New Aquitaine is the first region in France in terms of jobs in the digital and health sector according to François Jeanson, Delegate for Health and Silver Economy of the Regional Council of New Aquitaine. Indeed, the Neo-Aquitaine territory was able to detect very quickly the links that exist between health professionals and digital actors. On this observation, the DTx Sciences days dedicated to digital solutions and e-health were held in the centre of Bordeaux at the Hemera space on Rue Fondaudège. Hosted by Maryne Cotty-Eslous, founder of Lucine, a company specializing in digital therapies, this international consultation brings together international experts such as Ramon Hernandez, Head of Real World Evidence Data at Sanofi France, or Edward Cox, CEO of Dthera Sciences in the United States. A citizens’ consultation has also been set up to follow up on these two days of roundtable discussions and brainstorming.
The impact of digital technology on global health
To the question can the data heal? DTx Sciences says yes. Indeed, digital technology is already acting to propose concrete solutions around digital and health issues. Digital health spaces, for example, aim to optimize all administrative care for patients. Thus, from Canada, the Industrial Consortium for Research and Innovation in Medical Technologies, the MEDTEQ was present on the day of June 27. Her project manager Sabrina Fettal was able to revisit the need for treatment in a different way. Indeed, the impact of digital technology on global health is tantamount to asking: how do we know if a population is doing well? As such, the use of data would make it possible to get as close as possible to real life. Digital technology could thus help statistically measure the impact of digital technology on overall health by using behavioural or compliance data. Digital technology could also be used to measure the patient’s numerical interactions during his or her care journey.
Digital technology for a breathless health system
The French health system, like the economic and industrial sector as a whole, is undergoing a transformation of its digital-driven business. Beyond digitization and the use of computer services for patient record tracking, digital technologies are now the catalyst for new services in all areas of public health: both in patient care and prevention.
In the context of an ageing population and medical desertification, health professionals and digital actors have decided to carry out their actions jointly. On 18 September 2018, French President Emmanuel Macron presented the main guidelines of the strategy for transforming our health system (STSS), also known as “My Health 2022”. With this in mind, the Interministerial Centre for The Prospective and Anticipation of Economic Mutations (PIPAME) has been tasked with working on the impact of digital technology on health in order to provide a precise framework for health data and to embody a transforming lever for the healthcare industries.
This reflection, which combines digital and health, has also emerged as a result of the economic imperative, as health spending is now growing more strongly than GDP. From an economic point of view, it is also necessary to take competition law into account when sharing medical data. Indeed, there are different legal regimes depending on the type of data, whether it is personal data or not. If the issue of the public interest is omniscient in the field of public health, we must be able to ensure that we do not use the data to the detriment of individuals. In Asia, for example during recurrent episodes of avian influenza, unvaccinated people have been geo-located, thus flouting the free will of citizens. It is also necessary to be able to assure manufacturers or hosts that the leaked data will not be used by their competitors. The solution could be, for start-ups, for example, to create their own data, or to include a transparent intermediary that retraces the path of the data, to know its use and its public utility.
While digital resources are an important lever for development and innovation for the health sector, it is not clear that algorithms must adapt to the way we care, not the other way they do. Several locks still exist to the total fusion of digital with health. The business model first of all that is not yet quite stable even if we witness the end of an experimental phase. If an economic model is found, the most important lock will still be the acceptability of populations. It is reasonable to accept that public policies will not be sufficient to transform people’s practices. However, nothing is less certain about the evolution of society since telemedicine is developing, where no one was anticipating its development.
According to WHO, adherence is the extent to which the behavioural actions of a person who needs to take a medication, follow a diet and/or change their lifestyle correspond to the medical prescriptions of a health professional.
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