mHealth and personal

health systems –

challenges to research and

the healthcare systemsPer Erlend Hasvold

Section leader – Home-based services and personal health systems

Department for Prevention and self-management

my mother-in-law, Kirsten

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Good health

WHO, Ottawa Charter, 1986:

“Health promotion is the process of

enabling people to increase control over,

and to improve, their health.

[...]

Health is [...] seen as a resource for

everyday life, not the objective of

living”

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small health problems

severe health problems costs of care

complex multimorbidity – the

elephant in the room?

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Anton

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what are we doing at NST to

address these kinds of

challenges?• primary prevention – to reduce the risk of gettinga serious disease through healthy lifestyle and lifestyle change for those who need that

• secondary prevention – to reduce the risk ofsecondary health problems for those who alreadyare sick; self-management; motivation to lifestyle change; maintain healthy lifestyle

• improving care for those who have a disease –self-management; stepped care plans withcoordinated teams and single point of contact

• identify risk at an early stage – pro-active care

• develop the learning healthcare services

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“No decisions should be made about me without me!”

Eco system of patient tools

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www.diabetesdagboka.no

‘Wearble computing’

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Would you like to share your data with me, Mrs.

Hansen?yes,

please.

The codeis:

yqi9ow

Patient - healthcare

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The Patient in a virtual team

Patient goals

Plan

Team

Eco systems that include patient

participation: the learning

health services

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Patient

Disease process

Organ function

Health care worker

Decision

ActionIntervention

Patient data

Electronic health Record

Population statistics, medical knowledge, logistic

information, current work practice

Abstractedpatient data

Data, Knowledge,advice, etc.

ArchetypedPatient data eHealth system

(DQE – erdusyk.no)

Population statistics, medical knowledge, action advices,

social statistics

Patientsymptoms

Advice

Epidemiologicaldata / statistics

Bellika & Skrøvseth, SNOW HRI

WHO-ITU mHealth for Non-communicable Diseases (NCDs)

November 4th 2014

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The EPITAL Care Model: A very

good concept from Denmark!

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Basic concept “The funnel”Integration of Internet Computer based Treatment

(ICT) and video in a comprehensive stepped care

system

GP and patient

ICT

Self helpICT

GP Specia-list and patient

(video)

Specialist patient

Self help without support

General practitioner (GP)follow up plus self help

GP assisted by specialist

Specialist patient policlinic or admittanceAcute cases,

not only depressed

Policlinic, video

Admittance

3P – Patients and Professionals

in Productive teams

cross regional project aiming to develop care

that is:

• 1) is truly citizen centred

• 2) is coordinated proactive and planned

• 3) has one-point of contact

• 4) uses interdisciplinary teams and

• 5) is a learning care system

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Organization Technology

Medical servicesMedical researchProfessional development

MangementEconomyPoliticsLawsRoles and professions

technology researchIndustryMarket

Roger: “We are so lucky: because

we actually enjoy doing this!”

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summary

• patient goals needs to become visible to careersand included in the objective of the careprovided

• chasm between research and industry (the cause ofpilotitis)• we need large-scale initiatives, such as Smart Cities and MyData

• new business models are needed to make it attractive to develop services and apps for thosewho need it and where we can have an impact

• The reinvention of healthcare and health researchwill come from data analytics + an understandingof the sociotechnical system it has to work in

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Thanks for listening

Per Erlend Hasvold

per.hasvold@telemed.no

@Perlend

www.telemed.no

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