Dans la société actuelle et avec les avancées des chercheurs, les individus sont amenés à gérer de plus en plus de données qui influent sur leur santé comme la qualité de leur sommeil, leur nutrition ou encore leurs activités physiques. Mais comment peut-on faire un traitement efficace de toutes ces données sans se perdre ? UmanLife
The health care industry will see a 21% increase in IT jobs by 2020, according to research by the University of Chicago. Across all health care sectors, there is a demand for creative, thoughtful uses of health informatics, mobile technology and digital diagnostics.
Many of these new inventions have yet to be approved by the FDA, a process that can take up to 10 years. But that's not stopping the research and development of new technologies. Here are 10 types of tech that are changing the course of health care.
Making health care more accessible includes providing digital diagnostics options for people who need it, especially those who can't get to a doctor's office. This is one of the main themes of digital health. One example of digital diagnostics is Neurotrack, a software-based Alzheimer's diagnostic test that can detect impairments on the hippo campus (the first area of the brain to be affected by the disease) by evaluating eye movement.
GE showcased its breakthrough ultra-fast CT scanner earlier this year, which can capture a still image of a heart in one beat. The company said that according to research, about 60% of patients have heart rates of higher than 60 beats per minute and are turned away from scans because their heart beats too fast to scan. With this Revolution CT, doctors can see specific areas of the heart that they could not before.
Wearable technology is going to play a huge role in health care in years to come. The Consumer Electronics Association reports that sales of fitness trackers and smart watches will reach $1 billion this year. But monitoring fitness is only the beginning. For instance, Intel teamed up with the Michael J. Fox Foundation to use wearables to find certain characteristics of Parkinson's disease.
More than half of US hospitals use some type of electronic records system, but only 6% meet all the federal mandates, according to a recent study out of the University of Michigan. According to researchers at the University of Chicago, 50% of health care dollars are wasted on inefficient record keeping processes. Electronic records have been shown to save large hospitals anywhere between $37 and $59 million. It streamlines the medical care process and lowers malpractice claims, and increases coordination between providers. The federal government set a mandate to have some electronic system in place by this year.
Digital therapy is important for patients who need at-home care, can't afford to travel to a clinic, or have no way to get to a clinic for therapy. Well frame is a platform that combines mobile technology with artificial intelligence to provide patients with care after they've returned home from the hospital or doctor's office. It's been described as a "GPS navigation system for patients." There is a daily to-do list for the patient and a tracker for diet and exercise, but an advanced algorithm adapts the content based on the information from patient and healthcare provider. The company has performed trials with cardiovascular, pulmonary, and mental health patients.
Concierge medical services
Startups are making it easier to pay out-of-pocket for on-demand health care services. For example, GoodRX allows you to compare prices for drugs at different pharmacies and save up to 80%. One Medical Group was created by doctors to build a better system for doctor's visits. In certain cities, you can search for an office based on your needs, find same-day appointments, email access, online scheduling, and trained primary doctors.
Networks and coaching
With mobile technology, it's easier than ever to have a customised diet or health plan. Thrive On is personalised coaching for mental health, offering plans by assessing your sleep, mood, stress, anxiety, and body image. Retrofit offers coaching and expert advice for weight loss and weight management.
With the onset of Affordable Care Act, more consumers have had to manage their own data and health future. Several startups are using this as an opportunity to offer insurance, benefits, and solutions services. Health solutions platforms such as Jiff, which connects employee behaviours to company benefits and incentives, are becoming more common.
Hacking is becoming an increasingly popular tool to solving real world problems, especially in the health care industry. Health care, which usually evolves slowly, is being revitalised with software developments, hardware inventions, apps, and wearables, and many of these ideas are born out of hackathons. MIT held a hackathon earlier this year that drew 450 people from various backgrounds such as engineering, journalism, medicine, and IT to tackle global health, diabetes, and hospital IT.
Over the last decade, we have seen massive changes in technology. It now has a role in nearly every aspect of our lives, including health care technology. Just last night on 60 Minutes there was a segment on artificial intelligence and how IMB’s Watson supercomputer is currently changing health care. Since technology is changing every industry, we decided to focus our next infographic on health care technology and how it is disrupting and changing the health care market.
Here we are again, jumping into a new year. 2015 brought us consternation over Meaningful Use, continued EHR adoption, a much-improved economy, and the somewhat surprising decision from the Department of Defence to implement Cerner. It was also the first full year of LearnHealthTech.com. At the end of 2014, I made some predictions for 2015 that I think turned out to be fairly accurate. I believe Healthcare IT in 2016 will continue to present lots of opportunities, so let’s have a look at what I think things will look like.
Continued EHR Adoption
Even though most of the largest Healthcare systems in the country have already set their long-term EHR strategy, there are still some deals that are either in the works, recently signed, or heading into optimisation phases. A high profile example is the December 20th announcement by Vanderbilt University Medical Centre to replace McKesson and other systems with Epic. The 17,000 employee health system is scheduled to go live in 2018.
Additionally, the overall EHR market will remain strong due to the Department of Defence selecting Cerner this summer for their system-wide implementation. As the DOD project unfolds, competition for Healthcare IT skills will only grow, possibly drawing off talent from private hospitals and those who may be tired of working with Epic and other technologies. Those who have, or are able to obtain military security clearance should have an advantage.Many large EHR implementations that were done two or three years ago are now emerging from “The Valley Of The Black Ink” of payments to vendors.
