Medicine20 Opening Murray

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Peter Murray

Peter Murray's opening session at Medicine 2.0, Sept 2008

Gesundheit & Medizin Technologie

Welcome to Medicine 2.0 TM Conference Social Networking and Web 2.0 Applications in Medicine and Health

Peter J. Murray PhD, RN, CertEd, FBCS CITP Vice President Strategic Planning (Implementation and Communication)‏ Director and Founding Fellow www.imia.org www.chirad.org

The basic aims of IMIA shall be: - to advance international cooperation; - to stimulate research, development and routine application; - to move informatics from theory into practice in a full range of settings, from physician’s office to acute and long term care; and - to further the dissemination and exchange of knowledge, information and technology.

IMIA - the world body for health/biomedical informatics: National Member Societies - 49 Working Groups and Special Interest Groups – 20 Academic Institutional Members - 49 Corporate Institutional Members - 11 Regions; Corresponding Members; Affiliates .... www.imia.org

http://www.differance-engine.net/imia20/

CHIRAD is an Academic Institutional member of IMIA www.chirad.org

MSc Health Informatics Walter Sisulu University, Mthatha, Eastern Cape, South Africa

13-16 September, 2010 Cape Town, South Africa www.medinfo2010.org

Presenters from over 15 countries Crowdvine social networking site Online paper rating system JMIR – Medicine 2.0 Theme Issue - www.jmir.org/2008/3 Physician 2.0 Award – sponsor: Medting (formerly MDPIXX)‏

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Further information and contact www.peter-murray.net [email_address]

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Digital health has been around for quite some time. Advancements in technology, rising demand for better care, and governments' focus on improved health economy have contributed to the digital transformation in the healthcare sector. Healthcare providers and professionals are continuously challenged to come up with innovative and cost-effective ways of providing effective care and better patient outcomes. In the past few years, digital technologies have changed the healthcare landscape into becoming more patient-centric, with care givers focusing on engaging patients and improving their experiences. According a Deloitte report, global healthcare spending is estimated to cross US$10 trillion by 2022. As the global healthcare market embraces digitalisation, innovation has a major role to play. Healthcare companies have been investing heavily in digital technologies to drive innovation and value-based care, while making care giving more accessible and efficient. Digitalisation results in better usage of patient data by care givers enabling them to offer personalised healthcare to the patients.

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Chapter 11: Health Informatics Ethics Ken Masters PhD Learning Objectives After reviewing the presentation, viewers should be able to: Describe the 20th century medical and computing background to health informatics ethics Identify the main sections of the IMIA Code of Ethics for Health Information Professionals Describe the complexities in the relationship between ethics, law, culture and society Describe different views of ethics in different countries Summarize the most pertinent principles in health informatics ethics Discuss the application of health informatics ethics to research into pertinent areas of health informatics Discuss appropriate health informatics behavior by medical students Introduction The Nuremberg Code Related to the Holocaust (death of 11 million people by the Nazis) Medical crimes against humanity were committed Code established voluntary consent and right to withdraw from experiment and right to qualified medical experimenter World Medical Associations (WMA) Declaration of Helsinki Added the right to privacy and confidentiality of personal information of research subjects to the Nuremberg Code Informatics Ethics International Medical Informatics Association’s (IMIA) Code of Ethics. Very expansive. Duties include: Patient-centered Healthcare professionals centered Institution centered Society centered Self centered Profession centered International Considerations: Ethics, Laws and Culture Influenced by a country’s laws and culture The relationship between ethics, law, culture and society is unclear, is not fixed internationally, and may be fluid even within a given country over time Three Different Views of Ethics Ethics does not exist outside the law, and exists only for the good of a properly ordered and legal society Ethics is usually strongly informed by the law, society, and the prevailing culture, and are extensions of these Ethics exists entirely outside of the law, and is a matter of personal conscience. Where there is conflict the ethical viewpoint must prevail Pertinent Ethical Principles Right to privacy Guard against excessive personal data collection Security of data Integrity of data ; must be kept current and accurate Informed consent for patients Awareness of existing laws Medical ethics applies to health informatics ethics Sharing data only when appropriate Clinicians have broad responsibilities towards entire community Clinicians must practice beneficence This responsibility can not be transferred Difficulties Applying Medical Ethics in the Digital World How to obtain informed consent for the use of patient data in large databases? Obtain broad informed consent One should guard against corporate ownership of databases Research on electronic postings: privacy and disclosure depends on which model is adopted Human subject model-extension of the medical view Textual object model -only rules of plagiarism and copyright ...

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Healthcare is shifting from the traditional provider-centric, in-patient setting to patient-centric, virtual consultations with increased remote care monitoring. This transition has prompted the need for MedTech industry to relook at the products they develop and enhance value in care delivery. The COVID-19 pandemic has increased the use of digital health technologies, and the need to develop innovative devices or systems that support virtual health. The last couple of years have seen increased use of wearables, mobile and app-based technologies along with data and analytics have been transforming healthcare delivery. Advancements in healthcare technologies like Artificial Intelligence (AI), Virtual Reality and Augmented Reality 3D-printing, robotics and nanotechnology are shaping the future of healthcare. This technology boom is helping address disease and medical conditions through provision of cheaper, faster and more effective solutions for diseases.

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