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the my this and an and
thank you and welcome everyone to this to
this session and in the health track before we start the actually with our fight club in the combatants and of the fight club regarding the eHealth and the regarding health apps I have the privilege to adjust their share a couple thoughts in order to introduce the session and a couple thoughts on transformation of healthcare delivery so let me start by just asking we hear a lot about disruption in many many industries the
question for this is healthcare also an industry that's gonna be disrupted always healthcare gonna be different in other industries and it's going to be more about transformation remember that in essence healthcare is a conservative industry for good reasons it's about health it's about people and all peoples lives it's about privacy and sustainability and many other things so the question really is do we want to disrupt such a system would do we want to transform that system not today and later on we're going to talk a lot uh specifically about diabetes as this is 1 of the the baker chronic diseases that can benefit from digital health and health could transformation so I wanna share with you some thoughts on
diabetes specifically we have a huge diabetic population all around the world with an amazing increase prevailing Sobota 55 per cent increase in prevalence up to uh 2035 today we're talking about a 420 million people worldwide uh with diabetes and the prevalence increases not only in the emerging countries but also in the US and the European countries with whites in significant numbers now the interesting thing is that the ideas has been a 1 around for quite a while but still if you look at the clinical outcomes and what really has been achieved so far in the treatment of diabetes we must say that only 50 per cent of people actually diagnosed only 20 per cent have access to care only 12 per cent get decent quality of care and only 7 per cent actually reach their clinical treatment targets and outcomes so this is a big a big challenge out there that that needs to be in our opinion that needs to be addressed and that has a huge opportunities for digital health now if you look at the
innovation that is around the the talking about about Europe specifically we have a lot of medical and clinical innovation around and there's a lot of medical and clinical of innovation coming out to the markets uh every year in Europe we have about 3 men and 20 different uh oral anti-diabetic drugs we have over 150 insulins insulin types and brands we have all the more mother and uh pharmaceutical treatment options as GOP interview be forced and we have far over 200 different types of medical devices that is at nite medical device technology at the disposable at the dispose of people with diabetes in order to treat and manage the disease but yet as you've seen in my previous slide only 7 per cent of people actually reach the treatment targets so there must be quite obviously something missing there must be something else that can connect the dots and actually leads to better outcomes at hopefully lower costs for the health care systems and on the other side
well traditional care delivery is all about health care professionals doctors and nurses treating people as well on with the prevailing send the increase of the number of people with diabetes and the and let's say struggles that most of the public health care systems have in terms of the financing these resources are already today not enough and for sure there will not be enough in the future to take care of this of this disease let's have a look at
the cost of that we have a new health care systems and maybe put that into today's the perspective of the disease and also of digital solutions in Europe we spend about a thousand billion euros just on health care this is total direct costs for healthcare with spending 700 and the 700 billion euros on treating chronic diseases was spending 120 billion euros in direct costs for treating diabetes and you can add to that another 30 to 50 per cent of indirect costs coming from absent reduced productivity disability and condition induced unemployment now the interesting part is that 80 per cent of those costs up potentially can potentially be safe because they come from potentially preventable complications and the overall cost of the health care system to operate so there's a huge potential that we see also for making the health care systems more sustainable if we find ways to use the innovation that is available to connect the dots would digital health solutions applied them for the better of the patient and for more sustainable health care system now if we then look at them what we call the and health market in the projections that we have for the and of by 2017 the market is projected to be at around 5 . 7 billion the these are basically apps is a basically direct-to-consumer revenue models mostly based on the AP sales subscription and the devices and services that are sold with it the now compare to classical market destination for and health with the potential that could be out there by engaging really in getting better outcomes and helping health care systems to better provide care to patients there's a huge gap and I think that gap can also be addressed with digital health solutions
