INNOVATIVE CARE MODELS FROM SWEDISH AND EUROPEAN PERSPECTIVES
Luleå, Sweden
INNOVATIVE CARE MODELS FROM SWEDISH AND EUROPEAN PERSPECTIVES
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.
TOP-RANKED ON THE EU INNOVATION SCOREBOARD
A BALANCE BETWEEN SOCIALISTIC/DEMOCRATIC AND INDIVIDUAL VALUES!
We live longer, are healthier and have higher requirements for better and more personalized services. - Vinnova, Sweden
Source: Human Mortality Database. University of California, Berkeley (USA), and Max Planck Institute for Demographic Research (Germany), SCB.
AT LEAST HALF OF THE SWEDES BORN TODAY WILL AGE BEYOND 100 YEARS Den åldrande befolkningen, Läkartidningen, nr 48, 2010-11-30.
0,7 Gini livslängd lifespan år 1751-2010 0,6 0,5 0,4 0,3 0,2 0,1 0 1750 1800 1850 1900 1950 2000 Source: Human Mortality Database. University of California, Berkeley (USA), and Max Planck Institute for Demographic Research (Germany).
Women Kvinnor Antal Yearsår 58 56 54 52 50 48 46 44 42 40 1990-92 -94-96 -98-00 -02-04 -06-08 2010 Män Men Antal Yearsår 58 56 54 52 50 48 46 44 42 40 1990-92 -94-96 -98-00 -02-04 -06-08 2010 Grundskola 9 years Gymnasial 10-12 years Eftergymnasial 13+ years Source: Folkhälsan (Peoples Health) in Sweden, Annual report, 2012, SoS and FHI.
Kvinnor svår ohälsa Kvinnor måttlig ohälsa Kvinnor lätt ohälsa Kvinnor full hälsa Män svår ohälsa Män måttlig ohälsa Män lätt ohälsa Män full hälsa
HOW MANY PERSONS EACH WORKING PERSON NEED TO TEND FOR 20 % increase between 2010-2030
13 000 12 000 11 000 10 000 3,0% 2,5% 9 000 8 000 7 000 6 000 5 000 4 000 2,0% 1,5% 1,0% 3 000 2 000 1 000 0 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: 65 000 staff Worst counties: Gotland, Norrbotten, Dalarna and Västerbotten
Source: NST, Tromsö
NEW COLLABORATIVE MODELS NEEDED?
INNOVATIVE CARE MODELS FROM SWEDISH AND EUROPEAN PERSPECTIVES
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
2000 12% had a mobile phone. 2008 50% had a mobile phone. 100 10 1 0,1 0,01 Mbit/s 0 Speed HSPA EVDO WCDMA EDGE GPRS HSPA+ LTE UMB 2003 2005 2007 2009 2011 500 400 300 200 100 0 ms GPRS EDGE WCDMA Latency EVDO HSPA HSPA+ LTE UMB 2003 2005 2007 2009 2011
Industry 4.0
Smart Homes and Environments
The Quantified Self
Apple Siri Amazon Alexa Google Assistant
Lalala
Cyber-Physical Systems Devices in the environment, worn and inside
Kinseowear
Ouijiband
Big Data Analytics Exponential Growth of Data
Artificial Intelligence Machine Learning Deep Learning
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
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
-- Dr Robert Wah, ALEC2017, Luleå, 1-2 February 2017
T. Vigen, Spurious Correlations, Hachette Books 2015
BIG BROTHER IS WATCHING YOU! - From the novel 1984 by Orson Welles (1949)
INNOVATIVE CARE MODELS FROM SWEDISH AND EUROPEAN PERSPECTIVES
FLEXIBLE AND CONNECTED HEALTH SYSTEMS ARE REQUIRED!
VERY HARD TO DELIVER CARE WHILE SPANNING REGIONAL BORDERS
STILL NOT VERY CONNECTED HEALTH SYSTEMS IN ISOLATION!
THE INITIAL CONTACT IS LIKELY TO BECOME MAINLY INTERNET-BASED SUPPORTED BY EXPERT SYSTEMS?
THE CHALLENGE IS TO ALLOW PERSONAL FLEXIBILITY IN OFTEN RIGID AND COMPLEX CARE PROCESSES (BREAK THE SILOS)
AUTONOMY!
Intrasectorial services Intersectorial services
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% 2010 2015 2020 2025 2030 2035 2040 2045 2050
COLLABORATIVE CARE MODELS
INITIAL INCREASE IN DO IT YOURSELF CARE
Increasing needs and expectations A reduction of resources is required Sociotechnical innovation is the key You Matter!
INNOVATIVE CARE MODELS FROM SWEDISH AND EUROPEAN PERSPECTIVES