Cultural: changing behaviour, attitudes, re-defining roles. Ethical : stem cells res, growing tissue… transplant, allocation of resource Logistical: service redesign, handling, storage, regulation, procurement Political: power shifts… to patients… disruptive innovation, vested interests, where £ resides in systems Technical: skills, funding, business models, education
Incentivising wellness… US companies issue and insurance payments…. Prevention schemes, individual responsibility Facilitated networks… patient advocacy, open source info sharing, expert patients en masse, power shifts… demand.
Using 3g etc to fciliate reporting on health events eg. Flu outbreaks etc, Rapid reporting, alerts, personal downloads, travel info for health, protection, corrobarating results / reports.
Voluntarily uploading data on disease symptoms, health journals, adverse effects etc… millions of data points… post market surveillence. Clinical trials, evidence gathering, accelerated learning, speed to market advantages, demand profiling, patient advocacy.
Uploading personal health records, complete control, accuracy, real time reporting