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Quelles sont les nouvelles solutions d'auto-diagnostique? Les réponses de Daniel Kraft, de la Singularity University. Via Rémy TESTON, Philippe Marchal, Lionel Reichardt / le Pharmageek 
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In 2015, the most recent year for which data are available, just 72% of U.S. toddlers had received seven key vaccines recommended by the Centers for Disease Control and Prevention. Together, these vaccines protect against 11 potentially deadly diseases. Perhaps the subpar number is not surprising: As once-common diseases of childhood fade from public view, it is understandable that parents' attention would shift from the fear of disease to concerns about risks of the vaccines themselves. The articles in this issue debunk myths old and new about these risks; acknowledge the real, rare vaccine injuries that do occur; and explore what's known about what works to persuade vaccine-hesitant parents. And the graphic data on this page serve as a powerful reminder of the power of vaccines to vanquish disease.
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I thought the visit went well. I walked in with a warm hello, shook hands, introduced myself, sat down, and began to listen. No computer screen was open
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Effective health care requires physicians tailor care to patients' individual life contexts, including their financial situation, social support, competing responsibilities, and cognitive abilities. Physicians, however, are poorly prepared to consider patients' lives when planning their care. The result is measurably harmful to individuals and costly to society.
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Digital tech allowing patients to manage long-term health conditions is saving the NHS cash and transforming lives. In a shed next to his Portsmouth home, former soldier Paul Quinn plugs into state-of-the-art technology, costing only £20 and operated through his iPad, to manage his chronic, life-threatening respiratory disease. He exercises there with his wife Elizabeth, guided by printouts of routines he has pasted to the walls.
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How healthy is your heart? Use this tool to find out if your heart age is higher or lower than your actual age.
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What’s the first thing you do when you wake up in the morning? If you’re like millions of Americans, you roll over, grab your phone, check your email and visit your favorite social media sites. Many use social media sites like Facebook, Twitter, Instagram and LinkedIn for entertainment, to network for business, as their daily news sources or as a way to keep in touch with friends and family. It should come as no surprise, then, that physicians are utilizing social media as a means to connect, share and learn from other physicians. As a physician yourself, if you have a moment throughout your day to engage in social media, you may want to strongly consider learning about the following five most popular social media sites for those in your position:
Doximity is like Facebook for physicians, connecting physicians to other physicians they already know. The company claims to be the largest medical professional network in the United States, with more than 60 percent of clinicians as members. The site boasts functionalities and features such as HIPAA-secure communication, a job board, tools to earn and track CME credits and data on compensation trends for a provider’s specialty and geographic area.
Sermo is one of the biggest, most successful social networks for doctors to collaborate globally. It’s a physician-only site that is often called a “virtual doctors’ lounge,” allowing providers to anonymously ask questions about anything and everything, including the practice of medicine and business management.
DailyRounds is a clinical case site for doctors and medical students. DailyRounds presents clinical cases in a journal-like manner so that physicians can read about short cases and even share some of their own.
Ozmosis verifies the identities of its members to ensure that only U.S. licensed physicians join. Once members, physicians can access knowledge feeds that are similar to Facebook’s friend feed. These knowledge feeds provide continuous updates of new journal clubs, cases, questions and videos.
QuantiaMD is an online community with more than 200,000 registered members. An active community, these physicians learn from faculty members who teach at some of the top medical institutions. Physicians can participate in short expert presentations and collaborate with each other to deliver better care for the patients they serve. Online communities provide physicians with access to countless resources, including articles, experts in the field, colleagues and networks. These sites also give clinicians a place to share cases, disseminate research and engage in health advocacy. As technology is constantly changing and social media sites tend to come and go, some sites will likely die out and be replaced with newer, more robust solutions. No matter how long these sites last, however, social media sites can play an important role in the advancement of healthcare and will undoubtedly shape the way physicians share information, ideas and career interests. Via Plus91
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LONDON, United Kingdom — Stocked with cold pressed juices, fresh salads and healthy snacks, Mother’s innovative vending machines are turning the notion of convenience food on its head. Launched in 2014 in London, the ground-breaking machines, filled with healthy and nutritionally-balanced food, can be found in various locations across the capital, including Amazon’s headquarters and Tower 42. Using bespoke technology to produce a streamlined and interactive experience for users, the intuitive 22 inch touch screen found on each machine, displays high-res images that reflect the physical location of the items on offer as well as showing their dietary values, which can be filtered to meet the requirements of each customer.
