Future Trends of Healthcare

OPEN WORLD ECOLOGIES OF RISK DO-IT-YOURSELF ANYTIME, ANYPLACE HEALTH HEALTH-AWARE ENVIRONMENTS BETTER THAN WELL From markets defined by boundaries to markets defined by flows From passive patients to co-creators of health From traditional clinical settings to new points of care From computing to sense-making From therapy and treatment to enhancement and extensions From institutional to individual risk management Expanding global patient populations, internationalized labor resources, and globalization of biomedical innovation and production will create markets defined by flows of knowledge, human & capital resources rather than regional, national, or geographic boundaries. As institutions are no longer willing or able to offer risk protection, individuals will have to manage the full range of health-related risks made more challenging given the relationships between these risks. Whether by choice or by force, individuals will have increasing responsibility for managing their health. They will respond to this burden of empowerment with three do-it-yourself behaviors: self-agency, self-customization, and self-organization. Cost-pressures, the changing role of hospitals, non-institutionalized care for seniors, and new communication & diagnostic technologies will expand care setting into the community, the home, and into niches of time and place in the course of daily life. As objects, places, and even humans are embedded with technologies that sense, understand, and act upon their environment, we will gain the ability to track and monitor our physical, social, and emotional well-being, creating new options for personal health management. Self-improvement approaches extremes as people experiment with digital, pharmacological, biomechanical, and medical tools to alter, enhance, and extend their bodies in profoundly different ways, in turn reinventing their bodies, minds & identities. GLOBAL HEALTH ECONOMY: FUTURE PERSPECTIVES

OPEN WORLD ECOLOGIES OF RISK DO-IT-YOURSELF ANYTIME, ANYPLACE HEALTH HEALTH-AWARE ENVIRONMENTS BETTER THAN WELL GLOBAL HEALTH ECONOMY: FUTURE PERSPECTIVES BEAUTY NUTRITION BIOPHARMA HEALTHCARE MEDICAL TECHNOLOGY INFORMATION CONSUMER ELECTRONICS

OPEN WORLD ECOLOGIES OF RISK DO-IT-YOURSELF ANYTIME, ANYPLACE HEALTH HEALTH-AWARE ENVIRONMENTS BETTER THAN WELL EXPANDING DEFINITIONS OF BEAUTY Varying cultural expressions; Beauty as metric for health BEYOND THE HEAD-AND-SHOULDERS Adorning environments; Inside-Out Beauty BODY MODIFICATION From stigma to style to rite of passage BODY AS NEXT FRONTIER Overcoming natural talent, capability or appearance; New definitions of beauty, aging, & life stages ANTI AGING FOCUS Cosmetics & Surgery, Exercise & Therapy, Food & Beverages Vitamins & Supplements, Cosmeceuticals DEMOCRATIZATION OF BEAUTY From professional to individual; From process to product ON-THE-GO BEAUTY Quick indulgences; Retailers as focal point; Larger markets SELF-ADJUSTING PRODUCTS & DEVICES Respond to context; Optimize delivery of benefit MORE HUMAN DIFFERENTIATION Customization of appearance MAKEOVER CULTURE # of cosmetic procedures tripled from 1999 to 2005 GLOBAL HEALTH ECONOMY: FUTURE PERSPECTIVES BEAUTY NUTRITION BIOPHARMA HEALTHCARE MEDICAL TECHNOLOGY INFORMATION CONSUMER ELECTRONICS BEAUTY HOSPITAL IMPLICATIONS ,[object Object],[object Object],[object Object],[object Object]

OPEN WORLD ECOLOGIES OF RISK DO-IT-YOURSELF ANYTIME, ANYPLACE HEALTH HEALTH-AWARE ENVIRONMENTS BETTER THAN WELL SEEKING HEALTH BENEFITS IN FOOD GLOBAL HEALTH ECONOMY: FUTURE PERSPECTIVES FOOD IDENTITY Natural vs. artificial; Healthy vs. unhealthy; Global vs. local; Food vs. fuel SHIFTING FOOD PORTFOLIOS From fun-for-you to good-for-you to better-for-you EATING WITH A PURPOSE Performance; Energy balance; Accelerating recovery FOOD INSECURITY Fat, sugar, salt; Obesity brands; Magic ingredients VIRTUOUS CONSUMPTION Fair trade coffee; Defines value FOOD TRANSPARENCY Health-aware kitchens; Food maps AMATEUR AGRICULTURE Consumer experiment with affordable biotech CONVENIENCE VS. HEALTH On-the-go foods less nutritious AVAILABILITY OF HEALTHY FOODS Added definition of environment quality BEAUTY NUTRITION BIOPHARMA HEALTHCARE MEDICAL TECHNOLOGY INFORMATION CONSUMER ELECTRONICS HOSPITAL IMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],NUTRITION

