By 2020 Lati A eri a’s Esti ated Populatio Will e Millio .Urban Population Will Account for 80% Population: Breakdown by Age Range (Latin America), 2010 & 2020 10.6% in 2020 8.4% in 2010 700 Demographic Age Shifts and Ties to Disease 65 Years and 600 Prevalence Above 500 Prevalence in Latin AmericaMilions of People 35-64 (2020): 400 Hypertension +80 M Asthma +55 M 300 Diabetes +30 M 15-34 200 100 0-14 0 2010 2020 4
Mega CitiesIn 2025, 69 Cities in Latin America will have more than one million inhabitants encompassing 224 million people 5
Healthcare ExpenditureHealthcare expenditure in Latin America to grow 30% from 2011 to 2015, reaching $580 billion 7
Population with Diabetes in South and Central America will grow59% by 2030 and reach 40 millions Population with diabetes (20-79 years) 2011 2030 Global Country Millions Global Country Millions Rank Rank 5 Brazil 12.4 4 Brazil 19.6 7 Mexico 10.3 6 Mexico 16.4 • Brazil and Mexico consolidate as countries with a high burden of diabetes. • The main driver is the increasing prevalence of OVERWEIGHT: 67% of men and 74% of women in Brazil, by 2015. • In South and Central America, 12.3% of all deaths are due to diabetes. 8
Healthcare becomes e-Healthcare Telehealth MatrixProfessional HIE Core Telehealth EMR/EHR Traditional Healthcare Robotic and Telemedicine Telepresence Tele- Simulation/ Tele-pharmacy imaging Training Sleep Apnea Remote Mobile Telemedicine Video Consultation ECG Monitoring Mobile Health Software Remote Mobility/Tablets Diabetes Monitoring Customer Monitoring Focus Mobile Info Gathering Medication and Delivery Dispensing PHR Activity Monitoring Patient Portals Fitness Apps PERS Consumer/Non-healthcare Approaching Telehealth Wellness Systems Wellness AppsConsumer Health Coaching Information Healthcare Communication Industry Focus Technologies 10
e-Healthcare becomes mobile-HealthConsumer Devices and Service Ecosystem • The mHealth Consumer Devices and Services value chain is complex, as new emerging software and connected-device innovations are continually being introduced • mHealth application growth is dependent on increasing smartphone penetration • Wireless Service • Consumer-Paid Providers App Downloads • Application • • Application Platform Store Providers Developers Providers • New Business Model Participants • Device i.e.: Payer Manufacturers Supported, Pharma Supported 11
Mega Trend Matrix Implications of Key Mega Trends within Latin America Future Mega Trend Matrix, Latin America, 2025 Economic Urbanization High Growth Connectivity and Convergence Generation Y Degree of Impact on Latin American Economy Smart is the Infrastructure New Green “She-conomy” Development The Middle Bulge Rise of Migration Multilatinas Health, Wellness, and Well-Being Innovating to Zero Business Process New Business Renewable Power Outsourcing Model Generation Social Programs Low Low Degree of Certainty HighNote: The size of the bubble represents the scale of opportunity. The Mega Trends have been plotted according to quantitative and qualitative reasoning. 13
Prevention vs. InterventionThe end of BIG PHARMA as we know itToday’s world Wellness HealthcarePersonal Communication/ Preventive Education Physical Disease Clinical DiagnosticsCoaching Information Services Exams Management & Therapeutics Services Healthcare today Healthy Vulnerable Affected Sick Future healthcareFuture system Wellness HealthcareConsumer Products Medical Health Complementary and Integrated Health Shops Alternative Medicines Solutions 14
Virtual Hospitals Shifting the Financial Gravity of the System100% Healthy, Independent Living Healthy, Independent Living Community Clinic Community Clinic HOME Chronic Disease Chronic Disease CARE Management Management Doctor’s Office Doctor s Office Quality of life Assisted Living Assisted Living RESIDENTIAL Specialty Clinic Specialty Clinic CARE Skilled Nursing Skilled Nursing Facility Facility Community ACUTE Community Hospital Hospital CARE ICU ICU 0% $1 $10 $100 $1,000 $10,000 Cost of care per day 15
IT Convergence and ConnectivityMajor Areas of OpportunityRemote Patient Monitoring • High Blood PressureWellness monitoring and home/self-diagnostics of chronic • Blood Glucose Monitorsconditions. • Insulin Pumps • Home DiagnosticsAdherence and ComplianceTechnology aimed at ensuring the optimal administration • Emergency Responseof treatments. • Health AppsPatient Management • EMR - Electronic MedicalEnd-to-end management systems for patient records: Recordsadmission, panels, treatments, study results, imaging • PACS - Picture Archivingarchive, reimbursement, discharge. Communication System 16
Who will put these altogether?Who will drive this Mega Trend?The technology exists… someone WILL connect the dots and disrupt the market 17
Healthcare Mega Trends Latin AmericaKey Takeaways Healthcare resources will migrate from Intervention to Prevention Information Technology will dramatically change how patients receive health care: outpatient setting plus remote monitoring Personalized, targeted, real-time health care delivery 18
Extracted from “New Mega Trends: Implications for our Future Lives”Author: Sarwant SinghPublisher: Palgrave Macmillan 19
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