La révolution numérique … un remède digital? Bruno Schroder BeLux Technology Officer Microsoft [email protected] @bruno_schroder • Qui parmi vous est un utilisateur de services internet ou cloud? •
Download ReportTranscript La révolution numérique … un remède digital? Bruno Schroder BeLux Technology Officer Microsoft [email protected] @bruno_schroder • Qui parmi vous est un utilisateur de services internet ou cloud? •
Slide 1
La révolution numérique … un
remède digital?
Bruno Schroder
BeLux Technology Officer
Microsoft
[email protected]
@bruno_schroder
Slide 2
• Qui parmi vous est un utilisateur de services
internet ou cloud?
• - oui
• - non
Slide 3
Qui parmi vous est un utilisateur de
services internet ou cloud?
86%
1 - oui
2-
non
14%
Slide 4
• Qui parmi vous utilise un smartphone?
• - oui
• - non
Slide 5
Qui parmi vous utilise un smartphone?
90%
1 - OUI
2 - NON
10%
Slide 6
• Qui parmi vous a un profil Facebook?
• - oui
• - non
Slide 7
Qui parmi vous a un profil Facebook?
1 - oui
2 - non
43%
57%
Slide 8
• Quelle sera l’augmentation de la puissance de
calcul des ordinateurs dans les 10 années à
venir?
• - de 1 à 10 fois plus puissants
• - de 10 à 100
• - de 100 à 1000
• - de 1000 à 10.000
Slide 9
Quelle sera l’augmentation de la
puissance de calcul des ordinateurs
dans les 10 années à venir?
1 - de 1 à 10 x + puissant
0%
2 - de 10 à 100
3 - de 100 à 1000
4 - de 1000 à 10.000
10%
17%
72%
Slide 10
Image of CPU
Slide 11
Top computer in 1999
Intel ASCI RED
•1 TeraFlops
•12TB de données
•9298 processeurs
•114 racks
•230M²
•Active till September 2005
Slide 12
10 Years Later …
512 GFLOPS
peak
Slide 13
June 2011: 10.5 petaflops
12 years of Moore’s law: 256
Real life: > 10.000
~ 3.000.000 in 25 years
• Asia has come out swinging
at the top of June 2011’s
Top500 list, which rates the
world’s fastest computers
based on the LINPACK
benchmark. Leading the list
is the K Computer, which
achieved 10.5 quadrillion
floating-point operations
per second (petaflops)
(Source: Communications
of the ACM, Copyright
2011)
Slide 14
+
A worldwide infrastructure
• Hotmail
• 1.3 billion mailboxes
• 155PB storage, growing 2PB per month (70.000 LTE)
• Windows Live Messenger
• 300 million users
• 76 countries, 48 languages
• ~40 million people simultaneous connections
• 9.9 billion messages a day via Windows Live Messenger
•
•
•
•
600 million unique users every month on Windows Live & MSN
1M Business Productivity Online Suite users in 36 countries & regions
5 petabytes of content served by Xbox Live during Christmas week
1 Petabyte+ of updates served every month by Windows Update to
millions of servers and hundreds of millions of PCs worldwide
Slide 15
•
http://www.petap
ixel.com/2011/07/
27/turning-theeye-into-acamera-sensor/
Slide 16
+
World changes:
Slide 17
Slide 18
• Indian entrepreneurs apply mass-production
techniques to sophisticated services. Aravind, the
world's biggest eye-hospital chain, performs 200,000
operations a year. Four operating tables are laid side by
side as two doctors operate on adjacent tables. When
the first operation is done, the second patient is
already in place. (Economist, April 2010) (link)
• Dr Shetty is only one of many Indians who are applying
Henry Ford’s principles to health care. LifeSpring has
reduced the cost of giving birth in a private hospital to
$40 by looking after many more mothers.
Slide 19
• Quel pourcentage de la population mondiale
dispose d’un GSM?
• 27%
• 47%
• 67%
• 87%
Slide 20
Quel pourcentage de la population
mondiale dispose d’un GSM?
1 - 27%
2 - 47%
10%
21%
45%
3 - 67%
4 - 87%
24%
Slide 21
Associated behavior, here
The power of anonymity and IT as social breaker
Slide 22
… and there.
Slide 23
• Quel pourcentage d’internautes a obtenu des
informations médicales en ligne?
