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eHEALTH eNOUGH ? or pHEALTH ?

eHEALTH eNOUGH ? or pHEALTH ?. Dr Henk G. Sol Professor of Business and ICT and Founding Dean Faculty of Economics and Business Professor of Systems Engineering and Founding Dean Faculty of TPM Delft University of Technology. eHEALTH eNOUGH ?. The Arena Observations Deeper Insights

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eHEALTH eNOUGH ? or pHEALTH ?

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  1. eHEALTHeNOUGH?or pHEALTH? DrHenk G. Sol Professor of Business and ICT and Founding Dean Faculty of Economics and Business Professor of Systems Engineering and Founding Dean Faculty of TPM Delft University of Technology

  2. eHEALTHeNOUGH? • The Arena • Observations • Deeper Insights • Towards pHealth

  3. Healthy Ageing Preconception Health QoL Wellbeing etc. “Obstetrics”” Well-being perspective Prevention CHC Intervention Ageing is on-going process “Ageing starts at fertilization” Age Birth Complication… Chronic disorder 1 Chronic disorder 2

  4. Aging citizen Paid work Community center Housing association Psychiatric hospital Care technology Voluntary work Public transport Living situation Informal care General hospital Welfare work Nursing home Home care Reintegration Volunteers Caretaker Physician Contacts Mobility Health Taxi Needs and facilities for the aging citizens Source: NHL, Lw

  5. eHEALTHeNOUGH? The eHealth Arena • The development of • Information • And communication technologies • In • Health care

  6. eHEALTHeNOUGH? eDriversin the Arena • Push for Ambient Assisted Living, • e Inclusion and e Integration • To handle effectively • Exploding needs for care and cure

  7. eHEALTHeNOUGH? • But, not all eHEALTH initiatives are positive • Many observations, also in the North of the Netherlands, a rural area with social cohesion and double ageing, • Do raise the question • Is eHEALTHeNOUGH? The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview, A.D.Black et al, PLOS Medicine, January 2011

  8. eHEALTHeNOUGH? • Observations in Multiple Case Studies • With Anecdotal Evidence • Through the Lens of Decision Enhancement Keen, P.G.W. and H.G.Sol, Decision Enhancement Services: Rehearsing the Future for Decisions that Matter, IOP Press, 2008

  9. Decision Enhancement (DE)

  10. Healthy Ageing is challenging … Care networks Effective interventions

  11. Video phone Image watch Web portal EPD • Dorps- verpleegkundige Serious Games Care vouchers Wegwiezers

  12. Video phone - failure Image watch– low effectivenes Web portal - critical EPD- resistance • Dorps- verpleegkundige – marginal Serious Games - marginal Care vouchers – littleinnovation Wegwiezers - difficult

  13. Healthy Ageing

  14. Referral Services MotherMilk Factory Tele Medicine Healthy Ageing Sanitary Services Water and Sewage Management E-Inclusion

  15. eHEALTHeNOUGH? Deeper insights No positive business cases • Processes neglected • People not central • Technology pushed

  16. eHEALTHeNOUGH? Deeper insights • Lack of vision • Lack of strategy • Lack of documentation

  17. eHEALTHeNOUGH? Deeper insights • eHEALTH seems eNOUGH • mHEALTH the new bandwagon?

  18. eHEALTHeNOUGH? Deeper insights • eHEALTHis eNOUGH • Transition management needed • Adoption and diffusion principles needed

  19. eHEALTHeNOUGH? Deeper insights • Clarify business models • Develop concept completely • Anchor in institutions • Take time for life testing

  20. eHEALTHeNOUGH? Deeper insights • pHEALTHneeded • Patient centric • Personalized • Process driven • Participatively designed

  21. eHEALTHeNOUGH? FrommHEALTHtopHEALTH! • How tocreate • effective • individual • interventions?

  22. eHEALTHeNOUGH? FrommHealthtopHEALTH! Create services for personalized care and cure • with pCenteredpApps • supported in the cloud • for effective interventions • in networked arrangements • tested in living labs

  23. eHEALTHeNOUGH?pHEALTH the eChallenge!

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