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Pour Arièle Billat, patiente à l'institut Paoli-Calmettes, il est essentiel d'instaurer un dialogue soutenu avec les équipes soignantes afin d'exercer, à certaines étapes du parcours de soin, son libre choix. Suis-je la mieux placée pour décider de ce qui est bon pour moi? Selon d’où l’on entend cette question, on peut y voir soit une évidence – qui rejoindrait en quelque sorte l’adage selon lequel on n’est jamais si bien servi que par soi même – ou, au contraire, si l’on se met dans la position d’une patiente atteinte de cancer, on aura pour premier réflexe de trouver cette question nulle et non avenue: le cancer est une maladie trop grave et compliquée pour que moi, femme et malade, confrontée à ce séisme dans ma vie, je puisse imaginer avoir les cartes en main. On se dit d’emblée que l’équipe soignante, l’hôpital à qui je confie mon corps malade et mon incertain avenir, savent mieux que moi ce qui est bon pour moi. Autonomie et maladie ne font pas bon ménage… Via catherine cerisey
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Patients seem to embrace the idea that more frequent communication with their provider via digital tools could lead to improved health. If given the option, 64 percent of survey respondents said they would submit personal, real-time healthcare information to their provider, although that willingness to share online varies between ages.
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The internet has transformed our lives, particularly in the way we access information and communicate with each other. Today academic physicians have more tools than ever in the form of social networking and other online resources to disseminate their scholarly work worldwide. Some of these sites even provide analytics that can help academic physicians measure and report their reach, and these metrics may be useful when filing for promotion. Via Plus91
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The plan, which is supported by the Royal College of Midwives, is part of a wider drive to discourage cigarettes at hospitals Millions of people will receive devices and apps free on the NHS to help them manage conditions such as diabetes and heart disease in an major drive to use technology to reduce patient deaths. NHS England’s chief executive, Simon Stevens, has backed the move as a significant expansion of self-care that could help prevent patients becoming seriously unwell and needing hospital treatment. He wants people who already use apps such as Uber or Airbnb to show the same willingness to embrace digital technology that could alert them to the possible onset of a stroke, heart attackor deadly infection. The NHS will start making them available to patients in England from next year. If widely adopted, they could save tens of thousands of lives a year, Stevens said.
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Technology is revolutionizing our understanding and treatment of disease, says the founding director of the Icahn Institute for Genomics and Multiscale Biology at New York’s Mount Sinai Health System. Most companies make a conscious and deliberate decision to embrace digitization and the information revolution. Yet the role of big data in medicine seems almost to compel organizations to become involved. In this interview, Dr. Eric Schadt, the founding director of the Icahn Institute for Genomics and Multiscale Biology at New York’s Mount Sinai Health System, tells McKinsey’s Sastry Chilukuri how data-driven approaches to research can help patients, in what ways technology has the potential to transform medicine and the healthcare system, and how the Icahn Institute is building its talent base. An edited transcript of Schadt’s remarks follows
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Every day, hospitals and ASCs (ambulatory surgical centers) strive to improve the patient experience and get the best outcomes possible. In utilizing sentiment analysis and marketing, they access data that helps them optimize the patients’ experiences and track response to services real-time. What is Sentiment Marketing? Sentiment marketing begins when you start addressing the comments your patients' make based on the results of your sentiment analysis. Sentiment analysis refers to technology that helps marketers determine and understand the emotional tone of online responses to brands and marketing campaigns. Sentiment analysis or opinion mining makes use of algorithms and new technologies to classify and analyze opinions about your facility. However, it does not stop at opinions, it analyzes attitudes and emotions expressed in each comment. Sentiment analysis reads more into every response and draws the true meaning behind the words. Sentiment analysis helps marketers make sense of social media opinions. You get honest and real time data without the additional expense of reaching out to your audiences for feedback. Additionally, it does not focus on the loudest or most aggressive voices. You can access the opinions of your entire audience for a realistic and holistic assessment. The Future of Marketing As technology and consumer