Niels Van Namen discusses a future in which the home becomes the
primary place to receive healthcare. During the talk, Niels argues despite
dramatic advances in health sciences, the prevalence of inpatient
hospitalization persists. Niels mentions a study that estimates that 40%
of hospitalized patients can receive care in the home. He also says some
additional services that healthcare providers may provide in the patient's
house instead of visiting the health system for care.
While
his conversation contains rhetoric contradictory to health systems, such as the
revenue used to purchase "shiny new buildings," the underlying
premise is not invalid. Treatment of many chronic diseases in the home is
achievable for most of the duration of the illness (Roshanghalb et al., 2018).
I reviewed Niels associations and his business in the area of healthcare
business development. It is clear from his rhetoric that he's advocating
industry and not a cause. That messaging does not detract from the message
regarding the management of chronic illness in the home.
Smart
devices such as glucometers, scales, and watches gather many data elements and
provide powerful tools to manage diseases (Tian et al., 2019). I see a future
that relies less on the delivered services discussed by Niels Van Namen and
more on the analysis of data from in-home technologies. Machine learning
algorithms can ingest large quantities of information and identify trends
otherwise not apparent. Identifying problems before a health crisis develops
reduces hospitalizations through the timely delivery of medical care (Dinh-Le
et al., 2019).
In
conclusion, the author presents a future in which services usually delivered in
the hospital can move to a patient's home. I believe the deployment of in-home
smart technologies and the deployment of machine learning algorithms reduce the
services needed through the early identification of health changes.
References
Dinh-Le, C., Chuang, R., Chokshi,
S., & Mann, D. (2019). Wearable Health Technology and Electronic Health
Record Integration: Scoping Review and Future Directions. JMIR Mhealth Uhealth, 7(9), e12861. https://doi.org/10.2196/12861
Roshanghalb, A., Lettieri, E.,
Aloini, D., Cannavacciuolo, L., Gitto, S., & Visintin, F. (2018). What
evidence on evidence-based management in healthcare? Management
Decision, 56(10), 2069-2084. https://doi.org/10.1108/MD-10-2017-1022
Tian, S., Yang, W., Grange, J. M.
L., Wang, P., Huang, W., & Ye, Z. (2019, 2019/09/01/). Smart healthcare:
making medical care more intelligent. Global
Health Journal, 3(3), 62-65. https://doi.org/https://doi.org/10.1016/j.glohj.2019.07.001
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