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LET´S PUT CULTURE ON THE AGENDA NOW
Leverage culture for poverty reduction & inclusive economic development
LITERACY- HLS•EU
Prof. Dr. O. Ferrer-Roca
UNESCO Chair Telemedicine 1999
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Sorensen et al 2012
Health literacy is linked to
literacy and entails people’s
knowledge, motivation and
competences to access,
understand, appraise, and apply
health information in order to
make judgments and take
decisions in everyday life
concerning healthcare, disease
prevention and health promotion
to maintain or improve quality of
life during the life course
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Standard NVS test
Newest Vital Sign Test
FUNCTIONAL HEALTH LITERACY
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
General Health
Health care
Disease prevention
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Education levels
Social status
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
4GOOD
1.- Old people cannot pay treatments (12,4% pensionists) and abandon
treatment, hospital do not pay for efficient cáncer treatments because are too
expensive, patients have to pay hospital treatments, government do not
approved new treatments…
2.- 800.000 inmigrants do not have any health assistance.
3.- 80% of the investment in cooperation have disappeared…
4.- There are 25% of children with malnutrition…
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
In Spain
• Fiscally proportional
to income and richness
• Taxes to provide the
citizens with universal
healthcare, education
and social protection.
• Adequate salaries.
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
3 Themes changing Healthcare
Rohit Bhargava & Fard Johnmar 2013
Empathetic Interfaces
Unhealthy Surveillance
Predictive Psychohistory
The Over quantified Self
Digital Divide/ Device Divide
Multicultural Missalignment
Healthy Real State
Care Hanking
Virtual Counceling
Accelerated Trial-Sourcing
http://epatient2015.com/
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Introduce TM &
modifiy work
flow.
Select devices
that do not harm
Assure
connectivity
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Danish definition of
TELEMEDICINE
• First we have to agree of What is TELEMEDICINE?
I personally like the danish definition:
Telemedicine is the practice of medicine over a distance, in
which interventions, diagnostic and treatment decisions
and recommendations are based on data, documents and
other information transmitted through telecommunication
systems. http://www.wma.net/en/30publications/10policies/t3/
For that reason they are MD (MEDICAL DEVICES)
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Structured approach
BoK = Body of Knowledge
1998
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
Non-structured
approach
http://www.healthitcertification.com/
HIT= Health Information Technology
EHR= Electronical Health Record
HIE= Health Information Exchange
ORA= Operating rules administration
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
UNESCO codes:
No place for TM
51 ANTROPOLOGIA (ver 2402)
24 CIENCIAS DE VIDA
2410 Biología humana (ver 32)
2411 Fisiología humana (ver 2410.10)
2412 Inmunología (ver 2302.16, 3109.03,
3207.10 y 3208.05)
2405 Biometría
2406 Biofísica
2407 Biología celular
2409 Genética (ver 2407.02, 2410.07 y
3201.02)
23 QUIMICA
2302 Bioquímica (ver 2306)
Because it affects all specialities should be teached separatly Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
UNESCO codes:
No Health Informatics
33 CIENCIAS TECNOLOGICAS
3301 Ingeniería y tecnología aeronáuticas
3302 Tecnología bioquímica (ver 3309)
3303 Ingeniería y tecnología químicas (ver 2303,
2304 y 2306)
3304 Tecnologla de los ordenadores (ver 1203)
3305 Tecnología de la construcion (ver 3312,
3313.04 y 5312)
3306 Ingeniería y tecnología eléctricas
3307 Tecnología electrónica (ver 2202, 2203,
3311.07 y 3325)
3308 Ingeniería y tecnología del medio ambiente
3309 Tecnología de los alimentos (ver 3302 y 3206)
3310 Tecnología industrial (ver 5311)
3311 Tecnología de la instrumentación
3312 Tecnología de materiales
3313 Tecnología e ingeniería mecánicas
3314 Tecnología médica (ver 331110)
It is a transversal speciality that do have a Body of Knowledge
EHR
Standards
Bioengineering
Biomedical engineering
Health Informatics
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
QoC
simple-small-short cost
$50000
$6000
$1500+iPAD
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
REVERSE
INNOVATION
The cellphone has become more of a tool and less
of a toy, especially among the poor, and those
trying to help them, in emerging markets. It helps
deliver, via text message, water, energy, financial
services, health care and even education.