• - 35%
• - 55%
• - 75%
• - 95%
Slide 24
Quel pourcentage d’internautes a
obtenu des informations médicales en
ligne?
1 - 35%
2 - 55%
3 - 75%
4 - 95%
11%
11%
46%
32%
Slide 25
• 75% of internet users have obtained health or
medical info online, more than those who
have checked news (71%), watched video
online (48%), and paid for digital content
(28%). (Pew, 2009)
Slide 26
The Social Proof
•
http://techcrunch.com/2011
/11/27/social-proof-whypeople-like-to-follow-thecrowd/
Slide 27
The Knowledge Paradox. Cooperation
The task is not so much
to see what no one yet has seen, but
to think what nobody has yet thought
about that which everyone sees
– Schopenhauer
Slide 28
Slide 29
• Twitter comme indexeur
Slide 30
• Facebook deviendra-t-il:
• - un centre de formation médicale continuée?
• - le lieu sécurisé des interactions avec les
patients
• - l’annuaire médical?
Slide 31
Facebook deviendra-t-il:
1 - un centre de formation médicale
continuée?
38%
2 - le lieu sécurisé des interactions avec les
patients
38%
3 - l’annuaire médical?
23%
Slide 32
Slide 33
CareMore
•
•
•
CareMore started over 15 years caring
for seniors as a Medical Group.
Years later, CareMore began serving
seniors as a Health Plan and continues to
do so today through our Provider
partners and as a Medical Group.
CareMore is dedicated to the senior
market in 3 states and we have plans for
future expansion.
http://www.caremore.com/About.aspx
http://www.facebook.com/CareMoreHea
lth
Slide 34
Healthcare Spending
• With technology and preventive measures,
CareMore - with its 26 care centers - has a
hospitalization rate that's 24% below average,
hospital stays that are 38% shorter, and am
amputation rate among diabetics that's 60%
lower than average. The overall member costs
are also 18% below the industry average
(CareMore, January 2011).
• The United States spends $2.1 trillion on health
care, $650 billion above expectations. (MGI,
November 2008) (link)
Slide 35
Slide 36
Doximity and Sermo
• Professional Networks
for Physicians
• Launched a little more
than a year ago, Doximity
now has 9% of all U.S.
physicians as members.
• Sermo has over 125,000+
physicians in 68
specialities
• https://www.doximity.co
m/
• http://www.sermo.com/
Recent Articles
Complex Disease Management: What’s
next for mHealth
LinkedIn Co-Founder Konstantin Guericke
Joins Doximity’s Board of Directors
Doximity Partners with Stanford on Alumni
App
Why Social Media is Just What the Doctor
Ordered
Now on Our Site: Doximity Product Videos
Why Online Social Networking Should
Change What We Know about Health Care
Social Media and Health Care: The Power
of Networked Physicians
The Rebirth of Primary Care
Doximity Notes from the Road: SXSW
Recap
Getting to a Better Patient Handoff
Slide 37
Que peut faire un smartphone?
• téléphoner
• diagnostiquer la malaria
• dépister le mélanome
• prise de tension
• ecg
• Stéthoscope
Slide 38
Que peut faire un Smartphone?
75%
1 - téléphoner
2 - diagnostiquer la malaria
59%
66%
3 - dépister le mélanome
4 - prendre la tension
56%
5 - un ecg
56%
6 - diagnostiquer une pneumonie
7 - un stéthoscope
47%
63%
Slide 39
Silver Edison Award
• http://eyenetra.com/netra-g.html
Slide 40
Anatomy Of A Handheld Hospital
1 Processor that can power a pacemaker
Smartphones run superfast (in excess of 1 GHz) without consuming much power, much like top-notch
pacemakers and cardiac defibrillators.
2 Display that can assess an ultrasound
The iPhone 4S's resolution (300 pixels per inch) is on par with most hospital-grade ultrasound monitors,
and small screen size won't matter once projection tech takes off.
3 Camera that can capture cells
The HD video camera, which shoots 30 frames per second, is more advanced than some of the ones in
colonoscopes, which doctors use to seek out potentially cancerous tissue.
4 Accelerometer that can guide physical therapy
The three-axis accelerometer captures the same subtle movements--tilts, shocks, rotations--as APDM
motion sensors, which are used to monitor patients' Parkinson's disease and help them through
physical therapy.