coming back to the 120 billion that we spent indirect costs for treating diabetes this enormous increase in the cost per patient if you compare the different stages of disease progression complications and co-morbidities going from twice the cost of the general population up to 24 times the cost for treating this as the population of patients the so what is important here and I think here is also the opportunities that we see with new digital solutions this find the adequate balance and the right tools for integrating self-care and professional care and supporting behavioral change processes to avoid disease progressions and co-morbidities and promote healthy living prevention and good health in general as you can see it
I'm kind of already addressing 1 of the topics the apps will be a very important part of that but the apps will not be enough if we want to let's say you take care of the triple anymore which is taking care of the cost of providing care having a good patient experience with the clear provision and also and manage health and manage populational uh health in the different markets and for that we believe that digital health care and technology and I t will be enablers for better procedure a better process of delivering care about to patients and as apps will be an important part of that we will have this discussion right now with some concrete examples thank you very much it well thank you last Fourier
presentation I think it really puts a context of what is going to bed to pass now as you're going to be witnesses of the 1st health apps come back we have got together to
have influences there really big in and help especially for diabetes this people they really think that that new technologies and mullite have can change the world but will want to face them with the difficulties and the shadows of this new trends that I really reshaping how we deliver health care for then this had this system
that I have with me means then came this coming to state this is going to be the
referee of this special
combat at 1st the fall of pain need to ask you do you really think that have perhaps as really valid all add to relate this cannot those of you who really think that this that I really given as the value cannot clear but OK I don't see much sense well again no I who thinks they are not really adding adding value their this stalls IOC hands 1 scene
3 while at and what about the rest of you know have an opinion not well let's
see this discussion and maybe this will change a little bit and can you percentile I texture we love to do that not just iraq to just do little bit about my background why I'm standing here are my name is mentioned Kim arm on the venture capitalist and from X healthy so we focus on digital start ups and why invest you will we invest in our from 500 K 2 5 million euros this use a company's and I've seen 2005 relative to how start ups and I invested all we invested in 3 of them 5 of them the last 1 was the daughter was a telemedicine Company from uh of Finland 3 . 5 million last year uh I happen to be on board I'm also I'm very honored to announce so that um eyes uh when the successor of the health start of studies so if you want to know about the 2 health please look at the look at the block out of yes so thank you very much for having me I will announce resents and
their health care experts i will be guiding you want to try to guide you through the session here um so now I want to make it a little bit more funding and we are here in a combat I'll try to moderated in a moral and say have boxing way so I'll try it
download unloaded and then and unload professional announcers so I'll try this from the colder northern German part of Germany with 1 . 9 93 meters and 94 Telos let's please welcome and founder of the dog and take 1 survivor bustier of all I have had had at last but not least
some of the golden altar as follows Sweden please welcome 1 . 75 and 64
kilos cofounder of my fear of Frédérique ball or
thank you and so that
is on right at colonies explain the performance of that was OK this is how this is going to be that they have a first-round Fatemi mean a 2 per cent a little bit there that in their common ground very will be discussing about White House perhaps I really really get an by sand will go for that difficulties some the shadows thing we have around 2 and a half 3 minutes it for a plane plane and finally will have a discussion will have less again on state so they can really fight hard but that's way when it means thank in interstate he can also gain a discussion with our past fact please loan 10 health apps combat and let's try to it to this this really really nicely with no blood no black please all right then these are 5 minutes you will start very rather don't find but the necessary started boxing match right well give you some background my last 31 years I've lived with type 1 diabetes meaning my life depends on blood needles and sweat and here's and everything else that comes with doing this therapy my body broken I need to work plays a bodily function there is not easy technology helps technology helps keep me
alive live better hormone when I need it is injected during you know keeps me alive the through technology and
