Smart health connected health, marketing or reality?

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This Friday, December 4, was the 7th edition of the Media and Health conference at the Timone Faculty of Medicine in Marseille. And this year, the theme of this event was none other than smart health connected health.

Health is a delicate subject to raise with the public. He must be aware of new approaches, practices and technologies developed. This is why the Media and Health conference makes it possible toprovide answers through round tables to which leading specialists are invited.

What is a smart health connected individual?

During this first round table, the specialists were able to give a first vision of what the smart health connected health and the different tools available to patients. Stéphane Angeli, a diabetic patient, was also present to testify. The opportunity to answer a first question, what is a smart health connected individual?

A smart health connected individual is therefore a individual who measures himself. A diabetic patient for many years, Stéphane now has an application on which he writes his daily results. smart health connected directly with a platform in Paris, collected data is stored and monitored by a nurse. Thus, in the event of a problem, the latter is able to contact the patient and watch over him permanently. Be careful though, this does not replace the diabetologist.

It is then the specialists' turn to talk about the solutions that exist for patient monitoring. Professor Pierre Teillac, Urologist, is preparing to launch a site for telemedecine. The idea is to have a remote consultation and at the same time obtain a prescription in a secure manner. The goal is to be able free up medical time for emergencies.

We then learn that according to SOS doctors, out of 100% of patient examinations, in only 20-25% of cases, it brings something to the patient. There are therefore 80% of exams that can be done via the internet. Of course, such a change requires time and education since it must be understood that this should in no way eliminate medical houses.

For Carlos Jaime, general manager of the health division of Samsung Electronics France, there are different market categories when we talk about health. First the wellness market which includes activity trackers and other smart health connected bracelets that provide no real information, the market of people who suffer from real pathologies and finally the market of those who need to be accompanied after surgery.

smart health connected objects, you have to know how to differentiate gadgets from those that have real utility

What then are these smart health connected objects for? AT quantify. Measure his blood sugar, cholesterol, followed by weight, we talk about coaching and preventive medecine.

It is therefore time for Patrice Bendahan, founder of ESPHI, to present his smart health smart health connected object, UPULSE. This allows for a complete analysis and assessment of physical abilities someone to suggest the best program. It is clear that in today's society, people pay attention to their physique, but bracelets do not provide any solution, just monitoring performance. This is then perceived as a gadget. So you have to bring a added value, expertise. This is why UPULSE is aimed at professionals in the sports world.

Other smart health connected objects are emerging and promise real progress in the field. We are thinking in particular of MOCAheart, which we recently presented as Startup of the week or Auxivia which manages to detect behavioral problems thanks to its smart health connected glass. Progress is everywhere, you just have to develop the right tools.

And as a health professional, Hervé Collado knows him well since he was the sports doctor of the French women's football team. For him, smart health connected health will open up new possibilities, so the question does not arise, it must be adopted.

<img class = "aligncenter size-full wp-image-12360″ alt=”different activity trackers” width=”350″ height=”200″ src=”https://www.ABSMARTHEALTH.com/wp-content/uploads/2015/12/traqueurs-dacticités-gadgets-ou-utililes.jpg”/>

Technology isn’t the problem, it’s the use that everyone makes of it which is important. People who use bracelets and smart health connected devices as a follow-up must be careful and do not underestimate the place of the doctor. A 70-year-old senior who begins to do sports, with every interest to consult before embarking, rather than trusting his bracelet. The objectives and limits remain essential elements to set up with a professional, high level sportsman as a beginner.

TheE-consultation represents a great opportunity, but it must be taken into account that it applies more easily to certain cases. Diabetes, for example, is a disease that can be measured, which is very much based on numbers. monitoring by E-consultation therefore easily lends itself to this case. As for the others, this will go through a education, especially in the villages. A question then arises, how to respond to 1000 emails if an influenza epidemic occurs?

It’s in this specific case that the idea of platform makes sense.

Should a label be put in place?

What is the credibility of an application? Again, it is not so much the technology that is the problem, but its use. For Carlos Jaime, everything that is available at the medical level should be marked with CE logo. Not all applications are effective, there are only a few medically validated (about 5%).

When it comes to the medical health home on the net, you're going to have to get all the official authorizations. We no longer speak of labels. If we take the example of a village, this website will allow all doctors to connect with patients and therefore treat a sick person in Marseille by a doctor based in Strasbourg while sending the results of the consultation to the attending physician in question.

What to do if the internet stops working?

In the case of a consultation on the internet, what if the internet breaks down on the same day of the appointment? A relevant question to which professionals agree that, as in the case of a doctor absent in a medical health home, just make an appointment.

It is therefore important for them to point out that the service and the patient experience at the moment is very poor. With l'E-health, this should evolve quickly. The most telling example of improvement is when someone who is exhausted after a long day at work can see their doctor from health home.

What support should be used for these consultations?

It seems more than obvious that with such practices and exchanges of personal data, the security and medical confidentiality issues arise. The use of Skype or sending information by email is therefore banish in such cases. We will have to create an application, highly secure platform.

smart health connected health, a step towards a new economy

A consultation is currently expensive for the health system. Thanks to E-consultation, the only price will be € 23 for the consultation and the price of the connection. It is then a undeniable economy especially in the case of medical transport costs which amount to 4 billion euros per year. The patient will therefore be comfortably installed at health home, and will no longer have to make tiring and sometimes even unnecessary journeys.

Are we heading towards a world of people unable to fend for themselves when problems arise? It is true that people risk losing the habit of performing tasks independently, but it is essential to educate them well so that it does not happen. A person with diabetes will be able to inject yourself with insulin if the device that provides it automatically breaks down.

It is then time for those present in the room to ask their questions, which turned out to be numerous given the many upheavals that such technologies will bring.

What about abroad?

In the USA, 87% of patients search the internet before going to the consultation. 50% do what is called self-medication because of the current health system. In France 40% of people who practice self-medication postpone their appointment.

In Switzerland, there are Medgate, "The largest telemedicine center operated by doctors in Europe" as indicated on the site. And the numbers are impressive since it can go as far 4,300 teleconsultations per day and that Medgate has registered 5000000 of these consultations since 2000. We are talking about a cultural revolution at the medical level. It still remains to educate nurses and other people using this solution to provide the right answers at the right time.

With technologies that are always evolving faster than practice, how can you not be overtaken by progress?

It is true that technology is constantly gaining momentum in the field of medicine. So it’s important to get started gradually so as not to bring too great upheaval to the patients. Today, it is a question of clearing the ground, because it is essential to know the instruments before any use.

In the case of smart health connected objects, the major advantage is to give Goals to the patient to accompany him. While we all know how important it is to play sports, it is not enough to motivate yourself.

What about the use of Big Data and algorithms?

There is currently a certain "doctor Watson Created by IBM. It is a diagnostic aid for the doctor who will sort data so that it’s not overwhelmed with an overwhelming amount of information. The objective, to make ultra personalized medicine while being vigilant about security.

The hands continued to rise in the room, the people present being concerned for the future of health, but for lack of time some will not find an answer. A first interesting round table which therefore allowed us to take a tour of the current state of smart health connected health and what awaits the patients of tomorrow. To find out more about this 2015 edition of the Media and Health conference, go to this site.

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