Technological developments in Western healthcare

78 Pages·2017·5.55 MB·English

Technological developments
in Western healthcare
Philip J. Idenburg and Vivian Dekkers
i
Healthcare Enablers 2017
Technological developments in Western healthcare
Copyright © 2016 BeBright
Authors: Philip J. Idenburg and Vivian Dekkers
Graphic design: Michèle Duquesnoy, www.mich-ele.nl
Printing and binding: Quality Dots, Zeewolde
Translation: Karen Glerum, United Kingdom
Nothing contained in this publication may be reproduced in any way or form without written permission from the authors except for short
quotes as part of critiques and book reviews.
The examples of technological innovations used in this publication have been approved by the rights-holders or attempts have been made
to contact the rights-holder. Anyone who believes they hold these rights should contact BeBright.
[email protected]
www.diagnoseprogrammas.nl/en/healthcare-enablers
The day before something is
truly a breakthrough,
it’s a crazy idea.
(Peter Diamandis)
Preface
All of us deal with healthcare at some point in our life. Either healthcare system. We speak of maintaining, because the rising
while looking after children or parents, or because of our own demand for healthcare and the economic reality force us to
ailments and limitations. Our relationship with healthcare is provide even better quality healthcare for the same price, now
perhaps even more intense. We collaborate with healthcare and in the future. The sustainability of our current healthcare
providers, professionals, insurers and innovators in healthcare system is under pressure and a transformation is necessary.
on a daily basis in order to maintain the quality, accessibility
and affordability of the internationally renowned Dutch
This transformation requires more than just technology, but We believe that a clear picture of all technological developments
technology is an important enabler. Technological solutions allow, for is an essential ingredient for an innovative healthcare sector and
example, professionals to work in a different way and make it possible innovative healthcare organizations.
to increase self-care among patients. There are numerous possibilities.
Choosing the right solutions is the job of busy healthcare professionals With this overview we hope to inspire you and to help you determine
and administrators. Wrong choices lead to accumulation and thus which technologies are worth focusing on. Because of the rapid
increased costs, while delays in making choices can result in stagnation. developments, we will provide annual updates. This is one of the
Therefore there is a perception that technology can result in higher ways in which we want to contribute to the enhancement of the
healthcare spending instead of being an instrument for innovation. innovation capability and thus the transformation of healthcare.
We closely monitor important trends and developments in the We did not put this content together by ourselves. In particular,
healthcare sector. This started in 2012 with the program ‘Diagnosis we’d like to thank Sjoerd Emonts, who collected a lot of the data,
Healthcare Innovation’. Since then, we have further enriched our conducted much of the research and laid the foundation for the
knowledge in several ways. Together with our strategic partners end result. Monique Philippens, programme manager of ‘Diagnosis
KPN, Noaber, PinkRoccade and Promedico we are including these Transformation’, also made invaluable contributions based on her
technological developments as enablers of change in our current knowledge of healthcare technology and innovation. In addition,
programme ‘Diagnosis Transformation’. Over the years, a large our colleagues Michèle, Arjo, Daniël, Karin, Catja, Lisa, Bo and
database has emerged that contains examples of futuristic Romy inspired us with their contributions to content, style and
technology across many disciplines. visuals.
Until now, we have used this knowledge and the practical examples We hope that Healthcare Enablers 2017 will help you strengthen
to help our clients, conduct market research, and develop new the innovation capability of your organization. Only then can we
products. With Healthcare Enablers 2017 we are giving everyone together reap the benefits of new technologies and work on a sus-
insight into the considerable technological developments. To inspire tainable healthcare system in which quality and efficiency go hand
those around us and to make collaboration with stakeholders more in hand. We are looking forward to further discussions about the
efficient in order to further improve the quality of healthcare in way in which new innovations will shape the future and invite you
terms of medical outcomes and patient experience. to share your inspiration, examples and experiences with us
www.diagnoseprogrammas.nl/en/healthcare-enablers
We describe promising technologies that are knocking on the door
and that will change our healthcare in years to come. Some are Philip J. Idenburg and Vivian Dekkers
about to be broadly implemented; others are still being developed.
