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ERICSSON
CONSUMERLAB
The critical role of 5G in healthcare transformation
An Ericsson Consumer Insight Summary Report
May 2017
FROM
HEALTHCARE
TO HOMECARE
the voice of the consumer
2  ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE
Contents
3 	 TRANSFORMING CARE
4	 CLOSER HEALTHCARE
5	 IMMEDIATE, ATTENTIVE CARE
6 	 STAYING CLOSER TO HOME
7 	 DATA-BASED HEALTHCARE
8 	 LOSS OF HUMAN INTERACTION
9 	 5G: DECENTRALIZING CARE,
	 CENTRALIZING DATA
10 	INDUSTRY DISRUPTION
Ericsson ConsumerLab has 20 years’ experience of studying
people’s behaviors and values, including the way they
act and think about ICT products and services. Ericsson
ConsumerLab provides unique insights on market and
consumer trends.
Ericsson ConsumerLab gains its knowledge through a
global consumer research program based on interviews
with 100,000 individuals each year, in more than 40 countries
and 15 megacities – statistically representing the views of
1.1 billion people.
Both quantitative and qualitative methods are used, and
hundreds of hours are spent with consumers from different
cultures. To be close to the market and consumers, Ericsson
ConsumerLab has analysts in all regions where Ericsson is
present, developing a thorough global understanding of the
ICT market and business models.
All reports can be found at:
www.ericsson.com/consumerlab
Methodology
USA
UK
Germany
Japan
South Korea
Quantitative study
This report presents insights from
an online survey of 4,500 advanced
smartphone/mobile broadband users aged
18–69 carried out in February 2017. The
respondents were based in Germany, Japan,
South Korea, the UK and the US.
Respondents were smartphone users on mobile
broadband, who have higher than average use
of fitness trackers, smart watches, and health
apps to monitor their health. Although this
represents only 16 percent of the total population
of over 650 million living in these 5 countries, the
health monitoring behaviors of these respondents
help us predict future trends in healthcare evolution.
Expert interviews
An online survey of 900 decision makers across
6 industries – healthcare, insurance, medical
technology companies, telecom operators,
app developers/aggregators and government
regulatory bodies – was carried out in Germany,
Japan, South Korea, the UK and the US.
Qualitative study
Two consumer focus group discussions in the
US and the UK, plus in-depth interviews with
6 post-operative care patients and 17 industry decision
makers from 6 industries were conducted across Japan,
South Korea, the UK and the US in August 2016.
Definitions used in the study
Preventative healthcare: People maintaining a
healthy lifestyle for themselves and their family
by being proactive about their health.
Routine patient care: Care for those who are
already diagnosed with chronic health issues
(such as diabetes or asthma) and are on medication.
Post-operative care: Care for patients who are recovering
from surgery, but may need unscheduled emergency care.
ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE 3
KEY FINDINGS
TRANsFORMING CARE
2. Patient data is centralized, turning
hospitals into data centers
 35 percent of consumers say that online access
to a central repository of medical records will help
them easily manage the quality and efficiency of
their care; 45 percent of cross-industry experts
consider the central repository as a breakthrough
in healthcare provisioning
 Access to patient data is considered important
to improve healthcare. Doctors will become data
scientists and data security will become paramount,
as 46 percent of cross-industry decision makers
already consider data security to be an issue
1. Healthcare becomes decentralized,
moving from hospitals towards homes
 Consumers are frustrated with inconveniences
and doctor wait times; 39 percent of chronic
patients prefer online consultations to
face-to-face meetings
 Close to two in three consumers say wearables
that monitor and administer medication are
important to better manage chronic ailments,
leading to reduced visits to the doctor
 More than half of cross-industry decision makers
feel decentralizing healthcare to local centers will
improve efficiency and address resource scarcity
Today, consumers have the power to take control of their
health through smartphone apps, wearables and other
connected devices – and it has never been easier to lose
weight, improve sleep, count calories and get fit. This kind
of simple, immediate access is also changing consumer
attitudes and expectations when it comes to healthcare.
However, consumer needs differ from healthcare industry
priorities. While consumers are frustrated with doctor wait
times, the industry is becoming a victim of its own success
– a history of improved care has led to more patients, rather
than fewer, and the emergence of increasingly complex
ailments. In order to keep up, the healthcare industry
needs to reduce costs and improve efficiency. Information
technology holds the promise of reducing costs by providing
care away from hospitals and closer to home; whereas
increasingly detailed data can move from patients to
centralized healthcare repositories, allowing for efficiency
gains in diagnosis and treatment.
Next-generation networks will be pivotal in this
transformation, providing transmission efficiency in an
ecosystem of feedback and alerts, mobility and low latency.
They will become a vehicle for a range of applications,
including remote monitoring through medical-grade
wearables, virtual doctor-patient interaction, and remotely
operated robotic surgery.
Here we explore the transformation across three healthcare
situations: preventative, routine and post-operative care.
3. Increasing dependence on wearables and
remote treatments makes 5G essential to
provide reliable and secure services
 56 percent of consumers worry about
their wearable health patches running out
of battery; 42 percent of cross-industry
decision makers expect devices connected
to 5G networks to consume less power
 61 percent of consumers say remote
robotic surgery is risky as it relies on the
internet; and 35 percent of cross-industry
decision makers expect 5G to provide
reliable low-latency connections
 47 percent of telecom decision makers say that
secure access to an online central repository is
a key challenge and expect 5G to address this
4  ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE
Closer
Healthcare
Source: Ericsson ConsumerLab, From healthcare to homecare, 2017
Base: 4,500 smartphone mobile broadband users, across Germany, Japan,
South Korea, UK, US, aged 18-69
Figure 1: Consumers’ perception of how
wearables can improve preventative care
Imagine something
measuring my blood pressure
and sending the data
automatically to an app that
my doctor and I can easily
access. That would have
saved me from visiting the
emergency room and paying
out of my pocket. And if that
could be made as a portable
device, it would be more
convenient for me.”
Pregnant woman, US
Where have all the doctors gone?
What will become of multistory
hospital buildings? These are all
questions that we could be asking
in the not-so-distant future.
Consumers are demanding greater
control over when, where, how and
whom to engage for their healthcare
needs. With increased smartphone
app usage and shared experiences
through social media, this is a change
that is gaining momentum.
