Rising demand and associated spending are being fueled by an aging population; the growing prevalence of chronic diseases and comorbidities; development of costly clinical innovations; increasing patient awareness, knowledge, and expectations; and continued economic uncertainty despite regional pockets of recovery are just a few of the key issues and trends impacting the global health care sector. Read on to learn more about trends impacting the global health care sector in 2017 and suggested considerations for stakeholders.
Entre la pression des règlementations administratives pesant sur les praticiens et la nécessité de soigner- le coeur de leur métier, l’intégration des technologies numériques dans le quotidien des médecins et de leurs patients n’est pas sans poser de difficultés.
A en croire les résultats d’une étude menée par Les Echos Etudes auprès de 200 professionnels de santé français(1) , si beaucoup reconnaissent à l’informatique des avantages, notamment en matière de traçabilité et de sécurité des patients, dans la pratique, il n’est pas rare qu’il s’agisse plutôt d’un problème que d’une solution.
Contextualisé par la campagne présidentielle de 2017, le sujet de la santé et de son système est au coeur des débats.
La numérisation de ce secteur n’en est pas à son premier coup d’essai. De nombreux programmes ont déjà vu le jour ces dernières années (Hôpital 2012 ou Hôpital Numérique) afin de poursuivre l’objectif zéro papier et de favoriser la sécurité, la traçabilité, la qualité et la continuité des soins ...
In an opinion piece published online in Medical Economics, part of the Modern Medicine Network, Henry Anhalt, DO discusses the current status of Precision Medicine as 2016 draws to a close. Reflecting on President Obama’s 2015 State of the Union address, in which he launched the Precision Medicine initiative – a program that aims to revolutionize health outcomes by taking a personalized approach to medicine and research – he acknowledges the ongoing debate as to whether this approach to treating disease can truly deliver on its promises. He also recognizes the uncertainty for precision medicine that lies ahead as the US enters a new presidential term.
One of the solutions Anhalt proposes is for clinicians to ask themselves how they can implement the tenets of precision medicine when treating patients in the immediate present. His suggested answers to this question included enabling patients to access their own health record data: “So they can review it when they need to and share it with others when they want”. He then discussed The U.S. Department of Veterans Affairs’ push for patient access to health records through its pioneering “Blue Button” initiative and how it is a step in the right direction towards this goal.
Another suggestion involves how the community engages study participants in research, as: “There are many ways patients today can participate in research without requiring a visit to a large research hospital.” Anhalt continues, “For example, if patients can download their health records, one easy opportunity they may have is to donate them to research. For people with Type 1 diabetes, we offer a patient platform that allows that patient to connect with others who have Type 1 diabetes and participate in online research. To truly achieve the promise of precision medicine, it’s going to require that our patients have the understanding and motivation to become citizen scientists.”
He concluded with advice for clinicians that even if today they cannot practice precision medicine in full, they should at least strive for individualized care. “As physicians, we are trained to ask questions such as, ‘What are your symptoms; how long have you had these symptoms?’ and so forth. But what are the questions we’re not asking that help us get a more holistic view of a patient’s health?” He argues that greater empathy in clinical interactions could help achieved more personalized care in the present.
Finally, Anhalt points out that, despite the wealth of precision medicine research is being done, there is a long way to go until it can be fully and successfully integrated into healthcare systems nationwide. “We’ve just scratched the surface with the Precision Medicine Initiative, and it will be interesting to see what takes place in 2017 and beyond as we focus more on patient outcomes.”
1. Interoperability between Health Systems
Interoperability solutions for exchanging patient information across care settings is one particular technological development that will shape the future of healthcare organisations.
https://getreferralmd.com/wp-content/uploads/2016/01/interoperability-referralMD.jpg" alt="Healthcare Interoperability ">
Value-based care and health information exchanges are an increasingly important part of the overall healthcare landscape, and the ability for all providers – from general practitioners and specialists to post-acute care organisations, etc. – will only grow as a critical component of care delivery in the future.