trends change, medical marketers must shift their focus to creating holistic experiences that appeal to their patients with emphasis on two focus areas: Brand Strategy Sentiment analysis allows you to track more than just your business; you can monitor industry trends and your competitors, helping you improve your brand strategy. Proper utilization of sentiment analysis and big data analytics allows you to personalize and improve patient experiences, which improves loyalty and ultimately, revenues for your facility. Predictive Analytics Predictive analysis helps you track and identify patient behavior from data available on social and open-source platforms. With this data, you can predict patient expectations and create experiences that meet their needs in a timely fashion. Sentiment Marketing in Hospitals and ASCs Online reviews, ratings and HCAHPS scores play an important role in helping healthcare providers asses their patients’ experiences. With sentiment analysis, your facility can use the data to edge out competition by optimizing experiences based on patient needs. The sentiment analysis strategy allows you to classify comments from patient surveys and online comments into categories such as nursing, physicians, pain management, discharge, facilities, and services. With the data, you can now create an integrated patient experience that allows you to: Quantify performance – Scoring comments helps you quantify the patient experience and identify areas that need improvement. Get In-Depth Insight – Converting opinions into data gives a deeper understanding of factors affecting medical care reimbursement and performance of individual factors in the patient experience. Motivate Staff – For example, with access to over 20 percent more positive comments than negative comments, you have enough data to encourage your staff to keep up good habits. Negative comments also challenge the staff to work toward creating a more positive patient experience. Patient Satisfaction and the Revenue Cycle It is well recognized that patient satisfaction is directly related to a patient's commitment to pay. This is especially important during a time when patients' healthcare costs are rising. Therefore, it is in the best interest of every hospital and ASC to make their patient's experience a priority. Hospitals and ASCs with a well established marketing strategy and who are looking to make patient satisfaction top of the line, should consider sentiment analysis as the next step for taking their services, and likely the success of their patient collections, to the next level. Topics: medical marketing, sentiment analysis, patient satisfaction, sentiment marketing, patient insights, healthcare marketing, patient experience Via Plus91
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Inequality isn’t all about income. Here’s a guide to different ranking systems – from wealth distribution to the World Happiness Report – and which countries rate best and worst under each. Measuring comparative levels of global inequality is far from straightforward. Is it fair to focus only on financial inequalities, or should we consider quality of life too? If so, how do you measure it? There are three key measures of financial inequality: income, consumption and wealth. Usually, the term inequality is used to mean income inequality, as it’s the basis for most measures and the best documented of the three.
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Des groupes de malades, comme les entendeurs de voix et des personnes atteintes de la maladie de Huntington, militent pour la prise en compte, par le milieu médical, d’un savoir fondé sur le vécu. Ils brouillent les frontières entre normal et pathologique. Via Lionel Reichardt / le Pharmageek
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By the time KS entered college, her world revolved around the gym. No sooner would she finish a lecture than she would dash to the campus fitness centre. She would feel anxious if she missed a workout and would go no matter how tired or busy she was. Travelling was very difficult because of her obsessiveness about her exercise routines. She lost many friendships and career opportunities because she was barely available outside her exercise schedule. By the time she was 26 years old, KS had weathered two herniated discs and a stress fracture and had persistent exhaustion.
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Some of the starkest examples of inequalities come from life expectancy statistics. We can see differences over time (eg Scotland’s declining rank in global comparisons) and between areas and populations (eg differences between areas across the UK). The differences are even more apparent looking at healthy life expectancy. Looking at individual conditions (eg mental health), differences in life expectancy are even apparent in Scandinavian countries. Inequality is a challenge across the world.
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Smokers should not rely on e-cigarettes to give up the habit due to a lack of evidence that they effectively help people to quit, the Health and Information and Quality Authority (Hiqa) has said.