Drones
eHealth platform
Arduino & Rasperi-Pi
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
2010
MDD 93/42/EEC
MDDEV 2, 1/3 rev 3 (2001)
2007/47/EC amendment
4.0
Anytime-Anything-
Anyplace 3A
QoC
Web 4.0 items such as:
a) KBL o Knowledge base
learning, including
literature base learning
(LBL),Evidence Based
learning (EBL), trial base
learning (TBL), Image
basedlearning (IBL) etc…
b) QBE o Query by example,
including query by image
(QBI) etc…
c) CoLD or Cloud of link data
with Artificial intelligence
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
http://fnd.us/c/5bf9e
" The buck stop here ".
Take your responsibility
on changing healthcare
delivery and medical
training. Fit the
requirements of a new
Faculty- new Hospital-
new Healthcare.
Follow us on:
http://catai.net/blog/2013/09/n
ueva-medicina-nueva-facultad-
nuevo-hospital/
Harry Truman
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
THANKS
catai@teide.net
www.teide.net/catai
Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.

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Unesco ass-2014-limited

  • 1. LET´S PUT CULTURE ON THE AGENDA NOW Leverage culture for poverty reduction & inclusive economic development LITERACY- HLS•EU Prof. Dr. O. Ferrer-Roca UNESCO Chair Telemedicine 1999 Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 2. Sorensen et al 2012 Health literacy is linked to literacy and entails people’s knowledge, motivation and competences to access, understand, appraise, and apply health information in order to make judgments and take decisions in everyday life concerning healthcare, disease prevention and health promotion to maintain or improve quality of life during the life course Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 3. Standard NVS test Newest Vital Sign Test FUNCTIONAL HEALTH LITERACY Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 4. General Health Health care Disease prevention Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 5. Education levels Social status Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 6. 4GOOD 1.- Old people cannot pay treatments (12,4% pensionists) and abandon treatment, hospital do not pay for efficient cáncer treatments because are too expensive, patients have to pay hospital treatments, government do not approved new treatments… 2.- 800.000 inmigrants do not have any health assistance. 3.- 80% of the investment in cooperation have disappeared… 4.- There are 25% of children with malnutrition… Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs. In Spain
  • 7. • Fiscally proportional to income and richness • Taxes to provide the citizens with universal healthcare, education and social protection. • Adequate salaries. Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 8. Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 9. 3 Themes changing Healthcare Rohit Bhargava & Fard Johnmar 2013 Empathetic Interfaces Unhealthy Surveillance Predictive Psychohistory The Over quantified Self Digital Divide/ Device Divide Multicultural Missalignment Healthy Real State Care Hanking Virtual Counceling Accelerated Trial-Sourcing http://epatient2015.com/ Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 10. Introduce TM & modifiy work flow. Select devices that do not harm Assure connectivity Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 11. Danish definition of TELEMEDICINE • First we have to agree of What is TELEMEDICINE? I personally like the danish definition: Telemedicine is the practice of medicine over a distance, in which interventions, diagnostic and treatment decisions and recommendations are based on data, documents and other information transmitted through telecommunication systems. http://www.wma.net/en/30publications/10policies/t3/ For that reason they are MD (MEDICAL DEVICES) Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 12. Structured approach BoK = Body of Knowledge 1998 Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 13. Non-structured approach http://www.healthitcertification.com/ HIT= Health Information Technology EHR= Electronical Health Record HIE= Health Information Exchange ORA= Operating rules administration Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 14. UNESCO codes: No place for TM 51 ANTROPOLOGIA (ver 2402) 24 CIENCIAS