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Sensors, Wearables
Finally the wearable market is expected to grow! wearable-market The market for connected wearables has entered a strong growth phase that will last for many years to come.” – (Berg Insight, 2017) In 2016 the estimated units shipped reached 96.5 million. Following Berg Insights research, the upcoming five years the connected wearables market is expected to grow with a compound annual growth rate (CAGR) of 22.2%, to reach the shipment of 262.5 million units in 2021. This growth is divided over the following categories:
  • Fitness and Activity Trackers vs Smartwatches Through lower prices and new form factors the current largest connected wearable category, fitness & activity trackers, will reach shipments of 81.0 million units in 2021. Moreover, the smartwatch category, in 2016 comprising just 20.7 million units, is predicted to be the largest category in 2021, with an estimated 115.0 shipments. 
  • Smart Glasses With 1.2 million units in 2016, the sales of smart glasses was modest, not having reached its potential. This was the result from high prices, privacy concerns and limited availability. However the promising use cases in the niche consumer and the professional markets display demand. This will enable a shipment of 13.0 million smart glass devices in 2021.
  • Medical Devices and People Monitoring and Safety Devices Already common in the categories of medical devices and people monitoring and safety devices are ECG monitors,  Personal Emergency Response Systems (mPERS) and cardiac rhythm management devices. The two categories are estimated to grow to 16.0 million and 9.2 million shipments by 2021.
  • Smart Clothing An upcoming trend is the smart clothing. The focus on elite and professional applications together with overlapping use cases and low consumer awareness have limited large scale adoption. This however will change. The research suggest that the shipment of smart clothing will grow from 1.56 units in 2016 to 18.3 million units in 2021. 
  • Other Connected Wearable Devices Lastly, other wearable devices, no covered in the above categories, will grow from 1.4 million units in 2016 to 10.0 million units in 2021, having a CAGR of 48.2%.
Throughout these five years of growth Bluetooth will remain the primary connectivity option with regards to consumer centric wearables. For wearable medical devices this will be low power NFC technologies and Bluetooth which enables remote connectivity via medical monitoring system hubs. Moreover in 2021 the number of active cellular network connections from wearables is expected to reach 47.7 million connections. In 2016 this was only 3.3 million. This growth is mainly driven by two main factors:
  • In the smartwatch category cellular is increasingly adopted. 
  • In the people monitoring and safety category, cellular connectivity is already the main type of technology and will continue to increasingly be used for many types of devices. 
Finally, it is good to know that bring your own device (BYOD) will increasingly impact the medical device category, especially when looking at connected care and patient-driven models. This article is based on the Connected Wearable Report 2017 – 3th Edition of Berg Insight
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Digital Health, Internet Of Things IoT, Wearables
  Unlike clinical issues, inefficiency and waste are often overlooked because it’s complicated and “unsexy”. These operational issues however could be the biggest lever for fixing healthcare, decreasing its cost and enhancing the patient experience. But…. Tackling these issues is difficult. keep reading
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Digital Health, Wearables
  Nokia announced its re-entry into the consumer market in late June by launching a portfolio of digital health products ranging from elegant activity/sleep trackers to smart scales and a home air-quality monitor. As the largest line of connected consumer health products on the market, they are now available for purchase on their website and at many retailers around the world. Many of these devices have been transitioned from the Withings brand, but Nokia also unveiled some new products including a Wi-Fi-enabled BMI Scale, a new Blood Pressure Monitor, and a redesigned mobile app to enable consumers to track their health data. In light of this announcement, Medgadget had the opportunity to chat with Nokia’s VP of Digital Health, Cedric Hutchings, about the new product line and Nokia’s future directions. Mohammad Saleh, Medgadget: Why has a company like Nokia, historically known for its mobile phone technology, decide to get into the digital health field?  