5 Microphone that can hear your heart
Because of its flat-frequency response rate--which drastically reduces noise distortion--a smartphone
mic (with help from an amplifying attachment) can detect a heartbeat almost as well as a $500
electronic stethoscope.
•
http://www.fastcompany.com/magazine/162/health-industry-smartphones-tablets
Slide 41
Mobile Health
• In 2011, 14% of all adult Americans (approximately 31 million), up from
9%, will use a mobile health application to manage their health, wellness,
and chronic conditions. (IDC, December 2010) (link)
• 14% of adult Americans will use a mobile health application to manage
their health, wellness, and chronic conditions in 2011. (IDC, December
2010) (link)
• There are 17,000 mHealth applications in major app stores, 74% of them
adhering to the paid business model. (research2guidance, November
2010) (link)
• Ford researchers demonstrate a series of possible in-car health and
wellness connectivity services and apps aimed at helping people with
chronic illnesses or medical disorders such as diabetes, asthma or allergies
manage their condition while on the go. (Ford, May 2011)
• 500 million of 1.4 billion smartphone users in 2015 will be running some
kind of mobile healthcare application. (research2guidance, November
2010) (link)
Slide 42
Slide 43
• Shimba Technologies plans a Yelp-like feature for
mobile health app MedAfrica so that users can
comment on doctors in order to provide context
for who is better out of a "laundry list" of
providers (Technology Review, December 2011).
• Of ther 25,000 people who have downloaded
mobile health app MedAfrica between late
November and mid-December 2011, 60% are
"active users" (Shimba Technologies, December
2011).
Slide 44
Medical Records and Research
•
One vision of digital technologies bringing about true prevention includes telemonitoring moves
from mobile apps to nanosensors to measure BP, respiration, blood glucose, cholesterol, and other
physiological indicators (National Heart, Lung & Blood Institutde, December 2011).
•
A review of randomized studies of mobile apps for smoking cessation found that they helped in the
short term, but that there is insufficient research to determine long-term benefits (National Heart,
Lung & Blood Institute, December 2011).
•
By preemptively identifying who's in which half of the population that are helped by certain drugs,
genomics might keep patients, private insurers, and Medicare from wasting tens of billions of
dollars a year (Technology Review, December 2011).
•
Every minute of the most commonly used high-resolution video in surgeries generate 25 times the
data volume (per minute) of even the highest resolution still images such as CT scans, and each of
those still images already requires thousands of times more bytes than a single page of text or
numerical data. (McKinsey Global Institute, 2011)
•
More than 95% of the clinical data generated in health care is now video. Multimedia data already
accounts for more than half of Internet backbone traffic (i.e., the traffic carried on the largest
connections between major Internet networks), and this share is expected to grow to 70% by 2013.
(McKinsey Global Institute, 2011)
Slide 45
• 1,900 physicians in Ghana have logged 1M+
calls to patients since 2008 thanks to MDNet;
a system that allows users in Ghana and
Liberia to call or text doctors for free
(AfricaAid, December 2011).
Slide 46
• QuantifyMe
• HealthVault >< GoogleHealth
Slide 47
Big Data
• If the US health industry would use big data
creatively and effectively to drive efficiency
and quality, the potential value could be $300
billion every year, two-thirds of which would
be in the form of reducing national health care
expenditures by about 8%. (McKinsey Global
Institute, 2011)
Slide 48
Big Data/ Data analysis saves life
Uncovering New Ways the Human Immune
System Fights HIV
http://research.microsoft.com/enus/collaboration/stories/hiv_research_za.aspx
Adjusting Pneumonia Vaccination to Save Lives
http://research.microsoft.com/enus/collaboration/stories/pneumoniavaccination.aspx
Slide 49
A database that could save Healthcare:
•
On May 22 a new nonprofit called the Health
Care Cost Institute will roll out a database of 5
billion health insurance claims (all stripped of
the individual health plan’s identity, to address
privacy concerns).
•
http://mobile.washingtonpost.com/rss.jsp?rssid=615&item=http://www
.washingtonpost.com/Fragment/SysConfig/WebPortal/twpweb/feeds/Bl
ogsMobileIndividual/mobileblogs.jpp%3Fid%3D1000.4.1601919935%26wprss%3D&cid=-1&spf=1
Slide 50
• En 2016, quel dispositif permettra de suivre sa
glucomètrie en temps réel:
• - un GSM
• - des lentilles de contact
• - un T-Shirt?
