ehealth in Europe: Need, Vision and Practice

Transcription

1 ehealth in Europe: Need, Vision and Practice Dr. Pepijn van de Ven Dr. John Nelson ESPACOMP September 2010

2 Introduction IEEE Sensors Conference 2011 (Oct 28-31, 2011) University of Limerick, Ireland 2

3 Lame Duck 5 mins Irish way: Pub Code Ask your taxi driver for: Stables Club Scholar s Club (Java s) Sports Bar 3 Hurlers 7 mins

4 Ambient Wireless Assisted Living (AWAL) Group Part of University of Limerick s Wireless Access Research Centre Transmission technologies, Systems and Services, Mobility Bluetooth, Zigbee, IEEE 802.1x, UMTS, AWAL: 2 Academics, 3 post docs, 5 postgraduate students Wireless sensor technologies (fall and mobility sensing experts) Research, Design, Development and Commercialisation Sensor integration (Hardware + Software) Extensive experience in user trials Close University of Limerick collaboration in AAL with: Dept of Physiotherapy Graduate Medical School 4

5 (Enhanced) Complete Ambient Assisted Living Experiment FP6 / FP7 1.9 million 2.5 millon Major AAL Projects MOSAIC Proof of Concept 106,000 Fall and Mobility Sensing, Novel methods, commercialisation Increasing older people s autonomy and self-confidence by providing help in case of emergency Fall and Mobility Sensing Trial coordinator (Ancona, Italy; Berlin, Germany) FP7 2.7 million Mobile depression treatment system Mobility monitoring, Social interaction monitoring, Sensor integration 5

6 ehealth in Europe: Need, Vision and Practice Overview of ehealth research in EU High level vision and goals Examples of projects My view on adherence monitoring in these projects Conclusions 6

7 Need Ageing Population Chronic Diseases Life Style Related Diseases 9% of GDP to 16% by 2020 (OECD minus US) From tax based systems to cost sharing by patients Labour 80% of cost 7

8 2008: Care for the elderly 2050: 85 million EU citizens are 65 or over (~17%) 29% of the EU s population will be 65 or over!! 2030: US health care costs for seniors to rise by 25% 8

9 Chronic Diseases Diabetes Depression Stroke, Cancer, Arthritis, Cardiovascular Constitute 60-70% of all health care costs! 9

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11 EU Vision on Health Care Expectations: Facing the demographic challenge Reducing cost and increasing quality of care for elderly Reducing costs of chronic diseases (60-70% of total health care costs) Offer cross-border access to services Ensure patient data security / privacy Empowering the patient 11

12 How is this vision implemented? Funding: ehealth as Lead Market: > 1 billion for over 450 Related industry turnover 15 billion ICT for health projects in the last two decades Policies and Actions 12

13 EU Funding Pre and early 1990 s: Tools for Health Professionals (Health Telematics) 1990 s: Exploratory Action, 1988, 20 million Advance Informatics in Medicine, 1991, 111 million Connectivity and health information networks FP3, FP present Tools for Patients: Improving Prevention and Personalisation of Healthcare FP5, FP6, FP onwards ICT for predictive medicine - Towards the Virtual Physiological Human Care provider centred Information centred Patient centred System centred 13

14 ehealth as Lead Market Legislation: consumer certainty and confidence, cross-border functionality, patient data security Public Policy: encourage use through adaptation to needs, interoperability and cost effectiveness Standardisation: Interoperability and certification Complementary: mobilize public and private funding, support EU-wide solutions Source: 14

15 Health Educ. Disease prevention Policies / Actions Pilot actions: accelerating beneficial implementation Health information networks Legal and Regulatory Addressing common challenges National Roadmap Health Cards Disseminating Working together and monitoring practice Interoperability Benchmarking Mobility Patients & Staff Infrastructure & Technology International Collaboration 15

16 FP6-IST, ST MicroElectronics Practice FP6-IST, Philips AAL AAL AAL FP5-IST, Milior FP6, European Technology for Business Ltd FP7-CIP, SALAR FP7-IST, Novo Nordisk FP5-IST, Ericsson AAL, CERTH AAL, VU Amsterdam 16

17 Caalyx Complete Ambient Assisted Living Experiment Jan 07 Dec 08-1,850,000 Telefonica, CorScience, INESC, UL, COOSS, University of Plymouth, Synkronix Increasing older people s autonomy and self-confidence by helping them in case of emergency Now continued in ecaalyx Health monitoring of older and elderly persons with multiple chronic conditions, at home and on the move

18 Stand-Alone Application Emergency Service Map Caretaker LAN Web services Internet Server Roaming`System System Administrator Web Applications 3G + Internet Relative Doctor Home System Courtesy of TID 18

19 Caalyx Health measurements Identify vital signs and patterns Wearable Light Device Social tele-assistance services I+II V III IV 19

20 MyHeart Jan 2004 Dec million Philips, Medtronic Iberica, Nokia, Vodafone, plurality of universities 20% of EU citizens suffer a chronic cardiovascular disease (CVD) 45% of EU deaths are due to CVD The MyHeart mission is to empower citizens to fight cardiovascular diseases by preventive lifestyle and early diagnosis. Intelligent Biomedical Clothes; measurement, diagnosis, feedback, treatment. 20

21 Five Application Areas: MyHeart CardioActive: Application cluster for improved physical activity CardioBalance: Application cluster for improved nutrition and dieting CardioSleep: Application cluster for improved sleep and relaxation phases CardioRelax: Application cluster for improved solutions to deal with stress CardioSafe: Applications for early diagnosis and prediction of acute events 21

22 Medication Adherence related projects The Antiretroviral Roll-out for HIV in India 22

23 ehealth Prospective Abundance of bandwidth, technologies and sensors that, combined with cloud computing, can make ehealth happen ehealth is highly multi-disciplinary and projects should make use of knowledge from various areas Sensors technologies are emerging that allow medication level monitoring Standardisation should be targeted 23

24 Role of Medication Adherence A very important issue Many projects have medication reminders But how many projects actually monitor adherence??? There is a big opportunity for wider medication adherence monitoring How about measuring medication concentrations? Measurement of medication levels in sweat using ion selective electrodes 24

25 Conclusions ehealth Need and EU Vision are well defined Projects address many, but not all issues US likely to lead ehealth deployment initially with disparate systems. Stronger standardisation in EU may lead to more rapid mass deployment. Opportunities for adherence, but often investigated separately Technology allows for direct feedback Measurement of medication levels Further research may show other interesting links between medication levels and physiological parameters. Interdisciplinary collaboration is a must! 25

26 Thank You! Contact: 26