The role health informatics can play toward resolving the community health care crisis
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1 The role health informatics can play toward resolving the community health care crisis Associate Prof Andrew Stranieri Health Informatics Laboratory, Centre for Informatics and Applied Optimisation, Federation University Australia www.
2 Health Care System in Crisis
3 Global Health care crisis Indicator Indicator Shortage of HCP Malawi has 250 doctors for 16 million 6 week wait for General Practitioner in Ararat Australia Rise of Chronic diseases Diabetes in Australia 17% Diabetes in Sri Lanka over 12% Cost of health care Australia 12% of GDP US 17% of GDP Equity Indigenous Australians life expectancy 20 years less In US, low income
4 Trends and Impacts TRENDS World is in a Healthcare Crisis Co-existence of Allopathic and Other Medical Systems Telemedicine emerging Remote patient monitoring Online information Simulation Data mining Decision Support IMPACT Patient empowerment, choice Privacy, security challenges Disruptive technologies Challenges to legal systems
5 Co-existence of Allopathic and Other Ingestive Remedial Energetic Other Medical Systems Herbal Medicine Massage Acupuncture Dietary advice Nutritional Medicine Reflexology Aromatherapy Yoga Homeopathy Shiatsu Reiki Art therapy Naturopathy Acupressure Magnet therapy Music therapy Ayurveda Chiropractic Spiritual Healing Qi gong
6 Global trend: Co-existence of Allopathic and Other Medical Systems Co-existence (not integration) will continue because Emerging super economies of China and India have strong traditional medicines. E.g Ministry of Ayush 2014 TCM, Others already popular in the West, WM already popular in East TCM, others (in West) provides good models of patient empowerment Chronic (lifestyle) conditions resistant to WM
7 Incommensurate? Body-person. Physical Psychological Spiritual Energetic Illness. Caused by external agent Caused by internal imbalance Practitioner-patient relationship Passive...Active
8 Challenges/Research Ayurvedic Tridhosa entry Stranieri/Sahama(QUT)/ Perera(UC) Factors in selection decisions Stranieri/Sahama(QUT)/Golden Infographic for low health literacy PhD Leicester
9 Challenges/Research Comparing the incomparable How to support patients to choose a medical system? How to compare evidence bases? How to ensure IT is designed to support all medical systems? Golden/Sahama(QUT)/Others
10 Trends and Impacts TRENDS World is in a Healthcare Crisis Co-existence of Allopathic and Other Medical Systems Telemedicine emerging Remote patient monitoring Online information Simulation Data mining Decision Support IMPACT Patient empowerment, choice Privacy, security challenges Disruptive technologies Challenges to legal systems
11 ehealth: Telemedicine is emerging Tele-dentistry into aged care facilities. Brunswick, Stawell, Epping Tele-psychiatry with 3D Immersion. Cisco high bandwidth. RMH-Shepparton State Govt of Victoria funding, BEIP
12 Stranieri and Sahama 2014 ehealth: Telemedicine Tele-wound. Nurses in home to specialists Store and Forward Tele-oncology. Oncologist to Cancer nurse 2D video conferencing. Vidyo
13 Stranieri and Sahama 2014 Telemedicine and Crisis For telehealth application to succeed need confluence: Clinical case Business case Technological case
14 Remote Patient Monitoring Stream data from patients body wirelesses sensor network to cloud databases Health Care Professionals anywhere can access the data Applications. Falls, Ventricular fibrillation, post operative early detection of sepsis Remote Patient Monitoring needs new architectures Balasubsamanian, Stranieri et al
15 Challenges/Research Balasubramanian/Stranieri Shimmer sensor to Android to NECTAR Cloud to Doctor Login ANZ Medical Trustees Field Trials planned Kauvery Hospital, Chennai Ramasamy (RMK), Balasubramanian/Stranieri Real time ECG compression and forecasting PhD Alnaimi
16 Trends and Impacts TRENDS World is in a Healthcare Crisis Co-existence of Allopathic and Other Medical Systems Telemedicine emerging Remote patient monitoring Online information Simulation Data mining Decision Support IMPACT Patient empowerment, choice Privacy, security challenges Disruptive technologies Challenges to legal systems
17 ehealth: Online information Burstein, Monash University Hawkins, NHSD 4mill hits/month
18 Trends and Impacts TRENDS World is in a Healthcare Crisis Co-existence of Allopathic and Other Medical Systems Telemedicine emerging Remote patient monitoring Online information Simulation Data mining Decision Support IMPACT Patient empowerment, choice Privacy, security challenges Disruptive technologies Challenges to legal systems
19 ehealth: Simulation Scenari-Aid EdHeads Prognosis SecondLife
20 Make Your Own Case Study Nuecke/Stranieri/Yearwood
21 21
22 Trends and Impacts TRENDS World is in a Healthcare Crisis Co-existence of Allopathic and Other Medical Systems Telemedicine emerging Remote patient monitoring Online information Simulation Data mining Decision Support IMPACT Patient empowerment, choice Privacy, security challenges Disruptive technologies Challenges to legal systems
23 Data mining - analytics Big Data electronic health records, patient monitoring streams, Challenges How to analyse/mine helath data to generate insight and/or clinical benefit
24 Challenges/Research Jelinek (CSU)/Yatsko/Ventrakaman (NMIT) /Stranieri Ewing Test sequencing. DISCRI Data Weighted Sum Interaction Search Influence = Pr(T2 Female) Pr(ND Female) Cystic Fibrosis, RCH Quinn/Ugon/Stranieri Pixel n-grams for mammogram classification PhD Kulkarni
25 Trends and Impacts TRENDS World is in a Healthcare Crisis Co-existence of Allopathic and Other Medical Systems Telemedicine emerging Remote patient monitoring Online information Simulation Data mining Decision Support IMPACT Patient empowerment, choice Privacy, security challenges Disruptive technologies Challenges to legal systems
26 Decision support systems Supporting health care professionals and patients toward better decision making: Individually, In groups
27 Challenges/Research Lingard/Blismas/Edirisinghe (RMIT)/Stranieri/ Toolshed. OHS Construction ARC Linkage Bellucci/Aberwathy(Deakin) Venkatraman(NMIT)/Stranieri Online Dispute Resolution
28 Challenges/Research ARC Discovery Burstein(Monash)/Yearwood(Deakin)/Warren(UA) /Stranieri/ Multimorbidity group reasoning Multi-disciplinary meeting as a Reasoning Community PhD Sharma
29 Trends and Impacts TRENDS World is in a Healthcare Crisis Co-existence of Allopathic and Other Medical Systems Telemedicine emerging Remote patient monitoring Online information Simulation Data mining Decision Support IMPACT Patient empowerment, choice Privacy, security challenges Disruptive technologies Challenges to legal systems
30
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