medicines I can control this disease yet it is always a struggle In the past 10 years I have taken this disease I have this there's the uh live with to a professional level is gonna be worth working diabetic or which we call and a professional diabetic I've started working on making diabetes subclass using technology this has lost mean to the in the science of diabetes into the science of you bringing technologies to marketing to you as an entrepreneur art in a out in the field speaking would doctors patients grassroots in a organizations across the world what we've built is an apple Charles people in day-to-day life but to do so correctly we needed to start with the science so what we end up with I took a look at what course after were astounded by the fact that you know wasn't in change people have been building apps inElectronics system since won't 25 years 30 years back to manage diabetes acts or things like that computer programs and looking at the number of trials after over 700 of them we distilled back down to the most impactful studies and trials in this field and started seeing a pattern even among the 31 top-notch trials that have taken place in the past 25 30 years there was a difference you see if the quality of the trial was good still didn't mean that it was a good thing for the patient's diabetes but if the quality of the system which was used in the trial was good it was based on feedback if it was based on solving real problems and not just keeping a journal of therapy data then it actually had an impact had positive impact not across the board Due to the quality difference do well built and well for 3 systems actually dropped that magical number we all strive to drop the number of fighters it drops they enter risk for heart complications and hard to in a heart disease down the line that's the outcome number everyone's looking for sources of because apps drive engagement if you engage in therapy and the data becomes useful in day-to-day life all attachment magic happens now science tells us it kind of works if it's
still 12 now let's take this to patients perspective or away from the i'm sending to day-to-day life because we don't care about outcomes what we care
about is living life is about taking that feedback into therapy in making it a short term plastered and the long-term positive feedback loop and that is possible throughout because there is small which evolve in a day to day lives no this little app I've been part of creating this ecosystem of AP southern part of creating 1st now helps better over 600 thousand people 600 thousand people yeah have now experienced little did different way of seeing diabetes therapy you have seen it as the monster you contain instead instead of this track and eternal grind it a philosophical change be using technology it I can tell you hundreds of users risk presented e-mailed with over 35 thousand our patients where users my brothers and sisters the but it all distills down to a moment which I shared 2 years ago here at Republican an e-mail I got 1 day from monomer users in Germany saying nothing the but it had an image image of an APS logo tattooed on his forearm that powerful at the the the thing that
the time that's exactly what was where you the alright foreigners you and those in in my closing remark and that
is not the only time the user of an ad has to to to local on this form it yeah if you look at the impact in real life of an apple and can still that down to the number of features I think we have a thank you but
well thank you graduate this was basically from from a perspective of rows of a cofounder of the of
a diabetes start up and sold them bastion and very uh very curious about your opinions from the perspective of the patient you have 5 minutes I will tell the time go all right no thanks for coming i'm happy to be here if this was the real boxing thing I guess I'd be used to fighting somebody with to to use you know of another or whatever but I feel a bit like fighting Roebel called you know the digital thing and the professional diabetic from well I'm not I'm bustin I am EST Friday kind type 1 but I do think I know quite a lot about my own diabetes but that's about it I I care about myself my this before I start into going into the argument and I like to reframe the question a little bit and 3 small points 1st point some of the arguments I will make I would not show in mind because I don't really I'm not really think against apps right I actually do use at least 1 end up on a very routine basis but there are a couple of points that I think need to be considered so I'll get into those 2nd thing as I will really look at absent from the patient perspective and I will look at them from today's perspective so I'm not gonna get into where that could be in the great new future 5 years 10 years from now but let's look at out as they are today health apps as they are today and most of these out at least as far as they concern me is that Taiwan they are about collecting data I'm not talking about fitness checkers that they do that as well for diabetes that is importers well but they collect my or they wanted me to collect my blood sugar levels by insulin doses might carbohydrates my activity in my moods whatever makes you want me to give them all the data by whatever means mostly manual I get to that later the reason why that is important is from a patient perspective I know we're Republican right so many of you are properly and all this quantified self thing and playing with data and you actually do a lot of Athena workshop here on food and stuff so everybody here is very pro doing all these things
