Perspectives on personalized medicine & health research from policy makers, scientists and citizens PDF
Preview Perspectives on personalized medicine & health research from policy makers, scientists and citizens
Perspectives on personalized medicine & health research from policy makers, scientists and citizens th 8 December 2017 Andrew Morris Director, Health Data Research UK The Next 25 minutes • Gearing an entire country for quality health care and research • Why now? • Data Science as the catalyst for change • The challenge is the phenotype not the genotype! • With big data goes big responsibilities th The 4 Industrial Revolution A National Challenge Twelve Features of High Performing Health Systems Baker et al 2015 • Focus on QUALITY AND SYSTEM IMPROVEMENT as the Core Strategy • Developing LEADERSHIP SKILLS • Enhancing SYSTEM GOVERNANCE • ENABLING COMPREHENSIVE INFORMATION INFRASTRUCTURES AND WHOLE SYSTEM INTELLIGENCE • Improving ACCOUNTABILITY AND PERFORMANCE MEASUREMENT • INVESTING IN INNOVATION AND RESEARCH CAPACITY – TO SUPPORT ECONOMIC GROWTH, AND POPULATION IMPROVEMENT • Strengthening PRIMARY CARE • IMPROVING INTEGRATION and Care Transitions • Enhancing Professional Cultures and ENGAGING CLINICIANS • ENGAGING PATIENTS, Caregivers and the Public • Attending to ACCESS AND EQUITY ISSUES • Considering POPULATION HEALTH AND CHRONIC DISEASE MANAGEMENT in Care Management Strategies Models of “Baking” innovation into the System • Information Continuity - Patients’ clinically relevant information is available to all providers at the point of care and to patients through electronic health record systems. • Care Coordination and Transitions - Patient care is coordinated among multiple providers, and transitions actively managed. • Continuously innovate, research and learn in order to improve the quality, value, and Human Centric Systems patients’ experiences of health care delivery. • Easy Access to Appropriate Care - Patients will have easy access to appropriate care and information at all hours, scientific breakthroughs and converging technologies that hold the potential to change the future. Why Now? “4P” Medicine • Predictive Customise diagnosis and treatment • Pre-emptive Better than curative – earlier diagnosis • Personalised Determine risk profiles, predict outcomes • Participatory Involve patients • Genomics • Phenotyping Made Possible by • Informatics • Analytics • New social contract Why Now? The Opportunity Digital revolution: 8 technologies that will change health and care 1. Smartphone 2. At-home or portable diagnostics 3. Smart or implantable drug delivery mechanisms 4. Digital therapeutics 5. Genome sequencing 6. Machine learning 7. Blockchain Kings Fund, January 2016 8. The connected community
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