Health around the clock
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Health around the clock
For health professionals who think global and like to open up their mind
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Acheter des médicaments sur Internet est désormais légal, mais encadré

Acheter des médicaments sur Internet est désormais légal, mais encadré | Health around the clock | Scoop.it
Désormais, les pharmaciens pourront ouvrir leur site internet en France pour vendre à distance des médicaments délivrables sans ordonnance.

Via Hi_Camille_, Lionel Reichardt / le Pharmageek
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HAPIfork : une fourchette connectée pour réguler votre alimentation

HAPIfork : une fourchette connectée pour réguler votre alimentation | Health around the clock | Scoop.it
Bien que l’envie de maigrir ne soit pas encore à l’ordre du jour, celle-ci le sera très probablement après les fêtes. Aussi, une startup baptisée HAPIlabs, s’est lancée dans la......
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4 emails sur 10 sont ouverts depuis un mobile

4 emails sur 10 sont ouverts depuis un mobile | Health around the clock | Scoop.it
Selon une étude de Return Path, 37% des utilisateurs consultent leurs messages depuis un terminal mobile et 85% de ces messages sont ouverts depuis un iPhone ou un iPad. Vraiment ?

Via Philippe Coup-Jambet
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Start-up : Fitbit, le coach santé 2.0

Start-up : Fitbit, le coach santé 2.0 | Health around the clock | Scoop.it

James Park, le co-fondateur et directeur général de la start-up de San Francisco Fitbit, est venu à la conférence LeWeb pour présenter sa société qui commercialise des podomètres 2.0, s'inscrivant dans la tendance des objets connectés et du coaching santé. Il confie en avant-première à La Tribune la genèse de cette aventure et ses projets.    

La Tribune - D'où est venue l'idée de Fitbit ? 
James Park - Notre inspiration est venue de la Nintendo Wii, de cette nouvelle conception du jeu qui n'est plus seulement passive mais interactive et qui incite les gens à bouger davantage. Nous cherchions un moyen de capter cette magie de la Wii, la détection de mouvement, dans quelque chose de plus portable

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5 Ways Pinterest Can Be Used for Patient Education in Healthcare

5 Ways Pinterest Can Be Used for Patient Education in Healthcare | Health around the clock | Scoop.it
Pinterest is an image-driven social network that has rocketed in popularity in the last couple of years. Pinterest works as a way to visually organiz

Via Dean Berg, Marie Ennis-O'Connor, Giovanna Marsico, Giuseppe Fattori, dbtmobile, Fabrice Vezin
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Lady Ada AKA Limor Fried Named Entrepreneur Of The Year

Lady Ada AKA Limor Fried Named Entrepreneur Of The Year | Health around the clock | Scoop.it
While I don’t often hold stock in random pronouncements by magazines, I’m shocked and thrilled that Entrepreneur Magazine named Limor Fried, founder of Adafruit Industries, as their 2012 Entrepreneur of the Year.
AttractiveHealthcare's insight:

When does she start someting in m-health ?

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Research Seeks to Refine Data Transmission for Medical Diagnoses - University of Texas at Dallas (press release)

Research Seeks to Refine Data Transmission for Medical Diagnoses - University of Texas at Dallas (press release) | Health around the clock | Scoop.it
University of Texas at Dallas (press release)Research Seeks to Refine Data Transmission for Medical DiagnosesUniversity of Texas at Dallas (press release)Dr.
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Where ER Doctors Work Entirely Via Webcam

Where ER Doctors Work Entirely Via Webcam | Health around the clock | Scoop.it
In South Dakota, long-distance doctoring is bringing health care to rural communities.
AttractiveHealthcare's insight:

Merci à Laurent Goldstein

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Top 10 medical innovations for 2013

Top 10 medical innovations for 2013 | Health around the clock | Scoop.it

Each year the Cleveland Clinic in Ohio brings together physicians to evaluate what are likely to be the hot tickets for healthcare innovation in the coming year.