This growing consumer need for
control is further augmented by three
developments in the healthcare field:
the use of wearables to monitor health
and administer medication remotely;
the rise of online consultation; and
the use of remote procedures (such
as robotic surgery) performed at
local hospitals closer to patients.
Gaining control over health
Consumers want to stay healthy
through preventative measures such
as regular health check-ups, daily
exercises and a healthy diet. Over
60 percent of surveyed consumers
are ready to use wearables as a
preventive measure for checking
abnormalities and countering
chronic ailments, including heart
diseases, cancer and diabetes. In
addition, consumers say wearables
will lead to healthier lifestyles, and
personalized care (Figure 1).
Although consumer-grade wearables
are being widely used for preventative
measures, 55 percent of healthcare
decision makers from regulatory bodies
say these devices are not sufficiently
accurate or reliable for diagnosis. In
addition, for liability reasons it will
be very difficult to rely on patients’
smartphones for connectivity.
To reliably measure biomedical signals
– such as ECG, EEG, blood pressure,
blood sugar, body temperature and
stress – medical-grade wearables
will be required. Such devices could
also automatically dispense medicine
and offer convenience to those
recovering from surgery. Last year,
the US Federal Drug Administration
(FDA) approved the first automated
medical device that monitors the blood
sugar levels for type 1 diabetes and
automatically injects a dose of insulin.1
To manage chronic ailments, close
to two in three consumers would like
to monitor their health and ensure
that they take medication on time.
The openness of the industry to use
medical wearables is evident; half
of cross-industry decision makers
interviewed say that wearables
could replace routine healthcare
services with automated solutions
and help bring care closer to patients.
However, at the same time, constantly
being monitored is a concern for
half of all consumers surveyed.
Agree that wearable devices
with feedback and alerts will
provide personalized care
58%
Agree that wearable
devices will lead to a
healthier lifestyle
60%
Agree that wearable
devices will put people in
control of their own health
62%
1
Source: www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm522974.htm
With the rise of consumerism in
healthcare, there is an increase in the
number of choices available to the
consumers. Insurance and healthcare
providers are now operating in a more
competitive environment. Consumers
are no longer satisfied with being
passive – patients are demanding
quick, personalized attention.
Currently, more than one in two
patients with chronic ailments are
frustrated by long appointment
wait times, their inability to get a
convenient appointment and non-
availability of doctors of their choice.
Consumers are also frustrated by
the inability to get personalized
attention from doctors. In light of
this, the internet is helping to reduce
in-person visits to doctors. Some
39 percent of chronic patients say
online consultations with doctors will
make it easier to manage their health
compared to face-to-face meetings.
ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE  5
IMMEDIATE,
ATTENTIVE CARE
Source: Ericsson ConsumerLab, From healthcare to homecare, 2017
Base: 4,500 smartphone mobile broadband users, across Germany, Japan, South Korea, UK, US, aged 18-69
Figure 2: Consumers’ perception of activities that simplify health management
In addition, the prolonged wait time for
meeting a specialist is a well-known
healthcare industry challenge.
For example, in 2014, the average wait
time from assessment to treatment
in OECD countries was 88 days for
cataract surgery and 42 days for
coronary bypass.2
Fifty-six percent
of consumers say robotic surgery
would reduce wait times for surgical
operations, while 48 percent say it
could increase access to specialist
care. In addition, remote procedures
will help move care closer to where
patients live; if not into their homes,
then at least to local healthcare
centers. More than one in two
consumers are open to remote robotic
surgery in emergency situations.
It [remote robotic surgery] means you
don’t have the whole waiting thing.
You could plan things now because you
know, ‘right, that’s going to get done’.
Otherwise you have to put it off.”
Female, UK
39%
Say that online health
consultations would simplify
their health management
2
Source: OECD November 4, 2015. www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2015/waiting-times-for-elective-surgery_health_glance-2015-43-en
45%
Say that using smartphones for
appointments would simplify their
health management
28%
Say that remote administration
of medication via a patch would
simplify their health management
26%
Say that a personal fitness
smartphone app would simplify
their health management
Say that storing health records
in a central repository would
simplify their health management
35%
The world population aged 60 and above is projected to
reach 2 billion by 2050, and among them 21 percent are
likely to be aged 80 or above.3
Caring for the elderly is a
challenge; as an example, in the last decade, there has been
a 9 percent decline in the number of skilled nursing homes
in the US due to escalating costs and scarcity of resources.
Meanwhile, elders want to stay at home longer and be
independent, due to which over 70 percent of consumers
worry about elderly patients being left unattended –
exposed to in-home slips and falls, and not taking
prescribed medicines.
Medical wearables can be a boon to elderly or homebound
patients, and help with remote monitoring and medication.
Some 48 percent would like to have home sensors that
monitor the elderly, detect emergency situations and
send alerts that dispatch ambulance services when required.
Decentralizing care
Both consumers and the industry expect care to move
out of centralized hospitals, but for different reasons;
patients primarily think about convenience, whereas
the healthcare industry considers cost savings. Seventy
percent of consumers with chronic ailments feel care closer
to home gives quicker access to care and helps manage
health conditions better. At the same time, 51 percent
of cross-industry decision makers say that moving care
from larger hospitals to local healthcare centers can
reduce costs and improve overall efficiency.
Interestingly, the impending decentralization will likely lead to
centralization of resources. Specialists and medical experts
will increasingly be located in central hospitals, while funding
will be directed towards equipping local healthcare centers
with infrastructure and equipment – which will in turn be
operated by the experts from central locations.
However, the costs involved in equipping local centers to
enable remote procedures, along with non-availability of
physicians trained in the new technology, can act as
barriers to these changes.
STAYING CLOSER
TO HOME
Source: Ericsson ConsumerLab, From healthcare to homecare, 2017
Base: 900 cross-industry decision makers across, healthcare, insurance,
regulatory bodies, app developers, telcos and medical-technology companies
6  ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE
Figure 3: Cross-industry decision makers’
perception of decentralizing care
3
Source: www.un.org/en/development/desa/population/publications/pdf/popfacts/PopFacts_2014-4Rev1.pdf
52%Say that automation and
remote solutions will
address resource scarcity
in healthcare
51%Say that moving healthcare
delivery from larger hospitals
to local centers will improve
healthcare efficiency
51%Say that medical
advancements in monitoring
devices, wearables and
robotics will bring care
closer to patients
50%Say that high regulation of
the healthcare industry
results in slow change
50%Say that smartphones,
wearables and apps are
empowering consumers
to push for changes in
healthcare
ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE  7
DATA-BASED
HEALTHCARE
As care moves away from hospitals, increasingly detailed
patient information will in fact flow back to the hospitals.