Slide 51
En 2016, quel dispositif permettra de
suivre sa glucomètrie en temps réel:
52%
1 - un GSM
2 - des lentilles de contact
3 - un T-Shirt?
17%
31%
Slide 52
Functional Contact Lens Monitors
Blood Sugar Without Needles
• Researchers from the University of Washington
(UW) and Microsoft Research Connections (MRC)
are working together to develop a non-invasive,
technological solution that promises to improve
both the health and overall quality of life for
diabetics: a contact lens that monitors blood
glucose levels. This innovative solution represents
a trend in technology, the Natural User Interface
(NUI).
– http://research.microsoft.com/apps/video/default.as
px?id=150832
Slide 53
•
Surgeons at a Toronto hospital are using Microsoft’s Xbox 360 motion sensor
Kinect to call up images during operations, saving around 20 minutes each time.
(Winnipeg Free Press, March 2011)
•
http://www.bright.nl/chirurgen-gebruiken-kinect-voor-fotos-deoperatiekamer?utm_source=feedburner&utm_medium=feed&utm_campaign=Fee
d:+brightmagazine+(B+R+I+G+H+T+-+innovative+lifestyle)
Slide 54
• Quelle est la distance maximum possible entre
un ophtalmologue et son patient?
• - 1 mètre
• - 5 mètres
• - 20.000 kilomètres
Slide 55
Slide 56
Slide 57
Slide 58
• Connexion par la pensée?
• Le singe à 3 bras
Slide 59
• Combien de professionnels de la médecine
faudrait-il en 2050 pour assurer une
couverture correcte en soins de santé à la
totalité de la population de notre planète?
• - pas plus
• -2 fois plus
• -3 fois plus
• -10 fois plus
Slide 60
Combien de professionnels de la médecine
faudrait-il en 2050 pour assurer une couverture
correcte en soins de santé à la totalité de la
population de notre planète?
62%
1 - pas plus
28%
2 - 2 fois plus
3 - 3 fois plus
4 - 10 fois plus
3%
7%
Slide 61
Global Health Workforce Service Providers
Current:
Ideal Today:
Ideal in 2050:
Missing till 2050:
39 470 000
84 138 046
110 220 046 (x2.8)
70 740 046
40 years to x2.8
Source: www.who.int/whr/2006/overview fig6
en.pdf
Slide 62
Quelles sont les données médicales qui
devraient être libre d’accès?
- aucune
- toutes
- celles que le patient accepte de partager
- celles que le médecin accepte de partager
- toutes mais anonymisées
Slide 63
Quelles sont les données médicales qui
devraient être libres d’accès?
1 - aucune
0%
2 - toutes
4%
43%
3 - celles que le patient accepte de partager
4 - celles que le médecin accepte de partager
5 - toutes mais anonymisées
7%
46%
Slide 64
À qui appartiennent les données médicales d’un
patient?
• - à son médecin
• - au patient
• - à la sécurité sociale?
• - à la communauté médicale
• - autre
Slide 65
À qui appartiennent les données
médicales d’un patient?
14%
1 - à son médecin
62%
2 - au patient
3 - à la sécurité sociale?
10%
4 - à la communauté médicale
5 - autre
3%
31%
Slide 66
Transformation par la technologie
Abstraction
Réduit la
complexité
Transcription
Formalise la
connaissance
Connexion
Crée les effets
réseaux
Les généralistes
remplacent les
spécialistes
Rend explicites les
compétences
tacites et implicites
Induit des
économies d’échelle
Les technologies permettent la capture, la distribution et
l’utilisation répétitive de la compétence créatrice de valeur
Slide 67
Dans 10 ans:
la transformation algorithmique*
Calcul
illimité
Stockage
illimité
Bande passante
illimitée
Abstraction
Réalité augmentée
simple, naturelle
et adaptative
Transcription
Formalisation et
transcription de
modèles abstraits
massifs
Connexion
Réseaux
autonomes ad-hoc
omniprésents
Loi de Clark: “Toute technologie suffisamment avancée
est assimilée à de la magie…”
*Prof. John Zysman, BRIE – UC. Berkeley
Slide 68
La révolution technologique …
… est surtout une révolution des données et
passe par un changement de mentalité.
Slide 69
À quand un docteur électronique?
- jamais
- dans 5 ans
- dans 20 ans
- Il est déjà là
Slide 70
À quand un docteur électronique?