DE VIDA 2410 Biología humana (ver 32) 2411 Fisiología humana (ver 2410.10) 2412 Inmunología (ver 2302.16, 3109.03, 3207.10 y 3208.05) 2405 Biometría 2406 Biofísica 2407 Biología celular 2409 Genética (ver 2407.02, 2410.07 y 3201.02) 23 QUIMICA 2302 Bioquímica (ver 2306) Because it affects all specialities should be teached separatly Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 15. UNESCO codes: No Health Informatics 33 CIENCIAS TECNOLOGICAS 3301 Ingeniería y tecnología aeronáuticas 3302 Tecnología bioquímica (ver 3309) 3303 Ingeniería y tecnología químicas (ver 2303, 2304 y 2306) 3304 Tecnologla de los ordenadores (ver 1203) 3305 Tecnología de la construcion (ver 3312, 3313.04 y 5312) 3306 Ingeniería y tecnología eléctricas 3307 Tecnología electrónica (ver 2202, 2203, 3311.07 y 3325) 3308 Ingeniería y tecnología del medio ambiente 3309 Tecnología de los alimentos (ver 3302 y 3206) 3310 Tecnología industrial (ver 5311) 3311 Tecnología de la instrumentación 3312 Tecnología de materiales 3313 Tecnología e ingeniería mecánicas 3314 Tecnología médica (ver 331110) It is a transversal speciality that do have a Body of Knowledge EHR Standards Bioengineering Biomedical engineering Health Informatics Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 17. REVERSE INNOVATION The cellphone has become more of a tool and less of a toy, especially among the poor, and those trying to help them, in emerging markets. It helps deliver, via text message, water, energy, financial services, health care and even education. Drones eHealth platform Arduino & Rasperi-Pi Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 18. 2010 MDD 93/42/EEC MDDEV 2, 1/3 rev 3 (2001) 2007/47/EC amendment 4.0
  • 19. Anytime-Anything- Anyplace 3A QoC Web 4.0 items such as: a) KBL o Knowledge base learning, including literature base learning (LBL),Evidence Based learning (EBL), trial base learning (TBL), Image basedlearning (IBL) etc… b) QBE o Query by example, including query by image (QBI) etc… c) CoLD or Cloud of link data with Artificial intelligence Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.
  • 20. http://fnd.us/c/5bf9e " The buck stop here ". Take your responsibility on changing healthcare delivery and medical training. Fit the requirements of a new Faculty- new Hospital- new Healthcare. Follow us on: http://catai.net/blog/2013/09/n ueva-medicina-nueva-facultad- nuevo-hospital/ Harry Truman Prof. Dr.O.Ferrer- 24 July 2015. UNESCO Chairs.

Editor's Notes

  1. http://www.maastrichtuniversity.nl/web/Institutes/FHML/CAPHRI/DepartmentsCAPHRI/InternationalHealth/ResearchINTHEALTH/Projects/HealthLiteracyHLSEU/MeasuringHealthLiteracyInEurope.htm
  2. http://www.maastrichtuniversity.nl/web/file?uuid=d101b63c-dbbe-472d-971f-7a4eae14ba47&owner=d5b3681e-fc4a-476e-b9ff-a807c26760b9. Health literacy is linked to literacy and entails people’s knowledge, motivation and competences to access, understand, appraise, and apply health information in order to make judgments and take decisions in everyday life concerning healthcare, disease prevention and health promotion to maintain or improve quality of life during the life course.
  3. The Newest Vital Sign test (UK version)8 is a rapid assessment instrument for measuring functional health literacy. It assesses the respondents’ ability to read and apply information from imaginary ice cream nutrition label (see show card in appendix). The test requires a combination of literacy and numeracy skills. The respondent has to answer six questions related to the nutrition label. According to the number of correct answers (from 0 to 6) a raw score is computed indicating the likelihood of a certain level of functional health literacy
  4. Individual education levels (highest levels successfully completed) are compared through the ISCED (International Standard Classification of Education) system, which differentiates between 6 educational levels. ISCED level 0 applies to individuals with only pre-primary education (no school education). ISCED level 1 applies to people with primary (or basic) education. Levels 2 and 3 represent lower and upper secondary educational levels. Level 4 applies to individuals with post-secondary but non-tertiary education. Levels 5 and 6 indicate first and second stages of tertiary education.
