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What the FDA did in digital health in 2016

From www.mobihealthnews.com

Over and above clearing a number of devices, the FDA had a busy year in 2016, passing a number of draft and final guidances related to digital health, having some notable conversations with vendors, and even turning down some devices whose FDA clearance was expected this year. We've rounded up the year's 510(k)'s in a separate article, but here's a rundown on some of the other actions the regulatory body took, as well as a brief look ahead at what 2017 might have in store for the FDA.
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The Triple “E” of #digitalhealth #hcsmeufr Great post @healtheugene !

From healtheugene.com

Every industry disruption needs a buzz word. Health care was in need of one too, and it’s #digitalhealth. (Sorry Matthew Holt — #health2con just didn’t cut it :) But this post is not to argue the…
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NHS to offer free devices and apps to help people manage illnesses

From www.theguardian.com

Health service seeks to use of technology to help patients manage conditions such as diabetes and heart disease.

New heart monitors will be able to detect irregular rhythms that are a key cause of sudden cardiac death, which kills 100,000 people in the UK every year. 



Millions of people will receive devices and apps free on the NHS to help them manage conditions such as diabetes and heart disease in an major drive to use technology to reduce patient deaths.

NHS England’s chief executive, Simon Stevens, has backed the move as a significant expansion of self-care that could help prevent patients becoming seriously unwell and needing hospital treatment.

He wants people who already use apps such as Uber or Airbnb to show the same willingness to embrace digital technology that could alert them to the possible onset of a stroke, heart attackor deadly infection. The NHS will start making them available to patients in England from next year. If widely adopted, they could save tens of thousands of lives a year, Stevens said.


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La Santé face au tsunami NBIC et aux plateformistes

From thedigitalnewdeal.org

Télécharger le rapport au format PDF L’émergence des NBIC  (Nanotechnologies, Biotechnologies, Informatique et sciences Cognitives)  va provoquer un bouleversement majeur du secteur de la santé. Au-delà de la remise en cause radicale du rôle et de la valeur ajoutée du personnel médical, ce sont à plus long terme les caractéristiques humaines qui sont en jeu.…
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Internet : 68 millions de pubs de médicaments non approuvés bloquées par Google

From www.lequotidiendupharmacien.fr

Dans son rapport annuel sur son activité de veille, Google affirme avoir bloqué l’année dernière, 68 millions d’annonces publicitaires pour des produits pharmaceutiques non autorisés, soit six fois plus qu’en 2015.

En 2016, Google a doublé son activité dans la détection de sites proposant des contenus et des produits illégaux. Sur le 1,7 milliard d’annonces publicitaires bloquées l’année dernière par le géant du Web, 68 millions concernaient des produits de santé illicites. C’est six fois plus que les 12,5 millions supprimés un an auparavant.
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Elie Lobel (Orange Healthcare) : « La France connaît un problème d’échelle en e-santé »

From magazine-decideurs.com

Mêlant le maillage territorial d’Orange avec une expérience de dix années dans le secteur, la filiale healthcare du groupe télécom veut révolutionner l’univers des soins. Grâce à une stratégie d’innovation ambitieuse, son directeur général Elie Lobel mène plusieurs projets de front afin de faire bénéficier à ses clients, et in fine aux malades, les potentialités du digital.
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The modern doctor is a digital nomad 

From www.pmlive.com

There seems to be a new tool for communication appearing on a weekly basis, be it a closed messaging app or broad social sharing tool, there is always a new medium for us to connect with the world.

Data shows that doctors, nurses and other medical professionals have flocked to tools like Twitter to share their opinions and engage with their peers on a multitude of topics, but where do they go from there? Do doctors use Snapchat? Is your pharmacist on Instagram?

Tools such as Facebook and Twitter are a decade old and have become part of the social consciousness of a generation. For many, social networks have become the primary individual communication platforms between friends, peers and groups, and these personal interactions have spread into all sectors and markets, including healthcare.

The rise Of Dr Millennial
We are seeing a positive shift in the uptake of social platforms by healthcare professionals (HCPs) due largely to a new generation of physicians, nurses and pharmacists who have qualified in the last 5-10 years.

These 'millennial' HCPs grew up with digital tools, researching not in libraries or using books, but using the Internet, collaborating and questioning their peers through social communities. Naturally their usage continued through both their medical study years and their qualified practice.

Most of the world aged 40 and under can now be found across multiple social networks both personally and professionally, and the healthcare community is no different. It would, however, be wrong to say that social activity is the reserve of the millennial HCP generation.

At the other end of the spectrum, there are highly-skilled and experienced healthcare professionals, wanting to stay relevant and adapting the way they work to incorporate social media and new technologies into their daily lives.

These individuals are pioneers who have embraced change and more often than not, use their professional credibility to lead the conversation and influence others.

The combination of these two groups has created a confluence of conversation that results in a resource of in-depth knowledge and insight provided online for all to access.

