This document discusses how telemedicine and technology could help improve European healthcare systems. It notes that Americans have developed military strength through technology while Europeans have stronger healthcare, but are aging. Telemedicine could help address issues like an older population. Successful telemedicine requires overcoming challenges like different priorities between medical and tech staff. Recent projects in Catalonia show telemedicine's potential. Living labs that involve users can also drive healthcare innovation. With the economic crisis, Europe has incentive to innovatively redesign its welfare systems using information and communication technologies.

1. Developing
processes and
technology in parallel
Artur Serra
i2cat Foundation
Telemedicine in Health
Stockholm, June
16th, 2010

2. 1. Why Telemedicine
can be important for
Europe?

3. “American are from Mars,
European are from Venus”
“Power and Weakness:
Why the United States and Europe
see the world differently”
By Robert Kagan
Foreign Affairs, June & July 2002

4. Americans are
the global military
superpower

5. Europeans have
developed healthcare
systems with better
performance
(WHO
The world health report 2000 -
Health systems: improving performance)

8. Americans have developed
military supremacy from
technology
(particularly with ICT)

9. Can European develop
better healthcare systems
with ICT?

10. Americans are...still
young

11. Europeans are
getting older...

12. The current
economic crisis:
A new
problem/opportunity
for Europe

13. 2. Technology and
processes

16. IT as a innovative
“medical technology”

18. A first IT health
innovative project
• From an health problem and IT
Health Service
• To an IT health innovative project
• To a new IT Health Service...and
again

19. Two cultures in
conflict/cooperation
The IT people
and
The medical community

20. A second clash
The IT service people
and
the IT R&D people

21. 2005

22. Current i2cat eHealth projects
•
Eye-Health Tele-Ophthalmology
•
Linkcare Biomedical parameter home monitoring
•
Catalan TeleStroke Network TeleStroke emergency service
E-Health •
home
Help4Mood: A distributed system to support depressed people at
•
Attentianet Elderly home support platform
•
connectAlzheimer Pacient social network
•
LivingLab4Carers User driven tools development
•
SegureHealth RFID tracking & monitoring
•
Selene Multidisciplinary knowledge center (product innovation
trough livinglab procedures)
e-Dependence •
Visual-Health Medical media platform

23. Created in 2006

24. TIC Salut:
the Public IT Health unit
• First victory: TIC Salut helps to coordinate
the IT policy in the Catalan Health
Department.
− Putting order in big IT health projects

Patient Medical Records

Electronic medicine recipes.

Digital image network

Personal health archive
• The eHealth is already established
Barcelona 13-02- 09

25. Barcelona 13-02- 09

26. Barcelona 13-02- 09

27. 3. Processes/People
Barcelona 13-02- 09

28. The new actor in IT Health:
The people
Barcelona 13-02- 09

29. 3. Open innovation
• User-driven innovation.
• Web 2.0, Living Labs,
• European Network of Living Labs.
• People are using Internet health services
faster than healthcare systems.
Barcelona 13-02- 09

30. Barcelona 13-02- 09

31. Barcelona 13-02- 09

32. Barcelona 13-02- 09

33. New local “discovery”
Universitat del
pacient
Patient's
University
Barcelona 13-02- 09

34. Barcelona 13-02- 09

35. Seniorlab: a LL project:
• A community of seniors interested in
independent living and innovation
– Seniors and Elders, a new age group.
– Innovation as a culture for promoting
independent way of living.
• Socialization
• Interest in novelty. Neotenia
• Learning again
• Designing their own future.
– The knowledge/wisdom society
Barcelona 13-02- 09

36. Barcelona 13-02- 09

37. Some conclusions
• 1. IT Health can be strategic for reforming
the European Welfare systems.
• 2. The ICT Medical community can be a
driver of the innovation in the healthcare
systems.
• 3. Patients, even seniors, can be an ally in
this innovative effort.
• 4. The economic crisis offers the possibility
and the need to take innovative solutions.
Barcelona 13-02- 09

38. The big challenge?:
Re-designing the
European Welfare State:
Innovating in
healthcare systems with ICT

39. Thanks a lot
Tack så mycket
artur.serra@i2cat.net
Barcelona 13-02- 09