SlideShare uma empresa Scribd logo
1 de 21
Baixar para ler offline
S3.3
Patient participation
and Virtual health
practice
Barcelona , May 22th, 2014
1
Joan Escarrabill MD PhD
Chronic Care Program– Barcelona Esquerra.
Hospital Clínic (Barcelona)
Master Plan for Respiratory Diseases (PDMAR) & Home
Respiratory Therapies Observatory (ObsTRD). FORES.
Ministry of Health (Catalonia)
2
The doctor’s visit (1663)
Jan Steen (1626-1679)
The doctor (1891)
Sir Samuel Luke Fildes (1842-1927)
A Fortunate Man (1997)
John Berger (1926- )
Episodic office-based model
Health care in digital age
3
Cycle
 Ageing and chronic diseases
 Consumer driven models
 Economic constraints
4
Nothing is so dear and
precious as time
F. Rabelais (1494-1553)
Time
5
 Health indicators
 Recovery Time
 Maintenance of health
NEJM 2010;363:2477-81
Care cycle
6
Better value through population
and personalised medicine.
J A Muir Gray. Lancet 2013;382:200-1
Effectivity
Quality
Safety
Value
Presonalised
Population
medicine
Customize evidence
 Biomarkers
 Personal values
 Clinical situation
 Context
Responsibilities to the
population to be served
 Avoid inequalities
 Distribution of resources
Health care in digital age
7
Cycle
 Ageing and chronic diseases
 Consumer driven models
 Economic constraints
Without ICT, this is impossible
With science and paternalism, is not feasible to deal
with ageing, chronic diseases and budget constraints
8
The need to be knowledgeable about and understand these
choices and engage in a shared decision-making process
http://thehill.com/blogs/congress-blog/healthcare/198595-
a-better-healthcare-system-requires-active-participation-by
9
Shared Decision Making
• Patients have to be informed
• Patients have to spend some time to consider their goals
and concerns.
• Interaction with their health care providers
10
11
The challenge of health system is to increase
value of care for patient in sustainable way
Virtual health practice
• The transformation of the health system is not possible if it
is based almost exclusively on face-to-face visits.
• We define "virtual health practice" as the strategy of
promoting the consistent use of technology across all points
of care cycle in order to increase contact with the patient,
reducing face-to-face visits, to get the maximum value in
terms of health and wellbeing.
Virtual Health Practice:
Key features
Disruption
P4
Big Data
Systemic
approach
ICT
12
Changes in Business Model
Personalized
Predictive
Preventive
Participatory
13
Need of disruptive innovations
to care for patients with
chronic diseases
Increase the total number of contacts
and reducing face to face visits
Need to respond to the needs
of the population (not just
those of patients who "knock
on the door")
To develop scalable projects, not just
pilot studies
Need to promote an intensive
and simultaneous use of
multiple ICT’s tools
ICT is not the driver of change, it’s just
a lever.
Why we need Virtual Health Practice?
14
 Artificial Intelligence in Medical Decision Support.
 Artificial organs.
 Augmented Reality .
 Augmenting Human Capabilities.
 Curated Online Information.
 Customized Mobile Apps
 Digestible Sensors
 Gamification Based Wellness
 Humanoid Robots
 Personalized Genomics and Optogenetics
 Semantic Health Records
15
1
2 Waiting Rooms Will Be Phased Out
3
4
www.wolterskluwerhealth.com/
16
The immediate future of health care should be based on the
coexistence of the face-to-face visits & virtual practice and
synchronous & asynchronous
17
18
1
2
3
4
• E-visits are designed to handle common,
nonemergency conditions
• What happens when you need to do
a physical exam?
•CDC and Prevention says any condition that
could lead to an antibiotic warrants an in-
person exam
• Telehealth services could lead to
more health-care spending
19
20
Conclusions
• The main objective of health care is to increase the
value for the patient. Information and participation are
key elements.
• Information and communications technologies (ICT)
have a central role to play in transforming our health
care system.
• ICT is a lever not the main issue.
• The main purpose is to define a package of care, as
personal as possible, adapted to local circumstances
21

Mais conteúdo relacionado

Mais procurados

Geo-Medicine New Frontier in Medical Informatics
Geo-Medicine New Frontier in Medical InformaticsGeo-Medicine New Frontier in Medical Informatics
Geo-Medicine New Frontier in Medical Informaticsorratech
 