Increased use of wearables, sensors and other connected
devices will generate large volumes of diagnostic data, which
need to be combined with electronic health records (EHRs)
from clinicians and stored at a secured central location.
Paradoxically, as improved healthcare helps people
live longer, healthcare systems come under increasing
pressure as older patients need more care. The
resulting resource shortage is forcing the industry to
become more and more dependent on automation,
remote treatment and artificial intelligence (AI).
AI systems have the potential to provide physicians and
researchers with clinically-relevant, real-time information
from centralized data repositories. Forty-four percent of
cross-industry decision makers feel that insights based
on analysis of such complex data will speed up diagnosis.
Access to patients’ health records during routine
consultations can improve diagnosis and reduce medical
errors during emergencies. Although doctors are physically
away from patients, their data offers a closer view than
ever before. Over 40 percent of cross-industry decision
makers say dispersed patient data is a serious concern
in the current healthcare system, while 45 percent feel
giving doctors online access to centralized patient data
will positively impact healthcare services (Figure 4).
Would share personal
health data if strict
regulations are in place
Say that use of a wearable patch
that is controlled by doctors to
dispense medicine has a positive
impact on healthcare provisioning
Would share
personal health
data if it makes
healthcare
services more
efficient
Say that availability of
an online central data
repository of patients’ records
has a positive impact on
healthcare provisioning
Would share
personal health
data if it helps
develop new
healthcare
solutions
Say that use of digital
AI-powered avatars for managing
appointments and alerting
patients has a positive impact
on healthcare provisioning
Would share
personal health
data if it improves
healthcare services
Would share
personal health
data if a central
repository shares
data across
hospitals
Say that use of virtual
reality therapies (VRT)
has a positive impact on
healthcare provisioning
Would share personal
health data if ailments can
be monitored remotely
Say that use of AI systems to
track symptoms and aid early
diagnosis has a positive impact
on healthcare provisioning
4
Source: BBC, February 28, 2017, www.bbc.com/news/world-us-canada-39119089
Source: Ericsson ConsumerLab, From healthcare to homecare, 2017
Base: 900 cross-industry decision makers across, healthcare, insurance, regulatory
bodies, app developers, telcos and medical-technology companies
Source: Ericsson ConsumerLab, From healthcare to homecare, 2017
Base: 4,500 smartphone mobile broadband users, across Germany,
Japan, South Korea, UK and US, aged 18-69
Figure 5: Consumers’ reasons for sharing personal health data
Figure 4: Cross-industry decision makers’ perception
of key applications that positively impact healthcare
Consumers also support this data-centric development.
Three in five are open to sharing data with healthcare
providers and making it available in a central repository
– if it improves the healthcare services they receive,
helps monitor chronic ailments, and improves the quality
of diagnosis and reduces wait times (Figure 5).
However, 61 percent of patients with chronic ailments
feel concerned about data from health patches being
used without their permission. Some 46 percent of
cross-industry decision makers agree that data security
is an issue for online and remote healthcare services.
Although a centralized repository can be used to make
informed clinical decisions and provide remote care when
needed, any sudden outage, such as a connectivity failure,
can make patients feel unsafe. For instance, human error
recently caused the outage of Amazon Web Services (AWS),
resulting in disruption of many websites’ services.4
Such an
outage in the healthcare system could have fatal implications
– meaning that, as care moves closer to patients and data
moves to central repositories, high-availability networks and
data centers become critical.
62%
46%
58%
55%
61%
62%
45%48%
44% 44%
60%
8  ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE
As care moves closer to patients’ homes, the industry will
face new challenges. The transformation will make online
interactions more common, which threatens a crucial
human element of care: the doctor-patient relationship.
Some 52 percent of patients with chronic ailments are
concerned that the use of health patches will lead to
loss of physical interaction with doctors. Being in a
hospital post-surgery makes it possible to get opinions
from a variety of experts on the best treatment options.
Unsurprisingly, 57 percent of consumers receiving
post-operative care feel remote robotic surgery will
limit face-to-face interactions with healthcare experts.
While centralized health records help to provide
personalized patient care, they can also lead to
dehumanizing the patient. A patient may become just a
record in the database leading to a doctor failing to establish
an emotional connection with the patient. Increased
use of automation and reliance on remote technology in
healthcare may also make it difficult and expensive to have
physical access to a doctor. This could potentially lead
to a class divide where the rich would be able to afford
face-to-face interactions with doctors, while the poor
would be relegated to automated healthcare services.
LOSS OF HUMAN
INTERACTION
Source: Ericsson ConsumerLab, From healthcare to homecare, 2017
Base: 4,500 smartphone mobile broadband users, across Germany, Japan, South Korea, UK, US, aged 18-69
Figure 6: Consumers’ perception of remote procedures and online consultations
Of post-operative care
patients feel remote
robotic surgery will
limit the face-to-face
interaction with
surgeons
Of chronic patients
feel use of health
patch leads to
loss of physical
interaction with
doctors
57% 52%
ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE  9
As long as the patient stays
within connectivity range, it
will work – but what happens
when she goes into a black
spot with no connectivity,
no mobile signal?”
Telecom decision maker, UK
Source: Ericsson ConsumerLab, From healthcare to homecare, 2017
Base: 900 cross-industry decision makers across, healthcare, insurance,
regulatory bodies, app developers, telcos and medical-technology companies
Figure 7: Cross-industry decision makers expect
5G to be a key enabler of transformation
The proliferation of machine-type IoT sensor
communications poses the challenge of connecting
many devices communicating at low-data rates.
For instance, in remote health monitoring, wearable
devices – such as heart monitors and glucose monitors,
require high frequency updates of the central data
repository at low-data rates. Experts say that existing
networks cannot provide the desired quality of support
while connecting a large number of such devices, and
they believe that 5G can address this challenge.
As healthcare becomes more dependent on wearables
and connectivity, consumers express concern about
reliability. In fact, 59 percent of consumers say that they
are concerned about poor connectivity affecting data
transmission. Battery charging is another issue –
56 percent of consumers with chronic ailments worry
about their health patches suddenly running out of battery.
Forty-two percent of cross-industry decision makers
expect devices connected to 5G networks to consume
less power, reducing the frequency of recharges.
