View
112
Download
2
Category
Tags:
Preview:
DESCRIPTION
Benjamin Sarda
Citation preview
Benjamin Sarda – Head of Marketing, Orange Healthcare Fjord Kitchen - October 2012
Personalized medicine: some facts and a perspective
2
Agenda
part 0 Orange Healthcare
part 1 the evolution of personalized medicine
part 2 down the road
part 3 a prediction
3 Orange Healthcare - 2012
Orange Healthcare joining up healthcare
Orange helps modernize the healthcare infrastructure as well as healthcare systems as a whole, and equip healthcare facilities with communications solutions
we are convinced that the medicine of tomorrow is connected medicine in which the management of healthcare data and medical information play an essential role
at Orange Healthcare, we are using our expertise in communications to enable healthcare professionals to increase patient comfort and peace of mind
4 Orange Healthcare - 2012Orange Healthcare – 2012 Orange Healthcare
our services connect infrastructure to improve coordination, collaboration, and information flow among all the traditional players in the healthcare profession
our services allow patients to keep in touch with healthcare professionals, so professionals can provide high-quality care
our tools allow individuals to improve prevention by managing their own health and well-being on a day-to-day basis
hosting and sharing of medical imaging
remote monitoring of cardiac arrhythmia
drug authentication
in 2012, Orange has solutions to offer in 3 areas
services for healthcare
professionals
remote healthcare monitoring
services
preventive services
professionals to professionals
professionals to patients
patient
5
Healthcare ecosystem
Orange Healthcare Value Chain
Health Application
s
Health “Computi
ng” (hosting)
PartnersPartners Patients
Consulting, Integration
M2M, Internatio
nal backbones & Last
mile
Global Integratio
n, Helpdesk, services to end users
Specific developme
nts (Security, portals)
Our value chain is tightly linked with key partners:medical device manufacturers, health apps editors...
Medical Devices
Communication layer : voice and data transmission
6
1- The evolution of personalized medicine
Today, personalized medicine is mainlyabout oncology
Stakeholder concerns: Patients: more effective with fewer side effectsPharmas: reduce drug failures in late clinical trialsRegulatory: value for money
Today : over 50% of cancer drugs in development are targeted
7
1- The evolution of personalized medicine
The emergence of new technologies allows for a larger view of personalized medicine
123 Monitoring patients
anytime, anywhere
“Big Data”
Enabling access to information
New ways of delivering care
Prevention
Patient empowerment
8
In a few years, DNA sequencing will be about $100
2- Down the road
Jul 2002
$100 000 000
$10 000 000
$1 000 000
$100 000
$10 000
$1 000Jul 2004
Jul 2006
Jul 2008
Jul 2010
Oct. 2011
Moore’s lawComplete DNA
sequencing cost
9
Predictive medicine for everyone.
2- Down the road
10
Personalized medicine in prevention:What are the advantages? The downside ?
2- Down the road
Disease likelihood, adverse effectsTargeted drugs,
bespoke follow up
2003 Today Tomorrow
Human Genome Project
International team $ 3 billion (US)
Risk for payers:“health dictatorships”Competition between countries.
Risk for patients: What if I do not want to know ?57% of individuals at risk for Huntington’s Disease indicated an interest in testing before it was available. 16% took the test*
*Maat-Kievit et al. J Neurol Neurosurg Psychiatry 2000;69:579-583
11
Personalized medicine in prevention:The downside……
How Super Bowl has made a $1,500 treatment (which costs $200) popular without any proof of
efficiency
2- Down the road
12
Patients generate data
with professionals, or alone
The medical cloud is up and running
Medical imaging in general practice 2010 US: 68m X-rays, 42m MRIFr: 50m (X-rays + MRI)
Patient record Veteran Health Administration: 5.5mFrance: dossier pharma > 15m
Personalized medicine and patient empowerment The possibilities exist. What are the advantages?
2- Down the road
It is not just about raw data, but also corporate decision making tools
13
Personalized medicine as new ways of delivering care
2- Down the road
Asthma300M people worldwide (5% population), what triggers asthma attack remains unclear
1985: asthma epidemic hits Barcelona.All attacks occurred near the harbour, when ships were unloading soya beans.
2011: chips inside asthma inhalers
A better follow-up for the patientYou’ve been using your inhaler twice as much as you did last month - is everything ok?
A better understanding of the external causes You might want to avoid getting too close to that crop!
14
Personalized medicine: consequences of “Big Data”
2- Down the road
•Massive amounts of data
•New kind of follow up, with new medical challenges
•New kind of jobs
15
Personalized medicine will require the end of two myths: the omniscient physician, and the patient-led revolution in healthcare
Data will be available
But does it fit an existing healthcare process ?Is there someone to monitor & interpret this data?Are physicians ready to use data collected by their patient?
We will be facing two challenges
Over-expectation: omniscient physician
Be sure that healthcare pros are leading the way,
3- a prediction
16
thank you
Recommended