and that's great do that if you're into that because it's a hobby or it's fun or you like doing it or it's your passion or you want to prove something or whatever it is in a way it's fun for me it's not I don't do this because it's fun I
have to do this I have to do this 24 7 every day and I fucking hate it and that makes a big difference now when you look at all the steps that asked me to enter all this data and then they come by making it more fun with Gamification et cetera you know doesn't really help me it still doesn't some of the folks that's the 1 point the other point is that by and for all this data and all these ups and then it's kind of stuck there because nobody makes any use of its enter all this data into now I go to my doctor I sure my phone which is like yeah right your written look and I kind of understand her because she can deal with this thousand 600 so they're dealing with diabetes my doctor can know all of them now I'm using this 1 somebody else is using another 1 of the of the data is stuck in and out and it doesn't get anywhere what we need our ecosystems for the state kind of comes together and makes sense right so far where we are right now they don't I today try collect data I have to do this I want my doctor to make use of it and it's not happening I go to my and the chronologists 4 times a year at least and she doesn't even look at my phone 2 doesn't care now that doesn't really make sense to me what we need is we need some sort of standardization here we need interoperability and that's something 1 minute that's something that I found out this morning going to the restroom or even the toilet paper factories have figured this out right if you go to the loo in the morning and you take a toilet paper roll and if there that's great if it's not there you could ask a girlfriend to look at the neighbor's door after toilet paper should give you a roll of toilet paper and yes it fits on your toilet paper holder studies in that the words all over Germany it works all of Europe scraped it doesn't work in health care if I use my head with data and I wanna share this data with somebody else didn't thank you very those lessons thank you very much fewer
I've we enter around 2 so Frederick you have said so now it's a 2nd
round you have only 3 minutes I ready in absolute or and go the where to ecosystems I love that 1 so ecosystems are right now being developed and you know what it is not dead eletronic health record systems developing it is not the industry developing in the nanotech industry developing it thank you
it's technologies it's
technology companies developing and right now we are right before the big bubble was bursting again opening the systems up to each other and server exciting right now we are in a discussion uh at my little company the integrating with a number different hospitals but still that's just a number of hospitals I think this is going to be data this change come now that technology companies are stepping into the game and I love it knows how are at a point in time where the medical industry is changing the major companies are opening up this few weeks ago we lost integrations with a market leader we already get into our little happy data from CGN systems but because testing devices should also other gadgets I won't go into detail there yeah good data is slowly becoming passively gathered so it becomes a question of making use of the data not just with HCP with the health care professional but that this step systems become intelligent enough to make use of the data directly facing to the into us patience and that is prick cited no I believe that we could get away from this belief that's to keep on top of stuff you need to sit there manually enter data all the time 1 minute left apps are marvelous if you wanna gathered data on a problem you experience in your therapy and make the best out of it if tell the if they help you make decisions based on that data see and the cofounder of a mobile of company in diabetes and diabetic myself I use our own have about 2 weeks a month when I see something starting to change where I don't know what it is a use it for 2 weeks to figure out the problem solve it and go on with my life then I come back when I see the next problem occurring this is the level we need to be speaking about this is where they come and they come in server and to solve problems and not as a lifestyle thank you very much thank you highlight
of the of the same rules applied used remittances please don't well I agree with your a 2nd site and that you know that would go away from me heading to enter data and data should come from sensors actually where a sensor that's the kind of use on on a daily basis I do use it daily many many more times than of ever used but is needed so I agree with that I don't agree with the with use the following statement that we should go away from using apps on a daily basis because from my condition and for your so I would say I do needed on a daily basis because they be is not about the
problem that you fix now and then for the next couple weeks it only to think about it anymore and an apple not move that problem to somewhere in the future I need an up
that will help me every day but it needs to be with me without bothering me playing around with me and I can asking me to do stuff all the time so I kind of agree and monetary but OK uh else agree or like the fact that you put up this ecosystem of argument because I think
