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1. 8th ERA-AGE FORUM Meeting
The role of technology in achieving extended life years
INNOVATION TECHNOLOGY TO FACE A NEW DEMOGRAPHY
Joan Cornet Prat
CEO
TicSalut Foundation.
Pàgina 1
2. Tabulae anatomical
ligamentorum corporus
humani...
Venice, 1803.
Copperplate engraving.
National Library of
Medicine.
Pàgina 2
3. Extracción de la piedra de
la locura
El Bosco, 1475-1480
Museo del Prado, Madrid,
España
Pàgina 3
6. Current trends in relation with the citizen
Trends in the demographic field
Trends Impact on health systems
• The Spanish population will grow around
2.1 million over the next 40 years.
Citizens over 64 years will be doubled by
• Increasing population size and 2 representing 31.9% of the total • Increasing pressure in health
increasingly aged population population. expenditure
• Emerging chronic diseases • More time dedicated to face-to-
face consultation between
• Increasing demand for medical chronic patients and health
services and healthcare staff professionals
shortages
• Increasing patient workload:
risk of malpractice
Pirámides de población de España. Fuente : INE
Pàgina 6
7. Nuevas perspectivas para la innovación en salud
Cómo las TIC pueden ayudar a afrontar los nuevos retos
Retos ¿Cómo?
Open innovation:
• Participación activa de los usuarios y clientes: quejas y
Implicar al ciudadano en el sugerencias web 2.0
cuidado de su salud
• Canalizar las capacidades internas de la organización
• Colaboración entre agentes
Transparencia:
• Transparencia hacia fuera
Mayor exigencia de los
ciudadanos en calidad e • Toma de decisiones hacia dentro
información disponible
• Central Información hacia la Central del Conocimiento
• Participación sector
Potenciar la seguridad:
• Garantizar la privacidad de los datos
Gestionar el gran volumen
de información clínica para • Accesibilidad
disponerla de modo seguro
• Mejorar la trazabilidad de las operaciones
7 • Recuperación del sistema frente a contingencias
Pàgina 7
8. Current trends in relation with the citizen
Trends in the social field
Trends Impact on health systems
• Start of pilot experiences for
• Increasing demand for demand management and • Need for new telematic services to
knowledge and access to health telemedicine services using give answer to the increased
information by citizens mobile devices: expectations of the population
• General expectation of Initiatives that enable family
immediacy in the provision of all members or caregivers tracking • Development of telemedicine
patient’s movements from an Internet
kinds of services services that allow remote
portal and keeping tabs on their
location specialized care
• Increasing public awareness of
the participation in health care • Development of new technologies
(wireless) to promote patients
autonomy and improve
professionals’ time management
Pàgina 8
9. Current trends in relation with the citizen
Trends in the technological field
Trends Impact on health systems
• The use of new technologies in daily life has • Instant information is changing
increased significantly allowing citizens to
explore new telematic applications:
doctor-doctor and doctor-patient
• Increasing use of telematic tools relationship
by the citizen
• The development of Information
• Acceptance and implementation 8,3 million homes with Internet
access Systems provides new opportunities
of online services and
for telemedicine and remote care
procedures by the citizen
93.5% of Spanish households have a
• New applications that enable mobile phone - More than 49 million • The emergence of smart devices
personalized treatments to mobiles provides greater control of the
patients patient's health
• Improved techniques for mass Emergence and development of • Wireless technology is a key element
treatment of information health applications for mobile
for Home Health (transfer health
phones - Apple has already 32
mobile health applications services to the patients’ home)
Pàgina 9
10. Mobile Health, new perspective for innovation in health
How to face major challenges
Challenges How to face them?
