Afrontant la Transformació Digital

Explaining the BIG WHY

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To fully understand why there is a massive focus on digitization and we are constantly met with initiatives to digitize, we have asked a leader in Health Care to explain WHY it is so important and what we stand to gain from the digital transformation.

Watch the film and learn of the perspectives of a leader in Healthcare.

3 priorities

The European Commission published a Communication on the digital transformation of health and care. The Communication aims to empower citizens and to build a healthier society.

The Communication on the digital transformation of health and care identifies 3 priorities:

  1. Citizens’ secure access to their health data, including across borders, enabling citizens to access their health data across the EU.
  2. Personalized medicine through shared European data infrastructure, allowing researchers and other professionals to pool resources (data, expertise, computing processing and storage capacities) across the EU.
  3. Citizen empowerment with digital tools for user feedback and person-centered care using digital tools to empower citizens to look after their health, stimulate prevention and enable feedback and interaction between users and healthcare providers.

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What we have learned:

Implementing and working with technology takes time, practice and a change of mind-set because healthcare professionals are expected to adopt a form of digital literacy. Additionally, they must merge acquired digital competencies with their professionalism.

Better patient experience

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In 2020, an online database for evidence based telemedicine solutions in hospitals was launched. The database provides an overview of the effect of telemedicine solutions for patients in hospitals and is – as far as is known – the world’s largest of its kind. The database contains data extracts and assessments from more than 500 scientific articles. A study across more than 500 articles on the effects of the use of telemedicine solutions shows that the biggest gain is better patient experience.

How to use?

You can search the database and filter your search on medical specialties, technology, clinical effect or patient experience.

The search results are shown as tables with data on diagnosis, intervention, technology and results of the studies in relation to clinical effect, patient experience, economy and implementation.

The TELEMED database provides an overview of evidence based telemedicine in hospital settings and serves as an inspirational overview for clinical hospital departments looking for information on telemedicine as well as others who are interested in evidence based digital solutions in hospitals.

Method

Data on the site is derived from a systematic literature search for randomised studies or studies with control groups on the effect of telemedicine for hospital patients. The literature search was conducted in September 2019 by the

Centre for Innovative Medical Technology (CIMT) at Odense University Hospital and University of Southern Denmark. In 2022 the database was updated with data from articles published in 2019-2021 (Search conducted 01-09-2021).

The database has also been described in the Journal of Telemedicine and Telecare. Read the article The Hospital Telemedicine TELEMED Database [link: The hospital telemedicine TELEMED database: Providing information on evidence-based telemedicine services to hospital managers and healthcare professionals – PubMed (nih.gov)]. 

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Trends and expectations from citizens

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What expectations must healthcare professionals increasingly anticipate from citizens (patients) as a consequence of a more digitized society?

Looking at today and ahead

If we take a look at our society we can see that digital technology already is integrated in many parts of our lives. Therefore, we can only assume that future citizens will expect the same level of digital services in the healthcare sector. Moreover, we see a tendency of the citizen increasingly becoming a healthcare consumer who expects that his or her individual needs are taken into account. Here, we outline 4 future trends regarding the expectations of the citizens towards the healthcare sector:

Equality in the meeting with healthcare providers

Knowledge is becoming increasingly democratized meaning that information on disease and treatment is becoming easily available and citizens are generally more well-informed. Collection of citizen-generated data, e.g. through smartwatches is increasing significantly. A study from the Danish company Operate shows that 41% of 1.500 Danes collect health data on their own initiative and 60% of Danes agree that citizen-generated data will overall provide better treatment in the public health system.

The citizen therefore meets the healthcare professionals with the expectation that their own contributions will be taken seriously. Instead of a hierarchical relation where the healthcare professional is the expert, the citizens will expect a more equal cooperation with the professionals. Generally, the citizens are expected to have a more central role in their own treatment.

Connection between healthcare services

In many aspects of our lives, we are used to connected services. Payment for public transformation, where we pay for train, bus and metro with one ticket, digital identity connected to public digital services, digital communication, apps that connect to a smartwatch etc. In some countries more than others. This leads to expectations for cooperation between healthcare providers, data sharing and seamless connections between sectors and professionals. And even expectations of data sharing between the healthcare sector and one’s closest relatives, who might have an important role in one’s treatment.

When and where it suits me

Many people are getting used to online banking, internet shopping and virtual meetings through for example Zoom, Meet and WhatsApp. We buy groceries and takeaway over the internet and have it brought directly to our homes. In many places, we also see an explosion in self-measurement through smartwatches.

All in all, we are getting used to services being increasingly accessible to us at all times of the day and delivered in our home instead of us going to the service.

Expectedly, this will lead to increased demands for telemedicine and video consultations, chat, photo sharing, self-booking etc. which is already widespread in some countries. Also, treatment in your own home rather than in the clinic, home monitoring, use of wearables and patient reported outcome (PRO) data is likely to increase. In time, it is likely that there will also be a demand for drones for transportation of goods, blood samples etc. as well as robots for e.g. rehabilitation in the home.

Treatment and information adapted to me

In a time where gene sequencing is becoming cheap enough for most to afford and where personalized medicine is under rapid development, there will expectedly be a push for treatment, rehabilitation and even prevention adapted specifically to our genome, risk factors and personal preferences.

With the information revolution, we have easy access to information as well as artificial intelligence and algorithms, that predict our needs and preferences and personalize the services and offers, we are introduced to. This is widespread with services like Netflix, Youtube, TikTok, Amazon etc. Through social media groups like Facebook we have access to social networks targeted to our interests, where we can share information and experiences e.g. on treatment choices, medicine etc.

These tendencies implicate that we are decreasingly prone to be satisfied with general information on diseases and treatment that we have to access from a website or a brochure. We will expect to receive knowledge that is adapted and specifically relevant to us. In the jungle of information and misinformation, we will also need professional help to understand what is relevant and trustworthy information and what it means for us.

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Reflection:

  1. Which expectations should healthcare professionals anticipate from citizens due to the increasing digitization of society?
  2. Do you recognize the trends and expectations described?
  3. In what ways can you and your colleagues foster a more collaborative and equal partnership with patients, ensuring their individual needs and contributions are taken seriously?
  4. How can you improve communication and cooperation between healthcare providers and sectors to improve the overall patient experience and continuity of care?
  5. What challenges arise from the abundance of information and misinformation in the healthcare domain, and how can healthcare professionals provide guidance to citizens in navigating and understanding this information?