phs foresight...• personal health systems (phs) assist in the provision of continuous, quality...
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PHS ForesightPHS ForesightPHS ForesightPHS Foresight
Presentation for the ETSI eHealth Workshop on TelemedicinepSophia-Antipolis, May 6-7, 2014
Dr. Susanne GieseckeAustrian Institute of Technology
Personal Personal HealthHealth SystemsSystems ForesightForesightyy gg
• State-of-the-Art Analysesyo R&D cooperationo User perspectiveso Market conditions
• Online Communityo Sharing, commenting and
assessing PHS visionso Networkingo International collaboration
• Scenarios and Roadmapso Future trajectories, threats
and opportunities
www.phsforesight.eup s o esig eu
2030 2030 VisionsVisions onon PHS PHS FuturesFutures
–– as as SeenSeen byby ourour PHS PHS CommunityCommunity
Motivation for this Motivation for this Foresight ProjectForesight Project
• deeper understanding of mismatches between the potential of, and need for, PHS res lts indicate that lack of s ccession of pilots • results indicate that lack of succession of pilots and of overall coordination have led to a dynamic but fragmented PHS innovation landscape in Europe.
• to reach ambitious targets for PHS will require more than just excellent technological solutions more than just excellent technological solutions, but also a multi-stakeholder process of service systems re-design in the future.
Definition of PHSDefinition of PHS• Personal Health Systems (PHS) assist in the provision of
Definition of PHSDefinition of PHS
continuous, quality controlled and personalised health services to empowered individuals.
• Ambient, wearable and/or in-body devices, which acquire, monitor and communicate physiological and other health-related data
• Intelligent processing of the acquired information, and coupling it with expert biomedical knowledge and in some cases, knowledge of social circumstances and living conditions
MethodsMethodsSources of information in Personal Health SystemsSources of information in Personal Health Systems
R l t d t b EU j t t t d t b • Relevant databases on EU projects, patent data base, bibliometric analysis of publication, interviews, workshops
Empirical Approach In total, three types of analyses were carried out:In total, three types of analyses were carried out:
• case studies• analyses of databases• an affiliation network of collaborative research projects an affiliation network of collaborative research projects
and participating organization was constructed
University of Padova
Fraunhofer Gesellschaft
University of Twente
ETH Zürich
INTRACOM
AmbientAssisted Living Joint Programme (AAL JP)Competitiveness and Innovation Progr. (CIP‐ICT PSP)FP7‐ICT Call 2007 (FP7‐ICT_2007)FP7‐ICT Call 2009 (FP7‐ICT_2009)FP7‐ICT Call 2011 (FP7‐ICT 2011)FP7 ICT Call 2011 (FP7 ICT_2011)JRC IPTSparticipating organizations
Universidad Politecnica de Madrid
Telefónica
Analysis of the PHS networksBi tit t k f j t i th diff t i iti ti ( l d Bipartite network of projects in the different initiatives (coloured nodes) and participating organizations (grey nodes). The size of each node is its degree in the bipartite graph, e.g. a project comprising ten organizations has size ten as does an organicomprising ten organizations has size ten, as does an organi-zation participating in ten projects. The degree correlates to the number of direct neighbours in a graph.
DeficitsDeficits ofof PHSPHS GovernanceGovernance• There is both a solid basis and urgent need to build further
stakeholder cooperation and innovation governance
DeficitsDeficits ofof PHS PHS GovernanceGovernancep g
• PHS research results need to have more transfer from R&D to the market
• and more account on innovation patterns in this sector, ti l l ith d t E id d l tparticularly with regard to European-wide developments
• The concept of PHS is often collapsed into ICT systems that are constructed to support existing care services; or even into the specific devices, such as wearable sensors to monitor the specific devices, such as wearable sensors to monitor health conditions and/or behaviour patterns.
• fails to take into account the importance of a wider systems view, one which situates PHS within health and care service systemssystems
• system innovation: transition from a technically driven paradigm towards service systems -- requires more than just excellent technological solutions, but also a multi-stakeholder g ,process of service system design.
SStrategy Outlines trategy Outlines in in Relation Relation to to the the Issues Issues of of ImportanceImportance
Actor Strategy outlines in response to… Interoperability.
Standardisation, Awareness, education
PHS skills; certification;
Accessibility, affordability;
innovation eco‐system;
regulation of society PHS research PHS market PHS fundingEU authorities
X X X
Member States X X XMember States authorities
X X X
Research / education
X X X X
community Industry / SMEs; Technology developers
X X X X
developers Society (NGOs, patients’ org)
X X X
InteroperabilityInteroperability• Strategic actions in relation to interoperabilityg p y• standardisation and regulation include for instance
o harmonisation of healthcare systems regulations,i i i fo interoperability of IT systems,
o development of common dictionaries and use cases, o standards development, o legislation for data security and data access. o The importance of e-research infrastructure for PHS
AwarenessAwareness, , Education Education ofof SocietySociety
• Strategies towards raising social awareness and g gincreasing PHS skills involve actions like o educational programmes to introduce PHS systems to
professionals and informal carers but also schools professionals and informal carers but also schools, o setting up PHS help and advice lines, o incentives to educational institutions to develop PHS
strategies and programmesstrategies and programmes.• “European Healthcare Council”:
o certifying PHS skills; o issuing health workers’ licences for working in the EU; o promoting PHS models of care
PHS Skills, PHS Skills, CertificationCertification, , PHS PHS ResearchResearch
• PHS research: demonstrate PHS benefits; certify PHS yproducts and services
• demonstration of benefits through creation of modelling labs for PHS applications modelling labs for PHS applications
• development of relevant indicators • building a catalogue of what is available, what is
b i d l d d h t d t b being developed and what needs to be developed through a gap analysis and towards the jointly defined PHS vision
• Longitudinal health studies, health economics and cost-effectiveness studies deployed along with health technology assessmentgy
PHS Research, PHS Research, EU EU ResponsibilitiesResponsibilities
• PHS research: deal with big data analysis issues g ywhile being oriented towards developing customised, user friendly and certified applications easily accessible online and offline. y
• target groups: patients, informal carers, whole of society should be addressed eventually, as we need to shift from a reactive to proactive need to shift from a reactive to proactive healthcare approach promoting healthy living.