Cedric Hutchings, Nokia: At the very core, Nokia stands for enabling the human possibilities of technology. There’s probably no better place than digital health to carry on this mission. We are known for trust, reliability, and quality – attributes that are the building blocks for our digital health product portfolio. So it makes a lot of sense for us to re-enter the consumer market through this extremely meaningful offering that’s so close to the DNA of the Nokia brand. Medgadget: Can you tell us about Nokia’s new digital health products? I understand these were designed by Withings, which was acquired by Nokia? Hutchings: That’s partly the case. It’s a very exciting time for us at Nokia, because we are reintroducing consumer devices under the Nokia brand. We’ve seen in our recent market research that up to 80% of consumers who are surveyed about the relevancy of Nokia in the digital health sector believed that we already offer digital health products. So as of June 20th, we are very glad that all of the digital health products we provide will be branded under the Nokia brand. So you are partly right that there has been a portfolio of digital health products under Withings in the past, but now all the products, market presence, and branding will be under Nokia. Medgadget: How does it all work? Could you walk us through how each of these new products integrate into a customer’s daily life? Hutchings: Our products are designed in a way that does not scream “technology!” They are all very much designed for everyday life usage. We have these trackers that are actually a beautiful watch first. With our connected blood pressure monitor, all you do is wrap it around your arm and press a button – no need for any complex interfaces. What is common to all of our devices is that they work along with the Nokia Health Mate app. It gathers data from all of our devices – our scales, blood pressure monitors, and activity trackers – in one place. During this transition to Nokia, we’re also glad to offer a newer version of Health Mate that has a redesigned user interface, experience, and most importantly, new features for a health coaching platform. Users have been asking for more actionable insights, and that’s what we’re doing here. We want to help users really take control of their own health through these beautiful designs that are generating appropriate and constant feedback. We’re taking it a step further, building a 30-week-long coaching journey that takes into account all of the data generated by our devices and walks you through the right routine to take control over your health. This is an optional feature in the platform, where you have a few of these very different programs. Some have to do with helping the consumer to understand and better manage their body composition, not just weight. There’s one about the pregnancy experience, offering advice and health monitoring. Another has to do with managing one’s hypertension. And we’ll be adding more to the existing ones, acknowledging different goals that you might have while using these devices. Medgadget: Can you tell us a bit about the scales and blood pressure monitors Nokia is now offering? Hutchings: As of the transition, we are introducing two brand-new products in our portfolio. These did not exist under the Withings brand and [were] unveiled on June 20th. The first product is a BMI-WiFi scale. We want to provide more choice and accessibility in our digital health portfolio, so that’s why we’re introducing this entry-level scale. It will retail at USD $59 and will be able to measure weight and compute your body mass index while maintaining connectivity with our platform and other devices through full integration with Health Mate. It has a patented technology we’re calling “position control,” which is a very convenient and different way of weighing accurately. Medgadget: I recall seeing a $100 scale on the Withings website. That’s a different product than this BMI-WiFi scale? Hutchings: It is. As of June 20th, we’ll have three scale products. Their names, respectively, are Nokia Body, Nokia Body+, and Nokia BodyCardio. The one we’re introducing is Nokia Body, the BMI-WiFi scale. Body+ is a body composition scale that retails for $99. BodyCardio is also a body composition scale that conducts measurements on cardiac health, and it retails for $179. Medgadget: Has BodyCardio’s ability to monitor cardiovascular health also been implemented in the blood pressure monitor? Hutchings: You are correct in identifying that our products are focusing on cardiovascular health. BodyCardio does it while you’re standing on a scale, and we’ve recently published in the American Journal of Hypertension reporting the validation of these measurements against a common product that happens to be in hospitals. So we are very proud to bring this level of accuracy and measurement into a consumer device.