These types of solutions have only started being developed in the past few years by companies such as referral-MD, that are changing how healthcare companies communicate by including post-acute care providers in critical interoperability workflows, as these providers are expected to be a big part of health care cost containment.
By including post-acute care in interoperability strategies, healthcare organisations can ensure that critical patient information across all care settings will be connected, providing a more detailed patient picture for more specific treatment plans and improved patient care.
The statistics are damning, hospitals lose $75+ million per year per 100 affiliated physicians due to referral leakage, a burden that can be reduced by proper referral network management that companies such as referral-MD can help monitor. Hospitals are just starting to get make changes in their budgets to include programs that can truly help patients receive better care, and save their staff’s time in the process.
Not only are hospitals affected but so are small-to-mid sized practices, with many having to juggle 100's of speciality offices with different workflow requirements, without an electronic way to exchange information, the process breaks down, information is not accurate, and time is wasted.
2. Robotic Nurse Assistant
I have many of friends that are nurses that are injured every year from having to move or lift patients in bed or after an emergency from a fall. The problem is very common and many of times there is not someone around that is strong enough to lift a patient immediately after one of these occurrences.
There are many variations from a full robot such as RIBA (Robot for Interactive Body Assistance) developed by RIKEN and Tokai Rubber Industries and assisted hardware such as HAL (Hybrid Assistive Limb) robot suits delivered by Cyberdyne.
RIBA is the first robot that can lift up or set down a real human from or to a bed or wheelchair. RIBA does this using its very strong human-like arms and by novel tactile guidance methods using high-accuracy tactile sensors. RIBA was developed by integrating RIKEN's control, sensor, and information processing and TRI's material and structural design technologies.
https://getreferralmd.com/wp-content/uploads/2016/01/HAL.jpg" alt="HAL">A company by the name of HAL is a robotics device that allows a care worker to life a patient with more stability and strength and helps prevent injuries to our nurses.
3. Artificial Retinas
The United States typically defines someone as legally blind when the person’s central vision has degraded to 20/200, or the person has lost peripheral vision so that he sees less than 20 degrees outside of central vision. Normal vision is 20/20, and people can usually see up to 90 degrees with their peripheral vision. An estimated 1.1 million people in the United States are considered legally blind.
This has led to companies like Nano-Retina to develop a sophisticated and elegant solution intended to restore the sight of people who lost their vision due to retinal degenerative diseases. The miniature Nano Retina device, the NR600 Implant, replaces the functionality of the damaged photo-receptor cells and creates the electrical stimulation required to activate the remaining healthy retinal cells. NR600 consists of two components; a miniature implantable chip and a set of eyeglasses worn by the patient.
https://getreferralmd.com/wp-content/uploads/2016/01/Nano-Retina-e1454272108993.jpg" alt="Nano Retina">
Very interesting technology for those that are always sitting in front of the computer like myself, hopefully it will not be needed by me, but it's great that companies are advancing for those that suffer this debilitating illness.
4. Tooth Regeneration
Hey Kids, here is some candy! All kidding aside, this could be an amazing advancement if the technology holds true in the coming years.
Colourful fish found in Africa may hold the secret to growing lost teeth. In a collaborative study between the Georgia Institute of Technology and King’s College London, researchers looked at the cichlid fishes of Lake Malawi in Africa, who lose teeth just to have a new one slide into place. Their study, published in the Proceedings of the National Academy of Sciences, identifies the genes responsible for growing new teeth and may lead to the secret to "tooth regeneration" in humans.
"The exciting aspect of this research for understanding human tooth development and regeneration is being able to identify genes and genetic pathways that naturally direct continuous tooth and taste bud development in fish, and study these in mammals," said the study’s co-author Paul Sharpe, a research professor from King's College, in apress release. "The more we understand the basic biology of natural processes, the more we can utilise this for developing the next generation of clinical therapeutics: in this case how to generate biological replacement teeth."