• role of the EU institutions: supporting PHS research, providing platforms for disseminating results of PHS providing platforms for disseminating results of PHS research projects (helping to draw the lessons from both success stories and failures)
AccessibilityAccessibility, , Affordability, Affordability, PHS MarketsPHS Markets
• market with wide accessibility, affordability: establishment of market and competition mechanisms, regulations, procurement, development of plans for stage-gated deployment of reimbursement models
• Establishment of value chains from priority setting, selection of technologies, to manufacturing and implementation
• PHS included in healthcare service provision, while IT companies should also be more involved in solutions to medical problem in the PHS development process
i i i j i• PHS development underlined by a PHS vision jointly defined by all relevant stakeholders (public authorities, professionals, businesses, researchers, society).
Innovation EcoInnovation Eco‐‐system/ system/ PHS PHS FundingFunding
• Actions in relation to developing a PHS innovation p geco-system include the coordination and collaboration among a variety of actors in the research and business communities engaging also research, and business communities engaging also societal actors by applying user-centred innovation approaches.
• finding alternative sources of funding through Venture Capital, crowdfunding etc. and interactionbetween different funding silos between different funding silos.
• EU should create a innovation ecology in health rather than support national agencies to apply PHS.
Dr. Susanne Giesecke (Co-ordinator)Senior Scientist and Thematic Coordinator “Foresight” Innovation Systems, AIT
THANK YOU! THANK YOU! [email protected]
Mag. Doris SchartingerScientistInnovation Systems, AITDoris Schartinger@ait ac [email protected]
Dr. habil. Günter SchreierSenior Scientist and Thematic Coordinator Assistive Healthcare Information Technology Safety & Security Department , [email protected]
Dr. Effie AmnatidouResearch Associate, University of [email protected]
P f D I MilProf. Dr. Ian MilesProfessor of Technological Innovation, Management and Policy, University of [email protected]
Dr. Ozcan Saritas Research Associate University of Manchester Research Associate, University of Manchester [email protected]
Laura PompoCIO Impetu [email protected]
www.phsforesight.eu
Share Share YourYour VisionVision onon PHSPHS
Can you imagine a sort of personal health systemCan you imagine a sort of personal health system
that could be in operation in Europe by the year
2030?“Si i h
• Services, products and/or technologies• User perspectives and implications to healthcare
professional
“Sign in,shareyour vision andget connected
• Political, legal, and institutional framework conditionsgwith the growingPHScommunity!”
www.phsforesight.eup g
EngageEngage withwith thethe GrowingGrowing PHS PHS CommunityCommunity
www.phsforesight.eu
DeliverablesDeliverablesDeliverablesDeliverables
Most FP7 ICT projects focus on the development of ICT based Most FP7-ICT projects focus on the development of ICT-based monitoring systems. The Figure depicts the composition of the consortia, which mainly consisted of universities (EDU), research organizations (ROR) companies (IND) research organizations (ROR), companies (IND). Governmental organisations participated in CIP-ICT PSP and JRC IPTS projects only.
Duration, number of PHS projects and number of participating organizations at the EU-level. Ambient Assisted Living Joint Programme (AAL JP), Competitiveness and Innovation Programme (CIP) - ICT Policy Support Programme (ICT PSP), F k P S (FP7) J i t R h C t
Initiative/Programm Period Number of Number of
Framework Programme Seven (FP7), Joint Research Centre Institute for Prospective Technological Studies (JRC IPTS)
e Projects Participants
AAL JP 2009‐2012 17 130CIP‐ICT PSP 2008‐2013 12 144FP7‐ICT_2007 2008‐2012 9 121
FP7‐ICT_2009 2010‐2014 10 94
FP7‐ICT_2011 2011‐2015 16 124
JRC IPTS 2009 2013 3 3JRC IPTS 2009‐2013 3 3Total 67 513
The figure indicates that projects within the same initiative are somewhat clustered in a certain part of the network, e.g. the projects in the CIP-ICT PSP programme (green nodes) are
i l iti d t th b tt d j t i FP7 ICT 2009 mainly positioned at the bottom, and projects in FP7-ICT_2009 are positioned at the top of the network. In general, this means that the majority of organizations participate in only one of these initiativesone of these initiatives.