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Health & well-being in a connected world
1. Health & Well-being in a
Connected World
BaseN 13th Anniversary Seminar
Ville Koiste, Sitra
ville.koiste@sitra.fi
twitter.com/villekoiste
4.12.2014
2. Sitra - The Finnish Innovation Fund
• Sitra is a fund operating directly under the Finnish Parliament
• Our operations are funded from our returns on endowment capital and capital
investments
• We predict, analyse and assess the forces of social change and their impacts
on Finland. To accelerate changes that promote well-being, we
• carry out practical experiments
• compile cross-boundary networks
• develop and finance business operations
Empowering
society
Practices for
sustainable
well-being &
employment
Resource-wise
& carbon-neutral
society
Sitra • Ville Koiste • 04.12.2014 • 2
3. More connected, networked and data driven society
Sitra • Ville Koiste • 04.12.2014 • 3
Knowledge
Efficiency
Revolutionized health
& well-being
5. Several factors combine together to affect our health
Health Care
Environmental
& social factors
Genetics
Behaviour &
lifestyle
McGinnis, et al., Health Affairs; 21(2), 2002
Sitra • Ville Koiste • 04.12.2014 • 5
6. Sitra • Ville Koiste • 04.12.2014 • 6
“Self-tracking may
provide a glimpse of
the future of health
care, based on
monitoring and
prevention”
7. Sitra • Ville Koiste • 04.12.2014 • 7
Source: https://www.abiresearch.com/press/mheath-elderly-home-monitoring-growth-drawing-
new-
”Silver
tsunami”
mHealth Elderly Home
Monitoring
“A new generation of
elderly home care services
will drive wearable device
shipments to more than 44
million in 2019 up from just
6 million in 2013”
8. and wearables
Thousands
of consumer
health
apps…
Which of them are worth
prescribing?
Sitra • Ville Koiste • 04.12.2014 • 8
2012 Consumer Health Apps Report. Mobihealth News, 2012. just-launched-our-2012-consumer-health-
apps-report/ & http://www.technologytell.com/gadgets/136103/health-wearables-do-they-
work-answers-from-mhealth-2013-summit/
9. “We have an opportunity to learn as much about the
genetics of human disease as we have learned in the
history of medicine"
Sitra • Ville Koiste • 04.12.2014 • 9
Source: http://www.wired.co.uk/news/archive/2014-01/15/1000-
dollar-genome
10. Sitra • Ville Koiste • 04.12.2014 • 10
The potential of big data in healthcare:
Towards improved value and preventive care
Health data
Research
data Genomics
Wearables &
behavioral
data
Improved flow of information and
collaboration can lead to
better health
outcomes &
personalized care
11. Efficiency
New service models
Sitra • Ville Koiste • 04.12.2014 • 11
Pic source: PSFK Labs – The Future of Health report 2014
12. Online booking
Remote
consultation
Health information
management
Electronic health
checks & surveys
Communication
technologies
Sensors, wearables &
home monitoring tools
Sitra • Ville Koiste • 04.12.2014 • 12
Lifestyle coaching
& decision support
systems
Connected health
services
13. Self-monitoring and
13
-examination
Source: TytoCare.com
Sitra • Ville Koiste • 04.12.2014 •
Approx.
$200
14. Case ’virtuwell’, a 24/7 online clinic (USA)
• virtuwell treats more than 50 common conditions like colds, sore
throats, sinus infections, ear pain
• a personalized diagnosis, a treatment plan and a prescription if needed
- all in about 30 minutes and all online
• If symptoms or medical history suggest that online care is not
appropriate, patient is redirected to doctor's office, test lab etc.
Sitra • Ville Koiste • 04.12.2014 • 14
The future of virtual clinics
So far Virtuwell has had 100,000 completed visits:
• an average savings of $88 per visit
• one Virtuwell visit can save up to 2,5 hours as indicated by
Virtuwell customers
• 98 % of customers recommend the service
Source: http://www.businesswire.com/news/home/20140617005116/en/virtuwell-surpasses-
100000-cases-treated#.U6LBG_mSx1Y
15. The city of Hämeenlinna: Online service that offers personalized
decision support and lifestyle coaching
• System uses electronic health records and personal wellness data
• Service available for more than 60 000 citizens
• Estimates e.g. individual risk of developing diabetes, coronary heart disease,
stroke or certain cancers
• Offers individualized health and wellness guidance and coaching
Sitra • Ville Koiste • 04.12.2014 • 15
The future of virtual clinics
More info in Finnish: http://www.hameenlinna.fi/Palvelut/Terveyspalvelut/ &
https://www.youtube.com/watch?v=7H08Q1iupn8#t=72
16. Finnish Student Health Service (FSHS; YTHS in Finnish) uses video
consultation app MeeDoc alongside the traditional health services
• FHSH provides health services for around 135 000 university students
• 97% of the customers have been satisfied with the service
• 89% of doctors think that video consultations are effective
• 99% of nurses think that video consultations support patient care activities
• Approx. 70 % primary care patient cases can be assessed through video
consultation*
Sitra • Ville Koiste • 04.12.2014 • 16
Remote consultation
More info: http://www.sitra.fi/en/news/finnish-student-health-service-expand-use-video-
consultations & * http://jultika.oulu.fi/Record/isbn951-42-7407-5
17. Revolutionized
health & well-being
Sitra • Ville Koiste • 04.12.2014 • 17
Pic source: PSFK Labs – The Future of Health report 2014
21. Sitra • Ville Koiste • 04.12.2014 • 21
“Citizens become active
healthcare consumers,
rather than passive
participants”
Six Trends in an Era of Consumer-Driven Healthcare.
Becker's Hospital Review
22. Building a successful Finland for tomorrow
sitra.fi
Facebook.com/SitraFund
@SitraFund
www.slideshare.net/SitraHyvinvointi
Notes de l'éditeur
Preventive healthcare for the risks groups etc
Key question: who owns the data: citizen or the system?
From citizen’s perspective, eHealth includes elements such as