EHealth eEurope eVolution Dr Ricky J Richardson BSc MBBS MRCP(UK) FRCP FRCPCH DCH DTM&H Chairman UK...
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Transcript of EHealth eEurope eVolution Dr Ricky J Richardson BSc MBBS MRCP(UK) FRCP FRCPCH DCH DTM&H Chairman UK...
eeHealth Health eeEurope Europe eeVolutionVolution
Dr Ricky J RichardsonDr Ricky J RichardsonBSc MBBS MRCP(UK) FRCP FRCPCH DCH DTM&HBSc MBBS MRCP(UK) FRCP FRCPCH DCH DTM&H
ChairmanChairman UK UK eeHealth AssociationHealth Association ChairmanChairman eeHealth Working Group - Health Working Group - EHTELEHTEL Board MemberBoard Member European Health Telematics Association European Health Telematics Association –– EHTELEHTEL Vice PresidentVice President International Society for International Society for TelemedicineTelemedicine ClinicalClinical DirectorDirector HealthSystems HealthSystems Consultants LtdConsultants Ltd
ConsultantConsultant PaediatricianPaediatricianGreat Ormond Street Hospital for Children, LondonGreat Ormond Street Hospital for Children, London
The Portland Hospital for Women & Children, LondonThe Portland Hospital for Women & Children, LondonThe Speech, Language and Hearing Centre, LondonThe Speech, Language and Hearing Centre, London
Health is far too Health is far too important a subject to important a subject to be left in the hands of be left in the hands of
the medical the medical professionals !!!!professionals !!!!
Dr Halfdan Mahler - DG Emeritus - Dr Halfdan Mahler - DG Emeritus - WHOWHO
after Oscar Wildeafter Oscar Wilde
BIOLOGIC PHYSICAL
INFORMATION
FUTUREFUTURE
RoboticsHPCC/WWWMEMS/Nano
GenomicsBioinformaticsBiocomputation
BiosensorsBiomaterialsBiomimetic
Cellular cyborg
The BioIntelligence AgeThe BioIntelligence Age
Who will be at Who will be at the the
primary care primary care interface of the interface of the
future?future?
eeHealthHealth• Clinical ApplicationsClinical Applications
TelTeleeConsultations Consultations (previously (previously Telemedicine)Telemedicine)
Clinical Decision Making Support SoftwarClinical Decision Making Support Softwaree
Vital Signs Monitoring SVital Signs Monitoring Seervicesrvices
TeleHomTeleHomeeCareCare
National National eePrescribingPrescribing & & eeBooking ServicesBooking Services
Finance Departments
Community Health
Provision
Patient Care Practitioners
Government
Transport Strategy & Planning
Research and Development
Medical Devices
Professional Associations
eHealteHealthh
Insurance Companie
s
Medical Information
Quality Standards
Information Technology
Social Welfare
Suppliers
Alternative Medicine
Patients
Technical Support
Personnel
Medical SchoolsAmbulance
sParamedics
Human Resource
s
Pharmaceuticals
Patient Care
Facilities
Alternative Health Centres
Clinics Surgeries
Specialists:(Orthopaedics, Radiologists, Paediatrics
General Practitioners
Home Monitoring
Primary Care Centres
Hospices
Specific Care Centres
Hospitals
The Paradigm ShiftThe Paradigm ShiftThe The eighteight Drivers Forcing Change Drivers Forcing Change
• Obligatory search for cost containmentObligatory search for cost containment
• Changing demographicsChanging demographics• Peripheralisation of health care deliveryPeripheralisation of health care delivery• Changing disease patternsChanging disease patterns• Impact of information technology Impact of information technology
including IT support for clinical decisions - including IT support for clinical decisions - Telemedicine & Telemedicine &
eeHealthHealth • More informed and expectant patients C-More informed and expectant patients C-
HealthHealth• The well-being factorThe well-being factor – responsibility shift – responsibility shift
into patients hands - into patients hands - The Wellness The Wellness ParadigmParadigm
• Knowledge Management – changing worldKnowledge Management – changing world
Integration of IT into Integration of IT into Business SectorsBusiness Sectors
Inte
gra
tion
of
ITIn
teg
rati
on
of
IT
IT as a gadgetTrojan horse: networks, …Full Integration of IT into Business (Organisational, Legal) Re-engineering of the system
19801980 19901990 20002000 Jean-Claude HealyJean-Claude HealyMay 2000May 2000
(Banks) (Health…)ManufacturingManufacturing Business ServicesBusiness Services Public ServicesPublic Services
Traditional Healthcare Delivery
Model
The Patient Community - Bottom of the pile!!
