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20 tendencias digitales en salud digital_ The Medical Futurist

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20 tendencias digitales en salud digital_ The Medical Futurist

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Resaltado de las tendencias que darán forma a la atención médica post COVID19.

No se trata de enumerar estas tendencias, sino de dar una valiosa visión de los factores de conducción detrás de ellas mientras que es muy específico. Se trata de mostrar cuáles son las áreas exactas que deben destacarse entre todas las áreas en el tema "IA en la atención médica", por ejemplo.

Resaltado de las tendencias que darán forma a la atención médica post COVID19.

No se trata de enumerar estas tendencias, sino de dar una valiosa visión de los factores de conducción detrás de ellas mientras que es muy específico. Se trata de mostrar cuáles son las áreas exactas que deben destacarse entre todas las áreas en el tema "IA en la atención médica", por ejemplo.

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20 tendencias digitales en salud digital_ The Medical Futurist

  1. 1. The Top 20 Digital Health Trends For The Near Future Re-Defining Healthcare After COVID-19 Dr. Bertalan Meskó The Medical Futurist & Dr. Pranavsingh Dhunnoo Design: Adam Moroncsik (Studio VAN) 2021
  2. 2. ___ Welcome Message 4 ___ The Anatomy Of A Trend 5 __1 Patient empowerment is the biggest milestone in the history of medicine 6 __2 Lifestyle medicine is the redesign primary care has needed 9 __3 Globalised healthcare brings precision medicine to life 11 __4 Pharma companies found the jackpot: packaging a medication with a digital health service 13 __5 Direct-to-consumer genetic testing has an edge in drug sensitivity 15 __6 Nutrigenomics is the biggest promise of digital health 17 __7 Food scanners are lagging behind 19 __8 ECG devices have led the regulatory race for portable diagnostic devices 21 __9 A.I.-guided portable ultrasound devices are the unicorns of digital health 23 _10 The conscious health consumer of the future uses sensors and loses privacy 25 _11 Virtual visits and chatbots represent the new primary care 28 _12 A.I. needs a prospective upgrade and the video game industry can help 30 _13 It is possible to bioprint living tissues but not organs 32 _14 3D printing can customize treatments and supplement the medical supply chain 34 _15 The automation race defines whether A.I. can outperform physicians 36 _16 COVID-19 has catalyzed technological adoption, but not the cultural one 39 _17 Mixed reality can transform virtual meetings and medical education 41 _18 Virtual reality can help ease pain for patients in the hospital 43 _19 Robots only roam rich hospitals and pharmacies 45 _20 Digital health insurance companies will have no competitors 47 ___ Conclusion 49 Table of Contents 3
  3. 3. 4 At The Medical Futurist, and at The Medical Futur- ist Institute, our research aims at providing con- text around digital health innovations and their impact on medicine and healthcare. We try to de- cipher the crucial details behind announcements, partnerships and studies so policy makers, phy- sicians, patients and many other stakeholders of healthcare can properly prepare for what is com- ing next. As a physician, it was clear for me that I had to become a short-term futurist looking at the next 5, maybe 10 years ahead. This way, we can draw interesting conclusions and find useful insights while also staying practical about what we can do today to improve care for patients. In this e-book, our goal was not to give you an- other list of technologies to keep an eye on but to share insights we have found through analysing thousands of news and articles and hundreds of companies and breakthroughs. We wanted to provide directions about where healthcare and medical technologies are head- ing and what major benefits or dangers these will come with. This way, hopefully, you can better pre- pare in your organisation, your job or personal life. Kind regards, Dr. Bertalan Meskó The Medical Futurist Director of The Medical Futurist Institute Dear Reader, Welcome message from The Medical Futurist
  4. 4. 5 In previous years, The Medical Futurist published annual e-books about digital health trends regarding potential developments that were worth keeping an eye on for that par- ticular year. Based on our analyses and forecasts, these trends help give a bigger picture regarding the direction that the field was heading towards during that year; even though not all forecasts came to fruition. This current e-book also shares our insights about noteworthy trends based on similar analyses. However, unlike our previous annual trends e-books, we do not restrict ourselves to a current year but look at the short-term future now, with the developments likely to happen in the next 2-5 years. Moreover, we don’t only focus on these insights but also help in providing context about those trends and relevant technologies in general. In the following sections, we elaborate on 20 trends that we have been constantly mon- itoring and that we believe will have the most importance in shaping the digital health landscape in the near future. Each section contains an aspect that we wanted to highlight about that technology or trend based on our analyses by studying the field for years. We also walk you through that area with relevant descriptions and examples that we find in- teresting. Additionally, we include further reading suggestions at the end of every section which you can turn to so as to dive deeper into the subject. And without further ado, let’s begin with the first trend. The anatomy of a trend
