Une veille sur la santé numérique en France et à l’international : politiques publiques, données, infrastructures, IA, services et usages. Études, rapports et retours de terrain sélectionnés par Lionel Reichardt, Pharmageek, pour comprendre les transformations et éclairer les décisions.
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Stanford's 10 principles for digital health entities to ensure the ethical use of their products and services and the information they collect and generate. 
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The biggest question when it come to digital health technology is not getting “new, cool stuff” into the hospital, but how can it fit seamlessly into the clinical workflow, observed a Philips exec.
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Face à l’essor des dispositifs médicaux connectés, la HAS publie un guide précisant les spécificités de leur évaluation clinique à l’attention des industriels qui sollicitent leur remboursement. Si l’évaluation repose sur les mêmes critères que pour tout autre type de dispositif médical, des spécificités liées à leur caractère connecté doivent être prises en compte : rapidité d’évolution de la solution technologique, interactions multiples entre patients, aidants, soignants et autres dispositifs médicaux ou objets, intégration de systèmes experts traitant les données (algorithmes avec ou sans intelligence artificielle).
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En juin 2018, Gabriel Appy, étudiant en soins infirmiers à l'institut de formation en soins infirmiers de la Croix-Rouge Paris Didot (promotion 2015-2018) soutenaient avec succès son travail de fin d'études sur la thématique suivante
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If you are a medical practice, network of doctors, hospital or any other medical professional you need to have a digital presence. Digital can range from a simple website to a complex, custom-developed web application and everything in between. There are two main reasons your medical practice needs to go digital as soon as possible. The first reason is that online is where your patients are looking for you and the second is that your competitors are digital already. Your patients are looking online for a medical professional and they will find one. The question is how do you make sure that they are finding you? Digital has a range of exciting opportunities which can make your life easier, attract new patients and keep your existing ones informed. Take your medical practice digital with some of these ideas. Create a simple website to give a digital audience the what, why and where of your medical practiceIf you are a local medical practice, an online listing of your name and contact information is no longer enough to keep up with a new digital generation. The very first step to a solid digital presence is a website. It doesn’t need to have pages and pages of text (in fact it shouldn’t). But it should give at least the details of who you are, what you do and how to find and contact you. Your website will become the digital brain of your practice. Anything and everything you do and market will point to your website. Your social media, signage, business cards… everything should direct clients back to your website. Once you have your website set up, there are many digital solutions you can start to explore. Your medical practice needs a local Google My Business listing so your patients can quickly and easily get the information they need in a hurryGoogle My Business allows you to create a local listing to market to people looking for medical practices close to them. Having a local dentist or GP is hugely beneficial and these listings include vital contact information, operating hours, website links and even allow reviews. A patient might choose to drive for a specialist or even a GP who has great reviews. Be a part of the ‘Dr Google’ trendSince your patient will be Googling their symptoms and will already have decided their treatment plan by the time they are sitting in your consulting room, why not make sure they have the right information before they get there? Us patients know that medical professionals hate it when we do this, but we can’t help it. There is just so much information available to us digitally. What you can do is help your patients with this process by creating content around some common questions and symptoms. Once your patients trust you and are reading your content rather than the wide variety of digital information that is out there, you may not have us come to you with such crazy diagnoses. If you specialise in dermatology and are often asked the same questions in treating a certain skin ailment, make some of the information available online. There are many applications to this idea of content creation. If you are a GP, for example, you could write up a blog article mentioning viruses doing the rounds in your area, giving lists of symptoms and basic treatment options. You can partner with schools to send notifications to parents informing them of any outbreaks they should be aware of. Your content doesn’t all need to be freely available. You can create password protected content to remind patients of the treatment routine you have prescribed. This creates a community for your current patients and keeps them coming back. Creating constant relevant content and becoming a thought leader in a local area or specialisation is an excellent tool for digital marketing. It will increase your organic search traffic (people who find your website by searching for a specific topic you have talked about) and improve your SEO score (the ranking Google gives your website). Here are some other ideas around using content marketing to get more website visits. Make your medical practice digital to save you, your staff and your patient’s timeNot everyone has the time to make an appointment during office hours. Nor does everyone