Telecom operators could enable medical grade
devices that connect directly to the internet rather
than relying on the patient’s own smartphone.
Use of a centralized repository to store patient health
records will expose healthcare to data breaches.
Forty-seven percent of telecom decision makers say
that developing secure networks to access an online
central repository is a key challenge. 5G networks are
expected to be secure enough to adhere to sensitive
patient data regulations.
5G: DECENTRALIZING
CARE, CENTRALIZING DATA
In addition, 5G is also expected to significantly
improve connectivity. For instance, 35 percent
of cross-industry decision makers expect 5G to
provide reliable and sub-1ms latency connections,
which enable haptic feedback to underpin surgeons’
capabilities to carry out remote robotic surgery.
Providing low latency over long distances is a challenge
due to the constraints imposed by the laws of physics.
Although fiber can deliver low latency connectivity, experts
say 5G would be preferable for availability reasons.
While optical fiber is used for backhaul network, 5G is
most likely to provide the last mile connectivity which
is also mobile. Flexibility in terms of moving equipment
around to locations where fiber is not available might
be a reason for higher preference for 5G over fiber.
Furthermore, highly-immersive virtual simulations are
increasingly used to train healthcare professionals in
critical medical procedures, while remote procedures
such as robotic surgery will be conducted in a
virtual environment. Like haptic feedback, virtual
reality demands low-latency and high-bandwidth
communication for effective operation.
Expect devices connected
to 5G will consume less
battery power
Expect 5G to provide
higher speed, reliability
and bandwidth
Expect 5G to have low latency
that can enable haptic feedback
for remote robotic surgery
Expect 5G to have
better network
coverage
42% 41%
40% 35%
10  ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE
INDUSTRY
DISRUPTION
Evolving consumer expectations, anytime patient data
access, and increased internet use – all of these are
making way for non-traditional players to disrupt the
healthcare industry.
Medical technology manufacturers, aggregators and app
developers already offer services that move healthcare
away from hospitals. For instance, devices from Israeli
start-up Tyto and Las Vegas-based MedWand Solutions
allow doctors to remotely examine patients at home.5
Non-healthcare players, including app developers
and telcos, already generate 13 percent and 9 percent
of their respective total revenues from healthcare.
Cross-industry experts say that by 2020 it is expected to
reach 19 percent and 13 percent respectively. Additionally,
over the last 7 years, digital health start-up investments have
risen from USD 1.5 billion to approximately USD 7 billion.6
More sophisticated devices and applications are under
development. As an example, Alphabet’s Verily is
introducing a smartwatch for medical research that
tracks heart rate, body movements and ECG to detect
heart problems.7
Also, Swansea University in the UK is
planning trials of smart 3D–printed bandages that use
5G wireless data and nano-sized sensors to relay health
details, helping doctors to personalize treatment based
on the progress of the wound.8
Telecom operators have an integral role to play
in healthcare transformation – not only as a 5G
network provider, but also as a service enabler and
creator. Eighty-six percent of cross-industry decision
makers feel telcos need to go beyond connectivity,
assuming greater responsibility by providing system
integration, and app and service development.
5
Source: The Wall Street Journal, September 25, 2016, www.wsj.com/articles/new-gadgets-that-could-give-telemedicine-a-boost-1474855442
6
Source: The Economist, March 2, 2017, www.economist.com/news/business/21717990-telemedicine-predictive-diagnostics-wearable-sensors-
and-host-new-apps-will-transform-how?cid1=cust/ednew/n/bl/n/2017032n/owned/n/n/nwl/n/n/n/9012562/n
7
Source: MIT Technology Review, April 14, 2017, www.technologyreview.com/s/604198/googles-verily-unveils-a-health-watch-for-research/amp/
8
Source: Engadget, April 16, 2017, www.engadget.com/2017/04/16/smart-bandages-with-5g/
ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE  11
A need for collaboration
For this transformation to succeed, collaboration is
necessary between different players. Cross-industry
decision makers consider internet companies (such
as Apple, Google, Microsoft and IBM), telcos and app
developers to be the top three preferred partners
for healthcare.
For wider adoption of wearables, the recommendations
of doctors and acceptance from health insurance
companies become key issues. For example, the UK’s
National Health Service (NHS) offers free apps and
devices to manage chronic diseases, such as diabetes.9
For remote treatment and surgery to become mainstream,
insurance companies need to cover such treatments.
Healthcare is a highly regulated sector and the
non-healthcare players must remember that on
average it takes 10 years for a biotech firm to
get product approvals, compared to just a
3-year investment cycle for an IT start-up.10
A recent high-profile failure of low-cost blood test provider,
Theranos, has highlighted the need for technology
companies to collaborate with healthcare providers to
improve services.11
As connectivity becomes important,
hospitals will not be able to rely on consumer-grade devices
or connectivity for liability reasons. Hospitals need to work
in collaboration with medical technology companies and
telcos to develop medical wearables that can connect to the
internet independent of the patients’ own smartphones.
In addition, a collaborative approach is needed to engage
patients in setting health goals and action plans to attain
them. The needs of the consumers in preventative, routine
and post-operative healthcare situations are different
and need to be resolved using different approaches.
The transformation of care moving closer to home and
data moving from patients to hospitals is going to be
driven by the needs of patients with chronic ailments,
and it is likely to benefit these patients the most.
9
Source: The Guardian, June 17, 2016, www.theguardian.com/society/2016/jun/17/nhs-to-offer-free-devices-and-apps-to-help-people-manage-illnesses
10
Source: Harvard Business Review, May 2006, https://hbr.org/2006/05/why-innovation-in-health-care-is-so-hard
11
Source: Wired, October 15, 2015, www.wired.com/2015/10/theranos-scandal-exposes-the-problem-with-techs-hype-cycle/
If something goes wrong, which
end of the communication will
they go after? I can just see a
whole industry of transmission
forensics. Where did the signal
slow down? Was that within
their nominal parameters and
if it isn’t, was it negligence?”
Surgeon, US
GFTB 17:000075
© Ericsson AB 2017
Ericsson
Stockholm, Sweden
Telephone +46 10 719 0000
www.ericsson.com
We are a global leader in delivering ICT solutions. In fact, 40 percent of the world’s mobile
traffic is carried over Ericsson networks. We have customers in over 180 countries and
comprehensive industry solutions ranging from Cloud services and Mobile Broadband
to Network Design and Optimization.