Millennial HCPs grew up using digital tools and social communities

Moving beyond 140-characters
Research shows that Twitter still holds the leading share of voice when it comes to the communication practices of healthcare professionals; however, other networks are becoming more and more prevalent.

Some, perhaps frustrated by Twitter's limited 140-character posting limit, have migrated to Medium.com, the site where users share stories, as well as interacting with each other.

Medium was created by Twitter co-founder Evan Williams in 2012, with a vision of offering the same broad accessibility of information that Twitter provided, but with much longer-form, in-depth content.

The site attracts roughly 30 million monthly visitors, and preliminary research showed a significant number of HCPs on the platform, with some writing, some engaging and others simply listening to the conversation.

The predominant content from HCPs on Medium was advice around specialist topics, usually a disease or therapy area.

These articles range from health tips, as with a post from orthopaedic surgeon Paul McDonough MD (@DrPaulMcDonoughMD) on looking after your back, to deep analysis of focused topics, such as a data-backed analysis of the single payer system in the US by Pat Salber MD (@Docweighsin), an emergency physician and founder of 'The Doctor Weighs In' blog. Pat has used Medium to spark conversation around this and many other topics on policy and governance in healthcare.

Another long-form content channel largely utilised by HCPs is Quora. The network applies a simple question and answer format to its content and hosts a wealth of knowledge, some broad, around topics such as technology, with wide interest groups, as well as other very specific conversations, such as evolutionary genetics, with few contributors, but rich depth of content.

With any channel, cutting through the noise of generalist conversation is often a challenge; Quora, however, is more approachable than others in that it breaks down conversations into topics and groups, as well as by user.

While it would be wrong to call Quora an 'emergent' site, having been set up in 2009, it is one that has recently seen a lot of activity from healthcare professionals. The number of interactions and the size of groups have grown steadily and are now at a point where it can be considered a significant outlet for HCP engagement.

The largest group to feature HCPs on Quora was 'Medicine and Healthcare'. At the time of writing, the topic had over 157,000 questions and 1.6 million individuals following the conversation. Of the top 10 writers within the topic, seven were HCPs.

A secondary topic group is 'Doctors', a group with over half-a-million followers and 18,500 questions. Of the ten most active writers, nine were HCPs.

Many physicians use Quora to test theories and ask questions of other HCPs. Sometimes these discussions are around disease areas or treatment methodologies.

In one response from radiation oncologist Marc-Emile Plourde to the question 'As a medical doctor, what is the biggest mistake that you've made?', he shares details about a mistake involving drug administration that resulted in a very negative experience for his patient. As this is in print, I cannot link to it, but I encourage you to look it up.

Plourde moved on from this mistake, which happened early in his career, to create a mobile app called MD on Call, to provide other healthcare professionals with advice on frequently encountered 'on-call' medical situations.

More often than not, social media channels and online networks can appear one-sided, with communication being very outward looking. Quora changes this dynamic. By using questions instead of statements as the starting point, conversations flow more naturally.

Many physicians use Quora to test theories and ask questions of other HCPs

Smile, you're on camera!
While channels like Twitter, Quora and Medium extend the reach of traditional knowledge sharing by healthcare professionals, there are a number of truly innovative implementations of new social channels by healthcare professionals.

One that has caused a furore, both in the healthcare world and with the wider public, is that of surgeons taking their surgery global through video and photo live sharing networks like Facebook live, Instagram and Snapchat.

These social trailblazers, generally from the field of cosmetic surgery, have opened up their theatres to tens of thousands of people, all of whom chose to watch plastic surgeons in action.

Dr Sandra Lee, otherwise known as 'Dr Pimple Popper,' performs blackhead extractions and more to an audience of about 1.6 million on Instagram.

The California based, board-certified dermatologist has performed thousands of procedures, all documented through Instagram. From an analysis of the comments, many seem to find her work fascinating, while others use the innovative interactive approach to ask questions, relating either to a personal condition or advice regarding the profession of cosmetic surgeon.

Other examples of 'live' surgery include plastic surgeon, Matthew Schulman MD, who uses Snapchat to share images and video of a variety of plastic surgery procedures, including those performed under general anaesthesia such as liposuction and hernia repair.

While these videos garner huge media attention, and views in the millions, not everyone is pleased with this latest development. Many physicians claim that the videos distract from the procedure and can potentially pose a threat to the patient.

In 2013 the General Medical Council introduced a set of guidelines on how HCPs should conduct themselves on social media. However, with constantly evolving social and technological changes, a further revision will soon be needed to keep up with the pace of innovation.

The way we interact has changed beyond recognition over the past decade and will continue to do so over the decade to follow. For those in healthcare, social media and technology provide new and innovative opportunities to educate, engage and learn. The challenges for healthcare professionals will be to find the balance between what is possible and what is best for the patient.

