per hasvold in the oulu smart city seminar on wed 6th may, 2015
Post on 15-Aug-2015
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mHealth and personal
health systems –
challenges to research and
the healthcare systemsPer Erlend Hasvold
Section leader – Home-based services and personal health systems
Department for Prevention and self-management
my mother-in-law, Kirsten
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Good health
WHO, Ottawa Charter, 1986:
“Health promotion is the process of
enabling people to increase control over,
and to improve, their health.
[...]
Health is [...] seen as a resource for
everyday life, not the objective of
living”
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small health problems
severe health problems costs of care
complex multimorbidity – the
elephant in the room?
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Anton
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what are we doing at NST to
address these kinds of
challenges?• primary prevention – to reduce the risk of gettinga serious disease through healthy lifestyle and lifestyle change for those who need that
• secondary prevention – to reduce the risk ofsecondary health problems for those who alreadyare sick; self-management; motivation to lifestyle change; maintain healthy lifestyle
• improving care for those who have a disease –self-management; stepped care plans withcoordinated teams and single point of contact
• identify risk at an early stage – pro-active care
• develop the learning healthcare services
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“No decisions should be made about me without me!”
‘Wearble computing’
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Would you like to share your data with me, Mrs.
Hansen?yes,
please.
The codeis:
yqi9ow
Patient - healthcare
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The Patient in a virtual team
Patient goals
Plan
Team
Eco systems that include patient
participation: the learning
health services
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Patient
Disease process
Organ function
Health care worker
Decision
ActionIntervention
Patient data
Electronic health Record
Population statistics, medical knowledge, logistic
information, current work practice
Abstractedpatient data
Data, Knowledge,advice, etc.
ArchetypedPatient data eHealth system
(DQE – erdusyk.no)
Population statistics, medical knowledge, action advices,
social statistics
Patientsymptoms
Advice
Epidemiologicaldata / statistics
Bellika & Skrøvseth, SNOW HRI
WHO-ITU mHealth for Non-communicable Diseases (NCDs)
November 4th 2014
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The EPITAL Care Model: A very
good concept from Denmark!
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Basic concept “The funnel”Integration of Internet Computer based Treatment
(ICT) and video in a comprehensive stepped care
system
GP and patient
ICT
Self helpICT
GP Specia-list and patient
(video)
Specialist patient
Self help without support
General practitioner (GP)follow up plus self help
GP assisted by specialist
Specialist patient policlinic or admittanceAcute cases,
not only depressed
Policlinic, video
Admittance
3P – Patients and Professionals
in Productive teams
cross regional project aiming to develop care
that is:
• 1) is truly citizen centred
• 2) is coordinated proactive and planned
• 3) has one-point of contact
• 4) uses interdisciplinary teams and
• 5) is a learning care system
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Organization Technology
Medical servicesMedical researchProfessional development
MangementEconomyPoliticsLawsRoles and professions
technology researchIndustryMarket
Roger: “We are so lucky: because
we actually enjoy doing this!”
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summary
• patient goals needs to become visible to careersand included in the objective of the careprovided
• chasm between research and industry (the cause ofpilotitis)• we need large-scale initiatives, such as Smart Cities and MyData
• new business models are needed to make it attractive to develop services and apps for thosewho need it and where we can have an impact
• The reinvention of healthcare and health researchwill come from data analytics + an understandingof the sociotechnical system it has to work in
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Thanks for listening
Per Erlend Hasvold
per.hasvold@telemed.no
@Perlend
www.telemed.no
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