59%
1 - jamais
2 - dans 5 ans
3 - dans 20 ans
4 - Il est déjà là
4%
11%
26%
Slide 71
Future is the only way forward!
Anonymous techno freak – Internet 2010
La révolution numérique … un
remède digital?
Bruno Schroder
BeLux Technology Officer
Microsoft
[email protected]
@bruno_schroder
Slide 2
• Qui parmi vous est un utilisateur de services
internet ou cloud?
• - oui
• - non
Slide 3
Qui parmi vous est un utilisateur de
services internet ou cloud?
86%
1 - oui
2-
non
14%
Slide 4
• Qui parmi vous utilise un smartphone?
• - oui
• - non
Slide 5
Qui parmi vous utilise un smartphone?
90%
1 - OUI
2 - NON
10%
Slide 6
• Qui parmi vous a un profil Facebook?
• - oui
• - non
Slide 7
Qui parmi vous a un profil Facebook?
1 - oui
2 - non
43%
57%
Slide 8
• Quelle sera l’augmentation de la puissance de
calcul des ordinateurs dans les 10 années à
venir?
• - de 1 à 10 fois plus puissants
• - de 10 à 100
• - de 100 à 1000
• - de 1000 à 10.000
Slide 9
Quelle sera l’augmentation de la
puissance de calcul des ordinateurs
dans les 10 années à venir?
1 - de 1 à 10 x + puissant
0%
2 - de 10 à 100
3 - de 100 à 1000
4 - de 1000 à 10.000
10%
17%
72%
Slide 10
Image of CPU
Slide 11
Top computer in 1999
Intel ASCI RED
•1 TeraFlops
•12TB de données
•9298 processeurs
•114 racks
•230M²
•Active till September 2005
Slide 12
10 Years Later …
512 GFLOPS
peak
Slide 13
June 2011: 10.5 petaflops
12 years of Moore’s law: 256
Real life: > 10.000
~ 3.000.000 in 25 years
• Asia has come out swinging
at the top of June 2011’s
Top500 list, which rates the
world’s fastest computers
based on the LINPACK
benchmark. Leading the list
is the K Computer, which
achieved 10.5 quadrillion
floating-point operations
per second (petaflops)
(Source: Communications
of the ACM, Copyright
2011)
Slide 14
+
A worldwide infrastructure
• Hotmail
• 1.3 billion mailboxes
• 155PB storage, growing 2PB per month (70.000 LTE)
• Windows Live Messenger
• 300 million users
• 76 countries, 48 languages
• ~40 million people simultaneous connections
• 9.9 billion messages a day via Windows Live Messenger
•
•
•
•
600 million unique users every month on Windows Live & MSN
1M Business Productivity Online Suite users in 36 countries & regions
5 petabytes of content served by Xbox Live during Christmas week
1 Petabyte+ of updates served every month by Windows Update to
millions of servers and hundreds of millions of PCs worldwide
Slide 15
•
http://www.petap
ixel.com/2011/07/
27/turning-theeye-into-acamera-sensor/
Slide 16
+
World changes:
Slide 17
Slide 18
• Indian entrepreneurs apply mass-production
techniques to sophisticated services. Aravind, the
world's biggest eye-hospital chain, performs 200,000
operations a year. Four operating tables are laid side by
side as two doctors operate on adjacent tables. When
the first operation is done, the second patient is
already in place. (Economist, April 2010) (link)
• Dr Shetty is only one of many Indians who are applying
Henry Ford’s principles to health care. LifeSpring has
reduced the cost of giving birth in a private hospital to
$40 by looking after many more mothers.
Slide 19
• Quel pourcentage de la population mondiale
dispose d’un GSM?
• 27%
• 47%
• 67%
• 87%
Slide 20
Quel pourcentage de la population
mondiale dispose d’un GSM?
1 - 27%
2 - 47%
10%
21%
45%
3 - 67%
4 - 87%
24%
Slide 21
Associated behavior, here
The power of anonymity and IT as social breaker
Slide 22
… and there.
Slide 23
• Quel pourcentage d’internautes a obtenu des
informations médicales en ligne?
• - 35%
• - 55%
• - 75%
• - 95%
Slide 24
Quel pourcentage d’internautes a
obtenu des informations médicales en
ligne?
