The role of mHealth in current healthcare paradigm shift by Nick Guldemond, EPPOSI, at MobileMonday Dublin 11-02-13

1. The role of mHealth in the current healthcare
paradigm shift with concrete examples for
development and implementation
Dr. Nick Guldemond | Program Director Health | Delft University of Technology
Fac. Electrical Engineering, Mathematics & Computer Science Dept. Interactive Intelligence
13-2-2013
Dr. Nick Guldemond 1 Delft
University of
Technology
Challenge the future
roadmap
1 | Social-economic trends 1.
2 | Paradigm shift Social-economic trends
3 | Integrated Care Model
4 | Health & technology
5 | Importance of the local community
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population aged (>65) in proportion % population with one or more chronic diseases
to working population (18-65)
2007 EU
• average ~ 1:4
• differences between countries
2050 EU
• 1:3 (NL)
• 1:1.5 (Italy and Spain)
• average ~ 1:2
2050 China
• average ~ 1:<1
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2. …current healthcare system
sustainable?
Netherlands
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Current trends implications for….
Healthcare system
2.
Paradigm shift
Social cohesion
Economical system
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Redistribution of budgets Paradigm shift
12% GDP current medical curative model social (interconnected)
80 billion euro health perspective
annual growth of 2- 3%
new
community care community care
Institutional
care
Netherlands
local institutions
Primary
care Informal
advanced local
care care centres
specialized institutions
high
specialized
cure
2012
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3. social (interconnected) health perspective
3.
Integrated Care
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Integrated Care Model Integrated Care Model
Community Health Systems Community Health Systems
supportive supportive
environment information environment
Supportive environment
information
systems
Information systems Public health/prevention
systems
public public • Monitoring & communication
health
self
management
delivery
system Delivery system management
•
self
integration
bio-informatics,
health • social marketing
delivery
system
• team management & • workplacecommunity
Mobilise
decision clinical & community data • learningdecision
environment 24/7
community support logistics community • social networking &
support
action
• workflowquality management
• Care action
interaction
• resource planning
productive productive
Decision support
Self management
interactions real-time interactions
• best personalized
skills development > life style
•
practise base evidence
activated community support partners activated communityeHealth, devices
• support partners
improved outcomes improved outcomes
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4.
Health status over time
no technology
with technology
acute
Health & technology
health status
Chronic
vital signs monitoring
support tools - self-management
life style - health education - risk monitoring
healthy
age 0-35 36-65 66-80 > 80
living dependent independent assisted dependent
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4. Devices & information: bridge to your Health
cloud
computing
Municipality
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Falls prevention & management
Balance training
Home monitoring
5.
Importance of the local community
fitness 
Nutricial intervention
Critical Fall detection
zone
time 
screening + intervention rehabilitation monitoring
assessment
Education
Integrated Care
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Multilevel Co-Creation Research Framework for Innovations in EU Support & Care by the Community
Healthcare
Aggregation
level Policy level
of innovation
Society
EU
Socio-Technical National
Product-Service Regional
community
based
co-creation
Product-
Local
Technology
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5. R&D partners and synergy
Healthcare Living Labs
Health insurers professionals
Patient
Industry organisations &
consumers
Knowledge
institutions
Social workers
& charities
Inventors
Public organisations
Local government Local SME’s
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in conclusion
6. • Demographic trends impact healthcare, society & economy
• Paradigm shift
• from curative to social-health perspective
In conclusion
• integrated care model
• Interconnected society & technology supported health
• Multi-stakeholder R&D approach
• oriented on local community
• development, implementation and consolidation
• ….for the benefit of science, society & business
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Thank you!
Dr. Nick Guldemond
Email: n.a.guldemond@tudelft.nl
Mobile: +31 6 48 26 19 29
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