The Future of Health

The Future of Health
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Learn how the future of medicine is being unlocked—one digital innovation at a time The Future of Health is an insightful and comprehensive overview of the past, present, and future of digital health. Accomplished health innovation leader Roberto Ascione delivers a practical exploration of how the latest digital technologies are transforming the practice of medicine and redefining health itself by making it more accessible, sustainable, and human. The book includes practical, real-world examples from the United States, Asia, and Europe of technology applications, companies, and start-up that have changed—or will change—our relationship with our health and the healthcare system. Readers will also find: How our health is becoming increasingly consumer and connected while technology is empowering patients in completely new ways and deeply transforming the doctor-patient relationship Discussions of how the training of medical professionals, particularly doctors, has changed—or needs to change—to meet the new digital reality Examinations of how new technologies will allow doctors to dodge many of the administrative and regulatory burdens they currently face each day Treatments of the ability of new technologies to unlock new, holistic ways of practicing medicine, with a focus on latest developments such as Digital Therapeutics and Virtual Reality Reflections on how digital health is fostering a shift “from cure to care” and will unleash a human-sized future for a more accessible, ubiquitous, and sustainable healthcare The Future of Health is required reading for medical practitioners and the managers of pharmaceutical companies. It will also earn a place in the libraries of medical device companies and healthcare entrepreneurs seeking an incisive treatment of the impact of digital technology on all aspects of healthcare. Also, the general public, interested in understanding how to take better control of their own health through digital technologies, will find this book insightful and easy to comprehend.

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Roberto Ascione. The Future of Health

Table of Contents

List of Illustrations

Guide

Pages

The Future of Health. How Digital Technology Will Make Care Accessible, Sustainable, and Human

Preface

PART I Digital Reflections

CHAPTER 1 Devices, Sensors, and Signals. From Wearables to Ingestibles—Toward the Invisibility of Digital Health

Roberto's View

Apple Watch

Empatica

Proteus Digital Health

Qardio

Thync

Guest Perspectives. MATTEO LAI. CEO, Emaptica

SHANTI RAMAKRISHNAN. CEO eDevice

Note

CHAPTER 2 Data Science and Artificial Intelligence. Using Big Data to Do Mass Screening and Prevention

Roberto's View

Conversa Health

One Drop

Sensely.com

SkinVision

Guest Perspectives. JEFF DACHIS. CEO, One Drop

MONIQUE LEVY. Chief Commercial and Strategy Officer, WOEBOT

Notes

CHAPTER 3 Evolution of the Computer-Human Interfaces in Health Care

Roberto's View

Alexa and Echo

Babylon and Healthily

HoloLens

MindMaze

Pepper Robot

Psious

PatchAi

Notes

CHAPTER 4 Telemedicine and Remote Monitoring. How Telemedicine Will Change Our Lives

Covid-19: The Tipping Point of Telehealth

Roberto's View

Omada Health

Sano

Teladoc Health

TytoCare

VitalConnect

Guest Perspective. CARLOS NUENO. President, International Operations, Teladoc Health

Notes

CHAPTER 5 Digital Health Enabling Platforms. Platforms for Connecting Doctors and Patients, Remote Monitoring Systems, and Management of Their Therapies

Roberto's Vision

Altibbi

Apple Health

Cohealo

DocDoc

Doctolib

hi.health

Livongo

Paginemediche

Guest Perspectives. MARC SLUJIS. Managing Partner, DigitalHealth.Network

ALI HASAN. Chief Medical and Healthcare Officer, Vitality

THOMAS GRANDELL. CEO, Etsimo Healthcare

Notes

CHAPTER 6 Digital Therapeutics: A New Phase of Medicine

Roberto's Vision

Akili

Amicomed

Click Therapeutics

Ginger.io

Kaia Health

Voluntis

Guest Perspectives. EUGENE BORUKHOVICH. Chairman & COO YourCoach Health

MEGAN CODER. PharmD, MBA; Executive Director, Digital Therapeutics Alliance

Notes

CHAPTER 7 Personal Genomics. From Mendel to Portable DNA Mapping Machines

Roberto's Vision

23andMe

Deep Genomics

Flatiron Health

Human Longevity

Sophia Genetics

Cellarity

Guest Perspective. OSCAR FLORES. Co-Founder and CEO, Made of Genes

Notes

CHAPTER 8 Open Innovation and Partnerships. How Companies Are Moving: The Speed and Intuition of Smaller Companies

