Recently, Deloitte released a report entitled “2019 Global Health Care Outlook: Shaping the Future”, which details the above situation and introduces existing feasible solutions. The Arterial Network compiled and compiled some of the contents of the report for you. The following are the core points:
Global health care spending is expected to grow at a rate of 5.4% per year in 2018-2022, compared to 2.9% per year in 2013-2017.
This increase reflects the strength of the dollar against the euro and other currencies, the expansion of coverage of health insurance in developing markets, the increased demand for care for the elderly, advances in medical technology, and rising medical labor costs.
Per capita health care spending is expected to continue to vary widely, from $11,674 in the United States to $54 in Pakistan in 2022. Efforts to close this gap will be limited by the acceleration of population growth in developing countries.
Higher per capita spending does not always mean higher quality health care services. Compared with 10 developed countries, the United States ranks unsatisfactory in terms of overall health care performance, which is highlighted by a 50% higher per capita expenditure than the countries ranked after it, but ranked in terms of efficiency, fairness and healthy living.
Life expectancy seems to continue to climb. It is estimated that by 2022, the average life expectancy of the population over 65 years old will increase from 73.5 years in 2018 to 74.4 years, more than 668 million, accounting for 11.6% of the global population. Increasing life expectancy and life expectancy is a major achievement in health care, as the increase in per capita output is related to an increase in real per capita GDP.
This effect is expected to be most pronounced in Japan, which is likely to reach nearly 29%. In Western Europe, this ratio is estimated to be close to 22%. Even some developing countries such as Argentina, Thailand and China have begun to see similar situations.
Efforts to combat infectious diseases are making significant progress by improving sanitation, improving living conditions and wider access to health care services. Thanks to advances in medical technology, the number of AIDS-related deaths has fallen from 2.3 million in 2005 to 940,000 in 2017. Tuberculosis infections are down by about 2% per year. The number of malaria deaths worldwide has fallen from nearly 1 million in 2000 to 445,000 in 2016. The widespread use of new vaccines and treated nets reduces the infection rate and mortality of all mosquito-borne diseases.
Noncommunicable diseases Cancer, heart disease and diabetes accounted for 71% of the 56.9 million deaths reported globally in 2016. In most developed markets, this proportion has exceeded 80%. Urbanization, sedentary lifestyles, changing diets and rising levels of obesity are driving the growth of non-communicable diseases markets in both developed and developing countries.
Health care stakeholders—health care providers, governments, payers, consumers, and other companies/organizations—are working to meet clinical, operational, and financial challenges. Looking to the future, with the help of digital technology, new business and health care delivery models may help solve today's problems and build a sustainable foundation for affordable, accessible, high-quality health care.
This idea is more likely to become a reality. If all stakeholders are actively involved in shaping the future, it is necessary to shift the focus of philosophy from the disease care system of patients after illness treatment to health care that supports health, prevention and early intervention. system.
However, today's healthcare systems and participants are unlikely to achieve this transformation on their own. They may need to work with other traditional sectors such as employment, housing, education and transportation to address healthy social determinants and work with new sectors such as retail, banking and technology giants to improve data and platform interoperability.
The potential of “digitalization” in the “business core” operations
Cutting-edge technologies that patients, members, and customers can see can help healthcare organizations stand out. But the core technology, the technology that most people have never seen before, can make an organization work. Back-ofce systems and their quality of connectivity to front-end enterprise functions are key infrastructures that enable pricing, product availability, logistics, quality, finance, and other "business core" information to be used when needed.
While health care organizations are embarking on digital empowerment from multiple perspectives, one issue is always important: using emerging technologies to redefine core systems and back-end processes to define how day-to-day work is done .
Some supplier organizations have begun to take steps to improve their two main core functions: machine learning and robotic process automation (RPA), cloud-based software-as-a-service (SaaS) and forecasting tools: revenue cycle and supply chain.
Significant advances in wireless technology, miniaturization and computing power have led to an exponential increase in the speed and scale of digital healthcare innovation, where innovation is emerging and affecting clinical and commercial operations. These advances have also prompted consumers to increasingly expect “digitalization”, which seems to be a new demand for all medical institutions.
Digital innovations such as blockchain, cloud computing, virtual health, artificial intelligence and robotics, digital reality, medical Internet of Things (IoMT) are helping to reshape the future of healthcare, making healthcare more efficient and accessible. Increasing data access and data sharing through digital solutions is improving personalized self-service and patient experiences.