yes that's where we're going FOR however when you saying it's not the med tech industry that's gonna be developing this ecosystem but it's gonna be others
that I get a little bit cautious but we're not gonna get into this whole data security privacy issues debate because that's gonna just disrupts this could be the knockout punch right know if we can start talking about data security and privacy than this is dead when up it into this however we do any good data security and privacy protection rules niche baboon that thing I have 1 more point that's maybe farther away from those that discussion as such but is something that I feel is often overlooked and that has to do with human side and that's something that maybe we can keep for the data we had this whole discussion about software as a brought in other forums that with the whole app thing and sensors on automization andeach our systems we getting toward software as a doctor right or absolute doctors at start actually doing diagnosis and you can actually use apps to find out if your heart rate it's OK you're maybe in the future should I be distance alright at 1 minute so what does that do to me as a patient and to my doctor who yes maybe I don't wanna see him every 3 months but in a way it's good to know that he or she is there we already have too little doctors out there that we start introducing more and more automization absent from then we would have even less I talked to a doctor just a few weeks ago and you said you know what I'm a land Austin Germany right he's he likes driving around seeing patients and assessing a lot I actually like my job because like go out there I see patients and I work with them he said you know I was introduced to telemedicine and now I sit in my desk at my desk all time I sit in my office and I look at screens and data he doesn't like his job anymore now that is going to be the ultimate result of digitalization and more abstract my doctor doesn't seem anymore I don't see my doctor anymore well I talk to his apps that keep on annoying me with beach some messages and don't they want to turn to more and think Martin expressed in that
you large so I think I think what we're going to do
now is that gonna bring up loss on the stage you know and start discussion I think you're ready mentioned uh something very interesting you know you think that the ecosystem will be 3 should go behind
our house should we do this is they actually go behind the don't I don't have the right and on the the other hand we have the the the the will want to come apples and fight with you and so of gloves so last I any like yeah the the statement and that the ecosystem will be developed maybe not uh from from from companies but
maybe companies such as Apple what what is your statement comes to to this so is loads of those companies and big ones and also start ups coming into the arena and arena that has previously been you know only been with the metric the tech industry and for sure they they can what they can provide them with the strength of this is in uh um let's say hosting collecting data managing data interoperability issues standardization issues on uh and connectivity issues and for sure there are be experts in both kinds kinds of things not the med tech industry still needs to develop the technology and the sensors the drug
delivery technology that actually then that has an impact on on how the treatment as being a whole different is being delivered and with the medical knowledge knowledge that the industry has I think it's important to take that also into account in terms of the regulatory the quality and the way healthcare systems work and how we can best support patients and healthcare professionals in delivering care so there's a lot of let's say intangible knowledge available in the map tech industry that other industries uh obviously don't have but I must say digital is just the next step in the evolution and also met tech industries need to our let's say add at to the heart to the sensor to the technologies that they have today the data and the digital part in order to make it a complete picture and me you have
over and over half a million diabetes patients on your platform or on your and my I should work so called would you
like or I'll call you see the future how would you like to work together with the genetic companies we already work together we're quite a few of them are just 2 weeks ago we integrate with the world market with the mark in a world leader in diabetes uh blood glucose mentioned we already integrate with these automated systems which both Boston I whereas small sensors in certain in our skin we get those data points already and I think that when we the net to take hardware companies start working with the software companies that's when magic happens because what you connect it is Internet technology with medical technology and in that intersection lie a lot of innovation so software is just like just have just to have that is not enough to create really that's quite as good as a question of but not is already in ecosystems annual be it just started to grow from you the questions like the growing the ecosystem and where do you
see who will push of this interconnectivity a between domestic companies and this and the health apps or even with that with that with a health care professional but using faster but I think that the that that's what we need integration and interoperability and data exchange between different platforms and I'm happy