PREFACE | 4
210 C
i
Contents
HEALTHCARE PHASE 1 HEALTHCARE PHASE 2
Prevention & Consultation
healthy living
Preface ............................... 04 Serious gaming .............10 Remote consultation ...21
Introduction ....................... 07 Holistic tracking ............12 Health information
Incentivized wellness ...14 systems ........................23
Smartfood .....................16 Online social
Internet of Things .........18 networking ...................25
HEALTHCARE PHASE 3 HEALTHCARE PHASE 4 HEALTHCARE PHASE 5
Diagnosis Treatment & Guidance Control & monitoring
DIY Diagnostics ............28 Digital reality ...............37 Domotics ......................50
Consumer-omics ..........30 Printing procedures ......39 Remote monitoring .....52
Big Data ........................32 Robotic systems ............41 Robotic care .................54
Artificial Intelligence ...34 Exoskeletons &
prosthetics ...................43
Nanotech ......................45
Advanced labs .............47
What does the future hold? ...................................................................................................................................56
Diagnosis Transformation: Transforming Western Healthcare.............................................................................59
Our team .................................................................................................................................................................60
About the authors ..................................................................................................................................................61
Notes ........................................................................................................................................................................62
Glossary ...................................................................................................................................................................74
CONTENTS | 6
Introduction
Technology as an enabler for the transformation of healthcare
Our society is changing. Trends and developments – such as an The quality, accessibility and affordability of healthcare are under
ageing population, the rise of chronic disease, personalized pressure. Therefore, it is necessary to take a fresh look at health
healthcare, the empowered patient and digitalization – are and the way in which healthcare is organized. Small adaptations
changing and increasing the demand for healthcare. As a result, are no longer sufficient; a transformation is required. Technological
the healthcare costs in Western countries are on the rise. innovations can contribute to this.
Western healthcare has proven to be very successful. The techno- In the HealthValueCycle the central focus is on the individual and
logical possibilities for curing, treating and preventing disease have the healthcare process has a cyclical character. The main principle
grown tremendously over the last decades. Illnesses that were is the quality of life of the individual, in which vitality and wellbeing
previously considered terminal can now be cured or have become are the two most important elements. ‘Being healthy’ is no longer
a chronic disease. Due to digitalization, better access to research defined as the absence of disease, but as ‘the ability to adapt and
data, and intensified research more new products, services and make your own choices in the context of social, physical and emoti-
treatment methods are becoming available all the time. Many onal challenges in life’2.
technological solutions provide the building blocks to help make
the transformation of healthcare a reality. These solutions focus on The five phases of healthcare are:
healthcare that is personal, participative, preventive and predictive. 1 Prevention & Healthy living
2 Consultation
The big question healthcare professionals and administrators often 3 Diagnosis
struggle with is which technology to adopt and when. The supply is 4 Treatment & Guidance
overwhelming and covers a broad range of technological disciplines 5 Control & Monitoring
and applications. Which technologies truly contribute to the quality,
accessibility and affordability of healthcare? And how do we weigh For each phase we describe a number of important technological
up better quality and the financial consequences of a new technology, developments and give practical examples. Most of the technologies
i.e. financial investment and healthcare costs? can be applied in multiple phases of healthcare and will affect
everyone involved in the healthcare system.
In Healthcare Enablers 2017 we bring together the most important
technological trends and developments. These are technologies This overview is not exhaustive. However, we expect that the
that will take their place in the various phases of the healthcare technologies we mention will be the ones influencing the future of
process. From pre-care and diagnostics to treatment and aftercare, healthcare and contribute to the quality of healthcare, in terms of
in preventive, curative and long-term care. We have classified the medical outcome and patient experience. Through co-creation with
technologies according to the phases of healthcare that make up those patients/clients and healthcare professionals, organizations
the HealthValueCycle, as described in Diagnosis Healthcare Innovation have to make the right choices and set the right priorities without
in 20131. losing sight of the financial costs.
INTRODUCTION | 7 | TECHNOLOGY AS AN ENABLER FOR THE TRANSFORMATION OF HEALTHCARE
NEED FOR CHANGE
Aging populat on To a holist c concept of man More chronic diseases Increasing costs Personal P revent ve
0 65+
HEALTHCARE
DISEASE MANAGEMENT HEALTH MANAGEMENT
TRANSFORMATION
ICT and eHealth Pharma and biotechnologies Medical technologies onsCumer m arket developmsetn Nutritech Part cipat ve Predict ve
SOLUTIONS FOR CHANGE
© BeBright 2015 ENABLERS OF CHANGE
10 needs for change
2015 2030
2015 2030
CHANGING SOCIETY MORE HEALTHCARE, FEWER HEALTHCARE POWER-TO-THE-PATIENT CONNECTIVITY
An ageing population, a growing GREATER COSTS PROFESSIONALS Patients increasingly make their own Care is becoming digitalized
number of people with chronic Annual healthcare costs rise; this is Healthcare staff shortages decisions; self-management and and the connectivity of and
diseases, and more ethnicities true for both total costs and costs per emerge. patient choice become increasingly between patient and healthcare
change society. person, which increase with age. important. professional is growing.
