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Global Grand Challenges
Global Grand Challenges
Why is healthcare still
using sticks to make fire,



While new technology
is broadly adopted elsewhere?
Everyone, always, everywhere connected
Question

Bloodpressure
Question

Bloodpressure
Question

Video conference
Question

Video conference
Question

Urine-Analysis
Question

Urine-Analysis
OnIntensiv
Current Vitals : Lucien Engelen
Remote Physiotherapy
Wireless earbuds Dash
Wireless earbuds Dash
Wireless earbuds Dash
Wireless earbuds Dash
$10 Million
Neural ‘dust’ UC Berkley
Neural ‘dust’ UC Berkley
Neural ‘dust’ UC Berkley
Neural ‘dust’ UC Berkley
Neural ‘dust’ ‘Insidables’UC Berkley
See the Pattern ?
from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
Source REshape Center
Delocalization of health(care)
- 70%
Source REshape Center
Delocalization of health(care)
- 70%
Source REshape Center
Delocalization of health(care)
People of age 65 and older 2000-2050
Source US Census Bureau
People of age 65 and older 2000-2050
over 65 over 85
Source US Census Bureau
Things have changed the world more than politics.
Martin van Rijn, State-secretary for Health, NL
“ “
Politics in 2016
“Technology is the hype, the change will be permanent”
@lucienengelen
Innovation Neglect
time
performance
0
Lucien Engelen 2011
Innovation Neglect
time
performance
0
Lucien Engelen 2011
Innovation Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
Innovation Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
Innovation Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
post-gap
Delocalisation :

• reimbursable
• preventing travel,
• more datapoints,
• more engagement,
• more self control
• overhead,
• carbon footprint
Delocalisation :

• solution shops
• train stations
• supermarkets (US)
• “gas’-stations
Impact
• Will come as a tsunami instead of small waves
• Innovations will accumulate
• is a System innovation as opposed to product innovation
• Entrepreneurship & Agility
• No more big fish eat small fish, but fast fish will eat slow fish
(Ex. Schwaab WEF)
Healthcare will become a software branche.
Healthcare will become a software branche.
Healthcare will become a software branche.
Telemedicine & Telehealthcenter
Telemedicine & Telehealthcenter
Telemedicine & Telehealthcenter
Health(care) is now Global!
Health(care) is now Global!5 Billion people coming online
Health(care) is now Global!5 Billion people coming online
Predictive
Analytics
“for the first time ever in history,
we will be present when a person gets sick,
professionals will subscribe to patients’ data,
the middle-man will become disrupted “
@lucienengelen
Patients
&
Technology
5th Democratization
Patients
&
Technology
5th Democratization
Patients
&
Technology
5th Democratization
Gartner Hype Cycle
Gartner Hype Cycle
How can we become
How can we become
faster ?
better ?
cheaper ?
How can we become
faster ?
better ?
cheaper ?
How can we become
faster ?
better ?
cheaper ?
Show & tell possibilities

Increase validation with research

Experiment much, fast and failing a lot

Rebalance privacy & comfort

Rethink model based on opportunities

To do in stormy water
Show & tell possibilities

Increase validation with research

Experiment much, fast and failing a lot

Rebalance privacy & comfort

Rethink model based on opportunities

To do in stormy water
• Use every day technology like phones, wearables
• Make health(care) location independent
• Exponential growth in data
• Share data with peers and for research
• Free up resources for those in need
• Use every day technology like phones, wearables
• Make health(care) location independent
• Exponential growth in data
• Share data with peers and for research
• Free up resources for those in need
Safe lives
Global health (including 5B)
Sustainable
Personal & based on preferences
Regardless of (dis)abilities
Transforming health(care) to :
Safe lives
Global health (including 5B)
Sustainable
Personal & based on preferences
Regardless of (dis)abilities
Transforming health(care) to :
So why still sticks?
So why still sticks?
• We’ve trained professionals to be in the center
• We have adverse payment policy’s (NL is forefront of changing this)
• We lack scientific evidence, 4 years is too long.
• No clear picture how health(care) will look like 2050
• patients are (still) not demanding ‘normal’ services
Professionals will subscribe to patients’ data
Digital first, physical next
Professionals will subscribe to patients’ data
Digital first, physical next
We all can help, by asking our doctor or nurse for other options.
Professionals will subscribe to patients’ data
Digital first, physical next
We all can help, by asking our doctor or nurse for other options.
Professionals will subscribe to patients’ data
Digital first, physical next
We all can help, by asking our doctor or nurse for other options.
Professionals will subscribe to patients’ data
Digital first, physical next
We all can help, by asking our doctor or nurse for other options.
Professionals will subscribe to patients’ data
Global Grand Challenges in Healthcare
Global Grand Challenges in Healthcare

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