to see that you have the company you're
working on dealing with others and I'm happy to hear that the meticulous sector of things that they have intangible knowledge that we can protect them from the the speed in the full digitalization date but I'm not quite sure that's really gonna be the case that the way I would wish that is but it'll 4 years ago I was in Brussels mimetic forum as a keynote speaker and I was pulling out my blood glucose meter and my iPhone 4 s at the time you know for years and I t is a long time at mobile and as you know what guys be where my next like Lucas nature will be my iPhone and today the device I pull out 20 30 times a day to check my blood sugar is no longer my blood glucose meter which still sincere which I used twice a day to calibrate but is my phone if you ask me a similar question today regarding absent ecosystems I would say be where guys because my next i and that goes to both of you is not going to be about its ions that's not Apple already introduced health kits research kit and I'll just the indicated that's where things are going you would be delivering data points I be collecting them through a hardware you will be maybe operating them through your you would be delivering them there and that's where I would see them the 4th and last what what what did you think
4 years ago you think that said i form can be used as the glucose meter on actually yes I mean in at for me that is that is very clear that that the consumer technology and Internet will
converge in 1 point in time and obviously if you have a device already today that is able of connecting of doing that why should you have to nobody wants that now the challenge is actually the quality in the regulatory set up so as we know a consumer of devices moving much faster and law of uh let's say regulatory hurdles and medical devices so we need to find ways in order to bring them together and to assure quality for the safety of the patients and that's 1 thing what we see that happening now coming back to the mac tech industry I do believe that the med tech industry with on evolving after the 4 years you've been there has also involved and we need to so it's not where data is collected we don't need to support the betas holes that we need to sit where actually on actionable decisions can be made with the data are not there has been a lot of discussion of you know let's collect all the data sets have all the data integrated into 1 ecosystem but the more data we collect the more the health care professionals as well as the patients will be overwhelmed with the data that they have already today they're actually not capable of processing all that data in the traditional way of care delivery as we see it in a doctor's office so what we need here is actually an alternation is algorithms that go into reach respective analysis of the data that is there going to prospect of analysis to see you know what could happen and what could I do in order to prevent something and then eventually going to prospective prescriptive analysis to really actually also automatically give you the right answer suggestions on what could be done but the question is also like when you have an application were
a high going into that direction to make suggestions for the users and and further down the line I'm going to replace a doctor you already helped
make decisions because you that regulatory and quality assurance that which is needed in and take while and we've already dealt with we already have a quality assurance systems in place and we live up to the criteria of the FDA the TGA to see the 2 the tetrad center trajectory and a little lap companies audited by 2 the twice a year story once a year and blind audits to it's kind of exciting but you were now and the level they also have companies where we deliver class to be medical devices meaning actually telling you what how much insulin to inject and that's a pretty hard core the little outcomes so there are no to which we have to do so but then you also at the quality level which is needed Roche my sugar well they're actually just to so even start ups and meditate coming together and living up to those quality criterium it's already happening now replacing the doctrine of I don't think that's possible you see what I believe is maybe this is not just about the data maybe this is so much about the psychology me going on stage my blood glucose rice is because you know what and that little tidbit of information it's hard to capture without some data points you know someone who knows it and who is able to help you get through that but I went
humans and when I when I see so many due to health apps you know that they're trying to give more suggestions and each and and try to dehumanize basically the will have care process and what you what I thought of this and you see also lot of diabetes at all but like other than the beginning I'm not really against outsiders think that they can stand
