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THE IMPACT OF DIGITAL CHANGE
ON THE HEALTHCARE SECTOR AND
THE LOCATIONAL CHOICE OF
START-UPS
How digitalization changes cities
6th September 2017, Witten
Digital Healthcare – From Top Down to Bottom UpDigitalization - Top Down
The Telematic Infrastructure and eHC (electronic Health Card)
The decision for the development of a nation-wide strategy for the use of telematic applications took place at the75. Conference of Ministers for Health on June 20th 2002
Phasing-in of the electronic Health Card in October 2011, legally binding use since 2015
With the eHealth law in 2016 every doctor‘s office, hospital pharmacy and every insurant will be connected by summer 2018 (nation-wide roll out)
Jäger/Piechulek 6th Sept. 2017
References: https://www.bundesgesundheitsministerium.de/themen/krankenversicherung/e‐health‐gesetz/e‐health.html
References: https://www.gmkonline.de/_beschluesse/Protokoll_75‐GMK.pdf
References: https://www.gkv‐spitzenverband.de/krankenversicherung/telematik_und_datenaustausch/egk/egk.jsp
What are the expectations towards the eHC and the TI?
Quality improvement of Healthcare
Improvement of user centered health services
Patient Empowerment – personal responsibility,
participation and initiative
Improvement of economic efficiency and
transparency of the Health Care System
Digital Healthcare – Top Down
Jäger/Piechulek 6th Sept. 2017
…but there is also another, user centered and demand driven form of digitalization on the second Healthcare market.
Jäger/Piechulek 6th Sept. 2017
Digital Healthcare – Bottom Up
WHO mHealth definitionmHealth or mobile health is a component of eHealth… medical and public health practice supported by mobile devices, such as mobile phones, patient monitoring devices, personal digital assistants (PDAs) and other wireless devices
References: van Dyk 2013 – A Review of Telehealth Service Implementation Frameworks
References: Kay, M.; Santos, J. & Takane, M. (2011), mHealth: New horizons for health through mobile technologies
What is so exciting about mHealth?
Source: Deloitte 2014‐ Perspektive E‐Health – Consumer‐Lösung als Schlüssel zum Erfolg
Digital Healthcare – Bottom Up
Jäger/Piechulek 6th Sept. 2017
“Mobile internet use will account for 26% of global media consumption in 2019, up from 19% in 2016”Resource: Zenith‘s Media Consumption Forecasts 2017
Expected market size worldwide for 2017 about 26 Mrd.$ Expected market size for Europe 6,9 Mrd. $ Over 100.000 Healthcare Apps in Google Playstore and Apple
Appstore
Source: Research 2 Guidance, mHealth App Developer Economics 2015
Jäger/Piechulek 6th Sept. 2017
Germany has a high market potential which attracts young Start-Ups (about 8000) but is considered as overrated due to its bad market readiness
Source: TrendGuide Gesundheits‐IT 2017 –http://e‐health‐com.de/compendien/trend‐guide/
Digital Healthcare – Bottom Up
What do we have to handle?
Lack of „clear“ regulations for implementation
Problems with interoperability
Asynchronous dynamics between Top-Down and Bottom-
Up
The evaluation of medicine products or services (not
medication) can take between 2 to 6 years – the average
„go to market“ of digital healthcare apps takes less than
one year
Digital Healthcare – Where Top Down and Bottom Up meet
Jäger/Piechulek 6th Sept. 2017
Source: Tharenberend & Gottschall 2016, – Transfer von Digital‐Health‐Anwendungen in den Versorgungsalltag
Jäger/Piechulek 6th Sept. 2017
Digital Healthcare – Where Top Down and Bottom Up meet
Do we have to overthink the way we develop and evaluate digital Health services?
Cooperative development by targeting and
involving critical stakeholders and
gatekeepers at the earliest stage of
development (including patients)
Formative and summative evaluation during
the whole product live cycle
Offering support for Start-Ups/Developers
Managing and offering the necessary network could become a critical factor for the locational choice of Start-Ups and Developers
What is Webprax?
webPRAX is the new platform for comprehensive Online-Group-Therapy Timely intervention with personal counselling in real time Reduction of the relapse-quota through anchoring of positive daily routines Cost reduction through group principle and a new innovative digital platform High scalability through nationwide Network of psychological psychotherapists Consistent high quality of therapy through evaluated therapy manuals
Jäger/Piechulek 6th Sept. 2017
Locational ChoiceFrom Düsseldorf to Bochum
From a Start-Up perspective Location business-specialization
Risk of watering-can effect (everybody wants to be Silicon Valley 2.0) Unique selling proposition (USP) Acceleration in following fields:
Research and Development / think tank Health-Company settlement Business-networks Cooperation / Partner Recruiting Office-Space VC-Capital
Jäger/Piechulek 6th Sept. 2017
IMPACT OF DIGITAL CHANGE
On the mental-Health Sector Compensation missing ambulant/outpatient therapists Work relief regional clinics/therapists Local-Care Improvement Integrated care networking: prevention-diagnose-therapy-aftercare
Jäger/Piechulek 6th Sept. 2017
Jäger/Piechulek 6th Sept. 2017
Thank you for your attention!
Arnd Jäger
Healthy Projects GmbH
Palmenstraße 1540217 Düsseldorf
0211/[email protected]
Lukas Piechulek
Ruhr-Universität BochumZentrum für ökonomische BildungGC 1/37Universitätsstr. 15044780 Bochum
+49(0)234 / 32-2 22 [email protected]/zfoeb