digital citizen? - Svenska Mässan Gothia Towers€¦ · Can healthcare keep up with the digital...

Sarah Lidé

PwC Sweden

Vitalis

22 May 2019

Can healthcare keep up with the digital citizen?

PwC

Can healthcare keep up with the digital citizen? 22 May 2019

We follow developments in Swedish healthcare from various perspectives

2015 2016

• 1 034 respondents

from the general public

between 18-75 years

old

• 1 076 healthcare

professionals

(doctors, nurses,

midwives)

• Workshops and

interviews with

various stakeholders

2017

• ~12 000 respondents

from 12 countries

• 1 008 respondents from

Sweden

2018

• Citizen appetites

towards digital health –

2015 and now

• 1 071 respondents from

the general public

between 18-84 years

old

• How Swedish counties

are working

strategically with

eHealth

”How can

prevention

contribute towards

a healthier society?”

(”Hur kan prevention

bidra till ett

hälsosammare

samhälle?”)

2019

• 1 009 respondents

from the general

public between 18-84

years old

• Workshops with

various stakeholders

2

https://www.google.se/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwj6v4P_-87JAhXEjCwKHQ2PBXAQjRwIBw&url=https://twitter.com/vforebro&psig=AFQjCNGO3YzApZxFG-p40RU0D_7sXE7NwQ&ust=1449757043167412

Setting the scene 1

PwC


Global forces: How health systems can learn from each other

4

Source: PwC Health Research Institute analysis

Health systems around the world face universal megatrends

Different health systems feel the forces of the megatrends to varying degrees

PwC


Higher life expectancies are contributing to growing and ageing populations

1 180 1 250 1 283

5 5586 362

6 929

642

936

1 288

0

1 000

2 000

3 000

4 000

5 000

6 000

7 000

8 000

9 000

10 000

2015 2030 2045

Total population (millions)

High-income countries Middle-income countries

Low-income countries

8%

12%

15%17%

22%

26%

20%

22%24%

7%

11%

15%

3% 4%5%

0%

5%

10%

15%

20%

25%

30%

2015 2030 2045

Share of population aged 65+

WORLD High-income countries

Sweden Middle-income countries

Low-income countries

Global population is estimated to grow by ~30% from

7.4 bn in 2015 to 9.5 bn in 2045…

Source: UN data, PwC analysis

6% 3%

14%

9%

46%

38%

…With high-income countries experiencing a near doubling

of the share of elderly population

5

PwC


The incidence of chronic disease is related to age…

65%

56%

18%

20%

19%

16%

15%

25%

66%

Persons < 65years old

Generalpopulation

Persons aged65+

Multiple chronicdiagnoses

One chronicdiagnosis

No chronicdiagnosis

Source: Vårdanalys (2014), ”VIP i vården”

…and chronic diseases contribute to 80-85% of healthcare costs

6

PwC


The risk for personnel shortages within healthcare is a global challenge

Healthcare competences – demand vs supply

Source: SCB (2015)

In Sweden, SKL (2018) estimates that

240 000 additional personnel within health and social care will be needed between now and 2026…

…and globally, the WHO (2013) projects that

there will be a shortage of 12.9 million

healthcare professionals worldwide between 2013 and 2035

7

PwC


Consumer-facing innovations are spreading at an increasing paceThese reached 50 million users in:

2 years

19 days

75 years 38 years

8

200New

health

apps

each day

78 000New health apps

each year

PwC


The future is already here

9

The doctor can see you now

The patient can see you now

The robot can see you now

Digital health in Sweden –2015 and now 2

PwC


Appetites towards digital health solution remain around the same level as 2015

62%

45%

53%

55%

19%

26%

60%

41%

55%

48%

Communicate regularly with a chatbot which can help you manage yourstress, anxiety and depression

Use VR as an alternative to traditional treatment options, for example forphobia treatment or pain management

Send a digital photo of a rash or skin problem to a dermatologist for anoption

Check for an ear infection at home using a medical device attached to yourphone

Monitor vital signs at home with the help of a medical device that sendsresults to healthcare personnel, who contact you if needed *

Take an ECG at home with the help of a medical device connected to yourphone, with results sent to your doctor wirelessly

2018 2015

1 in 4 were positive towards using VR as

an alternative treatment option

Respondents who were somewhat or very likely to choose the following for themselves if the technology or service was available

1 in 5 were positive to using a chatbot for mental

health support

* Slightly rephrased from 2015

Source: PwC (2018)11

PwC


The younger population are keen on new solutions such as VR and chatbots

Respondents who were somewhat or very likely to choose the following for themselves if the technology or service was available

