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Innovations in Healthcare 21st Feb 2009 Shyam Bedbak Initiatives by Microsoft and Google • • An effort to integrate IT and Healthcare Will integrate and use the following resources: – Internet search tools – Records of health of patients – Resources available online • • • Based on the concept of ‘Mass consumerization of health information’ People are increasingly using internet for information on health and looking for advice Current situation: – Electronic records form only 20% of the total records – Usually controlled by doctors, hospitals or insurance cos – 58% people actually look up for medical advice/information before coming to the doctor • In future: – Consumers will control more of information – Will have customized ‘health profile’ and ‘health guide’ • Problems: – Privacy issues of the health records – Getting the required storage, search customization and networking to generate results • Companies like WebMD are already working on this R&D: Mixing drugs to get new ones • Mix two old generic drug to make a new medicine • Though crude and trial-and-error type, the process is very cheap • Presently, companies are struggling to develop new drugs and fill the pipeline • Orexigen Therapeutics of San Diego, recently went public based on the prospects for two combination drugs it is developing to treat obesity • IT can play a key role in this – Robotic drug screening technology – Creating thousands of pairs everyday • Alexis Borisy has had substantial success in the field – 8 drugs have proceeded for clinical trials in last 7 years • Biochemical pathways in treating a disease are multiple Combining IT, Healthcare and Gaming • Product – DiaBetNet • For taking timely measurements of sugar levels in blood – Children were given bonus points in the game for checking their blood levels – Otherwise, its difficult to make young patients prick for testing sugar levels 4 times a day • Much better monitoring observed in the set of children with this device as compared to others without the device Source: http://ttt.media.mit.edu/impact/diabetnet.html Smart Tablet PCs • Book-size device • Has a built-in bar scanner – Can identify patients using this – Can track the progress of medications • Can store, access and update the records wirelessly – Hence, can operate from anywhere in the hospital • Advantages – Helps cut down on the paper work – Reduces medical errors – Improves efficiency Source: http://www.motioncomputing.com/products/tablet_pc_c5.asp Anaemedia • Problem – 20% of maternal deaths in India caused by anaemia – Anaemia leads to weakness, fatigue and reduced physical ability – Tests require blood samples in path labs – Inaccessible and costly for the most affected –rural people • Solution: Anaemedia – Prickless anaemia scanner – Rugged and dust resistant – Can be used by low-skilled village health worker • Compares values from the chart and recommends dosage Telemedicine in India • What is telemedicine? – A small health care centre with • PC with customized medical software • A few medical diagnostic devices e.g. ECG, X-ray etc – Medical reports of diagnostics sent to the superspecialty hospital – Reports are analyzed and treatments recommended through video conferencing Source: Bagchi S (2006) Telemedicine in Rural India. PLoS Med 3(3): e82 Recent Trends: Telemedicine as a solution • Connects doctors/hospitals with rural areas • Telemedicine network established by ISRO – Connects 22 super-specialty hospitals with 78 rural and remote hospitals – Covers remote areas like Andamans, J&K, Lakshadweep etc – Focuses on Community health and opthalmology Source: Bagchi S (2006) Telemedicine in Rural India. PLoS Med 3(3): e82 ISRO telemedicine project • Hospitals have to be government-run • Provides telemedicine equipments and required bandwidth on INSAT satellites • Bandwidth also provided to the private superspecialty hospitals if – Provide specialty consultation – Charge government rates • May open up this space for private player charging a fees for the bandwidth and other services – Will help to enhance reach Source: Bagchi S (2006) Telemedicine in Rural India. PLoS Med 3(3): e82