1

challenge:

we could do more than we can afford

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2

l

More possibilitiesartificial organs

->32,5 billion USD

2018

synthetic

neurobiology

expensive

personalized medicines

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USD 32.3 Billion by 2018

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Less payors

                                                              

persons not in working life for every 100 persons in working life

4

v

• people needing help are the greatest

untapped potential in health care

• What we do, must really help people who

really need help

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5

v

what will change with digitalization

• Location– Patients have an access to the health care services

when ever, where ever– the provider of a local service may be far away

• Datafication– everything you’ve ever done, written or spoken can

(and will?) be analyzed and utilized

• Cybernetics– machines teach each other– machines and humans teach each other– algorithms make moral judgments– deep learning

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6

v

E-health segments

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benefits:rational use of quantified selfRisks:”health compulsive disorder”

benefits:remote F/U, mobile therapies, validationRiskit:treatment errors, blind spots ->legal issues

benefits: self-help, healthy life style, navigatorsRiskit:inequality, increase in non-health value adding demand ->costs up

defined customer

populationhealth

wellness

7

v

Issues

• utilitarianism or categorical imperative?

• who owns the data?– raw data producer (you)– the one who refines the data

• privacy: is it safe?

• veracity (from causality to correlation)

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”The information technologies are not neutral, they are laden with moral, cultural and social values”

8

v

who owns the future*

“The only thing that is 'ownable' is an aggregation or collection of such

data, provided there has been a relevant investment in carrying out that

aggregation or collection (the individual user is very unlikely to have

made that investment). “

Adam Rendle

”you own your data”

Jaron Lanier

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*Jaron Lanier: who owns the future

9

privacy

20?0 your digital foot print will tell more about your health than your official health records

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10

v

Your privacy whenusing Google

“ We will share personal information with companies,

organizations or individuals outside Google if we have a

good-faith belief that access, use, preservation or

disclosure of the information is reasonably necessary to:

meet any applicable law, regulation, legal process or

enforceable governmental request or protect against

harm to the rights, property or safety of Google, our

users or the public as required or permitted by law.”

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Veracity (from causality to correlation)

• ”the risk for deadly skiing accidents is highest during the last run”. Finnish Medical Journal

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12

v

big data analytics: from groups to you

• finding trends– Google ja influenza outbreak

• risk individual recognition– GPS activity down and Facebook up -> depression– negative words in social media-> heart problems

• personalized marketing

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13

v

targeted marketing

• based on the gps analyses, higher income

neighbourhoods were offered better deals

than the low-income on-line.– Wall Street Journal 2012

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14

v

exponential information asymmetry

• the corporation has – 10x times the data you have– 10y the analytic capacity you have

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DIGITALIZATION IS NOT GOOD OR EVIL, IT IS A TOOL

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