Who wins and who loses in a digital health system?

TerryMulliganTerryMulligan Posts: 34 XPRIZE
edited August 5 in Key Issues
One of the more aspirational visions for the future of healthcare is an end-to-end digital health system. One where data is available and utilized to maximize efficacy at each step of the treatment process - from individualized preventative care to diagnosis to treatment to personalized after care (and more).
  • We understand the benefits, but what are the unintended consequences of an end-to-end digital health solution?
  • Who benefits?
  • Who is left out?

Comments

  • ShashiShashi Mumbai, IndiaPosts: 337 admin
    Hi @bngejane, @SArora, @RahulJindal and @mhackett - You may have some thoughts on the unintended consequences of an end-to-end digital health solution. Join the discussion.
  • ShashiShashi Mumbai, IndiaPosts: 337 admin
    Hello @clairecravero, @ClaireM, @dzera and @a1m2r3h4 - Do you have any thoughts on the unintended consequences of an end-to-end digital health solution?
  • ShashiShashi Mumbai, IndiaPosts: 337 admin
    @addy_kulkarni - Hi Aditya, As CareNX has implemented a lot of Digital Health and tele-medicine initiative, did you'll encountered any unintended consequence?

    @panderekha - You had mentioned earlier that you were working on a program on elderly womens' health, you may have come across some unintended consequence. It would be great to hear your experience.

    @pglass - Hi Parisa, George Institute has been working on smart health. We would love to hear any repercussion you'll faced while implementing this digital health solutions.

    @preciouslunga - Hi Precious, Baobab Circle has introduced Afya Pap, A personalized Health Management system in Africa. It would be great to hear your experience implementing this digital system. Any unintended consequences you'll faced. Who are the gainers and losers of a Digitized Health System.

    Please share your experiences. Thanks.
  • ShashiShashi Mumbai, IndiaPosts: 337 admin
    Hi @dykki, @JohnParrishSprowl, @adel1, @zerofive, @synhodo, @dokgva - While attending a webinar on telehealth in India, some experts mentioned connectivity as one the constraints of end-to-end digital health solution - what do you all think, what are the other issues?
  • JohnParrishSprowlJohnParrishSprowl Professor, Director of Global Health Communication Center Posts: 1
    Access is a loaded issue. Are people able to connect? Is the connection good? Is it affordable or does it compete with other expenses? Can they do so in a space where they feel comfortable talking about health issues? Is there an ability to do follow up, including any needed tests that must be done in person? Do people find the lines secure enough to meet their standards of privacy? Is the health care professional sufficiently mindful of their environment so that it is supportive of the person they are serving (I knew a person who could see family members in the background of the MD making them uncomfortable sharing information)? People on both end need to be educated and trained to learn to do this well. Telehealth offers great possibilities but it is not as simple to implement well as some would think. There are probably more issues, but these are some I can offer at the moment.
  • ShashiShashi Mumbai, IndiaPosts: 337 admin
    @JohnParrishSprowl - Thanks John for sharing these details. This helps us in understanding the digital health systems.

    Hi @siimsaare, @biki, @JoanneP, @saebipour, @tylerbn - What are the other Issues of having a end to end Digital Health Solutions? Do we need digital interventions for health system strengthening? Share your thoughts.
  • HeatherSuttonHeatherSutton Project Specialist Posts: 27 XPRIZE
    @JohnParrishSprowl That is a solid list of considerations and it really points to the need for trust. Patients need to be able trust their point(s) of contact - whether that be technology, a family member, a community health worker or a public facility. They need to know that their privacy is of utmost importance and that the care they are seeking won't hurt them in the long run.

    I also firmly agree with your point that both individuals and care providers need to be educated and trained to do this well.
    Thank you so much for your insight, John!
  • bikibiki co-founder Posts: 2
    Most countries needs ubiquitous, adequate, affordable broadband to support telehealth and health information exchange in order to increase access to quality care for all individuals at the right place and the right time when it is needed. Technology has been the focus of telemedicine for a long time. However, telemedicine is really about the services—where they can be provided and how they change people’s lives—and not about the uniqueness of the newest piece of technology. Additionally, the implementation of multiple technologies may create huge data flows that are not useful or easily maintained (e.g., continuous monitoring of temperature and blood pressure).
  • ShashiShashi Mumbai, IndiaPosts: 337 admin
    @biki - Thanks Biki for sharing your insights. Do you think we need to have some data maintenance / privacy guidelines in such a scenario?
  • ymedanymedan Posts: 99 ✭✭
    I am new to this discussion, yet have been puursuing digital health techology develpment and implementation for quite sometime now. The big premise in my mind is delegating back the responsibility to one's health to the individual. Closed-loop monitoring and biofeedback will enable us to have a "Stage 0" health system and reduce the breadth and depth of medical interventions. Pharma and MedTech will loose, Medicinal Food companies will win.
    This will be the transformation from Medicine to Health.
  • ShashiShashi Mumbai, IndiaPosts: 337 admin
    @ymedan - Thanks Yoav for sharing your perspective on this discussion. If you know about piloting and evaluation framework for digital health solutions in developing countries, please share it here. Thanks.
  • ShashiShashi Mumbai, IndiaPosts: 337 admin
    Hi @Hongsoo, @nothmany, @fbaothman, @Budoff - We are discussing issues of having an end to end Digital Health Solutions. Do you have any thoughts on this topic and the comments so far? Join the discussion. Thanks.
  • bngejanebngejane bk ngejane Posts: 54 ✭✭
    edited August 6
    Hello @Shashi

    Great question, ( @biki data privacy and accessibility, potentially deepened inequality, potential job losses etc all major concerns), curious to hear your views on how we could deal with this data privacy issue, I know connectivity will be addressed by Starlink and other satellite internet companies.

    We can potentially approach this issue by also asking the question, who do we want to win in this entire eco-system?

    In the mindmap [url=" https://mm.tt/1502648773?t=8HjFOaAR5K"][/url], we prepared we have the patient at the centre. We did it because we are focused on creating the optimum customer experience in all the work that we do.

    So the question we are continuously asking ourselves is how can the patient always come first? what are we doing that ensures the patient is the winner, and we are winning alongside them? It's possible, Tesla does it always, they recently said their target is a small profit margin. The rest of the revenue should go to creating a killer product. In such a case customers are not concerned about giving away the data in order to improve the self-driving driving ability of the car.

    RDF (Reality Distortion Field)
  • ShashiShashi Mumbai, IndiaPosts: 337 admin
    Thanks @bngejane for sharing your thoughts. Great points.
    Hi @Stefania, @nowellk, @alafiasam and @acavaco - Is there any other repercussion of having an end to end Digital Health Solutions? Read the comments so far and share your thoughts. Thanks.
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