Our services, software and infrastructure – especially in mobility, broadband and the
cloud –are enabling the communications industry and other sectors to do better business,
increase efficiency, improve user experience and capture new opportunities.
Ericsson has one of the industry’s strongest patent portfolios with a total count of over
42,000. RD is at the heart of our business and approximately 23,700 employees are
dedicated to our RD activities. This commitment to RD allows us to drive forward our
vision for a Networked Society – one where everyone and everything is connected in
real time – enabling new ways to collaborate, share and get informed.
The content of this document is subject to revision without
notice due to continued progress in methodology, design and
manufacturing. Ericsson shall have no liability for any error or
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From healthcare to homecare: The critical role of 5G in healthcare transformation

  • 1. ERICSSON CONSUMERLAB The critical role of 5G in healthcare transformation An Ericsson Consumer Insight Summary Report May 2017 FROM HEALTHCARE TO HOMECARE
  • 2. the voice of the consumer 2  ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE Contents 3 TRANSFORMING CARE 4 CLOSER HEALTHCARE 5 IMMEDIATE, ATTENTIVE CARE 6 STAYING CLOSER TO HOME 7 DATA-BASED HEALTHCARE 8 LOSS OF HUMAN INTERACTION 9 5G: DECENTRALIZING CARE, CENTRALIZING DATA 10 INDUSTRY DISRUPTION Ericsson ConsumerLab has 20 years’ experience of studying people’s behaviors and values, including the way they act and think about ICT products and services. Ericsson ConsumerLab provides unique insights on market and consumer trends. Ericsson ConsumerLab gains its knowledge through a global consumer research program based on interviews with 100,000 individuals each year, in more than 40 countries and 15 megacities – statistically representing the views of 1.1 billion people. Both quantitative and qualitative methods are used, and hundreds of hours are spent with consumers from different cultures. To be close to the market and consumers, Ericsson ConsumerLab has analysts in all regions where Ericsson is present, developing a thorough global understanding of the ICT market and business models. All reports can be found at: www.ericsson.com/consumerlab Methodology USA UK Germany Japan South Korea Quantitative study This report presents insights from an online survey of 4,500 advanced smartphone/mobile broadband users aged 18–69 carried out in February 2017. The respondents were based in Germany, Japan, South Korea, the UK and the US. Respondents were smartphone users on mobile broadband, who have higher than average use of fitness trackers, smart watches, and health apps to monitor their health. Although this represents only 16 percent of the total population of over 650 million living in these 5 countries, the health monitoring behaviors of these respondents help us predict future trends in healthcare evolution. Expert interviews An online survey of 900 decision makers across 6 industries – healthcare, insurance, medical technology companies, telecom operators, app developers/aggregators and government regulatory bodies – was carried out in Germany, Japan, South Korea, the UK and the US. Qualitative study Two consumer focus group discussions in the US and the UK, plus in-depth interviews with 6 post-operative care patients and 17 industry decision makers from 6 industries were conducted across Japan, South Korea, the UK and the US in August 2016. Definitions used in the study Preventative healthcare: People maintaining a healthy lifestyle for themselves and their family by being proactive about their health. Routine patient care: Care for those who are already diagnosed with chronic health issues (such as diabetes or asthma) and are on medication. Post-operative care: Care for patients who are recovering from surgery, but may need unscheduled emergency care.
  • 3. ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE 3 KEY FINDINGS TRANsFORMING CARE 2. Patient data is centralized, turning hospitals into data centers 35 percent of consumers say that online access to a central repository of medical records will help them easily manage the quality and efficiency of their care; 45 percent of cross-industry experts consider the central repository as a breakthrough in healthcare provisioning Access to patient data is considered important to improve healthcare. Doctors will become data scientists and data security will become paramount, as 46 percent of cross-industry decision makers already consider data security to be an issue 1. Healthcare becomes decentralized, moving from hospitals towards homes Consumers are frustrated with inconveniences and doctor wait times; 39 percent of chronic patients prefer online consultations to face-to-face meetings Close to two in three consumers say wearables that monitor and administer medication are important to better manage chronic ailments, leading to reduced visits to the doctor More than half of cross-industry decision makers feel decentralizing healthcare to local centers will improve efficiency and address resource scarcity Today, consumers have the power to take control of their health through smartphone apps, wearables and other connected devices – and it has never been easier to lose weight, improve sleep, count calories and get fit. This kind of simple, immediate access is also changing consumer attitudes and expectations when it comes to healthcare. However, consumer needs differ from healthcare industry priorities. While consumers are frustrated with doctor wait times, the industry is becoming a victim of its own success – a history of improved care has led to more patients, rather than fewer, and the emergence of increasingly complex ailments. In order to keep up, the healthcare industry needs to reduce costs and improve efficiency. Information technology holds the promise of reducing costs by providing care away from hospitals and closer to home; whereas increasingly detailed data can move from patients to centralized healthcare repositories, allowing for efficiency gains in diagnosis and treatment. Next-generation networks will be pivotal in this transformation, providing transmission efficiency in an ecosystem of feedback and alerts, mobility and low latency. They will become a vehicle for a range of applications, including remote monitoring through medical-grade wearables, virtual doctor-patient interaction, and remotely operated robotic surgery. Here we explore the transformation across three healthcare situations: preventative, routine and post-operative care. 3. Increasing dependence on wearables and remote treatments makes 5G essential to provide reliable and secure services 56 percent of consumers worry about their wearable health patches running out of battery; 42 percent of cross-industry decision makers expect devices connected to 5G networks to consume less power 61 percent of consumers say remote robotic surgery is risky as it relies on the internet; and 35 percent of cross-industry decision makers expect 5G to provide reliable low-latency connections 47 percent of telecom decision makers say that secure access to an online central repository is a key challenge and expect 5G to address this