More benefits from digitalization may be at hand. For example, blockchain has the potential to enhance collaboration, trust, interoperability, and traceability in a range of functions including clinical trials, supply chain management, financial transactions, certification, and claims processing. Sex and auditability.
In the life sciences and health care sectors, the transition from blockchain to blockchain (the network of networks) is particularly striking. In this area, different sectors work together in a broadly interdependent ecosystem.
The industry application of blockchain is still in its infancy, but a survey by Deloitte shows that the number of life sciences and medical institutions (35%) planned to deploy blockchain in 2017 exceeds similar expectations in other industries.
Health systems around the world are investing in digital technology with varying degrees of enthusiasm
Australia is launching the My Health Record (PHR) service, which links patients' personal health record data to different parts of the health value chain and patients can opt out.
The UK recently announced an investment of 37.5 million euros to establish a digital innovation center to address the UK's biggest health challenges. In other digital developments, more and more people in the country use the innovative company Babylon Health as a way to get primary care. New members of the healthcare industry are entering the EHR market, which may reduce the overall cost of implementation. In addition, they have a number of activities in automated AI-assisted diagnostics, remote health and comprehensive health records.
In 2017, the Chinese government issued the “13th Five-Year” National Science and Technology Innovation Program, aiming to develop precision medical technology and integrate it into a multi-level knowledge base to create a national biomedical big data sharing platform. Over time, with the support of evidence-based technology, patients who are about to receive treatment or are receiving treatment will benefit from better quality of service and personalized care.
A new Japanese law is expected to significantly increase the sharing of electronic medical record (EMR) data. Almost all hospitals in Japan have electronic medical records. The problem is that each hospital uses a slightly different system. Therefore, data is not designed to be aggregated at the national level and is not the best way to improve national health systems. In addition, the hospital's electronic medical records should be linked to the primary care data set to provide a true understanding of the patient's path.
In the Netherlands , patient-centred healthcare is supported by electronic health solutions and is a top priority for hospitals and healthcare organizations. However, the goal of the health system is to go beyond the pilot and move toward mainstream applications.
Ba Xi some of the company's human resources department is to increase employee participation in health and chronic care programs through the game of.
India 's health system is launching many conceivable and cutting-edge small-scale pilot projects around mobile health, telemedicine and IoMT, although they are rarely implemented on a large scale. Many public and private hospitals are turning to online patient registration and service delivery systems, and digital marketing is becoming more commonplace through appointments, online payments, downloading test reports, and sharing health tips.
A list of digital technologies that can help healthcare providers, payers, and governments achieve the three goals of improving healthcare, improving health, and reducing spending are expanding and growing. Let's take a closer look at three of these innovations: artificial intelligence and robotics, digital reality, and the Medical Internet of Things (IoMT).
Focus on digital medical innovation
Artificial intelligence and robots
Artificial intelligence is expected to change the healthcare industry by performing clinical and commercial tasks currently performed by humans faster and more accurately, and using fewer resources.
Artificial intelligence can provide decision support and physician assistance for tasks such as diagnosing patients and early detection of disease outbreaks; speeding up the development of new drugs and equipment; streamlining the Chief Executive's middle and post functions, such as doctor referrals, patient path coding, and claims approval.
An example of artificial intelligence-assisted workflow management is DeloitteASSIST, a patient communication solution that combines speech recognition, natural language processing, and artificial intelligence to enable patients to request help without pressing a button.
By simply saying the request, the nurse can understand their needs, prioritize the request through artificial intelligence, and route it intelligently to the appropriate resources (caregiver, patient support assistant, volunteer) to meet the patient's needs. demand.
Importantly, healthcare stakeholders need to recognize that artificial intelligence technology is designed to support and increase staff so that highly trained resources can focus on more valuable, patient-oriented activities rather than replacing them. . For example, robotics can improve the formulation of drugs, disinfect medical devices, and reconfigure human resources into more valuable areas.
Driverless cars can take patients to see a doctor and improve the continuity of care. Drones can pick up drugs that the old man falls on the ground. The use of robots in pharmacies and surgery is currently in use, although the full potential of the technology has not yet been realized.
In some applications, such as surgery, the cost of these technologies remains a challenge, and it is unclear whether the use of robotics can improve efficiency and effectiveness to justify increased costs.
Artificial intelligence and robotics applications are still in the early stages of adoption among healthcare stakeholders and patients. Increased acceptance may depend on the innovator's ability to reduce costs and improve the accuracy of natural language processing, big data and cognitive technologies, as well as the acceptance and trust of healthcare professionals and patients with new tools.
