A remote hospital in the North

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  • Focus on prevention and well-being. With improvements in early diagnosis, technologies to fix health care problems even before they become problems, and the application of behavioral economics to motivate engagement, care will shift to prevention and well-being. We will move away from the concept of “health care.” Instead, health will be seen as a broader notion that incorporates related concepts of mental, financial, and spiritual well-being. Furthermore, care will be organized around consumers’ needs (as opposed to health care organizations’ needs) and most care delivery will take place outside of health care facilities, in people’s homes, work, school, and in the community.
  • This theme is particularly prominent in case studies from India (ReMiND project) and Chile (AccuHealth). A basic mHealth application has elevated community health worker performance and contributed to significant improvements in maternal and infant health outcomes in India’s rural communities. And a combination of remote monitoring, artificial intelligence (AI), behavioral nudging, and nutritional and psychological support has improved quality of life for people with chronic conditions in Chile.

Interoperable data and platforms. This will give patients, clinicians, and caregivers real-time insights to help with decisions about prevention, diagnosis, and treatment. Decision-support tools will improve care efficiency and effectiveness: Technology will relieve clinicians of most administrative tasks, aid with diagnosis and treatment, and provide additional safety checks

  • We have included five promising examples of data and platforms. National health information technology (HIT) platforms in Estonia, the Netherlands, and Australia have laid the foundation for patient control over their health information and for interoperable and secure data exchange among providers. Two examples hospital systems, from the United States (Geisinger) and Israel (Sheba), boast large improvements in quality and efficiency through traditional analytics and AI.
  • Consumer engagement and empowerment. We expect a shift in consumer attitudes and behaviors toward greater engagement in one’s health. With full visibility into and control over their health information, consumers will be able to perform many activities that today require a clinician’s involvement. And technological tools tailored to consumers’ health goals, life stages, and lifestyles will help them look after themselves and their families.
    • Three case studies showcase the potential of consumer engagement in improving outcomes. The CANImmunize app enables Canadian consumers to manage vaccination schedules for their families and navigate complex vaccination requirements across provinces. Israel’s emergency response service (MDA) has built a suite of apps to match a user in an emergency with emergency response teams, trained volunteers able to reach the scene before the ambulance, and with other people who carry emergency medicines the consumer in emergency may need. And gamified e-therapy app (SPARX) helps improve emotional resilience among New Zealand youths with depression by teaching them how to apply learnings from the game to real-life situations.