Nokia’s original blood pressure monitor (left, BPM) and the newer Nokia BPM+ (right)

The blood pressure monitor only measures the pressure and heart rate, though. In addition to the Nokia Body scale, we are also launching Nokia BPM+, which is a brand-new, FDA-approved blood pressure monitor. It’s a flexible arm cuff, and unlike our existing model it’s much more comfortable, compact, and transportable. Medgadget: So the portfolio includes a blood pressure monitor, a set of scales (one of which has cardiovascular measuring features), and there are sleep monitors and activity trackers. Those all make sense from a digital health point of view. But why does Nokia’s portfolio also include video, air-quality, and temperature monitors?

Nokia Thermo

Hutchings: So, the temperature monitor is actually a core digital health device. Nokia Thermo is a touchless body temperature thermometer that could enable you to take a child’s temperature without having to wake them up. You can then have these measurements shared from the device to the profile of the user or parent. Nokia Home is a monitoring device that has video capabilities enabling a parent to watch over their children while they’re away from home. So you’re not only going to get a real-time video feed, but you also get a timeline so you can check what has previously happened. To make it more of a wellness product, we’ve added air quality control to measure volatile organic compounds. So it enables you to check on your kid’s safety and on their surrounding environment. We’ve also added a two-way audio feature that’s very relevant for parenting and baby-monitoring – you can directly speak, or remotely set some lullabies or turn on the child’s night light. Medgadget: What do you think distinguishes Nokia’s products and brand from competitors that carry similar devices? Hutchings: We believe that we are by far the most comprehensive portfolio of digital health devices. We capture measurements from both unregulated and regulated devices (such as the blood pressure monitors and thermometers). So we have by far the broadest portfolio, and it all works together in one single app. I believe we’ve been true to our values of beautiful designs that are very simple to use. This is absolutely key when you want to offer the best solutions for health monitoring, and even more important for generating actionable insights and coaching people with these products. Medgadget: What’s your vision for this field in the next decade or two? How do you think Nokia fit into that vision? Hutchings: There’s a shift from treatment to prevention. We believe that our collaborations with renowned partners in biomedical research, such as Mayo Clinic, UPenn, or University of Helsinki, will enable us to better develop and deploy solutions for better prevention, early detection, and early treatment of chronic diseases. Nokia is committed to blurring the frontiers between pure wellness, prevention, and chronic disease treatment to bring about holistic solutions. Check out Nokia’s digital health portfolio at health.nokia.com… Click here for the original post
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Digital Health, Fitness, mHealth, Sensors, Trends 2017, Wearables
  The movement within the wearable market is very clear. Demand makes that wearables are becoming less expensive and increasingly commoditized. Just better sensors is now no longer enough. Wearables need to be smarter and more useful. They need to analyse multiple data at once, or so to say, be more holistic. To do so, many wearable makers all over the world are focusing on AI-powered devices. However, there are still few areas where wearables (and its sensors) can have a differentiating impact for both the consumer and the clinical world. One surprising area, which can have this differentiating impact, is the area of sweat monitoring. Developing under the radar, sweat sensors have matured rapidly and are attracting increased investments as these technologies move quickly from lab to commercialization. Whispers on social media about the impact of these sensors are valid. As we see it, sweat is the future blood. Sweat gives access to a broad range of data. It can measure:
  • Biomarkers like sodium
  • Heath related issues like fluid loss leading to dehydration.
  • Potassium levels (affecting hearth beat)
  • Glucose level
And you don’t even have to prick your finger for measuring!! “Kenzen, a developer of a next-generation wearables platform that continuously monitors, predicts and prevents avoidable health conditions using non-invasive sweat analysis has raised $5 million in funding. Kenzen’s ECHO smart wearable patch continuously uses non-invasive sweat analysis to measure vital signs and motion sensors to predict and prevent avoidable injuries and illness. ECHO only needs the smallest micro-bead to perform an analysis of key biomarkers. Beyond water, this concentration includes electrolytes like sodium, metabolites, glucose, various molecules and proteins.”(Jasmine Pennic, 06/05/2017) wearables trends With this data we could completely change the way we diagnose and monitor health. It could optimize performance, prevent injuries from happening (by giving an alert when sodium levels are too low for example), give early notification before we get sick and with that save billions of dollars in healthcare. Some would say, the reason for health wearables to be here in the first place. Therefore, experts believe that sweat sensors could take health wearables to the next level. Well.. Only time will tell. The wearables have certainly come a long way since early innovations appeared in the market 10 years ago. We can witness powerful capabilities and multifunctional features, these articles are a reflection of that. A reduction in size, increased capabilities, enrichment in data sets and implantable techniques using sensors, are increasingly exploited.   Articles Used: The Most Surprising Wearable Trend Q2 2017 Sweat Is The New Blood: Why Sweat Analysis Is The Next Gen Of Wearable Diagnostics.

Kenzen Raises $5M to Expand Real-Time Sweat Analysis Wearable That Measures Biometrics.

 
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Digital Health, Healthcare, Partnerships, Wearables
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Digital Health, Wearables
It’s been over two years since I penned this article in Forbes and I believe that the story is even more relevant today.  And simply put, it’s coming down to one simple phrase–DATA TRUMPS THE DEVICE.  While many new trackers and devices are making their way to the marketplace, it’s my opinion that a central driving aspect of these innovation are based around algorithmic analysis.  That’s the big news.  The physical acquisition of these data are, in many instances, becoming less and less significant. However, we do see new and exciting “micro and nano-sensors” that combine data acquisition with a size that is barely visible.  An example is Profusa Profusa This innovative company directly measures tissue perfusion directly from the subcutaneous space to provide a real-time perspective on tissue health and viability.  And this is only the first step.  I expect that Profusa will lead the charge for a variety of micro-devices that live innocuously and benignly under the skin. Additionally, the advances in analytics and data storage will allow that vast amounts of data to be stored and processed–making them less a “technological pollutant” and more a critical aspect of managing health and wellness.

