seneca congres - presentatie nick guldemond
TRANSCRIPT
Dr. Nick Guldemond +31648261929 04‐08‐2014
Zorgtransitie & digitalisering
…besturen of bestuurd worden?
Dr. Nick Guldemond | Associate Professor Integrated Care & Technology
2007 EU• average ≈ 1:4 • differences between countries
2050 EU• 1:3 (NL)• 1:1.5 (Italy and Spain)• average ≈ 1:2
2050 China• average ≈ 1:<1
population aged (>65) in proportion to working population (15-65)
Dr. Nick Guldemond
% population with 1 or more chronic diseases
2005
> 1 chronic disease1 chronic disease0 chronic disease
NL population
age
Dr. Nick Guldemond
Overall increase since 2005 17% Increase co‐morbidity since 2005 26%Dutch population with co‐morbidity 11.3%
…current healthcare system sustainable?
Dr. Nick Guldemond
Dr. Nick Guldemond
Healthcare paradigm shift
Dr. Nick Guldemond +31648261929 04‐08‐2014
medical curative model
community care
specialized institutions
local institutions
social (interconnected)health perspective
community care
advanced localcare centres
highspecialized
cure
Paradigm shift
Dr. Nick Guldemond
selfmanagement
deliverysystem
decisionsupport
information systems
supportive environment
publichealth
communityaction
Integrated Care
Health SystemsCommunity
improved outcomes
interactions
productive
activated community support
Dr. Nick Guldemond
clinical pathway / patient journey
Dr. Nick Guldemond
clinical pathway / patient journey
Dr. Nick Guldemond
Health & Technology
Health status over time
0‐35 36‐65 66‐80 > 80
healthy
healthy
chronic
chronic
acute care
acute care
life style ‐ health education ‐ risk monitoring
self‐management support tools
(home) care technology
dependent independent assisted dependent
age
living
health status
no technologywith technology
techology
Dr. Nick Guldemond
health & technology
cure technology
Dr. Nick Guldemond +31648261929 04‐08‐2014
Cardiovascular Care Cycle Process
Dr. Nick Guldemond
Home care technology & Assisted Living
Dr. Nick Guldemond
Health data & informatics
INTERACTION
USER PROFILE& SERVICE
INTEGRATION
Commuting
Travels
Meetings
Communications
Sleeping
Wake‐up times
Office time
Location patterns
People’s behavior
User attention
Emotion
Smartphones communicator & Sensor of Human Behavior
INFORMATION
Dr. Nick Guldemond
social (interconnected) health team
instruction
advise
taskallocation
planning
monitoring & control
coordination
Dr. Nick Guldemond
Decision making
Logistics
Healthpromotion
Systems medicine
Determinants, risk factors& pathways
Diseaseinteraction
Dna transscription Dr. Nick Guldemond
Environment
Dr. Nick Guldemond +31648261929 04‐08‐2014
QuantifiedSelf
Personalised localCare
Point of CareDiagnostics
Dr. Nick Guldemond
INTERACTION
INFORMATION
Real-time interaction research & care
Knowledge institutionsLocalities Creating
person centred,community basedhealth solutions
Multi‐level framework for community basedco‐creation of health
EU
National
Regional
Local
communitycommunitybased
co‐creation
TechnologyService modelsBusiness models
Dr. Nick Guldemond
Community Based Co-creationHealth insurers Healthcare
professionals
Patient organisations & consumers
Social workers & charities
Inventors
Local SME’sLocal government
Public organisations
Knowledge institutions
Industry
Dr. Nick Guldemond
Dr. Nick Guldemond Dr. Nick Guldemond
Dr. Nick Guldemond +31648261929 04‐08‐2014
monitoring
behaviour
effectoutcome
quality standards
Data analytics public health management
Dr. Nick Guldemond
annotationtagging
Classification
algorithmsrules
Conversion
Information
datafusion
Context data
referencedata
Interpretationprotocolsguidelines
decision support
patient profile
tailoredcare
personalised
Plan
Practise team Cloud
deviceenvironment
demographic data
Data
• Landelijke kaders, locale implementatie, regionale opschaling
• Interoperabiliteit, standaarden
• Regelarm experimenteren, reflectie, kennisdeling
• Lessons learned: brilliant failures, good practices, opschaling
• Besturen of bestuurd worden…..
Overwegingen
Dr. Nick Guldemond
Thank you!
Dr. Nick GuldemondEmail: [email protected]: +31 6 48 26 19 29
Dr. Nick Guldemond