  • 4. 4  ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE Closer Healthcare Source: Ericsson ConsumerLab, From healthcare to homecare, 2017 Base: 4,500 smartphone mobile broadband users, across Germany, Japan, South Korea, UK, US, aged 18-69 Figure 1: Consumers’ perception of how wearables can improve preventative care Imagine something measuring my blood pressure and sending the data automatically to an app that my doctor and I can easily access. That would have saved me from visiting the emergency room and paying out of my pocket. And if that could be made as a portable device, it would be more convenient for me.” Pregnant woman, US Where have all the doctors gone? What will become of multistory hospital buildings? These are all questions that we could be asking in the not-so-distant future. Consumers are demanding greater control over when, where, how and whom to engage for their healthcare needs. With increased smartphone app usage and shared experiences through social media, this is a change that is gaining momentum. This growing consumer need for control is further augmented by three developments in the healthcare field: the use of wearables to monitor health and administer medication remotely; the rise of online consultation; and the use of remote procedures (such as robotic surgery) performed at local hospitals closer to patients. Gaining control over health Consumers want to stay healthy through preventative measures such as regular health check-ups, daily exercises and a healthy diet. Over 60 percent of surveyed consumers are ready to use wearables as a preventive measure for checking abnormalities and countering chronic ailments, including heart diseases, cancer and diabetes. In addition, consumers say wearables will lead to healthier lifestyles, and personalized care (Figure 1). Although consumer-grade wearables are being widely used for preventative measures, 55 percent of healthcare decision makers from regulatory bodies say these devices are not sufficiently accurate or reliable for diagnosis. In addition, for liability reasons it will be very difficult to rely on patients’ smartphones for connectivity. To reliably measure biomedical signals – such as ECG, EEG, blood pressure, blood sugar, body temperature and stress – medical-grade wearables will be required. Such devices could also automatically dispense medicine and offer convenience to those recovering from surgery. Last year, the US Federal Drug Administration (FDA) approved the first automated medical device that monitors the blood sugar levels for type 1 diabetes and automatically injects a dose of insulin.1 To manage chronic ailments, close to two in three consumers would like to monitor their health and ensure that they take medication on time. The openness of the industry to use medical wearables is evident; half of cross-industry decision makers interviewed say that wearables could replace routine healthcare services with automated solutions and help bring care closer to patients. However, at the same time, constantly being monitored is a concern for half of all consumers surveyed. Agree that wearable devices with feedback and alerts will provide personalized care 58% Agree that wearable devices will lead to a healthier lifestyle 60% Agree that wearable devices will put people in control of their own health 62% 1 Source: www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm522974.htm
  • 5. With the rise of consumerism in healthcare, there is an increase in the number of choices available to the consumers. Insurance and healthcare providers are now operating in a more competitive environment. Consumers are no longer satisfied with being passive – patients are demanding quick, personalized attention. Currently, more than one in two patients with chronic ailments are frustrated by long appointment wait times, their inability to get a convenient appointment and non- availability of doctors of their choice. Consumers are also frustrated by the inability to get personalized attention from doctors. In light of this, the internet is helping to reduce in-person visits to doctors. Some 39 percent of chronic patients say online consultations with doctors will make it easier to manage their health compared to face-to-face meetings. ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE  5 IMMEDIATE, ATTENTIVE CARE Source: Ericsson ConsumerLab, From healthcare to homecare, 2017 Base: 4,500 smartphone mobile broadband users, across Germany, Japan, South Korea, UK, US, aged 18-69 Figure 2: Consumers’ perception of activities that simplify health management In addition, the prolonged wait time for meeting a specialist is a well-known healthcare industry challenge. For example, in 2014, the average wait time from assessment to treatment in OECD countries was 88 days for cataract surgery and 42 days for coronary bypass.2 Fifty-six percent of consumers say robotic surgery would reduce wait times for surgical operations, while 48 percent say it could increase access to specialist care. In addition, remote procedures will help move care closer to where patients live; if not into their homes, then at least to local healthcare centers. More than one in two consumers are open to remote robotic surgery in emergency situations. It [remote robotic surgery] means you don’t have the whole waiting thing. You could plan things now because you know, ‘right, that’s going to get done’. Otherwise you have to put it off.” Female, UK 39% Say that online health consultations would simplify their health management 2 Source: OECD November 4, 2015. www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2015/waiting-times-for-elective-surgery_health_glance-2015-43-en 45% Say that using smartphones for appointments would simplify their health management 28% Say that remote administration of medication via a patch would simplify their health management 26% Say that a personal fitness smartphone app would simplify their health management Say that storing health records in a central repository would simplify their health management 35%
  • 6. The world population aged 60 and above is projected to reach 2 billion by 2050, and among them 21 percent are likely to be aged 80 or above.3 Caring for the elderly is a challenge; as an example, in the last decade, there has been a 9 percent decline in the number of skilled nursing homes in the US due to escalating costs and scarcity of resources. Meanwhile, elders want to stay at home longer and be independent, due to which over 70 percent of consumers worry about elderly patients being left unattended – exposed to in-home slips and falls, and not taking prescribed medicines. Medical wearables can be a boon to elderly or homebound patients, and help with remote monitoring and medication. Some 48 percent would like to have home sensors that monitor the elderly, detect emergency situations and send alerts that dispatch ambulance services when required. Decentralizing care Both consumers and the industry expect care to move out of centralized hospitals, but for different reasons; patients primarily think about convenience, whereas the healthcare industry considers cost savings. Seventy percent of consumers with chronic ailments feel care closer to home gives quicker access to care and helps manage health conditions better. At the same time, 51 percent of cross-industry decision makers say that moving care from larger hospitals to local healthcare centers can reduce costs and improve overall efficiency. Interestingly, the impending decentralization will likely lead to centralization of resources. Specialists and medical experts will increasingly be located in central hospitals, while funding will be directed towards equipping local healthcare centers with infrastructure and equipment – which will in turn be operated by the experts from central locations. However, the costs involved in equipping local centers to enable remote procedures, along with non-availability of physicians trained in the new technology, can act as barriers to these changes. STAYING CLOSER TO HOME Source: Ericsson ConsumerLab, From healthcare to homecare, 2017 Base: 900 cross-industry decision makers across, healthcare, insurance, regulatory bodies, app developers, telcos and medical-technology companies 6  ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE Figure 3: Cross-industry decision makers’ perception of decentralizing care 3 Source: www.un.org/en/development/desa/population/publications/pdf/popfacts/PopFacts_2014-4Rev1.pdf 52%Say that automation and remote solutions will address resource scarcity in healthcare 51%Say that moving healthcare delivery from larger hospitals to local centers will improve healthcare efficiency 51%Say that medical advancements in monitoring devices, wearables and robotics will bring care closer to patients 50%Say that high regulation of the healthcare industry results in slow change 50%Say that smartphones, wearables and apps are empowering consumers to push for changes in healthcare