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From
natiper
Dove va il mondo? E cosa succederà nel 2017? Quali saranno i temi su cui puntare e quali le emergenze? Un buon modo per capirlo, senza la pretesa che sia la verità, è leggere i report che ormai da qualche anno sono realizzati dalla Fondazione Britannica Nesta e dalla Ford Motor Company . Entrambi guardano con (cauto) ottimismo al futuro perché negli ultimi cinque anni la creatività e lo spirito d’intraprendenza hanno guidato il mondo nell’innovazione del mercato e della società.
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Background: Digital therapeutics are evidence-based behavioral treatments delivered online that can increase accessibility and effectiveness of health care. However, few studies have examined long-term clinical outcomes of digital therapeutics. Objective: The objective of this study was to conduct a 2-year follow-up on participants in the Internet-based Prevent diabetes prevention program pilot study, specifically examining the effects on body weight and A1c, which are risk factors for diabetes development. Methods: A quasi-experimental research design was used, including a single-arm pre- and post-intervention assessment of outcomes. Participants underwent a 16-week weight loss intervention and an ongoing weight maintenance intervention. As part of the program, participants received a wireless scale, which was used to collect body weight data on an ongoing basis. Participants also received A1c test kits at baseline, 0.5 year, 1 year, and 2-year time points. Results: Participants previously diagnosed with prediabetes (n=220) were originally enrolled in the pilot study. A subset of participants (n=187) met Centers for Disease Control and Prevention (CDC) criteria for starting the program (starters), and a further subset (n=155) met CDC criteria for completing the program (completers) and were both included in analyses. Program starters lost an average of 4.7% (SD 0.4) of baseline body weight after 1 year and 4.2% (SD 0.8) after 2 years, and reduced A1c by mean 0.38% (SD 0.07) after 1 year and 0.43% (SD 0.08) after 2 years. Program completers lost mean 4.9% (SD 0.5) of baseline body weight after 1 year and 4.3% (SD 0.8) after 2 years, and reduced A1c by 0.40% (SD 0.07) after 1 year and 0.46% (SD 0.08) after 2 years. For both groups, neither 2-year weight loss nor A1c results were significantly different from 1-year results. Conclusions: Users of the Prevent program experienced significant reductions in body weight and A1c that are maintained after 2 years. Contrary to the expected progression from prediabetes to diabetes over time, average A1c levels continued to show an average regression from within the prediabetic range (5.7%-6.4%) initially to the normal range (<5.7%) after 2 years. Further investigation is warranted to test digital therapeutics as a scalable solution to address national diabetes and cardiovascular disease prevention efforts.
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Les sodas « light » et les sucrettes sont prisés car ils apportent peu ou pas de calories. Mais les dernières études montrent que leur consommation augmente le risque de diabète de type 2.
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Presented at the 2016 American College of Surgeons Leadership and Advocacy Summit, April 2016, Washington, DC
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From
waracle
The digital healthcare sector is currently undergoing an astonishing transformation. The advent of the Internet of Things (IoT), connected devices and wearables are enabling patients to make informed decisions in relation to their own health. Wearable technology is actively being used by healthcare providers to enhance the patient/clinician engagement process and improve healthcare outcomes for patients and sufferers of chronic diseases. Forward thinking healthcare providers are now looking for ways to leverage the power of mobile technology, and particularly wearables to provide meaningful answers to complex health problems. Today we’re exploring how wearable technology is transforming digital health.
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A "truly tobacco-free NHS" needs to be created to help smoker patients quit their habit, health officials say. Only one in 10 hospitals enforces a smoking ban outside health service buildings, and Public Health England (PHE) wants all hospitals to offer help to quit as part of patients' treatment. More than a million smokers are admitted to NHS hospitals every year. PHE chief executive Duncan Selbie said it was not about "forcing people" to quit, but was about "helping people". A recent report by the British Thoracic Society said 25% of hospital patients were recorded as being "current smokers" - which is higher than rates in the general adult population (19%). Its other results included:
Via Jeff French
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