19%

36%

All respondents 18-24

Communicate regularly with a chatbot which can help you manage your stress, anxiety and

depression

26%

45%

All respondents 18-24

Use virtual reality (VR) as an alternative to traditional treatment options, for example for phobia

treatment or pain management

Mental health is a growing concern

• Today, approximately 190 000 children and young people suffer from

mental health challenges – close to a doubling of number of cases

occuring over the last decade

• Only 25% received an investigation or treatment within child- and

adolescent psychiatry (BUP) within 30 days (Vården i siffror, 2017)

• Mental illness accounts for approximately 46% of all ongoing sick

leave in Sweden, and this increased by 129% from June 2011 to mid 2017

(Försäkringskassan, 2017)

Innovative solutions can support both prevention and

treatment as an intregrated part of a patient’s daily life

• Internet-based CBT is effective, but requires the engagement of

patients

• Chatbots are designed to provide anonymous, available, non-

judgmental interactions

• The use of a CBT-based chatbot resulted in a significant

reduction in symptoms of depression among college students

who interacted with the chatbot

12

Source: PwC (2018)

PwC


Chatbots are helping to address mental health

“Ellie” (2014)

• Research project funded by America’s Defence Advanced Research Projects Agency (DARPA)

• Developed at the University of California’s Institute for Creative Technologies

• Diagnostic tool capable of reading 60 non-verbal cues a second• Participants who thought they were talking to a robot were more likely

to open up • Potential use case for soldiers

“Woebot” (2017)

• Created by a team of Stanford psychologists and AI experts• Uses brief daily chat conversations, mood tracking, curated videos, and

word games to help people manage mental health• Deterministic rather than running on machine learning technologies• Accessible option, “gateway therapy”• Shown to reduce the symptoms of depression in students over the

course of two weeks

“…the texting option actually reduced interpersonal anxiety, allowing patients to more fully disclose and discuss issues shrouded in shame, guilt, and embarrassment.”

13

PwC


PwC


15

"If a parent

could

download an

app to

purchase the

treatment,

families in

many places

around the

world could

access it."

PwC


Interest in various channels for a remote care visit

16

48%

23%29%

10%

20%

30%38%

11%16%

8%

23%

40%

31%

0%

20%

40%

60%

2015

2018

44%

23%

35%

13%22%

25%

45%

14%21%

11%

33%

53%

18%

0%

20%

40%

60%

2015

2018

50%

22%29%

9%

21%

31%38%

10%16%

7%

24%

39%

30%

0%

20%

40%

60%

2015

2018

44%

24%16%

8%15%

35%33%

11% 8% 5%10%

21%

48%

0%

20%

40%

60%

2015

2018

18-34

35-64

65-74

Telephone Email Website

SMS / similar

messanging

serviceChat Videocall

I do not wish to have a

remote healthcare visit

18-74

Would you like to conduct a healthcare visit in any of the following ways? Select all which apply.

Interest for a virtual

healthcare visit via video has

doubled from 20% to

40%

Source: PwC (2018)

~30%were not interested in remote

channels for a healthcare visit

33%of those aged 18-34 years

were positive to a healthcare

visit via chat

More than 80% of those

between 12-25 years use chat

as a means of daily

communication – versus 48%

of the general population (2017)

(Source: Svenskarna och internet)

PwC


Half of the respondents were concerned about hacking leading to unauthorised access to personal information

7%

17%

33%

27%

16%

Don't know

Completely disagree

Agree to a small extent

Agree to a large extent

Completely agree

“I am unconcerned about data breaches in medical information

systems leading to decisions and measures regarding my health

being affected.” 50% of respondents were

concerned about hacking

Source: PwC (2018)17

Digitalisation’s role in prevention 3

PwC


Why is working more preventively so important?

Concluding thoughts

20

4

PwC


Digital care is here to stay

21

48%

23%29%

10%

20%

30%38%

11%16%

8%

23%

40%

31%

0%

20%

40%

60%

2015

2018

44%

23%

35%

13%22%

25%

45%

14%21%

11%

33%

53%

18%

0%

20%

40%

60%

2015

2018

50%

22%29%

9%

21%

31%38%

10%16%

7%

24%

39%

30%

0%

20%

40%

60%

2015

2018

44%

24%16%

8%15%

35%33%

11% 8% 5%10%

21%

48%

0%

20%

40%

60%

2015

2018

18-34

35-64

65-74


SMS / similar

messanging




18-74




doubled from 20% to

40%

33%of those aged 18-34 years are

positive to a healthcare visit

via chat

Source: PwC (2018)

~30%are not interested in remote




as a means of daily



(Källa: Svenskarna och internet)

The National Board of Health and Welfare (Socialstyrelsen)

15 June 2018

New mapping of digital care services – a national followup

review is proposed ----------------------------------------------------------------------

”The number of digital doctor visits has increased sharply…”

”Both county councils and private actors offer numerous digital

healthcare services in a number of different areas - such as running

tests, examination, and triage. The services are implemented through,

for example, video calls, chat and text messaging, and there is the

opportunity to meet, among others, doctors, midwives and

physiotherapists."

