Health issues as one of the Global Challenges of the 21st century

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Health issues as one of the Global Challenges of the 21st century Sylvain Gioux, Ph.D. Professor, University of Strasbourg Visiting Professor, Harvard Medical School

2 1. How is Health one of the key Global Challenges of the 21st century? Well-being & healthcare: key societal challenge

3 1. How could Health not be one of the key Global Challenges of the 21st century? Well-being & healthcare: key societal challenge

1. How is Health one of the key Global Challenges of the 21st century? Well-being & healthcare: key societal challenge Ageing population 2008 2060 3

1. How is Health one of the key Global Challenges of the 21st century? Well-being & healthcare: key societal challenge Access to (health)-care 5

1. How is Health one of the key Global Challenges of the 21st century? Well-being & healthcare: key societal challenge Living conditions & habits (of patients) 6

1. How is Health one of the key Global Challenges of the 21st century? Well-being & healthcare: key societal challenge Not enough data 7

1. How is Health one of the key Global Challenges of the 21st century? Well-being & healthcare: key societal challenge too much data changing habits (of doctors) 8

1. How is Health one of the key Global Challenges of the 21st century? Well-being & healthcare: key societal challenge Ageing population Access to (health)-care Living habits Not enough data too much data Critical need for a paradigm shift in (health)-care 9

2. What are the steps being taken worldwide to address this challenge? Re-visiting models for healthcare Keeping patients out of hospitals (shortening stay) 10

2. What are the steps being taken worldwide to address this challenge? Re-visiting models for healthcare Dense & connected care networks (social & professional) 11

2. What are the steps being taken worldwide to address this challenge? Re-visiting models for healthcare Better education programs (habits) 12

2. What are the steps being taken worldwide to address this challenge? Re-visiting models for healthcare Personalized medicine 13

2. What are the steps being taken worldwide to address this challenge? Re-visiting models for healthcare Health-related data Big Data Less data but Smart Data 14

2. What are the steps being taken worldwide to address this challenge? Re-visiting models for healthcare Keeping patients out of hospitals Dense & connected care network (social & professional) Better education programs (habits) Health-related data Personalized medicine Many based on connected objects 15

3. What are the obstacles and difficulties to counteract the challenges of Health? High profit-based models From care to profit Investment requires high return ratios Orphan diseases? Increasing income-based disparities 16

3. What are the obstacles and difficulties to counteract the challenges of Health? Increasingly demanding population More technology, faster technology More information, better information? Data / patient confidentiality, fear of litigation Adoption is key in consumer-based approaches 17

3. What are the obstacles and difficulties to counteract the challenges of Health? Increasingly challenging innovation path Drugs & Medical Devices approval process Clinical translation regulations Need-driven innovation Support for innovation Clinical and Translational Science: Principles of Human Research, David Robertson and Gordon Williams, 2008 18

19 4. How can we move forward in dealing with this challenge - practical steps

20 4. How can we move forward in dealing with this challenge - practical steps

21 4. How can we move forward in dealing with this challenge - practical steps

22 4. How can we move forward in dealing with this challenge - practical steps

23 4. How can we move forward in dealing with this challenge - practical steps

24 4. How can we move forward in dealing with this challenge - practical steps Institute of imageguided surgery

25 4. How can we move forward in dealing with this challenge - practical steps Preoperative scan 3D-model Surgical guidance

26 4. How can we move forward in dealing with this challenge - practical steps Robotized surgery Data processing Novel imaging + +

Thank You! Telecom Physique Strasbourg: http://www.telecom-physique.fr/ ICube Laboratory: http://icube.unistra.fr sgioux@unistra.fr 27