1 - 35%
2 - 55%
3 - 75%
4 - 95%
11%
11%
46%
32%
Slide 25
• 75% of internet users have obtained health or
medical info online, more than those who
have checked news (71%), watched video
online (48%), and paid for digital content
(28%). (Pew, 2009)
Slide 26
The Social Proof
•
http://techcrunch.com/2011
/11/27/social-proof-whypeople-like-to-follow-thecrowd/
Slide 27
The Knowledge Paradox. Cooperation
The task is not so much
to see what no one yet has seen, but
to think what nobody has yet thought
about that which everyone sees
– Schopenhauer
Slide 28
Slide 29
• Twitter comme indexeur
Slide 30
• Facebook deviendra-t-il:
• - un centre de formation médicale continuée?
• - le lieu sécurisé des interactions avec les
patients
• - l’annuaire médical?
Slide 31
Facebook deviendra-t-il:
1 - un centre de formation médicale
continuée?
38%
2 - le lieu sécurisé des interactions avec les
patients
38%
3 - l’annuaire médical?
23%
Slide 32
Slide 33
CareMore
•
•
•
CareMore started over 15 years caring
for seniors as a Medical Group.
Years later, CareMore began serving
seniors as a Health Plan and continues to
do so today through our Provider
partners and as a Medical Group.
CareMore is dedicated to the senior
market in 3 states and we have plans for
future expansion.
http://www.caremore.com/About.aspx
http://www.facebook.com/CareMoreHea
lth
Slide 34
Healthcare Spending
• With technology and preventive measures,
CareMore - with its 26 care centers - has a
hospitalization rate that's 24% below average,
hospital stays that are 38% shorter, and am
amputation rate among diabetics that's 60%
lower than average. The overall member costs
are also 18% below the industry average
(CareMore, January 2011).
• The United States spends $2.1 trillion on health
care, $650 billion above expectations. (MGI,
November 2008) (link)
Slide 35
Slide 36
Doximity and Sermo
• Professional Networks
for Physicians
• Launched a little more
than a year ago, Doximity
now has 9% of all U.S.
physicians as members.
• Sermo has over 125,000+
physicians in 68
specialities
• https://www.doximity.co
m/
• http://www.sermo.com/
Recent Articles
Complex Disease Management: What’s
next for mHealth
LinkedIn Co-Founder Konstantin Guericke
Joins Doximity’s Board of Directors
Doximity Partners with Stanford on Alumni
App
Why Social Media is Just What the Doctor
Ordered
Now on Our Site: Doximity Product Videos
Why Online Social Networking Should
Change What We Know about Health Care
Social Media and Health Care: The Power
of Networked Physicians
The Rebirth of Primary Care
Doximity Notes from the Road: SXSW
Recap
Getting to a Better Patient Handoff
Slide 37
Que peut faire un smartphone?
• téléphoner
• diagnostiquer la malaria
• dépister le mélanome
• prise de tension
• ecg
• Stéthoscope
Slide 38
Que peut faire un Smartphone?
75%
1 - téléphoner
2 - diagnostiquer la malaria
59%
66%
3 - dépister le mélanome
4 - prendre la tension
56%
5 - un ecg
56%
6 - diagnostiquer une pneumonie
7 - un stéthoscope
47%
63%
Slide 39
Silver Edison Award
• http://eyenetra.com/netra-g.html
Slide 40
Anatomy Of A Handheld Hospital
1 Processor that can power a pacemaker
Smartphones run superfast (in excess of 1 GHz) without consuming much power, much like top-notch
pacemakers and cardiac defibrillators.
2 Display that can assess an ultrasound
The iPhone 4S's resolution (300 pixels per inch) is on par with most hospital-grade ultrasound monitors,
and small screen size won't matter once projection tech takes off.
3 Camera that can capture cells
The HD video camera, which shoots 30 frames per second, is more advanced than some of the ones in
colonoscopes, which doctors use to seek out potentially cancerous tissue.
4 Accelerometer that can guide physical therapy
The three-axis accelerometer captures the same subtle movements--tilts, shocks, rotations--as APDM
motion sensors, which are used to monitor patients' Parkinson's disease and help them through
physical therapy.
5 Microphone that can hear your heart
Because of its flat-frequency response rate--which drastically reduces noise distortion--a smartphone
mic (with help from an amplifying attachment) can detect a heartbeat almost as well as a $500
electronic stethoscope.
