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Conference Paris 14_10_08
Research and Innovation in ICT for Health
European Priorities
G. ComynICT for Health
DG Information Society & MediaEuropean Commission
Conference Paris 14_10_08
Challenges for European Health Systems
• Pressure on healthcare systemsDemographic changes
more people will require prolonged careIncreased prevalence of chronic diseases
substantial part of the overall healthcare costsCitizens’ expectations and demands for high-quality care Inadequate safety standards and quality control
Medical accidentsInefficiencies and staff shortagesReactive model of healthcare delivery
treatment after appearance of symptomsRising healthcare costs
faster than the economic growth itself
• How to offer high-quality & affordable care?
Conference Paris 14_10_08
• Require changes in the way:Healthcare is deliveredMedical knowledge is managed & transferred in clinical practice
• Emphasis on:Improved illness prevention/prediction and safety of care
enhanced quality of lifeavoid costly treatments - reducing healthcare costsavoid medical accidents
Individual citizen with stronger role in healthcare process Remote monitoring and care
continuity of care - health services outside hospitalsEfficient, personalised disease management and care
Needs and Trends
Conference Paris 14_10_08
Research Aims
• Multidisciplinary research to support:
Improved productivity of healthcare systems better management of chronic diseases at the point of needquicker transfer of knowledge to clinical practice
Continuous and personalised care solutions participation of patients in care and prevention processesrespond to the needs of elderly people
Savings in lives and resources focus on prevention and prediction of diseases
Higher patient safety optimise medical interventions and prevent errors
New ICT-based environments for biomedical research and predictive medicine push technology boundaries: grid computing, modelling & simulation
Industrial leadershipEuropean eHealth and medical imaging/devices industry attract pharmaceutical research back in Europe
Conference Paris 14_10_08
Strategic Research Orientations
• Three main directions:
Personal Health Systems
Patient Safety
Virtual Physiological Human
Conference Paris 14_10_08
Patient Safety
• Improved patient safety in surgery through advanced ICT applications
• Bridging the ICT gaps between clinical research and medical practice
• Enhanced health security through innovative event-based surveillance tools
• Accelerated adoption of electronic health record systems supported by more user-friendly interfaces
• Improved patient safety through framework for interoperability testing of solutions for exchange of healthcare information
Conference Paris 14_10_08
Virtual Physiological Human
The Virtual Physiological Human is a methodological and technological framework that once established will enable the investigation of the human body as a single complex system.
The VPH research roadmap developed by project STEP in 2007:www.europhysiome.org
- Personalised (patient-specific) healthcare solutions
- Early diagnostics & predictive medicine-Understanding diseases across several biological levels
Conference Paris 14_10_08
• A relatively recent conceptIntroduced in the 1990sPlace the individual citizen in the centre of the healthcare delivery process
• Key facilitators for:Continuity of carePreventive & personalised careCitizen-centred care
citizen empowermentpreventive lifestyle & early diagnosisdisease management independent living for ageing society
Personal Health Systems - PHS
Conference Paris 14_10_08
PHS characteristics
Realised as:Wearable, implantable, portable systemsIntegration of various components and technologies
e.g., sensors, implants, signal processing algorithms, user interfaces, mobile and wireless communications
Used by the patient or healthy individualCoupled with telemedicine platforms to provide personalised services
Non-/minimally-invasive monitoring and managementRemote & continuous health status monitoring, early diagnosis and disease managementAdapted to the circumstances of the individual user Personalised medical advice, recommendations & treatment Available at anytime and location beyond hospitals
Conference Paris 14_10_08
Prototype PHS for monitoring
ExamplesWrist-worn devicesBody Sensor Networks Biomedical clothes
MOBIHEALTH
AMON
MYHEART
WEALTHY
Conference Paris 14_10_08
Personal Health Systems: the bigger picture
Sensors for multi-parametric monitoring
Hospital
Health / callCentre
Data communication and feedback
Data processing & analysisData acquisition
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Medical expertise
Intelligent analysis
Support to diagnosis decision & treatment
Treatment,Rehabilitation
Conference Paris 14_10_08
• m-health comprises:Mobile monitoring of health status
Wireless body sensorsMeasurement of vital signs (ECG, heart rate, blood pressure, blood glucose, …)
Communication networks Wirelessly from sensor network to PDA or mobile phoneGPRS / UMTS mobile networks to servers in medical centres
ServicesHealth service providersLinked with health professionalsReal-time feedback to patientMessages, reminders
The m-health approach
Conference Paris 14_10_08
• Practical:More than 2.2 billion mobile phone users worldwideQuick and low-cost solution for a large population
• Clinical:Patient mobilityEvidence from trials on cardiovascular diseases (Source: Ericsson & HealthServices24):
Admissions reduced by 60%90% of the patients claimed to feel more reassured
• Economic:Evidence from COPD trials (Source: Ericsson & HealthServices24):
Reduced hospitalisation days38% reduction in patient costs
Potential of Mobile Monitoring in Germany (Source: GesundheitScout 24 GmbH & Bayerisches Rotes Kreuz):
Up to €1.5 billion/year savings through early patient dischargeAssuming 3 days less hospital stay for 20% of patients
The Benefits of m-health
Conference Paris 14_10_08
• Remote and continuous monitoringRespiratory diseases (e.g. COPD, asthma)
Oximetry (SpO2) SensorsCardiovascular diseases (e.g. Heart failure)
Textile Electrodes to measure ECG and heart rateNeurodegenerative diseases (e.g. Parkinson’s)
Microsensors and microelectrode arraysDiabetes
Transdermal sensors to measure blood analytes at the skin surface Cancer
Lab-on-Chip, microfluidics, integrated biosensorsDaily activities and location
Motion (inertial) sensors, accelerometers, location sensors
For:Disease ManagementRehabilitationPrevention
Sensors for healthcare applications
Conference Paris 14_10_08
Besides sensors….
• Networking issuesBody area networksWireless (Bluetooth, ZigBee, …)
• Power autonomy (desirable)Low power consumptionPower recharge/scavenging
• Data processingPowerful portable (on-body) electronicsReliable & secure communication of health data
• User interfacesPromoting interaction between patients and health professionalsUser friendly interfaces for users on both sides
Conference Paris 14_10_08
Personal Health Systems
Benefits for all:
Health conscious who wish to stay fit Healthy individuals at risk who wish to maintain normal health status Chronically ill patients Elderly persons or people in need, who want to live independently outside care institutions Health professionals
support by provision of monitoring and diagnostic data assistance in making accurate decisions
Conference Paris 14_10_08
Personal Health Systems
Examples of FP6 projects
• MYHEART (http://www.hitechprojects.com/euprojects/myheart/)Wearable systems (intelligent textiles) for prevention, early diagnosis and management of cardiovascular diseases
• OFSETH (www.ofseth.org)Textiles with optical sensors for physiological monitoring
• HEARTFAID (www.heartfaid.org)Knowledge-based platform for heart failure management
• SMARTHEALTH (www.smarthealthip.com) and MICROACTIVE (www.sintef.no/microactive) Point of care devices for cancer screening (breast, cervical and colorectal cancer)
Conference Paris 14_10_08
Thank you very much for your attention
Contacts:
Gérard Comyn, Ilias Iakovidis & Loukianos GatzoulisDG Information Society and MediaUnit “ICT for Health”