Chockinf and ventilation including Use of BVM
Chockinf and ventilation including Use of BVMChockinf and ventilation including Use of BVM
Chockinf and ventilation including Use of BVMVamsi kumar
 
Effecting change by the use of emerging technologies in healthcare: A future ...
Effecting change by the use of emerging technologies in healthcare: A future ...Effecting change by the use of emerging technologies in healthcare: A future ...
Effecting change by the use of emerging technologies in healthcare: A future ...Health Informatics New Zealand
 
Big Data, Artificial Intelligence & Healthcare
Big Data, Artificial Intelligence & HealthcareBig Data, Artificial Intelligence & Healthcare
Big Data, Artificial Intelligence & HealthcareIris Thiele Isip-Tan
 
The Implications of Advancing Technology on the Nursing Care of Older People
The Implications of Advancing Technology on the Nursing Care of Older PeopleThe Implications of Advancing Technology on the Nursing Care of Older People
The Implications of Advancing Technology on the Nursing Care of Older PeopleGuy Dewsbury
 
Submit20your20 powerpoint20file20here bernardp11_attempt_2012-12-05-21-24-27_...
Submit20your20 powerpoint20file20here bernardp11_attempt_2012-12-05-21-24-27_...Submit20your20 powerpoint20file20here bernardp11_attempt_2012-12-05-21-24-27_...
Submit20your20 powerpoint20file20here bernardp11_attempt_2012-12-05-21-24-27_...Xiaoming Zeng
 
Big Data Analytics: Kesehatan Masyarakat
Big Data Analytics: Kesehatan MasyarakatBig Data Analytics: Kesehatan Masyarakat
Big Data Analytics: Kesehatan MasyarakatAditya L. Ramadona
 
IMPACT OF EMERGING TECHNOLOGY ON NURSING
IMPACT OF EMERGING TECHNOLOGY ON NURSINGIMPACT OF EMERGING TECHNOLOGY ON NURSING
IMPACT OF EMERGING TECHNOLOGY ON NURSINGDeboraJasmin S
 
RE(ACT) Community: a platform for the #RAREvolution
RE(ACT) Community: a platform for the #RAREvolutionRE(ACT) Community: a platform for the #RAREvolution
RE(ACT) Community: a platform for the #RAREvolutionOpenKnowledge srl
 
I-nonni 2.0: when digital becomes therapeutics
I-nonni 2.0: when digital becomes therapeuticsI-nonni 2.0: when digital becomes therapeutics
I-nonni 2.0: when digital becomes therapeuticsOpenKnowledge srl
 
Health informatics: Introduction, History and general presentation
Health informatics: Introduction, History and general presentationHealth informatics: Introduction, History and general presentation
Health informatics: Introduction, History and general presentationDr. Khaled OUANES
 
Eysenbach: eHealth: Transforming the dynamics of a complex health system
Eysenbach: eHealth: Transforming the dynamics of a complex health systemEysenbach: eHealth: Transforming the dynamics of a complex health system
Eysenbach: eHealth: Transforming the dynamics of a complex health systemGunther Eysenbach
 
Technology And Nursing: Past, Present and Future Perspectives
Technology And Nursing: Past, Present and Future PerspectivesTechnology And Nursing: Past, Present and Future Perspectives
Technology And Nursing: Past, Present and Future Perspectivesguestd5e795
 
Trends in digital health entrepreneurship
Trends in digital health entrepreneurshipTrends in digital health entrepreneurship
Trends in digital health entrepreneurshipArlen Meyers, MD, MBA
 
Esitlus Arengufondis Madis Tiik E-tervis 29.08.2014
Esitlus Arengufondis Madis Tiik E-tervis 29.08.2014Esitlus Arengufondis Madis Tiik E-tervis 29.08.2014
Esitlus Arengufondis Madis Tiik E-tervis 29.08.2014Caroline Rute
 
E-HEALTH BIOSENSOR PLATFORM FOR NONINVASIVE HEALTH MONITORING FOR THE ELDERLY...
E-HEALTH BIOSENSOR PLATFORM FOR NONINVASIVE HEALTH MONITORING FOR THE ELDERLY...E-HEALTH BIOSENSOR PLATFORM FOR NONINVASIVE HEALTH MONITORING FOR THE ELDERLY...
E-HEALTH BIOSENSOR PLATFORM FOR NONINVASIVE HEALTH MONITORING FOR THE ELDERLY...ijbesjournal
 