Yes. I did say nothing.

So, this is my take of the famous Seinfeld episode about nothing.  And in this case it applies to digital health and the ubiquity of wearables.  It’s my point here that all this commotion over wearables is a bit much.  Of course, it might be a necessary device to grow awareness, but I think the future of digital health is best captured with one word–nothing. Now, nothing doesn’t exactly mean nothing.  Of course the evolution of technology will create a tsunami of stuff–from gadgets to data–but the magic will be when it all just goes away.  And what’s left is that magic of transparent technology that gets a step ahead of us and transforms our lives.

Start with WEARABLES

We all have then.  Those huge, bulky devices that we (more often than not) forget to put on, charge and download.  Personally, I hate them (well, again I’m playing with language here.)  Well, I really have more of a love / hate relationship with them.  Wait.  No, I hate them.  The dirty secret is the, at least from my perspective, is that wearable compliance is not very good.  And it might even mirror that non-compliance seen in those things we call pills.

digital-health-transition

Move to DERMALS

Now we have a decal, temporary tattoo or some other “body mark” that makes the wearable seem nothing more than funky jewelry.  And that’s still a cool place to be.  But interesting new dermals will be used in long-term and short term scenarios.  For example, the temporary dermal patch might be used to track body temperature (infection) when someone is treated with an antibiotic.  And aren’t tattoos all the rage?

Swallow hard, it’s CONSUMABLES

Thanks ProteusHealth and some of the other big thinkers out there.  So, the future might just take us beyond sticking something on your skin. Nanotechnology will find its way into your body via a route that makes today’s “implantable” seem almost horrific.  I have to cancel that colonoscopy.

Then NOTHING.  Just your life

Of course, wearables, dermals and consumables will have a place in our digital health armamentarium of the future.  From cost considerations to practicality, my Fitbit and Basis might stay in vogue–like my Rolex.  But (like my Rolex) they won’t keep the best time (or data).  The future belongs to the sensor that you don’t notice.  It’s the sensor that’s built into your life and not attached to it.  It’s the sensor that’s build into your bathroom mirror that tracks your ECG with diagnostic accuracy.  It’s the sensor that’s build into your toothbrush that looks for cavities and the potential for systemic bacterial contamination that begins in your mouth.  It’s the sensor that you stand on (build into your tile floor) that measures your weight and body fat.  It’s the sensor in your toilet that measures and tracks a host of body chemistries–from glucose to blood.  It’s the sensor that’s build into the steering wheel of your car that tracks blood sugar and pulse. It’s these sensors that you don’t even notice…until the SENSOR wants you to. The future of digital health my belong more to the companies like Kohler, KitchenAid and Ford. These companies now own less a product and more a room or experience. And as digital health searches for the place to belong, it will find unexpected companions and end up in places that we never imagined. So, it started with this big idea around wearables.  And yes, they are cool and even a bit fashionable.  But they are doomed.  And their loss can be the gain (and transformation) of digital health.   John-Nosta Author’s Bio: John Nosta (@JohnNosta ) DIGITAL HEALTH Evangelist, he is the Founder of NOSTALAB- a digital health think tank with a focus on health, medicine and technology. His current passion is to advance the role of social media and technology in healthcare. He is currently the #1 Kred-ranked health influencer and in the top .01% of influencers in marketing, health, doctors and social media.
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Digital Health, Wearables

The Market Landscape

Before talking about security in healthcare is better to analyze the digital health market. Wearable connected devices are becoming omnipresent, and fitness trackers were extremely popular in the past few years contributing to its major growth. Research conducted by Parks Associates suggests that more than 78 million wearables were sold worldwide in 2015; by 2019, the fitness tracker market is set to top $5bn. wearables-digital-health Fitbit, Jawbone, Xiaomi, Misfit, Withings and Garmin have all become household names thanks to an ever-increasing thirst for insights about our own physical performance. The range of measurable variables is already phenomenal, from basic metrics like the route and speed of your travel, to heart rate, respiratory rate, skin temperature, ECG (heart activity) and even posture during activities. And that’s just the start point; many new devices are looking at more detailed information and health data such as pulse and breathing variability, mood and EEG (brain activity) which in turn will support healthcare and help medicals professional with numerous health conditions. It’s worth observing that these fitness trackers are still consumer orientated products. They may inspire design trends and provide fun ways to follow activity progress, but their rightful place is in the gym or on the field of play, not the GP’s office. However, a new trend is telling us otherwise, the industry has come a long way since Fitbit launched the first fitness band tracker in 2009. Emerging trends are now more evident such as predictive & preventative wearables and medically capable ones. As example of this you can read more about the future of wearable sensors that can detect heart failures

