interoperability across the digital health landscape. 

=== Basic Identification ===
'''Initiative / Partnership Name:''' Transforming Health and Care Systems (THCS)

'''Full SRIDA Title & Version:''' ''[https://www.thcspartnership.eu/thcs/strateig-overview/strategic-research-and-innovation-agenda.kl Strategic Research and Innovation Agenda (SRIA), February 2023]''

'''Publication / Last Update Date:''' February 2023

'''Governing Body / Association:''' THCS Coordination and Support Action consortium; co-funded European Partnership under [https://research-and-innovation.ec.europa.eu/funding/funding-opportunities/funding-programmes-and-open-calls/horizon-europe/cluster-1-health_en Horizon Europe Cluster 1].

'''Type:''' Co-funded Partnership (public-public, focusing on health system transformation).

'''Website / Source:''' [https://www.thcspartnership.eu/ https://www.thcspartnership.eu]

=== Strategic Orientation ===
'''Vision Statement:'''

To accelerate the transformation of European health and care systems towards resilience, sustainability, and person-centredness by coordinating research, innovation, and implementation efforts across Member States.

'''Core Mission / Objectives:'''
# Develop and implement  evidence-based, sustainable models of health and care delivery.
# Support integrated care that is  proactive, data-driven, and equitable.
# Strengthen the resilience of  health systems against shocks (e.g. pandemics, demographic changes).
# Enable digital and organisational  innovation in healthcare through policy alignment and systemic  experimentation.
'''Key Strategic Pillars / Focus Areas:'''
* '''People-centred Care  Transformation''' – integration of preventive,  primary, and long-term care.
* '''Health System Resilience and  Sustainability''' – governance, workforce, and  financial models.
* '''Digital Health &  Data-Driven Transformation''' – data spaces, AI,  and interoperability.
* '''Evidence-based Policymaking''' – cross-national evaluation and learning mechanisms.
'''Expected Outcomes / KPIs:'''
* 20+ cross-country projects  co-funded by 2030.
* New evaluation frameworks for  health innovation adoption.
* Increased implementation of  interoperable digital solutions across Member States.
'''Policy Alignment:'''
* [https://research-and-innovation.ec.europa.eu/funding/funding-opportunities/funding-programmes-and-open-calls/horizon-europe/cluster-1-health_en Horizon Europe Cluster 1 (Health)]
* [https://health.ec.europa.eu/ehealth-digital-health-and-care/european-health-data-space-regulation-ehds_en European Health Data Space] (EHDS)
* [https://health.ec.europa.eu/funding/eu4health-programme-2021-2027-vision-healthier-european-union_en EU4Health Programme]
* [https://digital-strategy.ec.europa.eu/en/activities/digital-programme Digital Europe Programme]

=== Technological and Thematic Priorities ===
{| class="wikitable"
|'''Theme'''
|'''Focus   Areas'''
|'''Examples /   Expected Results'''
|-
|'''Digital  Transformation of Health Systems'''
|Adoption of  interoperable, AI-supported digital solutions for care pathways.
|Development of  secure data-sharing infrastructures.
|-
|'''Integrated  Care Models'''
|Patient-centred  design integrating public health, primary care, and social care.
|Cross-border  testbeds for continuity of care.
|-
|'''Health Data  Spaces & Interoperability'''
|FAIR data  principles, data linkage across health domains, and semantic  interoperability.
|Support to  EHDS and secondary data use.
|-
|'''Workforce  & Skills Transformation'''
|Upskilling  healthcare professionals for digital and integrated care.
|Cross-country  training programmes.
|-
|'''Sustainability  and Governance'''
|Value-based  healthcare, financial sustainability, and ethical data use.
|Policy  experiments and scaling of best practices.
|}
'''Cross-cutting Topics:''' ethics and trust in health data, citizen engagement, gender equality, social innovation, and sustainability.

'''Related Infrastructures / Platforms:''' [https://health.ec.europa.eu/ehealth-digital-health-and-care/european-health-data-space-regulation-ehds_en European Health Data Space], [https://digital-strategy.ec.europa.eu/en/policies/edihs EDIHs], [https://eithealth.eu/ EIT Health], [https://www.ihi.europa.eu/ IHI JU], and AI4HealthEU.

'''Interdependencies / Synergies:''' Strong complementarities with [https://www.ihi.europa.eu/ IHI JU] (innovation uptake), [https://adr-association.eu/ ADRA] (AI & data), and [https://research-and-innovation.ec.europa.eu/strategy/strategy-research-and-innovation/our-digital-future/open-science/european-open-science-cloud-eosc_en EOSC] (data sharing and FAIR principles).

=== Governance & Ecosystem ===
'''Leading Organisations / Associations:''' THCS Partnership Coordination ([https://www.cnr.it/en CNR], Italy, and [https://www.isciii.es/ ISCIII], Spain) and 50+ national and regional funding agencies.

'''Stakeholder Groups:''' national and regional health authorities, research institutions, healthcare providers, policy makers, patients, and citizens.

'''Engagement Mechanisms:'''
* Open calls and joint  transnational funding calls.
* Thematic workshops and policy  dialogues.
* Stakeholder consultations on SRIA  updates.
'''Update Frequency:''' Biannual review and alignment with Work Programme priorities.

'''Contact / Participation Info:''' Public calls and events published via thcspartnership.eu.

=== Alignment with Virtual Worlds ===
'''Relevance to Virtual Worlds Domains:'''

The THCS SRIA provides a '''policy and systemic perspective on digital transformation''', highly relevant for OPENVERSE’s goal of federating trustworthy, interoperable, human-centric virtual infrastructures.

'''Key Points of Alignment:'''
* '''Human-centric digital  ecosystems:''' Mirrors OPENVERSE’s focus on  trust, ethics, and inclusion.
* '''Data interoperability:''' Direct alignment with OPENVERSE’s technical and semantic  interoperability building blocks.
* '''Digital twins and simulation  for policy:''' Health system modelling and  scenario-based simulations overlap with OPENVERSE’s virtual twin logic.

=== SRIDA Document Metadata ===
'''Keywords / Tags:''' health systems, resilience, interoperability, digital transformation, integrated care, sustainability, AI, data spaces.

'''Referenced Horizon Europe Clusters:''' [https://research-and-innovation.ec.europa.eu/funding/funding-opportunities/funding-programmes-and-open-calls/horizon-europe/cluster-1-health_en Cluster 1 (Health)] and [https://research-and-innovation.ec.europa.eu/funding/funding-opportunities/funding-programmes-and-open-calls/horizon-europe/cluster-4-digital-industry-and-space_en Cluster 4 (Digital, Industry & Space)].

'''TRL Range:''' Typically TRL 4–7 (implementation-oriented).

'''Budget or Investment Priorities:''' €300+ million co-funding through Horizon Europe and Member States for 2023–2030.

'''Policy References:'''

* [https://health.ec.europa.eu/ehealth-digital-health-and-care/european-health-data-space-regulation-ehds_en European Health Data Space], 
* [https://digital-strategy.ec.europa.eu/en/activities/digital-programme Digital Europe Programme],
* [https://health.ec.europa.eu/funding/eu4health-programme-2021-2027-vision-healthier-european-union_en EU4Health Programme], 
* [https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=COM%3A2019%3A640%3AFIN The European Green Deal].