 

Approaches that make the Cleveland Clinic’s Top 10 Medical Innovations for 2013 include:

 

10 Health insurance/Medicare Programme/Rewards for better health

 

9 Digital breast tomosynthesis

 

8 Modular devices for treating complex aneurysms

 

7 Ex-Vivo Lung Perfusion

 

6 Femtosecond laser cataract surgery

 

5 Hand-held optical scan for melanoma

 

4 Drugs for advanced prostate cancer

 

3 Mass spectrometry for bacterial identification

 

2 Neuromodulation device for cluster and migraine headaches

 

1 Bariatric surgery for control of diabetes

 

[AS: I've got to be honest, I find #1 disappointing in view of the fact that the evidence for the long term benefit of this intervention may not be that great: http://www.netdoctor.co.uk/interactive/news/gastric-bypass-does-not-cure-diabetes-id801495590-t116.html ]


Via Andrew Spong
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Jeffrey Benabio's comment, January 8, 2013 9:24 PM
#5 still early, but heading in the right direction
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Pour motiver le patient, les systèmes de e-santé doivent lui laisser la place centrale | L'Atelier: Disruptive innovation

Pour motiver le patient, les systèmes de e-santé doivent lui laisser la place centrale | L'Atelier: Disruptive innovation | Health around the clock | Scoop.it
Pour que les solutions permettant de suivre son état de santé depuis chez soi fonctionne, il faut que le malade soit impliqué et participe de manière proactive à ce projet, et non pas qu'il se contente de transmettre des données.

Via dbtmobile
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dbtmobile's curator insight, December 12, 2012 10:55 AM

Pour que les solutions permettant de suivre son état de santé depuis chez soi fonctionne, il faut que le malade soit impliqué et participe de manière proactive à ce projet, et non pas qu'il se contente de transmettre des données.

Pour être adoptés, les systèmes de gestion de sa santé à distance doivent avant tout être orientés patient, rappelle l'innovateur Frog, qui a mis au point un prototype d’une solution connectée de soin (CCS) qui lie de façon transparente médecins, patients et communautés de soutien. CCS favorise une relation de collaboration entre le malade, les fournisseurs, et un réseau social pour améliorer les résultats de santé du premier et contribuer à la réalisation de ses objectifs de vie. "CCS met le patient au centre de la gestion globale de sa situation de santé", explique Thomas Sutton, directeur de la création au studio milanais de Frog. Souvent les systèmes de santé sont structurés autour de prestation de soins primaires ou de visites à l’hôpital. Au contraire; le prototype "met l'accent sur ce que vous pouvez faire en tant que patient", explique Matteo Penzo, directeur de la technologie au sein de Frog. Un patient atteint d’hypertension et de légère gêne thoracique se voit prescrire par exemple des médicaments, ainsi qu’un programme d'exercices. Le docteur imprime puis fournit au patient un plan de soins avec un QR code pour télécharger l'application CCS  sur son smartphone.

Communauté

En fait, CCS propose au patient de l’aider à changer ses comportements grâce à une responsabilité et des encouragements sur Facebook et autres médias sociaux. Puisqu’atteindre un objectif d'activité par exemple permet au patient de recevoir les éloges de son cercle d'amis et de sa famille. Ces derniers peuvent également pousser le patient à s'en tenir au plan fixé par le docteur. La communauté CCS permet de renforcer le soutien social et éduquer les gens sur la santé et le bien-être. Cela renforce le principe selon lequel c’est un compagnon"qui aide le patient à améliorer sa santé et non un tuteur intrusif ou Big Brother" explique Alex Conconi architecte logiciel au sein de studio Milanais de Frog. Tout en encourageant un ami ou un membre de la famille, le patient est amené dans un cercle de sensibilisation à une maladie et un traitement particulier, et est encouragé à participer à son propre plan d'amélioration de santé.

Comment ça marche ?

Les instruments de mesure portables, et une gamme de capteurs intégrés dans les smartphones tels que des accéléromètres et le GPS aident le patient à surveiller et enregistrer des données sur sa pression artérielle, sa glycémie et son électrocardiographie. L'information est recueillie et affichée en temps réel. Ce qui permet ainsi au malade et au soignant, par l’intermédiaire de l’application d'examiner les points de données relevés et de progresser vers un objectif lié à la nutrition, à l'exercice ou à l'activité. Ainsi le docteur peut vérifier à tout moment les données de son patient afin de détecter l'apparition d'un problème, ou la détérioration d'un état. L'application reconnaît les corrélations et les tendances, et met en évidence les anomalies afin qu’elles puissent être instantanément reconnaissable par le corps médical. Enfin, l’application aide le patient à se souvenir de ses prises de médicaments et à se fixer des objectifs  

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Omada Health Takes the Diabetes Prevention Program Digital | HealthWorks Collective

Omada Health Takes the Diabetes Prevention Program Digital | HealthWorks Collective | Health around the clock | Scoop.it

The landmark Diabetes Prevention Program (DPP) study was published in the New England Journal of Medicine on February 7, 2002, a bit more than a decade ago.  It demonstrated conclusively that progression from prediabetes to diabetes could be prevented by weight loss and increased physical activity (oh no, not that again!).