want to pick up the phone and call for an appointment. Online appointment booking calendars solve all of these problems by giving patients a way to easily see which doctors are available and at which times, so they can choose a time that suits them best. This digital booking can be done at 3:27am when they are wide awake thinking of the doctor’s appointment they mustn’t forget to book. You can send them reminders, add the appointment to their calendar and set an alarm an hour before so they don’t forget or run late. Digital appointments cannot be double booked. You also now have an email address, one of the most vital bits of information for a digital marketer or for a digitally savvy medical practice. Your patient can fill in, or simply update, their personal details. No paper, no handwritten scrawl to decipher, no need to arrive 20 minutes early to do the paperwork. The best part? Your secretary didn’t need to do a thing. What about after the appointment? You can send them the invoice digitally, thereby making it easy for them to submit to their medical aid. You can send them an automated follow-up email a week or two later to remind them to book a checkup or a questionnaire on their progress since their last appointment. If you are sending a treatment plan, a suggested diet or perhaps some side effects to watch out for then you can do that on a digital platform. If you deal with patients diagnosed with MS, for example, why not have a set of automated emails guiding, encouraging and coaching them through living with the disease. Even test results and patient information can be shared and stored digitally and securely where appropriate. Integrate with health and fitness technology to take your medical practice digitalPhones and watches are constantly tracking your patient’s exercise and lifestyle. You no longer need to rely on your patient to truthfully tell you how much sleep they are getting or how much exercise they do, you can get the data to tell you the real story. Looking at lifestyle and general health as a part of a treatment plan can revolutionise the way your practice looks at digital. Integrating client health data into their medical profiles allows you to partner with your patients on a very personal level. A custom web application for dieticians can allow you to take a holistic view of your patients. Via Plus91
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"Le transhumanisme est au bout du chemin du bon usage thérapeutique, étant entendu que notre notion du thérapeutique évolue constamment. Cela fait de notre société une société transhumaniste qui s'ignore." (Daniela Cerqui-Ducret, anthropologue, 2019)
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Lundi, c’est sur le domaine universitaire, que s’est déroulée la cérémonie officielle de lancement de la chaire “e-santé”, ouverte par Anne-Catherin
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A l’occasion du premier comité de suivi de Ma Santé 2022 à la fin de l’année 2018, Agnès Buzyn, ministre des Solidarités et de la Santé, a nommé Dominique Pon responsable stratégique et Laura Létourneau déléguée opérationnelle d’une task force Via Rémy TESTON
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The World Health Organisation has opened discussions into a roadmap for accelerating the digitisations of health system in Europe
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The school is designed to teach students how to use technology to deliver high-quality care in new and collaborative ways.
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Seeking health information online along with researching other patients’ perspectives on doctors are now as common as booking dinner reservations and reading restaurant reviews, based on Rock Health’s latest health consumer survey, Beyond Wellness for the Healthy: Digital Health Consumer Adoption 2018. Rock Health has gauged consumes’ digital health adoption fo a few years, showing year-on-year growth for “Googling” health information, seeking peer patients’ physician and hospital reviews, tracking activity, donning wearable tech, and engaging in live telehealth consultations with providers, as the first chart shows. The growth of tracking and wearable tech is moving toward more medical applications beyond fitness and wellness, Rock Health found. This is due to more tools gathering more clinical evidence to show effectiveness and validity. Some innovators have invested the time and money to undergo FDA clearance; some have collaborated with health care providers and researchers to build evidence cases and calculate cost-effectiveness or ROI for their use. While fitness training and bolstering physical activity have lost traction by ten points each, the second bar chart illustrates, managing a diagnosis and sleeping better have gained consumer traction. Rock Health analysts expect that wearable tech use will continue to grow with more use cases for remote health monitoring coupled with consumers and patients being incentivized to continue their use. Telehealth adoption also grew from 2017 to 2018. I discussed the supply and demand sides of telehealth converging based on my conversations at HIMSS last week (my observation: that telehealth is morphing into, simply, health care workflow). The biggest growth, Rock Health found, was for live phone telehealth, with 64% of respondents using this channel, followed by email and text. Live video use roughly doubled, from 19% in 2017 to 34% in 2018. Life video telehealth adoption was most prominent among younger patients, 18 to 34, living in urban geographies. Trust continues to be the most important precursor to health engagement, we learned in the Edelman Health Engagement Barometer, and Rock Health notes this to still be the case. “My physician” is the most trusted data steward, with 72% of consumers willing to share health data with “their” personal doctors. Tech companies? Only 11% of