Another study from a Harvard team successfully used low-powered lasers to activate stem cells and stimulate the growth of teeth in rats and human dental tissue in a lab. The results were published today in the journal Science Transnational Medicine. Stem cells are no ordinary cells. They have the extraordinary ability to multiply and transform into many different types of cells in the body. They repair tissues by dividing continually either as a new stem cell or as a cell with a more specialised job, such as a red blood cell, a skin cell, or a muscle cell.
https://getreferralmd.com/wp-content/uploads/2016/01/tooth-regrowth-stem-cells.jpg" alt="tooth regrowth">Dentures and dental implants may soon become a thing of the past. Stem cell research is making it possible to regrow your missing teeth! This is a much-needed medical advancement, especially considering that by age 74—26% of adults have lost all of their permanent teeth.
5. Light-bulbs that Disinfect and Kill Bacteria
https://getreferralmd.com/wp-content/uploads/2016/01/light-bacteria.jpg" alt="http://www.indigo-clean.com/">Hospitals are known to be potentially dangerous place with lot's of people with different elements and diseases. One company, Indigo-Clean has developed a technology using visible light that continuously disinfect the environment and bolsters your current infection prevention efforts.
How it works
- The 405 nm emitted from Indigo-Clean reflects off of walls and surfaces, penetrating harmful micro-organisms
- The light targets naturally occurring molecules called porphyrins that exist inside bacteria. The light is absorbed and the excited molecules produce Reactive Oxygen Species (ROS) inside the cell
- 405 nm creates a chemical reaction inside the cell, similar to the effects of bleach
- The Reactive Oxygen Species inactivates the bacteria, preventing it from re-populating the space
From our vantage point on the threshold of the new year, the single biggest story of 2016 for healthcare marketers and technologists is that of a surprise election result that will mean hugely disruptive changes in healthcare policy in the coming years. But to dwell too much on The Donald is selling 2016 short. Besides killing Prince, David Bowie, George Michael, Carrie Fisher and the Affordable Care Act, to name but a few worthies, 2016 was a very eventful year in digital health and the broader healthcare world.
On the tech front, 2016 was the year AI arrived. Google scaled up its DeepMind machine learning collaboration with the NHS. IBM’s Watson Health acquired Truven Analytics, with its motherlode of data and a massive book of clients, partnered with just about everyone in healthcare and spun off a myriad of eye-popping projects (including the first effort at “cognitive advertising”). The advent of voice-controlled hubs like Amazon Echo and Google Home ushered in the mainstreaming of the Internet of Things and pointed the way toward what Microsoft has dubbed “natural computing,” a world in which search, among other things, will be driven by voice-activated bots and virtual assistants. In 2017, marketers will need to begin thinking about optimizing for voice search, and deep learning-driven systems like IBM’s and Google’s will begin to augment the work of healthcare professionals in a big way.
Virtual reality also popped onto our radar in a big way with the superheated hype surrounding Facebook’s Oculus Rift launch. It’s early days for the medium, but a handful of companies, including Cognito, Sharecare and Klick, are working on compelling medical applications including MOA demos for medical conferences and patient education modules. And VR’s neglected cousin augmented reality came roaring back into public consciousness with the runaway success of Pokemon Go.
Telemedicine picked up steam, with retail pharmacy giants and large health systems expanding their remote care capabilities, or partnering to do so, and a few key pilots of remote and continuous monitoring providing proof of concept. This trend line will continue in 2017, with the point of care gradually shifting from episodic touchpoints at bricks-and-mortar locations to more of a continuous care model, incorporating remote monitoring and eventually AI.
Ils étaient nombreux en Belgique à avoir rentré un projet pilote utilisant des applications de santé et des appareils mobiles. Le verdict vient de tomber. Sur les 98 projets rentrés, 24 ont été retenus et dévoilés aujourd’hui par la ministre Maggie De Block. Ils seront lancés début 2017 pour une durée de six mois.