JMMH_3-4_p264-271 Improving patient satisfaction R.H. Koop
JMMH_3-4_p264-271 Improving patient satisfaction R.H. KoopJMMH_3-4_p264-271 Improving patient satisfaction R.H. Koop
JMMH_3-4_p264-271 Improving patient satisfaction R.H. KoopRonny Koop
 
Health Informatics & eHealth: Application of ICT for Health
Health Informatics & eHealth: Application of ICT for HealthHealth Informatics & eHealth: Application of ICT for Health
Health Informatics & eHealth: Application of ICT for HealthNawanan Theera-Ampornpunt
 

Mais procurados (20)

Geo-Medicine New Frontier in Medical Informatics
Geo-Medicine New Frontier in Medical InformaticsGeo-Medicine New Frontier in Medical Informatics
Geo-Medicine New Frontier in Medical Informatics
 
Chockinf and ventilation including Use of BVM
Chockinf and ventilation including Use of BVMChockinf and ventilation including Use of BVM
Chockinf and ventilation including Use of BVM
 
Effecting change by the use of emerging technologies in healthcare: A future ...
Effecting change by the use of emerging technologies in healthcare: A future ...Effecting change by the use of emerging technologies in healthcare: A future ...
Effecting change by the use of emerging technologies in healthcare: A future ...
 
Big Data, Artificial Intelligence & Healthcare
Big Data, Artificial Intelligence & HealthcareBig Data, Artificial Intelligence & Healthcare
Big Data, Artificial Intelligence & Healthcare
 
The Implications of Advancing Technology on the Nursing Care of Older People
The Implications of Advancing Technology on the Nursing Care of Older PeopleThe Implications of Advancing Technology on the Nursing Care of Older People
The Implications of Advancing Technology on the Nursing Care of Older People
 
Submit20your20 powerpoint20file20here bernardp11_attempt_2012-12-05-21-24-27_...
Submit20your20 powerpoint20file20here bernardp11_attempt_2012-12-05-21-24-27_...Submit20your20 powerpoint20file20here bernardp11_attempt_2012-12-05-21-24-27_...
Submit20your20 powerpoint20file20here bernardp11_attempt_2012-12-05-21-24-27_...
 
Big Data Analytics: Kesehatan Masyarakat
Big Data Analytics: Kesehatan MasyarakatBig Data Analytics: Kesehatan Masyarakat
Big Data Analytics: Kesehatan Masyarakat
 
IMPACT OF EMERGING TECHNOLOGY ON NURSING
IMPACT OF EMERGING TECHNOLOGY ON NURSINGIMPACT OF EMERGING TECHNOLOGY ON NURSING
IMPACT OF EMERGING TECHNOLOGY ON NURSING
 
RE(ACT) Community: a platform for the #RAREvolution
RE(ACT) Community: a platform for the #RAREvolutionRE(ACT) Community: a platform for the #RAREvolution
RE(ACT) Community: a platform for the #RAREvolution
 
I-nonni 2.0: when digital becomes therapeutics
I-nonni 2.0: when digital becomes therapeuticsI-nonni 2.0: when digital becomes therapeutics
I-nonni 2.0: when digital becomes therapeutics
 
Health informatics: Introduction, History and general presentation
Health informatics: Introduction, History and general presentationHealth informatics: Introduction, History and general presentation
Health informatics: Introduction, History and general presentation
 
Eysenbach: eHealth: Transforming the dynamics of a complex health system
Eysenbach: eHealth: Transforming the dynamics of a complex health systemEysenbach: eHealth: Transforming the dynamics of a complex health system
Eysenbach: eHealth: Transforming the dynamics of a complex health system
 
Technology And Nursing: Past, Present and Future Perspectives
Technology And Nursing: Past, Present and Future PerspectivesTechnology And Nursing: Past, Present and Future Perspectives
Technology And Nursing: Past, Present and Future Perspectives
 
Trends in digital health entrepreneurship
Trends in digital health entrepreneurshipTrends in digital health entrepreneurship
Trends in digital health entrepreneurship
 
Kaiku - Patient-reported outcomes and the future of data-driven cancer care. ...
Kaiku - Patient-reported outcomes and the future of data-driven cancer care. ...Kaiku - Patient-reported outcomes and the future of data-driven cancer care. ...
Kaiku - Patient-reported outcomes and the future of data-driven cancer care. ...
 
