timo honkela: models for self-organization of health care
TRANSCRIPT
HONKELA FISCAR'2007
Models for selforganization of health care
Timo HonkelaHelsinki University of Technology
Adaptive Informatics Research Centre
http://www.cis.hut.fi/tho/
Models for self-organizationof health care
FISCAR 2007, University of Helsinki, Finland
HONKELA FISCAR'20072
• Real recent case in Finland• 29 doctors visited,
17 prescriptions,5 times on sick leave,4 months period
Extreme example
HONKELA FISCAR'20073
PERSON'SOWNGUESS
FIRSTDOCTOR'SDIAGNOSIS
Good
FairPoor
Case visualizedFinding Help for Headache, first steps
HONKELA FISCAR'2007
Case visualizedFinding ..., first diagnostic mistakes
HONKELA FISCAR'2007
Case visualizedFinding ..., long route to recovery
HONKELA FISCAR'2007
Potential for self-organization
• Dynamic processes of quality assessment and matching of needs and supply– bottom-up view– contextuality
• Diagnosis and treatment without explicit diagnoses (“no name for the condition”)
HONKELA FISCAR'2007
Bottom-up elements
• Individuals are considered in the system as responsible for themselves
• Experts provide recommendations• Also other parties are encouraged to
provide information or comments• All information is monitored based on its
effect
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Architectural outline
problembroker
personwith
healthrelated
problems
health careproviders
experiencebase
informationsources
content vector
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Content vector
• Symptoms• History
• Background factors• Measurements• Assessments
(as variables, not as categories)
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Continuous process
• Continuous evaluation of the success/ satisfaction (by the people, not by the experts)
– Experts (of different kinds)– Treatments– Information sources– Other people
• Evaluation of costs; suitable non-linearities are needed for fairness and cost awareness
HONKELA FISCAR'2007
Some first steps have been taken
HONKELA FISCAR'2007
Much more still neededMuch more complex input
Contact with service providers & other people with similar problems; Case descriptionsContinuous evaluation