consumers said in 2018 that they’d be willing to share health data with them. Within that 11% marginal interest, the top-ranked tech companies for sharing were Google, Amazon, and Microsoft, each with over 50% of interest; Apple garnered 49% of that 11% trusting tech. FYI, Facebook had 40%, and IBM, 34%. Physicians increasingly understand and appreciate the trust equity they’ve earned with patients. To continue to nurture that precious asset, JAMA published this article last week on A Framework for Increasing Trust Between Patients and the Organizations That Care for Them. The key takeaway: “No single approach will ensure, maintain, or rebuild trust. There is important work to do by payers, boards, senior management, middle management, and clinicians. The key themes that emerged from this work group included commitment to meeting patients’ needs as the core of organizational culture; measurement of patients’ experience and clinician engagement; creation of systems of accountability with financial and nonfinancial incentives; building of effective teams; cultivation of communication and relationship skills; and inclusion of patients in all phases of this work.” Health Populi’s Hot Points: The health consumer conundrum on trust and “my” health/care data in our current world is that so much health-related data isn’t covered by HIPAA or in the medical claim or EHR. Some of the most impactful and insightful consumer information is mashed up from retail receipts, fast food check-ins, and mobile phone use and GPS sitings. At HIMSS19 last week, we noted a growing cadre of service organizations like Acxiom, LexisNexis, and TransUnion who play various roles in profiling patients as consumers and payors. Rock Health is right to note consumers’ concerns about privacy and security of “my” data in the post-Facebook/Cambridge Analytica environment. I wrote about this exactly one year ago after HIMSS18…forecasting this point on the minds of health consumers. In the U.S., patients-as-consumers-as-payors aren’t well served by HIPAA, which was written in the pre-smartphone, medical breach era. I’m encouraged to see that Americans are growing in knowledge and awareness of privacy threats and the value of personal information demonstrated by this last graph from the Rock Health survey. Awareness of health data privacy is an important aspect of health literacy. Will patients-as-voters in the USA express their demands for better privacy protections as health citizens? That is my yet-to-be-answered question.
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PARIS (TICpharma) - La Haute autorité de santé (HAS) a publié le 19 février un guide décrivant les spécificités de l'évaluation clinique des dispositifs médicaux connectés (DMC) candidats à un remboursement par l'assurance maladie.
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Interoperability, cloud, consumerization were hot topics at HIMSS19 #esante #hcsmeufr #digitalhealthPatient engagement and the consumerization of health also held court this week in Orlando.
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Il a suffi d’une épidémie, Ebola, pour montrer la fragilité des systèmes de santé en RDC. Mais si la solution était le numérique ? C’est le pari que
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S'il permet une plus grande collaboration entre professionnels de santé, le numérique est aussi perçu comme "le plus grand danger en matière de rupture de solidarité", faisant craindre l'apparition de "coupe-file" dans le parcours de soins, a alerté Patrick Bouet, président du Conseil national de l'ordre des médecins (Cnom), lors d'un débat public organisé le 12 février.
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Les causes du vieillissement sont extrêmement complexes et confuses. Entre la démonétisation spectaculaire de la lecture et de l’édition du génome au cours de la dernière décennie, et les grandes sociétés pharmaceutiques, les startups et la FDA qui commencent à considérer le vieillissement comme une maladie, les chercheurs commencent à identifier des moyens pratiques d’étendre notre longévité. Séquençage et édition du génome Depuis 2001, le coût du séquençage d’un génome humain entier a chuté de façon exponentielle. Il est passé d’un coût initial de 3,7 milliards de dollars, à 10 millions de dollars en 2006 et à 5 000 $ en 2012. Aujourd’hui, le coût du séquençage du génome est inférieur à 500 $. Selon Illumina, le leader mondial du séquençage, le séquençage coûtera bientôt environ 100 $ et prendra environ une heure pour le terminer. Quand nous comprendrons votre génome, nous pourrons comprendre comment l’optimiser. Nous identifierons les aliments, les médicaments et les exercices physique correspondant parfaitement à notre biologie, individuellement. Nous comprendrons quels types de microbiomes, ou flore intestinale, sont idéaux pour vous. Nous saurons prévoir avec précision l’impact que certains sédatifs et médicaments spécifiques auront sur vous. Enfin, les médecins sauront quelles maladies et affections vous êtes [...]
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La Commission européenne souhaite que les citoyens européens puissent accéder à leur dossier de santé informatisé dans tous les États membres de l'UE. Dans cette optique, elle a publié des recommandations pour la création d'un système permettant des échanges efficaces et sécurisés entre les pays de l'Union. Via Philippe Marchal
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Suite aux révélations faites par UFML-Syndicat le 9 octobre dernier sur la promotion des mages et autres professions non réglementées (énergéticiens et autres magnétiseurs, naturopathes, étiopathes et autres kinésiologues par Doctolib ainsi que sur les pratiques de détournement de patientèle par cette même société un certain nombre de médecins ont décidé d’agir. Certains ont demandé à voir leur nom …
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