Esitlus Arengufondis Madis Tiik E-tervis 29.08.2014
Esitlus Arengufondis Madis Tiik E-tervis 29.08.2014Esitlus Arengufondis Madis Tiik E-tervis 29.08.2014
Esitlus Arengufondis Madis Tiik E-tervis 29.08.2014
 
E-HEALTH BIOSENSOR PLATFORM FOR NONINVASIVE HEALTH MONITORING FOR THE ELDERLY...
E-HEALTH BIOSENSOR PLATFORM FOR NONINVASIVE HEALTH MONITORING FOR THE ELDERLY...E-HEALTH BIOSENSOR PLATFORM FOR NONINVASIVE HEALTH MONITORING FOR THE ELDERLY...
E-HEALTH BIOSENSOR PLATFORM FOR NONINVASIVE HEALTH MONITORING FOR THE ELDERLY...
 
Patient summaries in Paediatric Emergencies: Policy, Standards, Prospects: Jo...
Patient summaries in Paediatric Emergencies: Policy, Standards, Prospects: Jo...Patient summaries in Paediatric Emergencies: Policy, Standards, Prospects: Jo...
Patient summaries in Paediatric Emergencies: Policy, Standards, Prospects: Jo...
 
JMMH_3-4_p264-271 Improving patient satisfaction R.H. Koop
JMMH_3-4_p264-271 Improving patient satisfaction R.H. KoopJMMH_3-4_p264-271 Improving patient satisfaction R.H. Koop
JMMH_3-4_p264-271 Improving patient satisfaction R.H. Koop
 
Health Informatics & eHealth: Application of ICT for Health
Health Informatics & eHealth: Application of ICT for HealthHealth Informatics & eHealth: Application of ICT for Health
Health Informatics & eHealth: Application of ICT for Health
 

Destaque

Lleida 03 06 11 vs 1
Lleida 03 06 11 vs 1Lleida 03 06 11 vs 1
Lleida 03 06 11 vs 1jescarra
 
20151104 qualitat de l'aire
20151104 qualitat de l'aire20151104 qualitat de l'aire
20151104 qualitat de l'airejescarra
 
Montevideo (4 dic 10) vs 6
Montevideo  (4 dic 10) vs 6Montevideo  (4 dic 10) vs 6
Montevideo (4 dic 10) vs 6jescarra
 
Atenció cronicitat
Atenció cronicitatAtenció cronicitat
Atenció cronicitatjescarra
 
Web 2 0 i formació (1 octubre 2010) vs 3
Web 2 0 i formació  (1 octubre  2010) vs 3Web 2 0 i formació  (1 octubre  2010) vs 3
Web 2 0 i formació (1 octubre 2010) vs 3jescarra
 
Sessió lleida 13 10 11
Sessió lleida 13 10 11Sessió lleida 13 10 11
Sessió lleida 13 10 11jescarra
 
Mataró 03 11 11 final
Mataró 03 11 11 finalMataró 03 11 11 final
Mataró 03 11 11 finaljescarra
 
Inno4 ageing 12 12 13
Inno4 ageing 12 12 13Inno4 ageing 12 12 13
Inno4 ageing 12 12 13jescarra
 

Destaque (8)

Lleida 03 06 11 vs 1
Lleida 03 06 11 vs 1Lleida 03 06 11 vs 1
Lleida 03 06 11 vs 1
 
20151104 qualitat de l'aire
20151104 qualitat de l'aire20151104 qualitat de l'aire
20151104 qualitat de l'aire
 
Montevideo (4 dic 10) vs 6
Montevideo  (4 dic 10) vs 6Montevideo  (4 dic 10) vs 6
Montevideo (4 dic 10) vs 6
 
Atenció cronicitat
Atenció cronicitatAtenció cronicitat
Atenció cronicitat
 
Web 2 0 i formació (1 octubre 2010) vs 3
Web 2 0 i formació  (1 octubre  2010) vs 3Web 2 0 i formació  (1 octubre  2010) vs 3
Web 2 0 i formació (1 octubre 2010) vs 3
 
Sessió lleida 13 10 11
Sessió lleida 13 10 11Sessió lleida 13 10 11
Sessió lleida 13 10 11
 
Mataró 03 11 11 final
Mataró 03 11 11 finalMataró 03 11 11 final
Mataró 03 11 11 final
 