Increasing demand for health services :
Population Ageing
Empowerment of patients’
Disease Chronicity
autonomy and specialized
Increasing demand from citizens on: remote care
Improving through ICT,
Service Quality
accessibility, quality, safety and
Information available on real time effectiveness of health care
Promoting the use of new
Increasing mobility of the Agents
technologies to monitor patients
Manage large amount of clinical information to access it in real–time
in a safe and instantaneous way
Pàgina 10
11. Nuevas perspectivas para la innovación en salud
Factores críticos que determinan qué innovaciones introducir en el
sistema sanitario
Coste
efectividad
Impacto en Beneficio para el
salud pública paciente
Beneficio Impacto
terapéutico INNOVACIÓN presupuestario
Factores de
Viabilidad
equidad
Factores legales
/ éticos
11
Pàgina 11
14. Mobile Health, new perspective for innovation in health
Towards a personalized medicine
EHEALTH IHEALTH
Application of ICT in health Customization of health
practice services
• Remote diagnostics
• Individualized Healthcare
• Use of Internet MHEALTH • Postoperative follow-up
via mobile • Responsibility and patient
• Creation of static Telemedicine Portability
platforms • Rehabilitation Sensors involvement on their own health
Global
• Control the activity of • Adaptation of services and
• Appearance of the Electronic Connectivity Patients' medication in healthcare information based
Health Record Real-time on the citizen needs
• Development of electronic
• Immediate access to
prescription
information and services
Pàgina 14
15. To achieve a real implantation of innovating technology , it is important to put the right question
in order to find out the right answers:
Where innovation comes from?
Which devises are the good ones?
Where is the money? Who pays for the services provided?
Which is the legal framework?
Who can access personal information?
Who is accountable for? ...
Pàgina 15
17. Fundació TicSalut
Fundació TicSalut Consell
Consell Assessor Consell
Professionals i
Suppliers of Health d’Empreses Científic
ciutadans
Promoting the development and the utilization of the
information technologies and the communication (TIC) and
the work in net in the area of the health, advancing made a
General goal model based on the personalized and human attention for all the
citizenship
Collaboration Agreement Fundació TIC i Salut – Health Department / CatSalut
International
Observatory Innovation Normalization relations and
projects
Telemedicine and Office of Projects,
Tendencies standards
Teleassistance plan agreements,
maps
DEPLOYMENT congress
DEPLOYMENT
Pàgina 17
21. l
THANK YOU !!!!
JOAN CORNET PRAT
Joan.cornet@ticsalut.cat
www.ticsalut.cat
www.flashticsalut.cat
Pàgina 21
Editor's Notes
Demographic changes such as increasing population size and age, the emergence of chronic deseases, the increasing demand for medical services and healthcare staff shortages… have a very significant impact on healthcare systems as it increases the pressure in health expenditure
In the social field we’re seeing an increasing demand for knowledge and access to health information by citizens which has created a need for new telematic services to give answer to the increased expectations of the population. The expectation of immediacy in the provision of all kinds of services makes necessary the development of new technologies (wireless) to promote patients autonomy and improve professionals’ time management.
In the technological field there is an increasing use of telematic tools by the citizens, new applications that enable personalized treatments to patients, etc. and we’re seeing the emergence of smart devices which provide greater control of the patient’s health and the development of information systems provides new opportunities for telemedicine and remote care.
The principal challenges the international community is facing are the following:Increasing demand for health services : Population AgeingDisease ChronicityIncreasing demand from citizens on:Service QualityInformation available on real timeIncreasing mobility of the Agents Manage large amount of clinical information to access it in a safe and instantaneous wayTo face those major challenges, here are some strategic lines of action which have been identified:Empowerment ofpatients’ autonomy and specialized remote careImproving through ICT, accessibility, quality, safety and effectiveness of health carePromoting the use of new technologies to monitor patients in real–time
To reach those objectives, healthcare has to make a step forward the concept of iHealth. Indeed nowadays, the state of the art in healthcare, in the era of eHealth, offers us the possibility to use ICT in our daily practice through the use of internet, by the creation of static telemedicine platforms, the appearance of Electronic Health Record and the development of electronic prescription but we wanna go further than that. What we want is individualized healthcare, that the patient get involved in his own health and that they feel responsible for it, that healtcare systems adapt their systems on citizen needs and that we can all have immediate access to information and services wherever we are and whenever we want.To build the bridge between the concept of eHealth and iHealth, we will all have to work on concepts such as PORTABILITY, GLOBAL and CONNECTIVITY and considere remote diagnostics, Postoperative follow-up via mobile, Rehabilitation Sensors, Control the activity of Patients' medication in Real-time