OPEN WORLD ECOLOGIES OF RISK DO-IT-YOURSELF ANYTIME, ANYPLACE HEALTH HEALTH-AWARE ENVIRONMENTS BETTER THAN WELL HEALTHCARE GENERATION RX Average prescription rate per person stabilizes but nature of prescriptions changes GLOBAL HEALTH ECONOMY: FUTURE PERSPECTIVES OPEN-SOURCE BIOLOGY New cures for neglected diseases; New business models TRANSNATIONAL CLINICIAL TRIALS Equal access to results for all participants TISSUE ENGINEERING Lab-grown organs; Cell transplantation GENETIC MEDICINE Personalization, prediction & prevention THERAGNOSTICS Therapy& diagnostics; Mobile diagnosis; Fewer adverse effects BIOCITIZEN From biological similarities to communities of action UNBUNDLING THE HOSPITAL CONTEXT BY THE CELLULAR LEVEL Interactome & metabolome INNOVATION DROUGHT 70% of new drugs are ‘me too’ drugs END OF BLOCKBUSTERS Rise of targeted therapies REGENERATIVE MEDICINE Stem-cell research; Human genomic data BEAUTY NUTRITION BIOPHARMA MEDICAL TECHNOLOGY INFORMATION CONSUMER ELECTRONICS HOSPITAL IMPLICATIONS ,[object Object],[object Object],BIOPHARMA

OPEN WORLD ECOLOGIES OF RISK DO-IT-YOURSELF ANYTIME, ANYPLACE HEALTH HEALTH-AWARE ENVIRONMENTS BETTER THAN WELL HEALTHCARE CONTINUES TO EXPAND National health expenditures as share of GDP to 20% by 2015 GLOBAL HEALTH ECONOMY: FUTURE PERSPECTIVES MEDICAL TOURISM India, Singapore & Mexico THIRD-PARTY PAYER TO INDIVIDUAL SELF-PAY Cost shifting LIFE EXTENSION Products, services, & providers BURDEN OF EMPOWERMENT Risk Management, self-agency, self-customization, & self-organization HEALTH MANAGEMENT STRATEGIES Mainstreamers, Nutritionist, Naturalist, Integrating, Holistic, Healthy lifestyle RETAIL HEALTH New models of care delivery; Innovations such as in-store clinics; Providers extend services beyond traditional settings LOCATION OF CARE SHIFTS Home, Community, & Retailers NEW CARTOGRAPHY OF HEALTH Makes invisible visible; Redraws risk boundaries; Identifies new health commons GLOBAL HEALTH FOCUS No longer compatmentalized view of health ECO-HEALTH LITERACY Greater sensitivity toward ecological determinants of health will broaden perceptions of risk for consumers and opportunities for non-traditional health companies. BEAUTY NUTRITION BIOPHARMA HEALTHCARE MEDICAL TECHNOLOGY INFORMATION CONSUMER ELECTRONICS HOSPITAL IMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HEALTHCARE