Inno4 ageing 12 12 13
Inno4 ageing 12 12 13Inno4 ageing 12 12 13
Inno4 ageing 12 12 13
 

Semelhante a 20140522 mi health (2)

20140613 brn symposium
20140613 brn symposium20140613 brn symposium
20140613 brn symposiumjescarra
 
Implications for the Health Care System
Implications for the Health Care SystemImplications for the Health Care System
Implications for the Health Care Systembrnbarcelona
 
mHealth Empire: The Rise of the Digital Revolution
mHealth Empire: The Rise of the Digital RevolutionmHealth Empire: The Rise of the Digital Revolution
mHealth Empire: The Rise of the Digital RevolutionMedidata Solutions
 
Health Informatics- Module 1-Chapter 1.pptx
Health Informatics- Module 1-Chapter 1.pptxHealth Informatics- Module 1-Chapter 1.pptx
Health Informatics- Module 1-Chapter 1.pptxArti Parab Academics
 
eHealth Consumers in the Age of Hyper-Personalization
eHealth Consumers in the Age of Hyper-PersonalizationeHealth Consumers in the Age of Hyper-Personalization
eHealth Consumers in the Age of Hyper-Personalizationchronaki
 
Optimising maternal & child healthcare in India through the integrated use of...
Optimising maternal & child healthcare in India through the integrated use of...Optimising maternal & child healthcare in India through the integrated use of...
Optimising maternal & child healthcare in India through the integrated use of...Skannd Tyagi
 
Augmented Personalized Health: using AI techniques on semantically integrated...
Augmented Personalized Health: using AI techniques on semantically integrated...Augmented Personalized Health: using AI techniques on semantically integrated...
Augmented Personalized Health: using AI techniques on semantically integrated...Amit Sheth
 
Healthcare in Nepal
Healthcare in NepalHealthcare in Nepal
Healthcare in NepalRabiKC6
 
Running head COURSE PROJECT- ROUGH DRAFT .docx
Running head COURSE PROJECT- ROUGH DRAFT                     .docxRunning head COURSE PROJECT- ROUGH DRAFT                     .docx
Running head COURSE PROJECT- ROUGH DRAFT .docxsusanschei
 
Digital health for analog humans
Digital health for analog humansDigital health for analog humans
Digital health for analog humansKathleen Gray
 
Improving health care outcomes with responsible data science
Improving health care outcomes with responsible data scienceImproving health care outcomes with responsible data science
Improving health care outcomes with responsible data scienceWessel Kraaij
 
EuroBioForum 2013 - Day 1 | Greame Boyle
EuroBioForum 2013 - Day 1 | Greame BoyleEuroBioForum 2013 - Day 1 | Greame Boyle
EuroBioForum 2013 - Day 1 | Greame BoyleEuroBioForum
 
20 tendencias digitales en salud digital_ The Medical Futurist
20 tendencias digitales en salud digital_ The Medical Futurist20 tendencias digitales en salud digital_ The Medical Futurist
20 tendencias digitales en salud digital_ The Medical FuturistRichard Canabate
 
ICU of the future and Information Technology
ICU of the future and Information TechnologyICU of the future and Information Technology
ICU of the future and Information TechnologyDr.Mahmoud Abbas
 
Mie2014 workshop: Gap Analysis of Personalized Health Services through Patien...
Mie2014 workshop: Gap Analysis of Personalized Health Services through Patien...Mie2014 workshop: Gap Analysis of Personalized Health Services through Patien...
Mie2014 workshop: Gap Analysis of Personalized Health Services through Patien...Pei-Yun Sabrina Hsueh
 
Consumer Health Information & Telehealth
Consumer Health Information & Telehealth Consumer Health Information & Telehealth
Consumer Health Information & Telehealth andreakyer
 
Transforming Health Care In Africa
Transforming Health Care In Africa Transforming Health Care In Africa
Transforming Health Care In Africa Jacques Kpodonu,MD
 
Digital Health Complete Notes and Elaboration
Digital Health Complete Notes and ElaborationDigital Health Complete Notes and Elaboration
Digital Health Complete Notes and ElaborationCaptainAmerica99
 

Semelhante a 20140522 mi health (2) (20)

20140613 brn symposium
20140613 brn symposium20140613 brn symposium
20140613 brn symposium
 