alone they need to feed into larger systems and I think we need to think about them a little bit differently I agree with your point at a slow in all the making things more more automated the dehumanization part I don't know I mean I don't want to deal with me as myself in terms of looking at different Alps and figures and then think so much about if there is but really you know helps me in an unobtrusive way to make better decisions that I am still the master of I wanna make their own decisions I want you know look at what I eat a lot of sports I do in the decidedly more incidents that can really help me make better informed decisions and if my doctor through that up and maybe even assist me then I'm all for it and I think not to leave that combat form a little bit I think yes this is where we're going with us at the very beginning I was looking at where are we today being and today we're not really barrier now I mean what I went
when I talked to a health care professionals and patients on the whole notion of digital health and an absent all that is included into that they basically
always come up with 2 barriers of adoption on the health care professionals side it's the fear of obsolescence and on the patient's side is the fear of dehumanization and I think if if we do it right so if we designed the right technology and put it to service to the system and the people with diabetes what we're gonna chief is exactly the contrary so we're going to achieve a mean that they're not enough health care professionals anyhow and with the growing prevailing so it won't be possible to take care of all those people in the traditional way but the 2nd point is that if we look today at a normal consultation it's about 10 if you're lucky 12 minutes 4 times a year or not if you're patient of those 10 minutes spent 6 minutes looking at the screen and the data and try and figure out stuff and only 4 minutes and meaningful interactions in conversations with the patient that is dehumanizing but if you actually have smart data algorithms you're going to automation of decision making of things that the human mind cannot process anyhow at quick speed all then you might be reducing that type of activities to a minute or 2 and have more time for those meaningful conversations with the patients so that it is completely the contrary that will be achieved through well-designed systems so basically he has more free time to
to the patient and less time for all these adminstrators and rat using exactly which is what must consent before exactly physicians far physicians because they want to be close to the patient and therefore forced into
administrative and let's say other types of work but that could be avoided if we designed right systems now the bottle like that we are facing here when we're talking about this ecosystem thing
you know you're here flooded because here I here's the patient richly to elect a doctor
because you know that's kind of the other side forming you guys can do the ecosystem and the tools but I am talking to my doctor and he or she should stand right here that the bottle that we will be facing your problem facing already because I know I've already right to use my phone or whatever every day and I do use that for my died at the data and most of the time once I know deal with 1 or the other other as we speak if the doctor so far we don't like because is that I can understand them because the ecosystems that we're talking about here are not in place so that makes it almost impossible for them to the deal and interpret all the data but we need to convince them to come on board unit should provide better ecosystems but you also need to convince the doctors to actually want to do this so far that my father is a doctor you just retired until his last day in the office you didn't even use a cellphone or PC valuing at all manually at the state of affairs in Germany for some of the components and their share my age of about 60 there's always want to ask you and when we started this company much related to try to convince doctors to use your happen and how was the result Michael's process we focus exclusively on patients from day 1 we didn't even build the doctor portal or something like that plays a role in 1 of the things we found out already 6 years ago was said to you if you are asked to add a hospital if you ask the nurses diabetes educators the doctors and administrators about using IT systems currently on the market for managing patients stuff and the administrative part of the administrators loved it the nurses that educators the physicians bloody hated to say was contend with the patient so why Weinstock there when conflicts only seen as a burden to the physicians once after comes which sounds real problems for physicians in their practice so that they can focus on the real patient on the relations as soon as possible then that can work out that for a surrogate interact with the unknown if you have been
seeing what's going on now teacher fall I think that maybe in the audience as someone who that question I want to share an
opinion other conversations come
on the audience the opinions you wanna share besides the ones that are integer the thank but yeah you you you and on the on the the part of the and the I don't this the next more so I think you know more about
that in where are heroes that people that you need to work on this can
figure that so I mean diabetes is on decision making and physician decision making and I think this is very much