•
http://www.fastcompany.com/magazine/162/health-industry-smartphones-tablets
Slide 41
Mobile Health
• In 2011, 14% of all adult Americans (approximately 31 million), up from
9%, will use a mobile health application to manage their health, wellness,
and chronic conditions. (IDC, December 2010) (link)
• 14% of adult Americans will use a mobile health application to manage
their health, wellness, and chronic conditions in 2011. (IDC, December
2010) (link)
• There are 17,000 mHealth applications in major app stores, 74% of them
adhering to the paid business model. (research2guidance, November
2010) (link)
• Ford researchers demonstrate a series of possible in-car health and
wellness connectivity services and apps aimed at helping people with
chronic illnesses or medical disorders such as diabetes, asthma or allergies
manage their condition while on the go. (Ford, May 2011)
• 500 million of 1.4 billion smartphone users in 2015 will be running some
kind of mobile healthcare application. (research2guidance, November
2010) (link)
Slide 42
Slide 43
• Shimba Technologies plans a Yelp-like feature for
mobile health app MedAfrica so that users can
comment on doctors in order to provide context
for who is better out of a "laundry list" of
providers (Technology Review, December 2011).
• Of ther 25,000 people who have downloaded
mobile health app MedAfrica between late
November and mid-December 2011, 60% are
"active users" (Shimba Technologies, December
2011).
Slide 44
Medical Records and Research
•
One vision of digital technologies bringing about true prevention includes telemonitoring moves
from mobile apps to nanosensors to measure BP, respiration, blood glucose, cholesterol, and other
physiological indicators (National Heart, Lung & Blood Institutde, December 2011).
•
A review of randomized studies of mobile apps for smoking cessation found that they helped in the
short term, but that there is insufficient research to determine long-term benefits (National Heart,
Lung & Blood Institute, December 2011).
•
By preemptively identifying who's in which half of the population that are helped by certain drugs,
genomics might keep patients, private insurers, and Medicare from wasting tens of billions of
dollars a year (Technology Review, December 2011).
•
Every minute of the most commonly used high-resolution video in surgeries generate 25 times the
data volume (per minute) of even the highest resolution still images such as CT scans, and each of
those still images already requires thousands of times more bytes than a single page of text or
numerical data. (McKinsey Global Institute, 2011)
•
More than 95% of the clinical data generated in health care is now video. Multimedia data already
accounts for more than half of Internet backbone traffic (i.e., the traffic carried on the largest
connections between major Internet networks), and this share is expected to grow to 70% by 2013.
(McKinsey Global Institute, 2011)
Slide 45
• 1,900 physicians in Ghana have logged 1M+
calls to patients since 2008 thanks to MDNet;
a system that allows users in Ghana and
Liberia to call or text doctors for free
(AfricaAid, December 2011).
Slide 46
• QuantifyMe
• HealthVault >< GoogleHealth
Slide 47
Big Data
• If the US health industry would use big data
creatively and effectively to drive efficiency
and quality, the potential value could be $300
billion every year, two-thirds of which would
be in the form of reducing national health care
expenditures by about 8%. (McKinsey Global
Institute, 2011)
Slide 48
Big Data/ Data analysis saves life
Uncovering New Ways the Human Immune
System Fights HIV
http://research.microsoft.com/enus/collaboration/stories/hiv_research_za.aspx
Adjusting Pneumonia Vaccination to Save Lives
http://research.microsoft.com/enus/collaboration/stories/pneumoniavaccination.aspx
Slide 49
A database that could save Healthcare:
•
On May 22 a new nonprofit called the Health
Care Cost Institute will roll out a database of 5
billion health insurance claims (all stripped of
the individual health plan’s identity, to address
privacy concerns).
•
http://mobile.washingtonpost.com/rss.jsp?rssid=615&item=http://www
.washingtonpost.com/Fragment/SysConfig/WebPortal/twpweb/feeds/Bl
ogsMobileIndividual/mobileblogs.jpp%3Fid%3D1000.4.1601919935%26wprss%3D&cid=-1&spf=1
Slide 50
• En 2016, quel dispositif permettra de suivre sa
glucomètrie en temps réel:
• - un GSM
• - des lentilles de contact
• - un T-Shirt?
Slide 51
En 2016, quel dispositif permettra de
suivre sa glucomètrie en temps réel:
52%
1 - un GSM
2 - des lentilles de contact
3 - un T-Shirt?
