Date: March 06, 2019

Time: 13.00-14.30

President: Pascal GAUDRON, Directeur de la recherche et de l’innovation, CHU de Rennes (France)

Panellists

  • Hervé BARGE, Managing Director, Agence eSanté (Luxembourg)
  • Laetitia HUIART, Director Population Health, Luxembourg Institute of Health (Luxembourg)
  • Dr. Michael WITSCH, Pédiatre, Diabétologue/Endocrinologue, Chef de projet DOP@MIN, Centre Hospitalier de Luxembourg (Luxembourg)

Context

Smart Cities rely on new information and communication technologies and diverse connected measures that contribute to improve the well-being and health of its inhabitants, on one hand, and the efficiency of healthcare systems, on the other. Together, all of these innovations are shaking up the medical landscape and creating new opportunities to redefine tomorrow’s healthcare. This Round Table will consider four main dimensions.

  1. Developing preventive approaches. Behaviour, the product of individual action, is decisive in the health of individuals. Promoting healthy behaviour and motivating individual behaviour changes are essential dimensions of connected areas. With the growing dissemination of connected objects and of their associated dedicated applications (nutrition, physical activity, active mobility, ...), users are made aware of and encouraged to behave in a healthy and active way in order to contribute to a healthy lifestyle.
  2. Improving health monitoring. Numerous examples of health crises show that it is essential to anticipate situations that are potentially risky. In order to increase health monitoring and better anticipate health crises among the population, information and communication technologies increase the epidemiological monitoring capabilities and offer warning systems to the appropriate authorities. In this way, a set of methodological and organizational tools (monitoring, vigilance) offers unprecedented support to the monitoring and decision-making missions when confronted with potential major events. In particular, such tools will enable a better anticipation of and better reactions right from the first signs of a major incident.
  3. Optimizing access to patient care. E-health also has direct repercussions on the organization of healthcare systems, the quality of care and the cost of medical treatment. Access to digitalization triggers high expectations, especially in the optimization of the use of resources and the increase in effectiveness of the healthcare systems. Some examples of optimizations that also contribute to reducing social and spatial inequalities are the development of a digital patient file, uncomplicated information exchange between different services and providers and the development of outpatient medical care.
  4. Contribute to medical progress. New technologies also contribute to medical progress. They are involved throughout the whole health and consultation network (telemedicine), to support diagnosis (artificial intelligence, machine learning...), as well as technical acts (robotic, surgical, remote surgery) and post-treatment monitoring. These technologies will enable us to combat the lack of medical care, improve the efficiency of the care system, and contribute to a better knowledge and more targeted interpretation of pathological symptoms. They also make collaboration between healthcare professionals more efficient and offer a follow-up adapted to the state of health of the patient and his/her treatments (personalized medical file).

Based on these main dimensions, the members of the panel will discuss, in particular, the changes to come in the organization and working principles of tomorrow’s medicine.

Issues

  • What are the recent advances in preventive approaches? Will these new e-health applications really be effective in the medium and long term? Shouldn’t they be subsidized by social security systems?
  • How do connected areas contribute to best anticipate health crisis situations and best alert the appropriate authorities? With the exchange of data at the heart of the alert systems, how can this data exchange be made efficient while at the same time guaranteeing the confidentiality of the data exchanged?
  • How can e-health contribute to improving the healthcare system? Does digital technology, which reduces distances and direct contact between patients and healthcare professionals, risk feelings of isolation by patients? Furthermore, does digital technology contribute to the reduction of jobs to the detriment of care quality?
  • What are the technological advances that contribute to the progress of medicine? Among these advances, digitalization through artificial intelligence, robotics and all related technologies is shaking up the health sector. Is medicine, characterized by in-depth specializations, capable of adapting to and absorbing these new orientations?
  • Despite their significant contribution to the global improvement of healthcare, at the same time, will connected territories contribute to worsening inequalities within healthcare (spatial inequalities, social inequalities...)?

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