Implications for the Health Care System
Implications for the Health Care SystemImplications for the Health Care System
Implications for the Health Care System
 
mHealth Empire: The Rise of the Digital Revolution
mHealth Empire: The Rise of the Digital RevolutionmHealth Empire: The Rise of the Digital Revolution
mHealth Empire: The Rise of the Digital Revolution
 
Mobile momentum
Mobile momentumMobile momentum
Mobile momentum
 
Health Informatics- Module 1-Chapter 1.pptx
Health Informatics- Module 1-Chapter 1.pptxHealth Informatics- Module 1-Chapter 1.pptx
Health Informatics- Module 1-Chapter 1.pptx
 
eHealth Consumers in the Age of Hyper-Personalization
eHealth Consumers in the Age of Hyper-PersonalizationeHealth Consumers in the Age of Hyper-Personalization
eHealth Consumers in the Age of Hyper-Personalization
 
Optimising maternal & child healthcare in India through the integrated use of...
Optimising maternal & child healthcare in India through the integrated use of...Optimising maternal & child healthcare in India through the integrated use of...
Optimising maternal & child healthcare in India through the integrated use of...
 
Future of healthcare
Future of healthcareFuture of healthcare
Future of healthcare
 
Augmented Personalized Health: using AI techniques on semantically integrated...
Augmented Personalized Health: using AI techniques on semantically integrated...Augmented Personalized Health: using AI techniques on semantically integrated...
Augmented Personalized Health: using AI techniques on semantically integrated...
 
Healthcare in Nepal
Healthcare in NepalHealthcare in Nepal
Healthcare in Nepal
 
Running head COURSE PROJECT- ROUGH DRAFT .docx
Running head COURSE PROJECT- ROUGH DRAFT                     .docxRunning head COURSE PROJECT- ROUGH DRAFT                     .docx
Running head COURSE PROJECT- ROUGH DRAFT .docx
 
Digital health for analog humans
Digital health for analog humansDigital health for analog humans
Digital health for analog humans
 
Improving health care outcomes with responsible data science
Improving health care outcomes with responsible data scienceImproving health care outcomes with responsible data science
Improving health care outcomes with responsible data science
 
EuroBioForum 2013 - Day 1 | Greame Boyle
EuroBioForum 2013 - Day 1 | Greame BoyleEuroBioForum 2013 - Day 1 | Greame Boyle
EuroBioForum 2013 - Day 1 | Greame Boyle
 
20 tendencias digitales en salud digital_ The Medical Futurist
20 tendencias digitales en salud digital_ The Medical Futurist20 tendencias digitales en salud digital_ The Medical Futurist
20 tendencias digitales en salud digital_ The Medical Futurist
 
ICU of the future and Information Technology
ICU of the future and Information TechnologyICU of the future and Information Technology
ICU of the future and Information Technology
 
Mie2014 workshop: Gap Analysis of Personalized Health Services through Patien...
Mie2014 workshop: Gap Analysis of Personalized Health Services through Patien...Mie2014 workshop: Gap Analysis of Personalized Health Services through Patien...
Mie2014 workshop: Gap Analysis of Personalized Health Services through Patien...
 
Consumer Health Information & Telehealth
Consumer Health Information & Telehealth Consumer Health Information & Telehealth
Consumer Health Information & Telehealth
 
Transforming Health Care In Africa
Transforming Health Care In Africa Transforming Health Care In Africa
Transforming Health Care In Africa
 
Digital Health Complete Notes and Elaboration
Digital Health Complete Notes and ElaborationDigital Health Complete Notes and Elaboration
Digital Health Complete Notes and Elaboration
 

Mais de jescarra

20170407 xpa diabetes
20170407 xpa diabetes20170407 xpa diabetes
20170407 xpa diabetesjescarra
 
20170201 final observatori son bis
20170201 final observatori son bis20170201 final observatori son bis
20170201 final observatori son bisjescarra
 
20161115 mobile xpa c
20161115 mobile xpa c20161115 mobile xpa c
20161115 mobile xpa cjescarra
 
20160505 fac medicina bcn
20160505 fac medicina bcn20160505 fac medicina bcn
20160505 fac medicina bcnjescarra
 
20160223 patient experience2
20160223 patient experience220160223 patient experience2
20160223 patient experience2jescarra
 
20160120 gestió compartida
20160120 gestió compartida20160120 gestió compartida
20160120 gestió compartidajescarra
 