The results of this study were impressive.  Individuals randomized to receive “intensive lifestyle modification” had a mean weight loss of 7%, reduced the prevalence of diabetes by 58% in the overall group and by 71% in the group over age 60. The now popular diabetes medication, metformin, also reduced the risk of developing diabetes, but not nearly as much as the healthy behavior changes.

So here we are, once again, facing the cold hard truth that when it comes to diabetes and obesity (aka “diabesity”), changing bad behavior is the essential work that needs to be done – by patients, their families, clinicians, and, I would add society as a whole, if we are going to make a dent in the epidemic.

It is not going to be easy and it is going to be expensive – but not, my dear readers, as expensive as continuing the status quo. A September 2011 paper in Health Affairs (30:9, 1673-1678), authored by Kenneth Thorpe and Zhou Yang, estimates that Medicare alone could save $1.8-2.3 billion over the next 10 years if prediabetics, aged 60-64, were enrolled in a community-based program similar to the National Diabetes Prevention Program.  Depending on how broadly program eligibility is defined, savings could be as high as $7 to $15 billion.  Failure to enact such a program means that we would spend that money.

So what exactly is “Intensive Lifestyle Modification?”

The original DPP intervention was a sixteen-lesson curriculum that covered diet, exercise, and behavior modification.  It was taught one-on-one over the course of 24 weeks by registered dietitians or trained case managers with master’s degrees (hmmmm, seems a bit of overkill to me – even my mama told me to eat my fruits and veggies.)  In addition to the personal trainers, participants received ~$100 per year to spend on exercise classes and videos, healthy cookbooks and the like.

I remember colleagues at the time the original DPP study was published saying, “interesting, but way too expensive to work in the ‘real world.’”  In an effort to make the DPP more affordable, the YMCA of the USA created community based programs that retain the principles of the original program, but reduce the cost by enrolling people in groups of ten to twelve in a 16 week program that cover the same material.  They also eliminated the subsidy for classes, videos and books.

A randomized trial (the DEPLOY pilot study) found the (pardon the pun) skinnier version of the DPP delivered almost the same results as the original, but it cost more than $1100 less per person per year (Am J Prev Med 2008, p 357-63).  But we are still talking about a relatively expensive brick and mortar program.   What if the DPP could be moved out of a building and onto the web?

Enter Omada Health

Today, December 11, 2012, is launch day for this Silicon Valley startup founded by CEO Sean Duffy and friends.  I first met Sean at FutureMed and later reconnected via activities at Rock Health – the San Francisco based startup accelerator where the company was incubating.  What he told me in our first conversation shocked me.  He was, he said, on a leave of absence from Harvard – one of the most prestigious Medical Schools in the country.  Not only that, he had been in the combined MD-MBA program.  In my medical school days, we would have considered voluntarily leaving such a program the act of a mad man.  Medical School was THE educational prize of my generation – you would have given your eyetooth to get in and you never, ever, ever would have dropped out (sorry, Sean, taken a leave of absence.)

But I soon learned that this guy was not and is not a mad man – he is a brilliant, hard-working entrepreneur who has taken on one of the most important health issues of our day and created a great digital solution.  It is aptly called Prevent.

 

 

Prevent combines the evidence-based approach of the original DPP with the convenience and efficiency of internet.  The Omada team worked with an interdisciplinary group of technologists, entrepreneurs and clinicians from Google, Amazon, IDEO, Harvard, Stanford, and Columbia to create an accessible technology with the potential to prevent disease and promote health.  They also attracted an outstanding group of Advisors, including endocrinologist Dr. Anne Peters, from USC and Dennis Boyle, Co-Founder of IDEO.

Like the original program, Prevent has a 16 lesson curriculum that, according to their fact sheet, is “scientifically-supported, and uses cutting-edge principles of behavior change in a way that’s fun and engaging.  Participants are divided up into small online groups based on age, BMI and location.  Each participant is mailed a “no-setup” wireless scale that automatically transmits daily weigh-ins to private personal profiles.  A pedometer tracks daily activity.  Each participant receives one-on-one telemedicine support from a professional health coach.

Sean told me, “this is not a static replication of the on-the-ground experience.“ Rather it paints a post digital post card for the patient of how they will look and feel after completing the program. “Imagine yourself in 16 weeks, he said, “new friends, new clothes, more energy…and we show you a structured timeline to get there.”