WORLDWIDE KNOWLEDGE PERSONAL HEALTHCARE QUALITY AND TRANSPARENCY DECENTRALIZATION PREVENTION
Globalization is reshaping society Everyone is different and healthcare People demand quality and Non-specialist healthcare moves closer The focus shifts from ‘disease
and (medical) information is shared and treatment become increasingly transparency; healthcare attracts to home and is increasingly provided in and healthcare ‘to ‘health and
faster and more easily. personalized. more media attention and the an integral way. behaviour’.
quality of healthcare organizations
is reviewed more often.
INTRODUCTION | 8 | TECHNOLOGY AS AN ENABLER FOR THE TRANSFORMATION OF HEALTHCARE
HEALTHCARE PHASE 1
Prevention & Healthy living
The aim of PREVENTION is to ensure that HEALTHY LIVING refers to an individual’s
people stay healthy. It has a universal approach: own behaviour and responsibilities. The most
improving and protecting health. But it can important motivation for starting to live a
also be selective, deemed necessary, or healthier life depends on the confrontation of
disease-related: preventing illness and com- an individual with him or herself. Facts about
plications or detecting them early. Prevention a person’s own health serve as a mirror.
is associated with health promotion initiatives
by the government, employers, educational
institutions or healthcare organizations.
Within this phase of healthcare, we
identify five great technological trends
that contribute to a greater or lesser
extent to prevention and healthy
living:
Serious Gaming
Holistic Tracking
Incentivized Wellness
Smartfood
Internet of Things
PREVENTION & HEALTHY LIVING
Serious gaming
Playing a game is the
voluntary effort to overcome
unnecessary obstacles.
(Bernard Suits) Re-Mission 2 is a collection of 6 free online games in
which cancer patients battle against various virtual cancer
Serious games are games that are not primarily designed for the cells with an arsenal of weapons and super powers such
purpose of entertainment but for the purpose of education, training as chemotherapy, antibiotics and the body’s natural de-
or behavioural change. Serious games come in many forms: it can fences. Re-Mission 2 has been on the market for a while.
be a ‘paper-based’ board game or card game, a facilitated manage- Research has confirmed
ment game or a computer game. The entertainment aspect of a that the rewards players
serious game helps to heighten the experience and therefore the receive for destroying
transfer of information1. cancer cells lead to positive
associations and emotions
Serious games are used in healthcare to improve general health, with chemotherapy and
for example. They motivate people to adapt their lifestyle habits antibiotic treatments,
and stimulate positive behavioural change, while also allowing while treatment adherence
self-management and promoting and supporting physical activity2. improved too.
The variation in game elements ensures that players become and
stay intrinsically motivated to overcome challenges and hurdles. www.re-mission2.org
Visualizing change and progress helps to improve the self-efficacy.
Sharing knowledge, setting goals and facilitating communication
and interaction among patients and other people improve the
chances of successfully overcoming a challenge3. In areas such as
mental health and addiction care, it has already been proven that
the use of serious games can deliver results4.
Qwiek.up can provide clients with various levels of
The following four goals can be distinguished: stimulation via an audio-visual experience in their own
• EDUCATION ‘E-learning: the use of electronic media and ICT environment. Its experience modules bring a variety of
in education’. Games can help healthcare professionals to different experiences to the care home. The Fit & Vital
practice operations and situations, and patients to learn more modules encourage clients to
about their illness and how to cope with it in daily life. become more physically active;
• EXERCISE Games that combine gaming and physical activity in from dancing to music to
the ‘exergaming’ category. These games promote an active challenging games. The
lifestyle. modules are designed to
• INTERACTION Some games are developed to promote inter- engage clients with what they
action among players, elderly people or children, for example. see projected on a wall, in
• TREATMENT Integrated games in treatment and aftercare combination with proper
help patients with motivation and therapy adherence. guidance and fitting music.
www.qwiek.eu
PREVENTION & HEALTHY LIVING | 10 | SERIOUS GAMING