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Santé : des technologies toujours plus bluffantes. #hcsmeufr

From www.leparisien.fr

Voici les dernières innovations qui nous attendent en matière de santé. Certaines s'utilisent avec un simple smartphone !
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Les nouvelles technologies au secours d’Alzheimer

From sante.lefigaro.fr

Une montre connectée, des capteurs et une application mobile ? C’est l’idée de deux Lyonnais pour aider les malades d’Alzheimer et apaiser leurs proches.
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Santé: trois inventions high-tech à découvrir

From lejournal.cnrs.fr

Lunettes de réalité augmentée pour les patients atteints de dégénérescence maculaire liée à l'âge, logiciel de rééducation contre la dyslexie, casque d'imagerie pour diagnostiquer au plus vite les accidents vasculaires cérébraux... Trois chercheurs nous présentent les outils développés grâce au numérique. Ecoutez le débat organisé par CNRS La Radio, à l’occasion des Journées Innovation et santé qui se sont tenues les 28 et 29 janvier à la Cité des sciences et de l'industrie, à Paris.
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Tiers payant : officines et médecins généralistes se rebiffent

From pharmanalyses.fr

Alors qu’ils ont enregistré l’an passé une nouvelle baisse de leur vente, les représentants des pharmacies d’officine veulent signer un contrat pluriannuel avec l’Etat et l’Assurance-maladie. A la …
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Espoirs et attentes des industriels autour du comité stratégique du numérique en santé

From www.ticpharma.com

PARIS (TICpharma) - La mise en place du comité stratégique du numérique en santé (CSNS) le 24 janvier a été saluée par les industriels du secteur qui ont expliqué à TICpharma attendre de cette nouvelle gouvernance de l'e-santé de réels progrès en termes de développement des usages et de transformation des modèles économiques et organisationnels.

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Plus d’un étudiant sur deux utilise déjà la e-santé

From www.remede.org

Les étudiants font confiance aux applications et outils de santé connectée pour les aider à prendre en main leur santé. C’est ce qui ressort d’une étude menée par la SMEREP. Pratique sportive, sommeil, nutrition sont les trois usages les plus répandus parmi les utilisateurs. Bonne nouvelle : ces outils ne remplacent aucunement les consultations médicales pour 90% des étudiants interrogés.
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Why Don't You Use Technologies to Live Healthier?

From medicalfuturist.com

Wearables and trackers could help us to change our unhealthy lifestyles. So why don’t you start using technologies to live healthier today?
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E-santé : les Français toujours plus connectés mais inquiets du piratage

From www.lequotidiendumedecin.fr

Alors que l'on comptabilise entre 100 000 et 165 000 applis santé sur le marché mondial en 2016, les Français affichent leur intérêt
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TV : une opération chirurgicale en direct pendant un spot publicitaire #hcsmeufr

From www.influencia.net

Pour nous garder devant le téléviseur, la pub doit surprendre. Remplacer un spot traditionnel par un live streaming inattendu constitue une nouvelle réponse des agences et des annonceurs. Et c'est en Grande-Bretagne que l'on a pu voir cela...

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Deloitte - 2017 Global health care sector outlook

From www2.deloitte.com

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.
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Digitalisation de la santé : avec plus de temps passé devant les écrans qu’avec les patients, reste-t-il encore du temps pour soigner ?

From www.dsih.fr

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 ...

France Silver Eco's curator insight, January 18, 4:08 AM

Souvent critiquée et parfois remise en cause, la digitalisation du secteur de la santé en France est aujourd’hui bien en marche. En témoignent les nombreuses initiatives mises en place ces dernières années, à l’image des programmes gouvernementaux visant à financer la modernisation numérique des établissements de soins français et à encourager l’essor des startups dans le domaine de l’e-santé.

La santé digitale a poursuivi son expansion en 2016. #hcsmeufr

From www.letemps.ch

Prévention, trackers de données médicales, traitement, la santé digitale concerne toute la chaîne des soins.
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Speed Vision de Lionel Reichardt - Vers une révolution de la santé ? #FCsanté #hcsmeufr

From www.youtube.com

SPEED VISION - Walking On The Moon, vers une révolution de la santé ? Lionel REICHARDT, Pharmageek - Dirigeant 7C's HEALTH, blogueur, conférencier Aprè
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The global state of eHealth: emerging trends and regulatory developments

From www.geektime.com

What developments are shaping the interactions between technology and health? A look at how the rapidly growing E-Health space is advancing human welfare
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WHO to contribute to eHealth Week 2017 #digitalhealth #hcsmeu 

From www.maltatoday.com.mt

The World Health Organisations will be contributing to the two-day conference organised by the health ministry aimed at addressing international hot topics related to healthcare IT
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How does Precision Medicine look at the end of 2016? - The Journal of Precision Medicine

From www.thejournalofprecisionmedicine.com

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.”

rob halkes's curator insight, January 7, 8:30 AM

Well established and short opinion on Precision medicine. Good to see the new journal too! Let's hope that this Obama initiative survives Trump's presidency! Why don't you share this to state your point?