  • 7. ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE  7 DATA-BASED HEALTHCARE As care moves away from hospitals, increasingly detailed patient information will in fact flow back to the hospitals. Increased use of wearables, sensors and other connected devices will generate large volumes of diagnostic data, which need to be combined with electronic health records (EHRs) from clinicians and stored at a secured central location. Paradoxically, as improved healthcare helps people live longer, healthcare systems come under increasing pressure as older patients need more care. The resulting resource shortage is forcing the industry to become more and more dependent on automation, remote treatment and artificial intelligence (AI). AI systems have the potential to provide physicians and researchers with clinically-relevant, real-time information from centralized data repositories. Forty-four percent of cross-industry decision makers feel that insights based on analysis of such complex data will speed up diagnosis. Access to patients’ health records during routine consultations can improve diagnosis and reduce medical errors during emergencies. Although doctors are physically away from patients, their data offers a closer view than ever before. Over 40 percent of cross-industry decision makers say dispersed patient data is a serious concern in the current healthcare system, while 45 percent feel giving doctors online access to centralized patient data will positively impact healthcare services (Figure 4). Would share personal health data if strict regulations are in place Say that use of a wearable patch that is controlled by doctors to dispense medicine has a positive impact on healthcare provisioning Would share personal health data if it makes healthcare services more efficient Say that availability of an online central data repository of patients’ records has a positive impact on healthcare provisioning Would share personal health data if it helps develop new healthcare solutions Say that use of digital AI-powered avatars for managing appointments and alerting patients has a positive impact on healthcare provisioning Would share personal health data if it improves healthcare services Would share personal health data if a central repository shares data across hospitals Say that use of virtual reality therapies (VRT) has a positive impact on healthcare provisioning Would share personal health data if ailments can be monitored remotely Say that use of AI systems to track symptoms and aid early diagnosis has a positive impact on healthcare provisioning 4 Source: BBC, February 28, 2017, www.bbc.com/news/world-us-canada-39119089 Source: Ericsson ConsumerLab, From healthcare to homecare, 2017 Base: 900 cross-industry decision makers across, healthcare, insurance, regulatory bodies, app developers, telcos and medical-technology companies Source: Ericsson ConsumerLab, From healthcare to homecare, 2017 Base: 4,500 smartphone mobile broadband users, across Germany, Japan, South Korea, UK and US, aged 18-69 Figure 5: Consumers’ reasons for sharing personal health data Figure 4: Cross-industry decision makers’ perception of key applications that positively impact healthcare Consumers also support this data-centric development. Three in five are open to sharing data with healthcare providers and making it available in a central repository – if it improves the healthcare services they receive, helps monitor chronic ailments, and improves the quality of diagnosis and reduces wait times (Figure 5). However, 61 percent of patients with chronic ailments feel concerned about data from health patches being used without their permission. Some 46 percent of cross-industry decision makers agree that data security is an issue for online and remote healthcare services. Although a centralized repository can be used to make informed clinical decisions and provide remote care when needed, any sudden outage, such as a connectivity failure, can make patients feel unsafe. For instance, human error recently caused the outage of Amazon Web Services (AWS), resulting in disruption of many websites’ services.4 Such an outage in the healthcare system could have fatal implications – meaning that, as care moves closer to patients and data moves to central repositories, high-availability networks and data centers become critical. 62% 46% 58% 55% 61% 62% 45%48% 44% 44% 60%
  • 8. 8  ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE As care moves closer to patients’ homes, the industry will face new challenges. The transformation will make online interactions more common, which threatens a crucial human element of care: the doctor-patient relationship. Some 52 percent of patients with chronic ailments are concerned that the use of health patches will lead to loss of physical interaction with doctors. Being in a hospital post-surgery makes it possible to get opinions from a variety of experts on the best treatment options. Unsurprisingly, 57 percent of consumers receiving post-operative care feel remote robotic surgery will limit face-to-face interactions with healthcare experts. While centralized health records help to provide personalized patient care, they can also lead to dehumanizing the patient. A patient may become just a record in the database leading to a doctor failing to establish an emotional connection with the patient. Increased use of automation and reliance on remote technology in healthcare may also make it difficult and expensive to have physical access to a doctor. This could potentially lead to a class divide where the rich would be able to afford face-to-face interactions with doctors, while the poor would be relegated to automated healthcare services. LOSS OF HUMAN INTERACTION Source: Ericsson ConsumerLab, From healthcare to homecare, 2017 Base: 4,500 smartphone mobile broadband users, across Germany, Japan, South Korea, UK, US, aged 18-69 Figure 6: Consumers’ perception of remote procedures and online consultations Of post-operative care patients feel remote robotic surgery will limit the face-to-face interaction with surgeons Of chronic patients feel use of health patch leads to loss of physical interaction with doctors 57% 52%
  • 9. ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE  9 As long as the patient stays within connectivity range, it will work – but what happens when she goes into a black spot with no connectivity, no mobile signal?” Telecom decision maker, UK Source: Ericsson ConsumerLab, From healthcare to homecare, 2017 Base: 900 cross-industry decision makers across, healthcare, insurance, regulatory bodies, app developers, telcos and medical-technology companies Figure 7: Cross-industry decision makers expect 5G to be a key enabler of transformation The proliferation of machine-type IoT sensor communications poses the challenge of connecting many devices communicating at low-data rates. For instance, in remote health monitoring, wearable devices – such as heart monitors and glucose monitors, require high frequency updates of the central data repository at low-data rates. Experts say that existing networks cannot provide the desired quality of support while connecting a large number of such devices, and they believe that 5G can address this challenge. As healthcare becomes more dependent on wearables and connectivity, consumers express concern about reliability. In fact, 59 percent of consumers say that they are concerned about poor connectivity affecting data transmission. Battery charging is another issue – 56 percent of consumers with chronic ailments worry about their health patches suddenly running out of battery. Forty-two percent of cross-industry decision makers expect devices connected to 5G networks to consume less power, reducing the frequency of recharges. Telecom operators could enable medical grade devices that connect directly to the internet rather than relying on the patient’s own smartphone. Use of a centralized repository to store patient health records will expose healthcare to data breaches. Forty-seven percent of telecom decision makers say that developing secure networks to access an online central repository is a key challenge. 