OPEN WORLD ECOLOGIES OF RISK DO-IT-YOURSELF ANYTIME, ANYPLACE HEALTH HEALTH-AWARE ENVIRONMENTS BETTER THAN WELL GROWING MARKET FOR MEDICAL DEVICES Value of US medical device market + $20B by 2011 GLOBAL HEALTH ECONOMY: FUTURE PERSPECTIVES REGULATORY OVERLOAD: Crossover techs, Hybrid techs, & Data security MOBILE HEALTH Mobile devices delivering health information & supporting management. Important tools in reaching under-served populations PERVASIVE BIO SENSING: Embedded, wearable, implanted, & appliances RISK PRECISION: Ecological, behavioral, & individual INNOVATION FOCUS Focus on patients; Ease of Use; Error reduction; Retail price; Over-the-counter accessibility NEW MODELS OF CARE DELIVERY From episodic and clinic-based to continuous monitoring & remote treatment PROGNOSTIC TREATMENT Wireless Monitoring; Modeling of individual baseline values; Predictive decision-making software ENABLING TECHNOLOGIES Non-invasive biosensing, Body area networks; Remote telemonitoring, Closed-loop diagnostics, Electronic medical records INNOVATION ECOSYSTEM Multiple-disciplinary & Global Collaborations China & India cost centers for innovation EXTENSIONS AT THE CELLULAR LEVEL Repair rather than destroy damaged cells Therapeutic gene sequences under biosensor control BEAUTY NUTRITION BIOPHARMA HEALTHCARE MEDICAL TECHNOLOGY INFORMATION CONSUMER ELECTRONICS HOSPITAL IMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],MEDICAL TECHNOLOGY

OPEN WORLD ECOLOGIES OF RISK DO-IT-YOURSELF ANYTIME, ANYPLACE HEALTH HEALTH-AWARE ENVIRONMENTS BETTER THAN WELL FOCUS ON PERSONAL HEALTH TECHNOLOGIES 61% of consumers seek health benefits in electronics GLOBAL HEALTH ECONOMY: FUTURE PERSPECTIVES REGULATORY OVERLOAD: Crossover techs, Hybrid techs, & Data security MOBILE HEALTH Mobile devices delivering health information & supporting management. Important tools in reaching under-served populations PERVASIVE BIO SENSING: Embedded, wearable, implanted, & appliances RISK PRECISION: Ecological, behavioral, & individual INNOVATION FOCUS Focus on patients; Ease of Use; Error reduction; Retail price; Over-the-counter accessibility NEW MODELS OF CARE DELIVERY From episodic and clinic-based to continuous monitoring & remote treatment PROGNOSTIC TREATMENT Wireless Monitoring; Modeling of individual baseline values; Predictive decision-making software ENABLING TECHNOLOGIES Non-invasive biosensing, Body area networks; Remote telemonitoring, Closed-loop diagnostics, Electronic medical records INNOVATION ECOSYSTEM Multiple-disciplinary & Global Collaborations China & India cost centers for innovation EXTENSIONS AT THE CELLULAR LEVEL Repair rather than destroy damaged cells Therapeutic gene sequences under biosensor control BEAUTY NUTRITION BIOPHARMA HEALTHCARE MEDICAL TECHNOLOGY INFORMATION CONSUMER ELECTRONICS HOSPITAL IMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],CONSUMER ELECTRONICS

OPEN WORLD ECOLOGIES OF RISK DO-IT-YOURSELF ANYTIME, ANYPLACE HEALTH HEALTH-AWARE ENVIRONMENTS BETTER THAN WELL COLLECTIVE INTELLIGENCE Family and friends referred to more often than health professionals GLOBAL HEALTH ECONOMY: FUTURE PERSPECTIVES TRANSPARENCY INCREASES: Pricing, Outcomes, Experience USER GENERATED MEDIA Facilitates Creation of Collective Intelligence, Redefine Health Information, Provide Clarity and Credibility in Increasingly Fragmented Information Landscape HEALTH MONITORING: Conditioning & Mobile, Facilitates Information Exchange, Enables Remote Treatment CORPORATE SOCIAL RESPONSIBILITY: Self Regulation, Product Reformulation, New Context, New Messages PRECISE RISK IDENTIFICATION Genomic Testing, Molecular Diagnostics, Electronic Medical Records DEVICES SUPPORT SELF MANAGEMENT Self Rationing, Self Diagnosis, Self Treatment, Self Monitoring HEALTH AS FILTER FOR DECISION MAKING Work, Entertainment, Shopping, Finances LOCATION-BASED HEALTH INFORMATION New Behaviors, New Interventions, New Tools, Privacy Challenges NEW PLATFORM PERSONAL HEALTH INFORMATION ECOLOGY Genetic, Behavioral, Social, Environmental, Emotional INFORMATION EXTENDING SELF WITH INFORMATION Risk transparency, new sites for intervention BEAUTY NUTRITION BIOPHARMA HEALTHCARE MEDICAL TECHNOLOGY INFORMATION CONSUMER ELECTRONICS HOSPITAL IMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object]

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