20151210 mpoc 3
20151210 mpoc 320151210 mpoc 3
20151210 mpoc 3jescarra
 
20151029 sedem pacientes
20151029 sedem pacientes20151029 sedem pacientes
20151029 sedem pacientesjescarra
 
20151015 bienal sevilla 6
20151015 bienal sevilla 620151015 bienal sevilla 6
20151015 bienal sevilla 6jescarra
 
20150716 experiència tic salut 3
20150716 experiència  tic salut 320150716 experiència  tic salut 3
20150716 experiència tic salut 3jescarra
 
20150710 big data central resultats vs 3
20150710 big data central resultats vs 320150710 big data central resultats vs 3
20150710 big data central resultats vs 3jescarra
 
20150611 albert jovell
20150611 albert jovell20150611 albert jovell
20150611 albert jovelljescarra
 
201500606 satisfacción trd 2
201500606 satisfacción trd 2201500606 satisfacción trd 2
201500606 satisfacción trd 2jescarra
 
20150507 satisfaccio vs experiència muntanyà slide
20150507 satisfaccio vs experiència muntanyà slide20150507 satisfaccio vs experiència muntanyà slide
20150507 satisfaccio vs experiència muntanyà slidejescarra
 
20140916 conferència uic vs 2
20140916 conferència uic vs 220140916 conferència uic vs 2
20140916 conferència uic vs 2jescarra
 
20140619 vni milano
20140619 vni milano20140619 vni milano
20140619 vni milanojescarra
 
Sessió ICT (17 set 2013)
Sessió ICT (17 set 2013)Sessió ICT (17 set 2013)
Sessió ICT (17 set 2013)jescarra
 
20130703 kings fund final
20130703 kings fund final20130703 kings fund final
20130703 kings fund finaljescarra
 
Separ trd 16 06 13 final
Separ  trd 16 06 13 finalSepar  trd 16 06 13 final
Separ trd 16 06 13 finaljescarra
 

Mais de jescarra (20)

20170407 xpa diabetes
20170407 xpa diabetes20170407 xpa diabetes
20170407 xpa diabetes
 
20170201 final observatori son bis
20170201 final observatori son bis20170201 final observatori son bis
20170201 final observatori son bis
 
20161115 mobile xpa c
20161115 mobile xpa c20161115 mobile xpa c
20161115 mobile xpa c
 
20160505 fac medicina bcn
20160505 fac medicina bcn20160505 fac medicina bcn
20160505 fac medicina bcn
 
20160223 patient experience2
20160223 patient experience220160223 patient experience2
20160223 patient experience2
 
20160120 gestió compartida
20160120 gestió compartida20160120 gestió compartida
20160120 gestió compartida
 
20151210 mpoc 3
20151210 mpoc 320151210 mpoc 3
20151210 mpoc 3
 
20151029 sedem pacientes
20151029 sedem pacientes20151029 sedem pacientes
20151029 sedem pacientes
 
20151015 bienal sevilla 6
20151015 bienal sevilla 620151015 bienal sevilla 6
20151015 bienal sevilla 6
 
20150716 experiència tic salut 3
20150716 experiència  tic salut 320150716 experiència  tic salut 3
20150716 experiència tic salut 3
 
20150710 big data central resultats vs 3
20150710 big data central resultats vs 320150710 big data central resultats vs 3
20150710 big data central resultats vs 3
 
20150611 albert jovell
20150611 albert jovell20150611 albert jovell
20150611 albert jovell
 
201500606 satisfacción trd 2
201500606 satisfacción trd 2201500606 satisfacción trd 2
201500606 satisfacción trd 2
 
20150507 satisfaccio vs experiència muntanyà slide
20150507 satisfaccio vs experiència muntanyà slide20150507 satisfaccio vs experiència muntanyà slide
20150507 satisfaccio vs experiència muntanyà slide
 
20140916 conferència uic vs 2
20140916 conferència uic vs 220140916 conferència uic vs 2
20140916 conferència uic vs 2
 
20140619 vni milano
20140619 vni milano20140619 vni milano
20140619 vni milano
 
Home care
Home careHome care
Home care
 
Sessió ICT (17 set 2013)
Sessió ICT (17 set 2013)Sessió ICT (17 set 2013)
Sessió ICT (17 set 2013)
 
20130703 kings fund final
20130703 kings fund final20130703 kings fund final
20130703 kings fund final
 