Roberto's Vision

AlmirallShare and Digital Garden

Bayer G4A

Frontiers Health

Healthware Labs and Healthware Life Hub

HealthXL

Johnson & Johnson Innovation Labs (JLABS)

Novartis Biome

Open Accelerator

Patients' Digital Health Awards

Pfizer Healthcare Hubs

Roche HealthBuilders

StartUp Health

Vertical

Guest Perspectives. UNITY STOAKES. Co-founder and President, Startup Health

TANJA DOWE. CEO, Debiopharm

Innovations Will Take Place in a Sharing Ecosystem

Strategic Investments to Build Platforms

KRISTIN MILBURN. Managing Director, Healthware Labs

STEVE SEUNTJENS. Partner, PHS

TONY ESTRELLA. Author, Managing Director, Taliossa

Notes

CHAPTER 9 Lifestyle as Medicine. From Self-Empowerment to Lifestyle as Medicine

Roberto's Vision

Headspace

HealthTunes

Noom

Sleepio

Pioppi Protocol

YourCoach.health

Guest Perspective. WALTER WERZOWA. CEO, HealthTunes

PART II Human Reflections

CHAPTER 10 The New Physicians and Patients: Empowered Doctors and Health Consumers. An Ever-Increasing Pressure

Will Doctors Disappear?

Necessary Scientific Validation

Patients as Health-Care Consumers

CHAPTER 11 Old versus New: Embracing the Future. A Necessary Adaptation

New Training

A Collective Effort Is Needed

Note

CHAPTER 12 Trust versus Fear: The Path Ahead. The Horizon Opening Before Us

Double face medal

CHAPTER 13 Exponential versus Incremental: The Unstoppable Digital Transformation of Health. A Financial Revolution Too

Digital Health-Care Investments around the World

A Glance toward the Future

Notes

CONCLUSIONS A Radical Shift. Connecting the dots

Five Big Changes for a Paradigm Shift

Acute versus Preventive

Observational versus Data Driven

One-by-One versus Collectively

Retrospective versus Predictive

Fragmented versus Integrated

The Final Goal: Humanize Care through Technology

What's Next?

A Greater Responsibility

Note

Appendix Speeches by Roberto Ascione

About the Author

About Healthware

Acknowledgments

Index

WILEY END USER LICENSE AGREEMENT

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ROBERTO ASCIONE

I trained as a doctor but never became one because I was also passionate about computer science and torn between these two elements: programming and medicine. I realized that everything in health care was largely analog, and still is in many ways. I started writing my own software using MIT's Logo programming language in middle school, and ever since I had been fascinated by the idea that, using computer science, you could write software to manage practically any problem. It was an intuition that time has confirmed!

.....

Thync is a small device aimed at reducing anxiety and ensuring a pleasant sleep. It rests on the neck and is managed via a smartphone app, giving users a choice between one of two programs. In the United States, much importance is given to the dangers of stress. According to studies of the American Psychological Association, it is in our times that the highest number of anxious states has been recorded in the history of the American population. Thync was developed by a team of neuroscientists at the Massachusetts Institute of Technology (MIT) and it went through five years of trials and thousands of test sessions. The instrument uses electrostimulation to alter the state of the brain and help the users relieve stress and anxiety without necessarily resorting to the use of anxiolytic drugs. The triangular device should be placed on the neck, at the back of the head, or on the forehead, and then activated: Thync, through small electric discharges, interacts with the nervous system, helping the wearer to recover his or her psychophysical balance for an improvement in health. “Neurostimulation is based on the link between the nerves located in the back of the neck and two areas of the brain, which affect stress and sleep” explains Isy Goldwasser, CEO of the company. But researchers want to push Thync beyond the boundaries of its original purpose, toward even more ambitious goals. They began with the assumption that the scientific literature is increasingly highlighting the important role that the nervous system plays in regulating the immune response in diseases such as psoriasis, lupus, inflammatory bowel disease (IBD), and rheumatoid arthritis. This led, in 2017, to the first trial of Thync in the treatment of psoriasis.

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