PwC


Digital care is here to stay

22

48%

23%29%

10%

20%

30%38%

11%16%

8%

23%

40%

31%

0%

20%

40%

60%

2015

2018

44%

23%

35%

13%22%

25%

45%

14%21%

11%

33%

53%

18%

0%

20%

40%

60%

2015

2018

50%

22%29%

9%

21%

31%38%

10%16%

7%

24%

39%

30%

0%

20%

40%

60%

2015

2018

44%

24%16%

8%15%

35%33%

11% 8% 5%10%

21%

48%

0%

20%

40%

60%

2015

2018

18-34

35-64

65-74


SMS / similar

messanging




18-74




doubled from 20% to

40%

33%of those aged 18-34 years are

positive to a healthcare visit

via chat

Source: PwC (2018)

~30%are not interested in remote




as a means of daily



(Källa: Svenskarna och internet)

According to the National Board of Health and Welfare, these principles

should be fulfilled in order for care and treatment to be suitable for digital

care services:

1. Existing statutes or current knowledge management do not require a physical

meeting.Gällande författningar eller aktuell kunskapsstyrning förutsätter inte ett fysiskt möte.

2. The digital service is adapted to the individual patient's needs and

circumstances for using the service.Den digitala tjänsten är anpassad till den enskilde patientens behov och förutsättningarna

att använda tjänsten.

3. The caregiver has access to sufficient information about the patient's health

status and medical history in order to provide good and safe care.Vårdgivaren har tillgång till tillräcklig information om patientens hälsotillstånd och

sjukdomshistoria för att kunna ge en god och säker vård.

4. Necessary follow-up and coordination with other actors is possible.Nödvändig uppföljning och koordinering med andra aktörer är möjlig.

PwC


The future rests on

3Ts

Technology

Talent

Trust

23

PwC


Hur kan prevention bidra tillett hälsosammare samhälle?

Mötesplatser under Vitalis

Seminarium

Can healthcare keep up with the digital

citizen?

Föreläsare:

Sarah Lidé, PwC

22 maj, kl 09.30-10.00

Lokal F6

Reumatoid artrit (RA): Vad hindrar oss att ta

tillvara på patientens uppföljning?

22 maj, kl 10.05-10.20

AbbVies monter B03:21

Lunchseminarium

Nya aktörers roll inom prevention

22 maj, kl 12.30-12.50

AbbVies monter B03:21

Hjärtsvikt: Har vi råd att inte tillvarata

patientens vilja till uppföljning?

22 maj, kl 15.05-15.20

Roches monter

B04:51Ett samarbete mellan

24

PwC


25

Ses i Almedalen!

Preventionens roll i ett

hälsosamt samhälle

Sverige behöver bli bättre på att arbeta preventivt för att

minska kostnaderna för kroniska och allvarliga sjukdomar.

Seminariet tar sin utgångspunkt i en färsk rapport om

prevention som visar att preventivt arbete kan ha markant

skillnad på kostnader och utfall för samhället, vården och

individen.

Datum och tid

Onsdagen den 3 juli

kl 14.30-15.30

Plats

Hästgatan 9 i Visby

Henrik Schildt & Ina Caesar, PwC

Anders W Jonsson, Rikstadsledarmot (C)

Annika Wallenskog, Chefsekonom, SKL

Cajsa Helin Hollstrand, Blivande ordf, Unga

Reumatiker

Ann Carlsson, VD, Apoteket AB

Linn Mandahl Skepp, VD, AbbVie

pwc.com

© 2019 PwC. All rights reserved. Not for further distribution without the permission of PwC. “PwC” refers to the network of member firms of PricewaterhouseCoopers

International Limited (PwCIL), or, as the context requires, individual member firms of the PwC network. Each member firm is a separate legal entity and does not act as

agent of PwCIL or any other member firm. PwCIL does not provide any services to clients. PwCIL is not responsible or liable for the acts or omissions of any of its

member firms nor can it control the exercise of their professional judgment or bind them in any way. No member firm is responsible or liable for the acts or omissions of

any other member firm nor can it control the exercise of another member firm’s professional judgment or bind another member f irm or PwCIL in any way.

Let’s continue the conversation

Jon Arwidson

Partner, Industry leader

Healthcare

PwC Sweden

+46 709 29 31 02

[email protected]

Henrik Schildt

Industry expert

Healthcare

PwC Sweden

+46 70 550 63 30

[email protected]

Ina Caesar

PhD, Specialist

Healthcare

PwC Sweden

+46 733 12 39 51

[email protected]

Sarah Lidé

Expert

Healthcare

PwC Sweden

+46 725 84 92 08

[email protected]

digital citizen? - Svenska Mässan Gothia Towers€¦ · Can healthcare keep up with the digital...

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