PhysicalMovementofPatients
3° HealthCare
2° HealthCare
1° HealthCare
Teaching Hospitals
Regional Hospitals
District General Hospitals
General Practitioners
Unchanged for 6000 years - circa 3000 BC!
The well-being factor
PRIMARY TELERADIOLOGYPRIMARY TELERADIOLOGYAND TELEPATHOLOGYAND TELEPATHOLOGY
eeHealth &Health &TelemedicineTelemedicine
Clusters of Clusters of Specialists Specialists withwithGlobal AccessGlobal Access
Allied HealthCare Professionals
Primary HealthCarePrimary HealthCare The ‘Super’ Primary Care PhysicianThe ‘Super’ Primary Care Physician
CommunityHospitals
(Acute)
CommunityHospitals(Non-acute)
Freestanding Diagnostic Centres
HomeCare
HealthKiosks
DayCareSurgery
MaternityAcute
Trauma
??
Direct Access to specialistsDirect Access to specialistsWWWWWW IDTVIDTV IDTVIDTV WWWWWW
The Informed Wired upInformed Wired up Citizen Community
C-C-HealthHealth
The Impact of Globalisation The Impact of Globalisation on Healthcare deliveryon Healthcare delivery
Healthcare Services move into the Healthcare Services move into the Retail Environment Retail Environment Shopping Mall Shopping Mall medicinemedicine
C-health: - Health-on-line C-health: - Health-on-line WebsitesWebsites
District General and Regional District General and Regional Hospitals become Hospitals become obsoleteobsolete as a as a conceptconcept
Emergence of Emergence of EpicentersEpicenters of of Medical ExcellenceMedical Excellence
Managed Clinical NetworksManaged Clinical Networks
The Impact of Globalisation
on Healthcare deliveryHospitals……….. to
eHospitals Patients in the locality
Old MarketsOld Markets New MarketsNew Markets
The Global Patient CommunityShipping Mercantile Cruise ships (SeaMed)Airline IndustryHotel ResortsMultinational Corporations (Shell /Amoco etc)The MilitarySpace Travellers
The Paradigm ShiftThe Impact
Healthcare ProfessionalsHealthcare Professionals
• Healthcare practices - Healthcare practices - changing roleschanging roles• Nurse Practitioners at Nurse Practitioners at Primary CarePrimary Care• • Healthcare trainingHealthcare training• • Financial Financial remuneration/rewardsremuneration/rewards• • Healthcare vocationHealthcare vocation
PatientsPatientsPartners Partners in the healthcare in the healthcare
processprocess
The ePatientFamily and friendsPatient Web CommunitieseNurse PractitionersPharmacists?????????????
The Paradigm ShiftThe Paradigm ShiftWho will be the Primary Care Who will be the Primary Care
Team of the Future?Team of the Future?
Will the family doctor Will the family doctor become “The Wellness become “The Wellness Guardian-Caretaker”?Guardian-Caretaker”?
Technology drivenDisappointment
Healthcare Professionals: HELP!!!!!Sit on the fence or Resist “I told you so !” Accept the inevitable and want controlcontrol
GlobalisationGlobalisationHealthcare Economists Healthcare Economists Patient PowerPatient PowerThe Medical ProfessionThe Medical ProfessionThe World Wide WebThe World Wide WebNew TechnologiesNew Technologiese.g. Mobile Videophonese.g. Mobile VideophonesG3 mobile networksG3 mobile networks
19801980 19901990 September September 20032003
ICT Solutions inICT Solutions in Healthcare Healthcare deliverydelivery
• •Dr Kenneth Bird – Logan Airport – MGH – 1967Dr Kenneth Bird – Logan Airport – MGH – 1967• Interactive Video Conferencing - 1980Interactive Video Conferencing - 1980•Tele-Radiology, USA - 1990Tele-Radiology, USA - 1990• International Telemedicine - 1994International Telemedicine - 1994•The Telemedicine Blueprint, Malaysia - 1997The Telemedicine Blueprint, Malaysia - 1997•Telemedicine “Comes of Age” - 1998 - Telemedicine “Comes of Age” - 1998 -
TeleHealth ? TeleCare ? Citizen-Health?TeleHealth ? TeleCare ? Citizen-Health?•Telemedicine becomes “Medicine” - 1999Telemedicine becomes “Medicine” - 1999•eeHealth : The Road Ahead - 2003Health : The Road Ahead - 2003
Telemedicine & Telemedicine & eeHealth Health The story so farThe story so far