data thing so basically what you do is a person with diabetes you measure blood glucose several times a day today on most writing down and little book go to the doctor he looks at the patterns and the values in order to make therapy adjustments in a nutshell now this happens in about 80 per cent of the cases still today the data is not gathered automatically it's patients that write it down on paper to show it to the physicians 60 per cent of the data that is in the air is wrong already so you actually giving the physician aid that's say a data set to make therapeutic adjustment decisions where the data in the way it is there is actually almost non understandable and 60 % as even wrong or not the next evolutionary step occurs and that's about 20 per cent of the cases that data is already collected from all the different devices that a person with diabetes users and is aggregated into all sorts of graphs and you know about graphical ways of showing that data that should be helping the physician to make the decisions yet a recent study that we put out and even in the cases where you have the right data collected automatically no arrows lost and displayed in a graphical way that you can change and still up to 80 per cent of clinical decision making is wrong not not understanding not getting the right data patterns for making the right clinical decisions so you the big challenge and also the big opportunity so that data can provide physicians is actually not only adding more data is adding meaningful algorithms in order to you know a filter in data mining and shoulders physicians
already know where the problem lies and what possible solutions to the problem and could be out there so there's like when we talk about data I guess 1 question that we want to take from the Twitterfall and if we introduce more more at the doctor's become data
analysts who was fossil all then
last questions about the last presented last this can provide me new want to want have about I started the sugar in in the last man my 2nd round it's something that I wouldn't
want and that the doctor that I interviewed a couple weeks ago so that he was very happy with the land lots to action like having real contact with the stations and was introduced to the great new world of realization and telemedicine and was kind of complaining about not having to systems on the computer and lived in a graph some visualization charts and the face time interviews or Skype sessions and confusing the choice in his work if that was the result of that remains to be seen and I think we do have a problem but has lost pointed out in their and response about the idea is something else so latency alright just to sum up the whole thing and
like yeah like a lot said that there are fewer numbers of health care professionals doctors
but there is a rising number of diabetes patients so therefore health apps or digital health solutions can provide them with it or are and opportunity to go for really toward society but moreover this to hell solutions can save time for the doctor with all the administrative part to focus on the patient have more time of would really matters on the other hand Boston sentinel as a chronic oral it as a day a diabetes patient and it's not funny but to to collect data like like me for those of us with the set things he has to do it because to his anchoring correct decision and therefore it doesn't want to all the collected data he wants to share it and therefore I'm I believe that's what what what what what Frederick also set this we need a interconnected systems power between the health care professional or the the care providers and patients only then we I think we all agree that we have a holistic solution and together with the ecosystem that eHealth apps can be can be a relief and I think in the next 5 years or in the next 4 years and we would have also a lot of fun dynamics within this market we mentioned Google and Apple coming coming into into into the European entering the health market so I am looking for with you guys over the next 4 years to to watch the due to health ecosystem carefully and also invite you to think about and data privacy about health apps about the ecosystem thank you very much
uh
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Metadaten

Formale Metadaten

Titel #HEALTHAPPSCOMBAT
Untertitel Health Apps, add true relief? True or fake
Serientitel re:publica 2016
Teil 183
Anzahl der Teile 188
Autor Kalfhaus, Lars
Kim, Min-Sung Sean
Arrieta, Carla
Debong, Fredrik
Korth, Karolina Joanna
Hauck, Bastian
Lizenz CC-Namensnennung - Weitergabe unter gleichen Bedingungen 3.0 Deutschland:
Sie dürfen das Werk bzw. den Inhalt zu jedem legalen Zweck nutzen, verändern und in unveränderter oder veränderter Form vervielfältigen, verbreiten und öffentlich zugänglich machen, sofern Sie den Namen des Autors/Rechteinhabers in der von ihm festgelegten Weise nennen und das Werk bzw. diesen Inhalt auch in veränderter Form nur unter den Bedingungen dieser Lizenz weitergeben.
DOI 10.5446/20556
Herausgeber re:publica
Erscheinungsjahr 2016
Sprache Englisch

Inhaltliche Metadaten

Fachgebiet Informatik
Abstract "Health apps, add real value? True or Fake – Join us in this exciting session where top influencers on mobile health will ‘fight’ to reveal the truth about this outstanding trend. Health apps are hot, moreover, they are a powerful market, the past years, an enormous increase in the number of available health-related applications (apps) has occurred, there are more than 165,000 mHealth apps in a market worth 489m. However, little is still known regarding the effectiveness and risks of these applications."

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