My Personal Health Check

Transcriptie

1 My Personal Health Check A scientific e-health platform for Personalised prevention and Early Diagnostics October, 2014 Coenraad van Kalken, MD, PhD Netherlands Institute for Prevention and e-health Development (NIPED Institute)

2 Major societal challenge! Chronic disease burden Cardiovascular disease Common mental disorders COPD Diabetes Cancer Obesity Arthrosis

3 Current medical practice Pre-symptomatic prevention early diagnostics early intervention late intervention

4 Everybody through the scan? Advanced testing in an unselected population is undesirable, costineffective and could even be dangerous False positive results overdiagnosis unnecessary treatment medicalization and stigmatization weighing risk versus benefit is important adequate selection high-risk individuals is essential Individualized tailored approach

5 Personalised prevention approach Integrated approach (multiple disease processes) Expert system for personalized health / risk profiling Patented expert system (US-7,650,290 B2) as basis State-of-art scientific content / national board Links profiles to medical thresholds, - guidelines & best practice lifestyle, psychological and social interventions The concept: A personal health account to empower individuals and professionals

6 The concept Awareness Assessment Action

7 NIPED E-health Platform

8 Results development program ( participants) 11% of Healthy Dutch has red profile with a medical indication according to 1st line medical guidelines 60% has code orange (lifestyle, mental) 3-5% has undiagnosed common mental disorder 9% of 50+ participants has indication for colonscopy 60+% of people acts on healthier behavior plan; 97% has positive judgment of employer s initiative 20% decrease absenteeism (

9 NIPED Research PARTICIPANTS 9 PhDs 6 PhD theses Results: Individual improvements *6 months after participation 74% gemotiveerd tot gezonder gedrag 70% verbeterde voeding 54% meer bewegen 50% verhoogd risico 15% sterk verhoogd risico 10% zeer hoog risico 25% licht of geen risico 23% gestopt met roken 25% minder gaan drinken

10 Amsterdam - In september wordt De Persoonlijke Gezondheidscheck (PGC) geïntroduceerd. Dit innovatieve preventieve gezondheidsonderzoek komt voort uit de samenwerking van Hartstichting, Nierstichting, Diabetesfonds, Longfonds, de Landelijke Huisartsenvereniging, het Nederlands Huisartsen Genootschap, de Nederlandse Vereniging voor Arbeids- en Bedrijfsgeneeskundigen, GGD Nederland en het NIPED instituut. De betrokken partijen geven hiermee concreet inhoud aan de doelstellingen van het recent gestarte Nationaal Programma Preventie Alles is Gezondheid, dat tot doel heeft de groei van het aantal chronisch zieken te keren en gezondheidsverschillen tussen groepen mensen te verkleinen.

11 The essence Realization 1 standard for multimodulair preventive health check Scientific answer to multiple disease specific tests Supported by Health Funds and Medical Organizations Novel modules COPD, mental disorders, at work and cancer Selective prevention positioned as 0-line diagnostics Public private market model (@-work and regional projects) Health Voucher for laboratory and biometry testing (if required or desired) Payment by employers, insurance, local government or individual Powerd by: Partners:

12 The Personal Health Check My Personal Health Account: Validated (self) biometry and lab tests: Powerd by: Partners:

13 The Personal Health Check PERSONAL HEALTH ACCOUNT Webmodule hart- vaat risico Webmodule leefstijl Webmodule long Uitslag, persoonlijk advies en verwijzing naar passende hulp BASIC LAB AND BIOMETRY Cholesterolprofiel Diabetesprofiel Bloeddrukprofiel Buikomvang & vetverdeling Uitvoer checkpoint op locatie werkgever Free Health MODULES Draagkracht/draaglast, Psychosociale Arbeidsbelasting, RUG-/KANS-klachten, WAI Webmodule Psyche: Risico depressie, burn-out, angstklachten Nierfunctie bepaling Health OPTIONAL Screening op dikkedarmkanker (alleen voor 50 jaar en ouder) Gezondbox met bloeddrukmeter en buikomvanglint Powerd by: Partners:

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15 Sustainable employability Powerd by: Partners:

16 The ambition 2014: : : Powerd by: Partners:

17 Conclusion Health management platform for personalized prevention The first integrated knowledge- and decision support platform for personalized prevention A scientifically sound personalized prevention program linked to individualized medical and non-medical follow-up Tailored prevention advice and stepped care intervention strategy according to loco regional guidelines and best-practices Broadly applicable at low costs Successful development in the Netherlands with effective early detection, lifestyle change; effects on productivity & absenteeism Broad coalition for broad implementation