Telehealthcare Promises And Challenges

Telehealthcare: Promises and Challenges Maged N. Kamel Boulos [email_address]

Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Europe Is Getting Grayer ,[object Object],[object Object],Percentage of older people in EU - forecast (Source: EUROSTAT) See latest Eurostat forecasts at http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-SF-08-072/EN/KS-SF-08-072-EN.PDF

The Imminent Demographic Changes and the Need to Reinvent Healthcare ,[object Object],[object Object],[object Object]

The Imminent Demographic Changes and the Need to Reinvent Healthcare ,[object Object],[object Object]

The Imminent Demographic Changes and the Need to Reinvent Healthcare – Cont’d ,[object Object],[object Object],[object Object]

Criticism: e-Health Is Not a Panacea! ,[object Object],[object Object]

A 2004 European Commission report features a very useful SWOT analysis with respect to increasing e-Health applications in Europe, including health and social care information services for the aged and their carers, and telecare and independent living services. This multi-axial SWOT analysis can help shape a health and social care informatics education and research agenda for Europe during the coming years and decades. ftp://ftp.jrc.es/pub/EURdoc/eur21377en.pdf

EU Elderly Are Very Positive About e-Health and Its Potentials ,[object Object],[object Object]

Source: eHealth in the Context of a European Ageing Society - A Prospective Study ftp://ftp.jrc.es/pub/EURdoc/eur21377en.pdf

But Let ’ s Not Forget the Physical and Cognitive Disabilities in the Elderly ,[object Object],[object Object],[object Object]

What e-Health Can Do for the Elderly ,[object Object],[object Object],[object Object],[object Object],IDEATel (Informatics for Diabetes Education And Telemedicine) @ dmi.columbia.edu >

What e-Health Can Do for the Elderly – Cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],Smart Medical Advisor, Center For Future Health @ Rochester.edu >

Health Informatics Education Is Needed ,[object Object],[object Object],[object Object],[object Object],[object Object]

Required skills by user category and application area - Source: eHealth in the Context of a European Ageing Society - A Prospective Study ftp://ftp.jrc.es/pub/EURdoc/eur21377en.pdf

Required skills by user category and application area (Cont ’ d) - Source: eHealth in the Context of a European Ageing Society - A Prospective Study ftp://ftp.jrc.es/pub/EURdoc/eur21377en.pdf

“ By end 2009, the European Commission, in collaboration with Member States, should undertake activities to set a baseline for a standardised European qualification for e-Health services in clinical and administrative settings . ” — Commission of the European Communities: e-Health - making healthcare better for European citizens: An action plan for a European e-Health Area (2004) http://europa.eu.int/information_society/doc/qualif/health/COM_2004_0356_F_EN_ACTE.pdf

e-Health Research and Development Are Needed ,[object Object],[object Object],[object Object]

e-Health Research and Development Are Needed – Cont’d ,[object Object],[object Object],[object Object]

Case Studies: Two European Projects ,[object Object],[object Object],[object Object],“ What has been will be again, what has been done will be done again; there is nothing ( really ) new under the sun .” (Ecclesiastes 1:9)

[object Object],[object Object]

M2DM – Cont ’ d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],See: Blaze R, Arcelloni M, Bensa G, Blankenfeld H, Brugues E, Carson E, Cobelli C, Cramp D, D'Annunzio G, De Cata P, De Leiva A, Deutsch T, Fratino P, Gazzaruso C, Garcia A, Gergely T, Gomez E, Harvey F, Ferrari P, Hernando E, Boulos MN , et al. Design, methods, and evaluation directions of a multi-access service for the management of diabetes mellitus patients . Diabetes Technology & Therapeutics . 2003;5(4): 621-9.

http://caalyx.eu/ June 8, 2009 CAALYX - IST-2005-045215

Consortium - I ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

Consortium – II (6 countries) June 8, 2009 CAALYX - IST-2005-045215 ULIM UPLY SYNK CORS INESCP TID ABAT COOSS

Mission Statement ,[object Object],June 8, 2009 CAALYX - IST-2005-045215 Mission >>>

Objectives - I ,[object Object],[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

Objectives - II ,[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

Project description - I ,[object Object],[object Object],[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

Components of CAALYX June 8, 2009 CAALYX - IST-2005-045215

Project Description - II ,[object Object],June 8, 2009 CAALYX - 045215 GPS Bracelet with sensors Data Logger

Project Description - III ,[object Object],June 8, 2009 CAALYX - IST-2005-045215 Media Centre PC

Project Description - IV ,[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

Project Description - V ,[object Object],[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

Video Station ,[object Object],[object Object]

Expected Impact - I ,[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

Expected Impact - II ,[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

Expected Impact - III ,[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

[object Object],[object Object],Expected Impact - IV June 8, 2009 CAALYX - IST-2005-045215 ,[object Object]

Case Study - I ,[object Object],[object Object],[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

Case Study - II ,[object Object],[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

Case Study - III ,[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

Case Study - IV ,[object Object],[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215 Accelerometer Fall Sensor

Case Study - V ,[object Object],[object Object],June 8, 2009 CAALYX - IST-2005-045215

CAALYX in Second Life® ,[object Object]

The Challenges ,[object Object],[object Object],[object Object]

The Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object]

Transition Issues ,[object Object],[object Object],[object Object]

Transition Issues ,[object Object],[object Object]

However, standards can also be a challenge in a continually fast-changing technology ecosystem ,[object Object],[object Object],[object Object]

A Complex Ecosystem: No Single Player Can Do It All!

Continua Health Alliance http://www.continuaalliance.org/ ,[object Object],[object Object]

Technological Issues ,[object Object],[object Object],[object Object]

Technological Issues ,[object Object],[object Object]

Technological Issues ,[object Object]

Evaluation Challenges ,[object Object],[object Object],[object Object]

Evaluation Challenges ,[object Object],[object Object],[object Object],[object Object]

Policy, Legal and Privacy-related Issues ,[object Object],[object Object],[object Object],[object Object]

Policy, Legal and Privacy-related Issues ,[object Object]

Financial/Business Model Issues ,[object Object],[object Object],[object Object],[object Object]

Financial/Business Model Issues ,[object Object],[object Object]

A Proposed Consumer-centric Approach (Coughlin and Pope, 2008) ,[object Object]

A Proposed Consumer-centric Approach (Coughlin and Pope, 2008) ,[object Object],[object Object]

A Proposed Consumer-centric Approach (Coughlin and Pope, 2008)

Resources ,[object Object],[object Object],[object Object]

Telehealthcare Promises And Challenges

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Telehealthcare Promises And Challenges