These organisations are now looking to make the most of their EHR purchases, and may now be ready to fill analyst positions to optimise their systems.
Population Health/ Health Data Analytics
Population Health was a big deal in 2015, as Hospitals and other Healthcare organisations entered into many Accountable Care Organisation (ACO) agreements. The results for some early ACOs have started to come in, with some doing better than others at improving care and lowering costs. Since we’re only a couple of years into the whole ACO concept, we can expect to see more activity, as all entities involved really want the concept to work.
Healthcare Cyber security
2015 was the year of the Healthcare hack. Some of the high-profile hacking incidents in 2015 occurred at Anthem, Premera Blue Cross, Community Health Systems, and UCLA Health System. Federally levied fines against organisations increased in 2015, and will likely continue the trend in 2016. Expect to see greater vigilance and more opportunities for Healthcare IT security positions.
Remote Patient Monitoring
Remote patient monitoring involves the use of various technologies to collect medical data outside the traditional clinical setting. The main thing that comes to mind is telemedicine video visits, where patients conduct online visits with physicians remotely. Telemedicine has been feasible for several years now, but the main barrier has been the political and insurance barriers to getting organisations paid for video visits. Expect to see increased legislative activity to support Telemedicine in 2016.
Remote ICU Monitoring – e-ICU
Another aspect of remote patient monitoring is the advent of technology to remotely monitor ICU patients. It sounds pretty creepy and scary to have someone monitoring multiple critical patients from 100 miles away. However, consider that five million patients are admitted to ICUs each year, and among those, about 10% will die in the ICU. The level of care is very resource intensive at a time when the supply of skilled critical care clinicians is low. And of course, it’s no secret that critical care is very expensive. According to the Society of Critical Medicine, ICU care makes up at least 13.4% of hospital costs and 4.1% of National Healthcare costs.
The e-ICU solution doesn’t leave a facility without onsite critical care res-ponders, but adds sophisticated technology to monitor ventilator, cardiac, and vital signs data. A remote ICU physician can actually respond faster to a critical event than they could physically arrive at the bedside of a patient.
In the recently published SAHARA study, researchers found that a digital health intervention using messaging targeted at lifestyle modification failed to reduce heart attack risk among South Asian adults.
While tremendous progress has been made in treatment of coronary artery disease, it’s now well recognized that we’ve fallen short in primary prevention. When working with a patient, primary prevention starts with understanding their risk. In the US, recent guidelines gave us a new risk estimator that the American College of Cardiology packaged into the ASCVD Risk Estimator app. Once you understand their risk, then comes the intervention focused on modifiable risk factors.
How will tech today, and in the future, make healthcare better?
Technology is having an impact on our lives everywhere we go. From the way we shop to the food that we eat, technology is changing everything we do.
Nowhere is this more obvious than in healthcare, where technology is helping us beyond convenience, it is helping save lives.
The impacts have been substantial already, but in future these developments are likely to be even more pronounced.
So which technologies are having a real impact on healthcare?
Surgery is always a dangerous procedure, regardless of what is being done. The reason that good surgeons are some of the best paid people in the world is because their job is incredibly difficult and requires considerable skill.
New technology is making some surgical procedures less likely, which is therefore decreasing the risk of death that every surgery brings.
We have seen through the use of pulses, lasers, ultrasounds and magnetic stimulation that these techniques can be considerably safer than traditional surgical procedures.
Some of these are not new, such as X-Ray imaging, but we are seeing through new technology that the pace of change and the levels of success are constantly increasing. The future is bright for this kind of medical care and is a key element in reducing the chances of death whilst being treated.
Although currently limited mainly to prosthetics as a common use for 3D printing, the truth is that it has almost endless possibilities when the technology develops further.
We have seen that 3D printing can provide prosthetics at a fraction of the cost of traditional methods. They can even be made into completely custom designs, as the famous video with Robert Downey Jr giving an Iron Man prosthetic to a fan shows.
In future 3D printing could potentially create organic matter to order, which means that it could be anything from new skin to match exactly in skin grafts, to fully formed hearts or lungs that could be transplanted.
M-Health allows data to be collected about a patient through everyday life. This is then collected by a mobile device and can be transmitted to a doctor directly or stored in a database to track how a patient is reacting to a treatment over time.
The benefits of this are hard to overstate. It gives doctors the kind of insight that they would never be able to achieve through traditional time slots and clinical evaluations. These sessions will have significant time constraints and also are experienced outside of a patient’s regular routine.
Having access to this data gives doctors the unique opportunity to view the patient’s reaction when outside of a clinical environment, which aids in recovery, treatment and condition monitoring.
It can even be configured to alert the patient and doctor if levels drop or rise sharply and may require medical attention.
The genetics database may not be something that many people will be aware of on an individual level, but across the healthcare community will have a huge impact.
It will give clinicians a huge database that can be used to establish best treatments, the way that diseases affect different demographics or even how viruses spread in particular areas. It will essentially be the best possible opportunity for doctors to make the best decisions about the treatment of patients through crowd sourced medical information.
It will allow the best possible treatments to be administered that will not only suit the individual, but also make considerable differences to the effectiveness of them, based on in depth information. It will mean that somebody with a certain blood pressure, of a particular age, from a specific place and with a certain activity rate, can get the treatment that is likely to be the most successful for them.
It also means that when outbreaks like the Ebola crisis of 2014 occur, the genetics of the disease from the earliest patients can help prevent the disease spreading as rapidly in other areas of the population.