17%
31%
Slide 52
Functional Contact Lens Monitors
Blood Sugar Without Needles
• Researchers from the University of Washington
(UW) and Microsoft Research Connections (MRC)
are working together to develop a non-invasive,
technological solution that promises to improve
both the health and overall quality of life for
diabetics: a contact lens that monitors blood
glucose levels. This innovative solution represents
a trend in technology, the Natural User Interface
(NUI).
– http://research.microsoft.com/apps/video/default.as
px?id=150832
Slide 53
•
Surgeons at a Toronto hospital are using Microsoft’s Xbox 360 motion sensor
Kinect to call up images during operations, saving around 20 minutes each time.
(Winnipeg Free Press, March 2011)
•
http://www.bright.nl/chirurgen-gebruiken-kinect-voor-fotos-deoperatiekamer?utm_source=feedburner&utm_medium=feed&utm_campaign=Fee
d:+brightmagazine+(B+R+I+G+H+T+-+innovative+lifestyle)
Slide 54
• Quelle est la distance maximum possible entre
un ophtalmologue et son patient?
• - 1 mètre
• - 5 mètres
• - 20.000 kilomètres
Slide 55
Slide 56
Slide 57
Slide 58
• Connexion par la pensée?
• Le singe à 3 bras
Slide 59
• Combien de professionnels de la médecine
faudrait-il en 2050 pour assurer une
couverture correcte en soins de santé à la
totalité de la population de notre planète?
• - pas plus
• -2 fois plus
• -3 fois plus
• -10 fois plus
Slide 60
Combien de professionnels de la médecine
faudrait-il en 2050 pour assurer une couverture
correcte en soins de santé à la totalité de la
population de notre planète?
62%
1 - pas plus
28%
2 - 2 fois plus
3 - 3 fois plus
4 - 10 fois plus
3%
7%
Slide 61
Global Health Workforce Service Providers
Current:
Ideal Today:
Ideal in 2050:
Missing till 2050:
39 470 000
84 138 046
110 220 046 (x2.8)
70 740 046
40 years to x2.8
Source: www.who.int/whr/2006/overview fig6
en.pdf
Slide 62
Quelles sont les données médicales qui
devraient être libre d’accès?
- aucune
- toutes
- celles que le patient accepte de partager
- celles que le médecin accepte de partager
- toutes mais anonymisées
Slide 63
Quelles sont les données médicales qui
devraient être libres d’accès?
1 - aucune
0%
2 - toutes
4%
43%
3 - celles que le patient accepte de partager
4 - celles que le médecin accepte de partager
5 - toutes mais anonymisées
7%
46%
Slide 64
À qui appartiennent les données médicales d’un
patient?
• - à son médecin
• - au patient
• - à la sécurité sociale?
• - à la communauté médicale
• - autre
Slide 65
À qui appartiennent les données
médicales d’un patient?
14%
1 - à son médecin
62%
2 - au patient
3 - à la sécurité sociale?
10%
4 - à la communauté médicale
5 - autre
3%
31%
Slide 66
Transformation par la technologie
Abstraction
Réduit la
complexité
Transcription
Formalise la
connaissance
Connexion
Crée les effets
réseaux
Les généralistes
remplacent les
spécialistes
Rend explicites les
compétences
tacites et implicites
Induit des
économies d’échelle
Les technologies permettent la capture, la distribution et
l’utilisation répétitive de la compétence créatrice de valeur
Slide 67
Dans 10 ans:
la transformation algorithmique*
Calcul
illimité
Stockage
illimité
Bande passante
illimitée
Abstraction
Réalité augmentée
simple, naturelle
et adaptative
Transcription
Formalisation et
transcription de
modèles abstraits
massifs
Connexion
Réseaux
autonomes ad-hoc
omniprésents
Loi de Clark: “Toute technologie suffisamment avancée
est assimilée à de la magie…”
*Prof. John Zysman, BRIE – UC. Berkeley
Slide 68
La révolution technologique …
… est surtout une révolution des données et
passe par un changement de mentalité.
Slide 69
À quand un docteur électronique?
- jamais
- dans 5 ans
- dans 20 ans
- Il est déjà là
Slide 70
À quand un docteur électronique?
59%
1 - jamais
2 - dans 5 ans
3 - dans 20 ans
4 - Il est déjà là
4%
11%
26%
Slide 71
Future is the only way forward!
Anonymous techno freak – Internet 2010