INNOVATIVE CARE MODELS FROM SWEDISH AND EUROPEAN PERSPECTIVES

Transkript

1 INNOVATIVE CARE MODELS FROM SWEDISH AND EUROPEAN PERSPECTIVES

2

3 Luleå, Sweden

4

5 INNOVATIVE CARE MODELS FROM SWEDISH AND EUROPEAN PERSPECTIVES

6 Beyond IT - About health in a digital era Ekholm, Anders, Jebari, Karim Fredrik Nilsson, Sara Riggare, Drasko Markovic, Erik Wetter, Jenny Wahlgren, Jesper Olsson, Anna Krohwinkel, Hans Winberg, Jon Rognes, Britt-Marie Ahrnell, Patrik Sundström, Fredrik Lindencrona, Tomas Bokström, Ing-Marie Wieselgren Research report 2016:2, 233 pages.

7

8 TOP-RANKED ON THE EU INNOVATION SCOREBOARD

9

10

11

12 A BALANCE BETWEEN SOCIALISTIC/DEMOCRATIC AND INDIVIDUAL VALUES!

13 We live longer, are healthier and have higher requirements for better and more personalized services. - Vinnova, Sweden

14 Source: Human Mortality Database. University of California, Berkeley (USA), and Max Planck Institute for Demographic Research (Germany), SCB.

15 AT LEAST HALF OF THE SWEDES BORN TODAY WILL AGE BEYOND 100 YEARS Den åldrande befolkningen, Läkartidningen, nr 48,

16 0,7 Gini livslängd lifespan år ,6 0,5 0,4 0,3 0,2 0, Source: Human Mortality Database. University of California, Berkeley (USA), and Max Planck Institute for Demographic Research (Germany).

17 Women Kvinnor Antal Yearsår Män Men Antal Yearsår Grundskola 9 years Gymnasial years Eftergymnasial 13+ years Source: Folkhälsan (Peoples Health) in Sweden, Annual report, 2012, SoS and FHI.

18 Kvinnor svår ohälsa Kvinnor måttlig ohälsa Kvinnor lätt ohälsa Kvinnor full hälsa Män svår ohälsa Män måttlig ohälsa Män lätt ohälsa Män full hälsa

19 HOW MANY PERSONS EACH WORKING PERSON NEED TO TEND FOR 20 % increase between

20 ,0% 2,5% ,0% 1,5% 1,0% ,5% 0,0% Blekinge län Dalarnas län Gotlands län Gävleborgs län Hallands län Jämtlands län Jönköpings län Kalmar län Kronobergs län Norrbottens län Skåne län Stockholms län Södermanlands län Uppsala län Värmlands län Västerbottens län Västernorrlands län Västmanlands län Västra Götalands län Örebro län Östergötlands län Lack of staff in elder care 2030 Brist på antal årsarbetare i äldreomsorgen 2030 Lack as % of all workers Brist som andel av arbetsför befolkning Total need: staff Worst counties: Gotland, Norrbotten, Dalarna and Västerbotten

21 Source: NST, Tromsö

22

23 NEW COLLABORATIVE MODELS NEEDED?

24

25 INNOVATIVE CARE MODELS FROM SWEDISH AND EUROPEAN PERSPECTIVES

26 D I G I T I S A T I O N & D I G I T A L I S A T I O N

27

28 % had a mobile phone % had a mobile phone ,1 0,01 Mbit/s 0 Speed HSPA EVDO WCDMA EDGE GPRS HSPA+ LTE UMB ms GPRS EDGE WCDMA Latency EVDO HSPA HSPA+ LTE UMB

29

30 Industry 4.0

31 Smart Homes and Environments

32 The Quantified Self

33

34 Apple Siri Amazon Alexa Google Assistant

35 Lalala

36 Cyber-Physical Systems Devices in the environment, worn and inside

37 Kinseowear

38 Ouijiband

39

40

41

42

43 Big Data Analytics Exponential Growth of Data

44

45

46 Artificial Intelligence Machine Learning Deep Learning

47 BIG DATA ANALYTICS ENABLES AN ENTIRELY NEW EPISTEMOLOGICAL APPROACH FOR MAKING SENSE OF THE WORLD; RATHER THAN TESTING A THEORY BY ANALYSING RELEVANT DATA, NEW DATA ANALYTICS SEEK TO GAIN INSIGHTS BORN FROM THE DATA. Source: Kitchin R. Big Data, new epistemologies and paradigm shifts, Big Data & Society 1(1), 2014

48 Big Data Analytics will bring profound changes to our health systems. For example, by analyzing whether a person through life tends to pay bills on time, we can predict with accuracy how well medication will be taken. -- ALEC2017, Luleå, 1-2 February 2017 Dr Robert Wah Global Chief Medical Officer Computer Sciences Corporation

49 -- Dr Robert Wah, ALEC2017, Luleå, 1-2 February 2017

50

51 T. Vigen, Spurious Correlations, Hachette Books 2015

52

53 BIG BROTHER IS WATCHING YOU! - From the novel 1984 by Orson Welles (1949)

54

55 INNOVATIVE CARE MODELS FROM SWEDISH AND EUROPEAN PERSPECTIVES

56 FLEXIBLE AND CONNECTED HEALTH SYSTEMS ARE REQUIRED!

57 VERY HARD TO DELIVER CARE WHILE SPANNING REGIONAL BORDERS

58 STILL NOT VERY CONNECTED HEALTH SYSTEMS IN ISOLATION!

59 THE INITIAL CONTACT IS LIKELY TO BECOME MAINLY INTERNET-BASED SUPPORTED BY EXPERT SYSTEMS?

60 THE CHALLENGE IS TO ALLOW PERSONAL FLEXIBILITY IN OFTEN RIGID AND COMPLEX CARE PROCESSES (BREAK THE SILOS)

61 AUTONOMY!

62

63

64 Intrasectorial services Intersectorial services

65 17,0% 16,5% 16,0% 15,5% 15,0% Increased unhealth Utö kad sjuklighet Postponed unhealth Uppskjuten sjuklighet Ko Compressed mprimerad sjuklighet unhealth 14,5% 14,0% 13,5% 13,0% 12,5% 12,0%

66 COLLABORATIVE CARE MODELS

67 INITIAL INCREASE IN DO IT YOURSELF CARE

68 Increasing needs and expectations A reduction of resources is required Sociotechnical innovation is the key You Matter!

69 INNOVATIVE CARE MODELS FROM SWEDISH AND EUROPEAN PERSPECTIVES