ICTs and the Health Sector: Towards Smarter Health and Wellness Models

The future sustainability of health systems will depend on how well governments are able to anticipate and respond to efficiency and quality of care challenges. Bold action is required, as well as willingness to test innovative care delivery approaches.

The greatest promise for transformational change is in applications that encourage new, ubiquitous, participatory preventive and personalised smart models of care. A whole new world of possibilities in using mobiles and the Internet to address healthcare challenges has opened up. The potential of mobile devices, services and applications to support self-management, behavioural modification and "participatory healthcare" is greater than ever before.

A key hurdle is, however, the big data challenge, dealing with the exponentially accelerating accumulation of patient data – all of which must be mined, stored securely and accurately, and converted to meaningful information at the point of care. In order to fully exploit the new smart approaches to care, acceptance, privacy and usability issues will also have to be carefully considered.

Contents:

Executive summary

PART I. EMERGING SMARTER MODELS OF CARE
Chapter 1. Health and Wellness Needs
- Rising health costs and the need for greater efficiency
- Gaps in effective and preventive care
- Demographic changes and increasing prevalence of chronic diseases
- The growing fragmentation of care and the need for more responsive, patient-centred services
- Declining availability of a health workforce
- Increasing demand for home care
- Conclusions
- References

Chapter 2. From Personalised to Ubiquitous Care
- Personalised medicine
- Ubiquitous and pervasive patient care
- Conclusion
- References

Chapter 3. Smart Participatory Care Models
- Personal health records
- Participatory mobile health and health apps
- Social networks and virtual communities
- Conclusions
- References

Chapter 4. Actions to Build a Smarter Health and Wellness Future
- Address the big data challenges, knowledge generation and use
- Understand and address the potential new risks
- Foster meaningful innovation
- Promote organisational and social innovation for an integrated care future
- Reference

PART II. KEY CHALLENGES AND OPPORTUNITIES FOR A SMARTER HEALTH AND WELLNESS FUTURE: EXPERT CONTRIBUTIONS
Chapter 5. Objectives and Issues in Integrating Social Care and Health Care Delivery by Michael Rigby
- The need for greater smartness
- Social care
- Barriers to co-ordination
- Specialism-driven fragmentation
- Sector-specific ICTs
- Record-keeping differences
- Independent reform rather than cohesion
- The citizen need: Ensuring a care continuum
- Overcoming the challenges: A developmental agenda to enable integration
- The issues to be addressed
- The citizen-based goal
- Conclusion
- References

Chapter 6. Integrating Personalised Medicine into Health Care: Opportunities and Challenges by Jennifer Leib and Kathryn Schubert
- Whole genome sequencing: Rapid advances in technology
- Challenges to the adoption of personalised medicine technologies
- Role for the international community to address challenges
- References

Chapter 7. Managing Our Own Health and Well-Being: Australia's Personally-Controlled Electronic Health Record by Bettina McMahon
- The need for reform
- Reform goals
- The Personally Controlled Electronic Health Record
- The data challenges
- Addressing potential new risks
- Fostering meaningful use
- Conclusion
- References

Chapter 8. Strengthening Our Capability to Analyse Big Data Streams in Health Systems: The Challenges by Sharon-Lise Normand
- Some statistical challenges with big health data
- Concluding remarks
- References

Chapter 9. Building a Smarter Health and Wellness Future: Privacy and Security Challenges by Carl A. Gunter
- HIT directions driving privacy and security issues
- Privacy and security
- Access controls and audit
- Trusted base
- Automated policy
- Mobile health
- Identification and authentication
- Data segmentation and de-identification
- Conclusions
- References

Chapter 10. Converging Technologies for a Smarter Health and Wellness Future by Todd Kuiken
- Converging technologies
- Harnessing the power of informatics
- Open access to data and information sharing
- The emergence of a new informatics
- The contributions of converging technologies to a smarter health future
- Personalised medicine
- The need for new governance frameworks
- Patents, copyright and open source
- Breaking down silos
- Financing innovation
- Conclusions

Website: OECD iLibrary http://www.oecd-ilibrary.org/

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