Getting the DPP to Scale

 

Although some people may prefer to have this intervention delivered in person, others may not.  Community-based, in person programs require centers to administer them, a population of potential clients located near those centers, and, of course all the overhead that goes with brick and mortor anything. The future of the DPP at scale, Sean said, is using the web.  This seems like a no brainer to me…think Amazon, Zappos, Kahn Academy, etc. etc. etc.

Part of getting to scale is finding the right reimbursement model.  Although Omada will be offering Prevent direct to consumer for $480 for the 4 months program (comparable to other leading weight loss programs), their biggest market will be insured people, particularly now that the Accountable Care Act is not as endangered as it was pre-election.

On this front, Omada has what appears to be almost perfect timing.  Senate bill 3463 was introduced on July 31, 2012.  This bill proposes that “a qualified diabetes prevention program” be offered as a Medicare covered benefit (100% coverage – no co-pay or deductible) if I am reading it correctly.  And, we all know that Medicare Advantage plans and commercial insurers are likely to follow Medicare’s lead on this.  According to Sean, United Health Care is already paying for on-the-ground DPP programs.

From a business perspective, THIS IS BIG.  Someone besides the consumer is going to pay for the program – this is the big jackpot all healthcare care entrepreneurs hope for (eat your hearts out, guys). Also good timing for this young company is the emergence of new models of care and reimbursement, such as Accountable Care Organizations, that will be rewarded for improved outcomes and lowered cost of care.

If Omada can meet the criteria to be a qualified program, they will have achieved the dream of every health care startup entrepreneur I have talk to  – being a coveted “covered benefit.”

So, Does it Work?

It is one thing to say you are going to build an online health program that mimics an in person program known to work.  But, if you build it, will they use it?  And if they use it, will it deliver the same results?  Omada smartly designed a study to test Prevent’s efficacy early on.  Although only a pilot – and not a “gold standard” randomized controlled design, the results of its recent 230 person trial resulted in an average weight loss of 13.7 pounds (or 6.5%) – almost the same as the original DPP study results.  Pretty good.  Of course, an important question is whether the weight loss is sustainable overtime – the company is in the process of evaluating their 6 months results.

mHealth – the Real Health Care Reform?

Ok, so I really like what Omada Health is doing.  It is not just a technology solution, as Sean told me, “it is really a human social connection solution – it brings together all of the elements that exist in our current siloed health care world.”  The Omada platform has the potential to be applied to other chronic conditions.  And, it isn’t just Omada that I am crazy about – it is the entire mHealth world of young (and not so young) entrepreneurs – physicians, nurses, physical therapists, pharmacists joining hands with software engineers and experts in design and user experience to create a new, more accessible, more consumer friendly and hopefully more effective health care delivery system.  Now that is real reform


Via Chatu Jayadewa
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Luca M. Sergio's curator insight, December 20, 2012 10:27 AM
an innovative approach to such a prevalent chronic disease
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FARMINGTON, Conn., Dec. 12, 2012: Top Five Telehealth Markets in North America Generate More Than $1.9 Billion in Revenue | PRNewswire | Rock Hill Herald Online

FARMINGTON, Conn., Dec. 12, 2012: Top Five Telehealth Markets in North America Generate More Than $1.9 Billion in Revenue | PRNewswire | Rock Hill Herald Online | Health around the clock | Scoop.it
/PRNewswire-iReach/ -- The top five telehealth markets in North America, in ranking order, are: Home healthcare and disease management monitoring; Remote doctor and specialist services; Personal emergency response systems (PERSs); Video diagnostic...
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HP and CSIR launch cloud-enabled eHealth Centre - InformationWeek India

HP and CSIR launch cloud-enabled eHealth Centre - InformationWeek India | Health around the clock | Scoop.it
HP and CSIR launch cloud-enabled eHealth CentreInformationWeek IndiaAiming at resolving this very issue, Council of Scientific & Industrial Research (CSIR) and Hewlett Packard (HP) recently announced the launch of a fully integrated cloud-enabled...
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UPSA lance l’application de géolocalisation Geomedica

UPSA lance l’application de géolocalisation Geomedica | Health around the clock | Scoop.it
La division UPSA du laboratoire Bristol-Myers Squibb lance une nouvelle application mobile de géolocalisation des professionnels de santé : Geomedica. Découverte. Lancée il y a quelques semaines, G...

Via Lionel Reichardt / le Pharmageek
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Un écran LCD dans une lentille de contact - Libération

Des chercheurs de l'université de Gand (Belgique) ont conçu des lentilles de contact capables d'afficher une image ou une couleur sur l'œil.