Major Challenges & Opportunities

A major challenge for wearable tech is battery power. With devices shrinking so drastically, how can they be reliably powered without requiring constant recharging or regular battery replacements? Energy-harvesting technologies take things one step further, bypassing the need for recharging or replacement. Reliability is also an issue if consumer devices are ever going to cross over into medical applications. In fact, the one clear negative impact wearables may pose for GPs is a misunderstanding by patients regarding the reliability and potential for self-diagnosis with these types of device. This is a delicate issue as data errors can put at risk patients’ lives, we are now talking about medical interventions not merely fitness recreational usage. runner-wearables One of the other main challenges is long term engagement, the devices sometimes are adopted as novelty and new exciting proposition, in other words they can be perceived as fashionable to many modern technology lovers, therefore they’ll use them. However, in the long run they many encounter a lack of enthusiasm further down the line and the sustainable desired engagement is not there anymore.  That leads me to think that the intrinsic motivation wasn’t there or it wasn’t the right one to start with when the user adopted the wearable. Another challenge that manufacturers are now trying to combat is adapting to human failure, what I mean is that human beings are imperfect creatures, we forget things, break patterns of behaviour, change habits, ditch the right thing for the wrong thing, adding another layer of complexity to the wearables adoption and sustainability. Therefore, blending wearable technologies into clothing, indispensable day to day gadgets and other existing ones, this is now certainly a new trend to watch for. Samsung Electronics clearly expressed its intentions to develop ‘wearable healthcare devices’ as its new business item for the future instead of robots that LG Electronics and other rivals are paying attention to. It is said that wearable devices which can utilize the strengths of AI software more effectively are more suited for the future health care market than the hardware roles of robots due to aging society. Read more insights about Samsung plans to focus more on wearable devices for healthcare  

Security Threats

digital-health-security From data point of view wearables are collecting more and more data with higher accuracy due to their increased computing power, memory and software evolution. The threats in my view can be of two kinds: 1) attacks to these devices (hacking), which is typical to the IoT world in which devices are connected but have less capability to implement highly efficient protections. The example of IP cameras which have been hacked and which created a DDoS attack in US can be applied to any connected device. 2) the increased data collection and exchange among devices and cloud services, raises concerns about what data can reveal and how it’s used. The location, heart rate, blood oxymeter, even physical activity can reveal the health status of a person. However this data is not threated as sensitive data. Usually producers choose the strategy of hiding in the grey area of wellbeing. Jovan Stevovic – CEO at Chino.io (a Platform that helps developers to build and deliver globally their digital health apps with security) states “ the EU regulation is quite clear on this – Article 29 Working Party Opinion, an EU body with advisory status, provides a more detailed definition, which defines health data as:
  • Medical data providing information about the physical or mental health status of someone (the data subject), generated in a professional medical context.
  • Raw data collected by apps or devices that can be used to induce, individually or aggregated with others, someone’s health status or health risk.
  • Data that can permit someone to deduce a person’s health status or risk, regardless of the accuracy, legitimacy or adequacy of this deduction”.
Lucas Moody, CISO at Palo Alto Networks, “ says security has to be baked into the Wearables and IoT devices – not be an afterthought”. The bloom of Wearables and IoT devices has security practitioners in the hot seat, with industry analysts suggesting a possible surge up to 50 billion devices by 2020. In conclusion, I believe that the industry is fast adapting and now we are seeing healthcare and many other industry verticals paying more attention to potential opportunities in using wearables technologies and IoT. However many businesses have not evaluated and considered the full panoramic view, which includes innovation opportunities, business models to be reformed and transformed, taking into consideration potential threats and most importantly bringing the right expertise to accomplish the rational of their businesses or projects at hand. This article was written by João Bocas – The Wearables Expert and published on February at Digital Health Legal Magazine For more information about João Bocas – The Wearables Expert check: www.thewearablesexpert.com

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Digital Health, Wearables

 The Digital Health Sector

Between 2014 and 2016, the use of digital health apps has doubled with more than 165,000 mobile apps available to consumers. With that comes the increases in the use of health wearables that has grown from 9% in 2014 to 21% in 2016. The health sector is determined to create new solutions that will reduce healthcare costs, improve practitioner’s efficiency, improve accessibility, and empower its patients with personalized care.

digital health solutions

However, despite the rise in interest and the growth of the digital health market, there is still minimal clinical proof to support the effectiveness of all these solutions.