  5. http://catai.net/blog/2013/06/la-formula-i-d-i-d-rsc-en-las-telcos/
  6. http://www.oxfam.org/sites/www.oxfam.org/files/bp-working-for-few-political-capture-economic-inequality-200114-es.pdf
  7. The degree to which young people are networked varies considerably across the globe, and although our ITU report showed most of the world’s youth to not yet be 'digital natives' (aged 15-24 and active online for 5+ years), numbers are on the rise and we expect digital natives in the developing world to more than double within the next 5 years www.itu.int/go/mis2013
  8. http://www.rohitbhargava.com/2013/10/book-launch-epatient-2015-15-surprising-trends-changing-healthcare.html http://www.hospitaldigital.com/2014/01/15/epatient-2015-15-tendencias-sorprendentes-que-cambiaran-la-atencion-sanitaria/
  9. http://www.wma.net/en/30publications/10policies/t3/
  10. http://www.healthitcertification.com/
  11. http://skos.um.es/unesco6/00/html http://www.vinv.ucr.ac.cr/docs/divulgacion-ciencia/documentos/clasificacion-de-las-ciencias-unesco.pdf
  12. http://skos.um.es/unesco6/00/html http://www.vinv.ucr.ac.cr/docs/divulgacion-ciencia/documentos/clasificacion-de-las-ciencias-unesco.pdf
  13. http://www.nytimes.com/2013/11/08/giving/ubiquitous-across-globe-cellphones-have-become-tool-for-doing-good.html?ref=technology&_r=0 http://www.sensorcon.com/sensordrone-1/
  14. MDD 93/42/EEC (Medical Device Directive) http://obelis.net/directives/93-42-eec-mdd-medical-device-directive/ MD definition Any instrument, apparatus, appliance, software, material or other article, used alone or in combination with software necessary for its proper application intended by the manufacturer to be used for human beings in the purpose of: diagnosis, prevention, monitoring, treatment or alleviation of disease and/or compensation for an injury or handicap; for investigation, replacement or modification of the anatomy or of a physiological process control of conception and which does not achieve its principal intended action by pharmacological process, immunological or metabolic means but may be assisted in its function by such means.
  15. Nosotros hemos definido el concepto de Health 4.0 en el International Journal of Reliable and Quality E-Healthcare, 1(1), 43-57, January-March 2012 como: “Health 4.0 is integrated by four main innovations: Applications that fulfill 3 criteria of availability:a) Anytime connections: On the move, indoors and outdoors, day & night.b) Anyplace connection: On the move, outdoors, indoors, at any PC.c) Anything connection: At any PC, H2H (human to human), H2T (human tothing), T2T (thing to thing). Applications that include image enhancement & RFID readings to be use for:a) People→by faces recognition and access to relevant information (home,work, medical, HER, PHR, medical schedule…).b) Object→by use and by owner recognition.c) Food→by principle content & by diet requirements.d) Medication→by principle & by indication-contraindication. Application that includes quality controlled Web 3.0 items such as:a) HCQ Health Care Quality: ISO 13485-ISO 2700 or security.b) 3S: Social-Semantic-Servicesc) Cloud accessing (SAAS, pCloud or personal cloud were the iPhone canbe included). Applications taking Web 4.0 items such as:a) KBL o Knowledge base learning, including literature base learning (LBL),Evidence Based learning (EBL), trial base learning (TBL), Image basedlearning (IBL) etc…b) QBE o Query by example, including query by image (QBI) etc…c) CoLD or Cloud of link data with Artificial intelligence.”
  16. http://fnd.us/c/5bf9e