  5. 5. 6 Traditionally, medical knowledge and access to clinical-grade tools were accessible only through the tightly-controlled ivory tower of medicine. Patients were excluded from having a say in discussions and processes that would impact their well-being and healthcare ex- perience. However, the advent of digital health rendered this hierarchical model obsolete. Digital health is itself defined as “the cultural transformation of how disruptive technol- ogies that provide digital and objective data accessible to both caregivers and patients leads to an equal level doctor-patient relationship with shared decision-making and the democratisation of care.” Patients now have access to information, studies and technol- ogies that they can use to make more informed decisions about their health. Previously, such tools were inaccessible to them, but now these empower patients in ways not possi- ble before as it turns them into the point-of-care. This in itself is the biggest milestone in the history of medicine as the field will evolve around empowered patients going forward. 1Patient empowerment is the biggest milestone in the history of medicine
  6. 6. The diabetics community is a prime example of the disruptive force of empowered patients that shows the need to accommodate patients at an equal-level partnership. Diabetics created the “#wearenotwaiting” movement following undelivered promises of regulatory bodies, medtech and pharmaceutical companies to provide innovative products to better attend to these patients’ needs. The community decided not to wait anymore and took matters in their own hands. This movement led to initiatives like open-sourced DIY artificial pancreas, discussion platforms like DiabetesMine and cloud-based solutions like Tidepool, which makes diabetes data more accessible and actionable. Heeding to the patient’s demands, the FDA approved of the first artificial pancreas two years after the open source DIY artificial pancreas had been made publicly available. By further embracing empowered patients’ input, the FDA created its own patient engage- ment advisory board. Another encouraging example of patients involved in shared decision-making is in the design of the Oral and Maxillofacial Surgery Department of Radboud University Medical Centre Nijmegen in the Netherlands. The institute redesigned the rooms of the whole de- partment based on patients’ suggestions. This involved simple yet important changes that enabled a more balanced patient-doctor relationship and friendly atmosphere. They prior- itised round tables over square ones for more friendly conversations and also suggested brightly lit rooms with friendly colors. PATIENT PATIENT Management Board BOARD MEMBER BOARD MEMBER BOARD MEMBER
  7. 7. 8 Summary: Patient design is a must-have in every organisation or team working in healthcare. We can only create solutions that meet patient needs by involving them in the highest level of decision-making. Further Reading: 1. Digital health is a cultural transformation of traditional healthcare 2. The Digital Health Manifesto These exemplify how patients can make their voices heard and have their demands met. We are bound to see a growth in this trend and patients will need to be included in dis- cussions relating to their health whether it’s for developing wearables or designing the hospitals of the future. It only makes sense to include patients in such discussions as they are the end-users of healthcare services and can provide valuable insights from their point of view.
  8. 8. 6 While the importance of patient empowerment in medicine will only expand, those empowered patients will need guidance to navigate the ever-increasing digital health technologies and analyse the data obtained from these tools. But who should they turn to for such guidance? One’s primary care physician could adopt the role of such a guide to facilitate the adoption of digital health tech by patients. But even physicians might not be familiar with or open to such options. This shows the need to redesign this area and the emerging field of lifestyle medicine might be the answer. 2Lifestyle medicine is the redesign primary care has needed 13:55 29 june, monday
  9. 9. The American College of Lifestyle Medicine (ACLM) initiated the steps to establish the standards shaping lifestyle medicine as a field of its own. ACLM defines it as “the evi- dence-based practice of helping individuals and families adopt and sustain healthy be- haviours that affect health and quality of life.” This field is budding in countries around the world from the Philippines to the U.K., with events and conferences held regularly. The Lifestyle Medicine Global Alliance, which was initiated by the ACLM in 2015, groups worldwide lifestyle medicine professional associa- tions for such a scientific collaboration. Addressing those lifestyle behaviours to improve one’s health is what lifestyle medicine specialists focus on. Dr. Réka Vernes, a lifestyle medicine specialist, told The Medical Fu- turist that “lifestyle medicine approaches medical care of chronic non-communicable dis- eases from a new dimension.” Clinicians practising lifestyle medicine report substantial improvements in type 2 diabetics, such as normalising their blood glucose without the use of medication through lifestyle changes. Indeed, a growing number of research points to the benefits of adjusting one’s lifestyle habits to improve health outcomes. Dr. Vernes added that “we follow lifestyle health parameters to gain more information and other aspects of the patient; and this is where digital technology comes into the picture.” Indeed, digital health tools can augment lifestyle medicine specialists’ craft. Lifestyle medicine specialists can recommend tools such as food scanners to patients allergic to some ingredients or sleep headbands to track the sleep of those with sleeping difficulties. The patients can more effectively monitor these parameters remotely and con- sult with their healthcare provider when results seem off. Despite being a newcomer to the medical field, lifestyle medicine is increasingly getting incorporated into life science curricula. The Baylor College of Medicine includes it in its curriculum; and other sister organisations of the Lifestyle Medicine Global Alliance offer professional courses and certificates to eligible candidates. Summary: Lifestyle medicine has the potential to be the new medical specialty that is the most infused with digital health technologies and might also represent the new initial line of primary care. Further Reading: 1. Lifestyle Medicine Could Be The Key For Digital Health Adoption 2. Lifestyle Medicine Global Alliance 10

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