Personalised Medicine and eHealth

How can the value of data in a health system be measured? How can the latest technological innovation be leveraged for higher quality in health care? Is it possible to provide the same quality of health care to every citizen regardless of where they live? Thanks to the latest innovation in medicine and technology advantages, all of these questions can be successfully resolved in a very short time. Electronic health (eHealth) is not only unique solution, it also offers great possibilities for accelerating the latest research results towards clinical practice. Moreover, eHealth opens doors for the application of personalized medicine.

Ehealth is an emerging field at the intersection of medical informatics, public health and business, referring to health services and information delivered or enhanced through the internet and related medical technologies. In a broader sense, the term characterizes not only a technical development, but also a state of mind, a way of thinking, an attitude, and a commitment for networked, global thinking to improve health care locally, regionally, and worldwide by using information and communication technology (J Med Internet Res. 2001 Apr-Jun; 3). Moreover, eHealth offers a new space for leveraging health-related data for scientific purposes, with direct benefits for patients. The basic sense of eHealth lays not only in the transformation of data to electronic form and its management, it also serves as a baseline for the application of personalized medicine in clinical practice. Personalized medicine is a hot topic in the healthcare field. It involves tailoring medical services to a person’s unique genetic makeup, and it is developed by integrating a person’s genetic blueprint and data on their lifestyle and environment, then comparing it alongside thousands of others to predict illness and determine the best treatment. The new approach moves away from a “one size fits all” approach to the treatment and care of patients with a particular condition, to one that uses new approaches to better manage patients’ health and target therapies to achieve the best outcomes in the management of a patient’s disease or predisposition to disease. (NHS England: Improving Outcomes through Personalised Medicine).

Past scientific activities produced excellent outcomes deeply dependent on their connection with electronic health records. Computational modelling starts to become a necessary part of health care, where technology directly interacts and advises doctors through evidence-based expert systems. We can see personalized therapies as tangible outcomes for patients. The countries where such a health ecosystem is established are close to the provision of better targeted therapies for patients. One of the key questions is how to accelerate the transition time of successful scientific outcomes to clinical practices.Part of the answer is in the right structure of the electronic health records in the eHealth network, which can facilitate this process.

The most frequently asked question is: what are the benefits for patient? According to the American National Cancer institute, the answers are as follows:

  • Risk Assessment – Genetic or additional testing to reveal predisposition to disease.
  • More accurate diagnosis – enabling an individualized treatment strategy.
  • Early Detection – early detection of disease at the molecular level leveraging computational modeling.
  • Treatment –Improved health outcomes through personalized treatments and reduced possible side effects.
  • Health Management – Regular monitoring of the treatment response and disease progression

Ness Technologies has excellence experiences with the development and implementation of eHealth on the national level, and our deep knowledge of business needs, great orientation in the health domain and well-trained experts are ready to become an active part in the change of the European health system towards a personalized one. The transition period first requires the implementation of a fully functional eHealth system with the appropriate structure of health-related data and with sufficient interoperability capabilities, and then the combining of computational modelling with the right algorithms for a particular medical field. The last stage requires expert systems for the provision of health added value information directly into the ‘’hands’’ of doctors. It is time to fully leverage the technological potential of applied technologies in health systems towards the general personalization of health care. Moreover, together with the Research and Innovation Department located in Czech Republic, we are trying to be very active within Horizon 2020 in the topic: Health, Demographic Change and Well-Being, which excellently shape the European health system. The Ness mission is to deliver a holistic health concept (not just technology, but also solutions and effective process management) with a high quality of operations and robust flexibility.

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