5G networks are expected to be secure enough to adhere to sensitive patient data regulations. 5G: DECENTRALIZING CARE, CENTRALIZING DATA In addition, 5G is also expected to significantly improve connectivity. For instance, 35 percent of cross-industry decision makers expect 5G to provide reliable and sub-1ms latency connections, which enable haptic feedback to underpin surgeons’ capabilities to carry out remote robotic surgery. Providing low latency over long distances is a challenge due to the constraints imposed by the laws of physics. Although fiber can deliver low latency connectivity, experts say 5G would be preferable for availability reasons. While optical fiber is used for backhaul network, 5G is most likely to provide the last mile connectivity which is also mobile. Flexibility in terms of moving equipment around to locations where fiber is not available might be a reason for higher preference for 5G over fiber. Furthermore, highly-immersive virtual simulations are increasingly used to train healthcare professionals in critical medical procedures, while remote procedures such as robotic surgery will be conducted in a virtual environment. Like haptic feedback, virtual reality demands low-latency and high-bandwidth communication for effective operation. Expect devices connected to 5G will consume less battery power Expect 5G to provide higher speed, reliability and bandwidth Expect 5G to have low latency that can enable haptic feedback for remote robotic surgery Expect 5G to have better network coverage 42% 41% 40% 35%
  • 10. 10  ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE INDUSTRY DISRUPTION Evolving consumer expectations, anytime patient data access, and increased internet use – all of these are making way for non-traditional players to disrupt the healthcare industry. Medical technology manufacturers, aggregators and app developers already offer services that move healthcare away from hospitals. For instance, devices from Israeli start-up Tyto and Las Vegas-based MedWand Solutions allow doctors to remotely examine patients at home.5 Non-healthcare players, including app developers and telcos, already generate 13 percent and 9 percent of their respective total revenues from healthcare. Cross-industry experts say that by 2020 it is expected to reach 19 percent and 13 percent respectively. Additionally, over the last 7 years, digital health start-up investments have risen from USD 1.5 billion to approximately USD 7 billion.6 More sophisticated devices and applications are under development. As an example, Alphabet’s Verily is introducing a smartwatch for medical research that tracks heart rate, body movements and ECG to detect heart problems.7 Also, Swansea University in the UK is planning trials of smart 3D–printed bandages that use 5G wireless data and nano-sized sensors to relay health details, helping doctors to personalize treatment based on the progress of the wound.8 Telecom operators have an integral role to play in healthcare transformation – not only as a 5G network provider, but also as a service enabler and creator. Eighty-six percent of cross-industry decision makers feel telcos need to go beyond connectivity, assuming greater responsibility by providing system integration, and app and service development. 5 Source: The Wall Street Journal, September 25, 2016, www.wsj.com/articles/new-gadgets-that-could-give-telemedicine-a-boost-1474855442 6 Source: The Economist, March 2, 2017, www.economist.com/news/business/21717990-telemedicine-predictive-diagnostics-wearable-sensors- and-host-new-apps-will-transform-how?cid1=cust/ednew/n/bl/n/2017032n/owned/n/n/nwl/n/n/n/9012562/n 7 Source: MIT Technology Review, April 14, 2017, www.technologyreview.com/s/604198/googles-verily-unveils-a-health-watch-for-research/amp/ 8 Source: Engadget, April 16, 2017, www.engadget.com/2017/04/16/smart-bandages-with-5g/
  • 11. ERICSSON CONSUMERLAB FROM HEALTHCARE TO HOMECARE  11 A need for collaboration For this transformation to succeed, collaboration is necessary between different players. Cross-industry decision makers consider internet companies (such as Apple, Google, Microsoft and IBM), telcos and app developers to be the top three preferred partners for healthcare. For wider adoption of wearables, the recommendations of doctors and acceptance from health insurance companies become key issues. For example, the UK’s National Health Service (NHS) offers free apps and devices to manage chronic diseases, such as diabetes.9 For remote treatment and surgery to become mainstream, insurance companies need to cover such treatments. Healthcare is a highly regulated sector and the non-healthcare players must remember that on average it takes 10 years for a biotech firm to get product approvals, compared to just a 3-year investment cycle for an IT start-up.10 A recent high-profile failure of low-cost blood test provider, Theranos, has highlighted the need for technology companies to collaborate with healthcare providers to improve services.11 As connectivity becomes important, hospitals will not be able to rely on consumer-grade devices or connectivity for liability reasons. Hospitals need to work in collaboration with medical technology companies and telcos to develop medical wearables that can connect to the internet independent of the patients’ own smartphones. In addition, a collaborative approach is needed to engage patients in setting health goals and action plans to attain them. The needs of the consumers in preventative, routine and post-operative healthcare situations are different and need to be resolved using different approaches. The transformation of care moving closer to home and data moving from patients to hospitals is going to be driven by the needs of patients with chronic ailments, and it is likely to benefit these patients the most. 9 Source: The Guardian, June 17, 2016, www.theguardian.com/society/2016/jun/17/nhs-to-offer-free-devices-and-apps-to-help-people-manage-illnesses 10 Source: Harvard Business Review, May 2006, https://hbr.org/2006/05/why-innovation-in-health-care-is-so-hard 11 Source: Wired, October 15, 2015, www.wired.com/2015/10/theranos-scandal-exposes-the-problem-with-techs-hype-cycle/ If something goes wrong, which end of the communication will they go after? I can just see a whole industry of transmission forensics. Where did the signal slow down? Was that within their nominal parameters and if it isn’t, was it negligence?” Surgeon, US
  • 12. GFTB 17:000075 © Ericsson AB 2017 Ericsson Stockholm, Sweden Telephone +46 10 719 0000 www.ericsson.com We are a global leader in delivering ICT solutions. In fact, 40 percent of the world’s mobile traffic is carried over Ericsson networks. We have customers in over 180 countries and comprehensive industry solutions ranging from Cloud services and Mobile Broadband to Network Design and Optimization. Our services, software and infrastructure – especially in mobility, broadband and the cloud –are enabling the communications industry and other sectors to do better business, increase efficiency, improve user experience and capture new opportunities. Ericsson has one of the industry’s strongest patent portfolios with a total count of over 42,000. RD is at the heart of our business and approximately 23,700 employees are dedicated to our RD activities. This commitment to RD allows us to drive forward our vision for a Networked Society – one where everyone and everything is connected in real time – enabling new ways to collaborate, share and get informed. The content of this document is subject to revision without notice due to continued progress in methodology, design and manufacturing. Ericsson shall have no liability for any error or damage of any kind resulting from the use of this document.