There is a shortage of scientific evidence which has led to the hesitation of healthcare providers implementing their use in their practices.

Additionally, the integration of these solutions has been limited partly due to regulatory and privacy concerns.

The Barriers of Adopting Digital Health

With so many digital health solutions on the rise, it would be expected that there would be a wider implementation of them across all hospitals and by the majority of healthcare practitioners. However, this is not the case and the reasons why vary.

But one that was most common reasons highlighted is the frustration experienced by the users who do not understand how to use the app. A research revealed that seniors, despite benefitting from the technology the most, would not likely use the digital health tools simply because they were not user-friendly enough.

With digital health tools requiring manual data entry and the retrieval of data via the app, it demanded a technical understanding that was beyond the grasp of most seniors.

The proposal by researchers was to redesign the apps to have larger buttons and simpler interfaces making the user experience much more pleasant and the application easy to comprehend. An additional function would be explanations to educate the patient on the benefits of the tasks.

The Recommendation

Another study is showing that a much more successful approach would be to have a dedicated team to offer offline training on the use of the tablet and app. Such was the case with a medication adherence app where coronary heart disease patients who took part in the study.

Each patient who was personally coached on how to use the app went on to say that they preferred the app over using paper and pen to journal their progress.

Clearly, while the advances in technology are impressive, its effectiveness is only attainable through the proper instruction of its functionalities to its users. Developers of digital health tools should take into consideration how to not only make the technology user-friendly but how to easily integrate them into daily routines through preparation and instruction.

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Digital Health, Wearables

Why we need a Digital Health Revolution

The emergence and increased severity of chronic illnesses around the world has grown to exponential heights in comparison to the last fifty years of medical analysis. The existence of chronic diseases are crushing the Healthcare sector and the resources therein, and subsequently creating socioeconomic issues within the diaspora as the government, patients and insurers are faced with the burden of paying higher costs for medical services. We have a major crisis on our hands, one which not only declines the population’s status of health, but also lowers the potential productivity of said populace. In light of the aforementioned, it is in the best interest of all to revolutionize the current Health Care systems in hopes of changing the trajectory of the potentially disastrous outcomes. Digital Health RevolutionAround the world, unhealthy lifestyles and aging populations have strongly influenced the constant recurrence and prevalence of chronic diseases. This category of illnesses place a strain on healthcare providers and the healthcare system at large, due to the high volume of hospital visits and admissions by ailing patients. Strategically speaking, healthcare providers have what may be considered as a normal range of activity within which patients are anticipated to operate. However, those who require long and resource-intensive treatments undoubtedly use up intensive care resources that were initially set aside for the interest of other insured patients. This growing problem has led to the drastic reduction in available resources and the imposition of limitations in regard to certain treatments.  

Healthcare Protection

Tactics employed to protect health care systems and their resources have sufficiently lessened the availability of the once prevalent resources, and in direct proportion, have increased the growth of people with chronic diseases. In the near future, it is clearly foreseeable that if no radical intervention is initiated, this downward spiral will only increase the intensity of the detrimental effects suffered by all involved. healthcare revolution Sadly, despite the wondrous advances in medicine and technology, health care continues to fail as it is unable to provide what its customers truly need. Regardless of the increasing complexity and best intentions of doctors and nurses involved, they can no longer guarantee the provision of the best care practices to ailing patients. Fixing health care will most definitely require a radical shift from current health care practices that are individual based, to a strategic approach that embraces a team-based way of work.  Although many physicians are anxious about the reduction of money, autonomy and respect; accepting new organizational structures, payment models and performance goals; could possibly create a level playing field for both insurers and patients. To catapult this change, leaders from all sub-divisions of health care must draw on their reserves of courage, resilience and optimism; and stand up for what they believe in. They must make it a point of duty to be aware of the economics and social capital relations which define how they are paid, and be willing to cut ties with companies who are solely driven by monies acquired as opposed to the improvement of outcomes and efficiency of service. Conclusively, in the writings of sociologist and economist Max Weber, four major considerations of social action which have been adapted for healthcare improvement includes: shared purpose, self-interest, respect and tradition. These levers may be manipulated to bring about the changes, which the system so desperately needs. This article was published by our CEO João Bocas via  HCITExpert Blog.
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