Via Philippe Coup-Jambet
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Odys : la nouvelle téléconsultation entre le service Anesthésie du CHU de Nancy et l’UCSA | esante.gouv.fr, le portail de l'ASIP Santé | NTIC et Santé

Odys : la nouvelle téléconsultation entre le service Anesthésie du CHU de Nancy et l’UCSA | esante.gouv.fr, le portail de l'ASIP Santé | NTIC et Santé | Health around the clock | Scoop.it
Odys : la nouvelle #téléconsultation entre le service Anesthésie du CHU de Nancy et l’UCSA http://t.co/W9AYvGci #esante #telemedecine (Odys, la téléconsultation entre le Sce Anesthésie du CHU de Nancy et l’UCSA @scoopit ...

Via Emmanuel Capitaine , Lionel Reichardt / le Pharmageek
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Scanadu, votre médecin de poche

Scanadu, votre médecin de poche | Health around the clock | Scoop.it
Avec le smartphone, l’accessoire a la vie belle. Dans le domaine de la santé, on a déjà vu naître certains capteurs destinés à surveiller la santé de son propriétaire. La gamme Scanadu est de ceux-là, en poussant plus loin encore ...
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Le digital, nouvel allié du « Wait marketing » en salle d’attente

Le digital, nouvel allié du « Wait marketing » en salle d’attente | Health around the clock | Scoop.it
On compte près de 38 000 cabinets médicaux en France en 2011(1).
L’endroit est bien connu et intégré à la stratégie marketing des annonceurs concernés et des équipes marketing des laboratoires pharmaceutiques depuis quelques années.

Via Fabrice Vezin
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Collecting Cancer Cell Data

Johns Hopkins researchers are applying the concept of storing medical data in the cloud in hopes of predicting and improving cancer patient treatments and outcomes.
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In pictures: 12 ways the iPad Is changing healthcare

In pictures: 12 ways the iPad Is changing healthcare | Health around the clock | Scoop.it
For an industry that has tried to avoid technology, healthcare is embracing the iPad. Here's a look at how it's being used today and the promise it holds for tomorrow.
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Bourses, télémédecine... les 12 mesures anti-déserts médicaux

Bourses, télémédecine... les 12 mesures anti-déserts médicaux | Health around the clock | Scoop.it
Ce qu'il faut retenir des annonces de la ministre de la Santé Marisol Touraine. (Bourses, télémédecine...

Via dbtmobile
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À Metz, une vitrine de l’hôpital 2.0 sort de terre | Le Quotidien du Medecin

Rappel de rendez-vous par SMS, dossier informatisé au pied du lit, gestion automatisée des brancards, borne d’orientation pour se retrouver dans les couloirs… Flambant neuf, le CHR de Metz est entré dans le XXIe siècle en s’équipant du tout numérique. Le Quotidien a fait le tour du propriétaire.
Via TéléSanté Centre, Fabrice Vezin
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Le patient aux commandes: un avenir numérique pour les soins de santé

Le patient aux commandes: un avenir numérique pour les soins de santé | Health around the clock | Scoop.it
La Commission européenne a dévoilé un plan d'action pour faire face aux entraves à une utilisation massive des solutions numériques dans les systèmes de santé en Europe...
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Décision médicale partagée et information délivrée sur Internet - Haute Autorité de Santé - Références

Service évaluation et amélioration des pratiques : décision médicale partagée et information délivrée sur Internet
Via Giovanna Marsico, Agathe Quignot, Tiffany Jésus, dbtmobile
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Giovanna Marsico's curator insight, December 11, 2012 11:41 AM

"Le concept de décision médicale partagée1 s’est imposé à la fin des années 90 comme une priorité majeure dans la relation médecins-patients. Ceci pour quatre raisons principales : (1) l’affirmation croissante de l’autonomie de la personne qui implique des droits (droit d’être informé, droit d’accéder à son dossier médical, droit de décider)2 ; (2) l’explosion des connaissances accessibles au patient par Internet3 ; (3) l’Evidence Based Medicine (EBM) qui met en évidence des niveaux de preuve pouvant hiérarchiser certaines décisions ; (4) l’existence de situations médicales comportant plusieurs options et pour lesquelles les décisions à prendre ne sont évidentes, ni pour le médecin ni pour le patient...."

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mHealth events for 2013

mHealth events for 2013 | Health around the clock | Scoop.it
In 2010, 2011 and 2012 I compiled posts documenting mHealth themed events and it’s become a useful resource for those looking to get involved in the growing number of industry events that are taking place.
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