AliveCor is the maker of the iPhone's KardiaMobile ECG monitor and Apple Watch's KardiaBand ECG recorder, which is collecting data from its devices, which may one day be entered into a machine learning system to help doctors find the disease.
In a potential application, “bloodless testing” will observe subtle changes in the ECG, which is a characteristic of elevated levels of potassium, and artificial intelligence has unique skills in identifying this feature. Measuring the indicator in real time with the convenience of a cell phone or smart watch may change the way clinicians treat their patients after a heart attack.
Digital Reality (DR) is a general term for augmented reality (AR), virtual reality (VR), mixed reality (MR), 360-degree and immersive technologies. With the advent of many new digital features, these technologies have entered the consumer world for the first time in the form of games and entertainment.
Now, the use of these technologies is reaching a tipping point, and companies and organizations are beginning to use more than entertainment. Barriers to technology, cost and content are beginning to diminish, and early adopters are already working hard to create solutions to help change health care.
Deloitte and McLaren are working together to create a data-driven solution that combines specialized hardware and software with sophisticated algorithms to improve the performance of each function and organization. Healthcare applications can include creating digital copies of hospital processes, then applying advanced analytics and running millions of potential scenarios to identify root causes and test different interventions before applying.
In the life sciences and healthcare sectors, the virtual patient simulation market is expected to grow at a rate of nearly 20% per year and will become a $1.5 billion industry by 2025.
Among suppliers, the use of AR and VR is currently concentrated in several discrete areas. For patients, these techniques can speed up their understanding of the condition or treatment plan. When technology is used for imagination and relaxation exercises, they can even be used as a treatment. Applications in opioid addiction treatment, phantom limb treatment, phobia treatment, cancer treatment planning, perioperative planning, post-traumatic stress disorder and general pain management have been established.
DR tools can help maintain mental acuity by participating in certain situations, and some VR-based therapies are beginning to appear to help Alzheimer's patients improve their memory.
In a clinical setting, AR and VR can help doctors and care teams perform care work. For example, the surgeon can use a heads-up display to provide a data coverage of the patient's body during the procedure or to visualize the entire procedure in a preoperative plan.
In combination with medical imaging, augmented reality technology is beginning to provide clinicians with the ability to project medical images (such as CT scans) directly onto the patient and to be consistent with the patient's body, even as the patient moves, augmented reality is also The clinician provides the ability to project a clearer line of sight onto the internal anatomy.
In the context of education, courses in undergraduate, postgraduate, continuing medical education programs and institutions are increasingly being combined with AR and VR support. Take the physician VR training as an example.
Physician VR training
Virtual reality technology The immersive experience and real-life scenarios of surgeons and emergency doctors are changing the process of medical training. The latest developments in VR training include:
Surgical Theater is a VR specialist that provides pre-operative rehearsal platforms for complex surgeries.
The Johnson & Johnson Institute has recently launched a VR training program to help orthopedic surgeons and nurses prepare for total knee arthroplasty and hip fracture treatment procedures, and plans to expand to other operations.
Oculus VR is conducting a trial to test VR simulations of emergency department (ED) staff in high-risk child trauma situations.
London-based Fundamental VR has developed a “Fundamental Surgery” virtual reality application that simulates the surgical environment and the physical feel of the body.
Embodied Labs produced a VR program called We Are Alfred, in which Alfred is a 74-year-old macular degeneration. The device places the nurse or doctor in an individual location of the extreme patient so that they can understand the patient's condition.
Medical internet of things
The Medical Internet of Things (IoMT) is an infrastructure that connects medical devices, software applications, health systems, and services. IoMT combines people (patients, caregivers and clinicians), data (patient or performance data), processes (care delivery and patient support) and startup procedures (sensors, connected medical devices and mobile applications) to be more effective Improve patient outcomes.
The rise in the number of medical devices capable of generating, collecting, analyzing, or transmitting health data or images and connecting to provider networks, transferring data to cloud repositories, or internal servers has driven the rise of IoMT. Importantly, IoMT generates intelligent and measurable information to help more effectively improve the speed and accuracy of diagnosis and treatment
As new technologies evolve, new business models will emerge, and these new business models are expected to have a profound impact on the development of healthcare as they blur the boundaries and promote cross-sectoral and cross-industry integration.
The resulting “super cluster” of public and private sector providers, payers and market disruptors can use the smart health community approach to drive innovation, increase availability and affordability, and improve through more efficient delivery models. Quality and cost reduction
Article retrieved from Wang Shiwei arterial new medicine
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