Separ trd 16 06 13 final
Separ  trd 16 06 13 finalSepar  trd 16 06 13 final
Separ trd 16 06 13 final
 

Último

SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdfHongBiThi1
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .Mohamed Rizk Khodair
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondSujoy Dasgupta
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfHongBiThi1
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 

Último (20)

SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and Beyond
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 

20140522 mi health (2)

  • 1. S3.3 Patient participation and Virtual health practice Barcelona , May 22th, 2014 1 Joan Escarrabill MD PhD Chronic Care Program– Barcelona Esquerra. Hospital Clínic (Barcelona) Master Plan for Respiratory Diseases (PDMAR) & Home Respiratory Therapies Observatory (ObsTRD). FORES. Ministry of Health (Catalonia)
  • 2. 2 The doctor’s visit (1663) Jan Steen (1626-1679) The doctor (1891) Sir Samuel Luke Fildes (1842-1927) A Fortunate Man (1997) John Berger (1926- ) Episodic office-based model
  • 3. Health care in digital age 3 Cycle  Ageing and chronic diseases  Consumer driven models  Economic constraints
  • 4. 4 Nothing is so dear and precious as time F. Rabelais (1494-1553) Time
  • 5. 5  Health indicators  Recovery Time  Maintenance of health NEJM 2010;363:2477-81 Care cycle
  • 6. 6 Better value through population and personalised medicine. J A Muir Gray. Lancet 2013;382:200-1 Effectivity Quality Safety Value Presonalised Population medicine Customize evidence  Biomarkers  Personal values  Clinical situation  Context Responsibilities to the population to be served  Avoid inequalities  Distribution of resources
  • 7. Health care in digital age 7 Cycle  Ageing and chronic diseases  Consumer driven models  Economic constraints Without ICT, this is impossible With science and paternalism, is not feasible to deal with ageing, chronic diseases and budget constraints
  • 8. 8 The need to be knowledgeable about and understand these choices and engage in a shared decision-making process http://thehill.com/blogs/congress-blog/healthcare/198595- a-better-healthcare-system-requires-active-participation-by
  • 9. 9 Shared Decision Making • Patients have to be informed • Patients have to spend some time to consider their goals and concerns. • Interaction with their health care providers
  • 10. 10
  • 11. 11 The challenge of health system is to increase value of care for patient in sustainable way Virtual health practice • The transformation of the health system is not possible if it is based almost exclusively on face-to-face visits. • We define "virtual health practice" as the strategy of promoting the consistent use of technology across all points of care cycle in order to increase contact with the patient, reducing face-to-face visits, to get the maximum value in terms of health and wellbeing.
  • 12. Virtual Health Practice: Key features Disruption P4 Big Data Systemic approach ICT 12 Changes in Business Model Personalized Predictive Preventive Participatory
  • 13. 13 Need of disruptive innovations to care for patients with chronic diseases Increase the total number of contacts and reducing face to face visits Need to respond to the needs of the population (not just those of patients who "knock on the door") To develop scalable projects, not just pilot studies Need to promote an intensive and simultaneous use of multiple ICT’s tools ICT is not the driver of change, it’s just a lever. Why we need Virtual Health Practice?
  • 14. 14  Artificial Intelligence in Medical Decision Support.  Artificial organs.  Augmented Reality .  Augmenting Human Capabilities.  Curated Online Information.  Customized Mobile Apps  Digestible Sensors  Gamification Based Wellness  Humanoid Robots  Personalized Genomics and Optogenetics  Semantic Health Records
  • 15. 15 1 2 Waiting Rooms Will Be Phased Out 3 4 www.wolterskluwerhealth.com/
  • 16. 16 The immediate future of health care should be based on the coexistence of the face-to-face visits & virtual practice and synchronous & asynchronous
  • 17. 17
  • 18. 18 1 2 3 4 • E-visits are designed to handle common, nonemergency conditions • What happens when you need to do a physical exam? •CDC and Prevention says any condition that could lead to an antibiotic warrants an in- person exam • Telehealth services could lead to more health-care spending
  • 19. 19
  • 20. 20
  • 21. Conclusions • The main objective of health care is to increase the value for the patient. Information and participation are key elements. • Information and communications technologies (ICT) have a central role to play in transforming our health care system. • ICT is a lever not the main issue. • The main purpose is to define a package of care, as personal as possible, adapted to local circumstances 21