Challenge #1
The success of PHC will rely on the integrity of stored health data - ie. the accuracy, completeness, and reliability of the data throughout its lifecycle.
PHC aims to use stored health data from various sources including: 28
• patient diagnoses and history
• laboratory work
• insure claims
• demographic information
• family history
• environmental exposure
CHALLENGES ARISE IN:
• Ensuring data longevity as data may be analyzed many years after or in a completely different setting than when and where it was collected.28
• Data standardization and normalization in order to compile, analyze and compare health data from a population of patients.28,29 This is especially the case when patients may come from different healthcare systems, samples may be collected in different ways and data may be generated using different protocols.28,29
In an uncertain landscape, especially in terms of reimbursment and regulations, it is imperative that the value of PHC solutions offered is demonstrated.
Unfortunately, there is no one approach to demonstrate the value of PHC solutions.49
Recent literature suggests that the “value” of a medical intervention goes far beyond a traditional and commonly used cost-effectiveness analysis, such as cost per Quality Adjusted Life Years (QALY).50,51
However, there are ongoing initiatives that provide new evidence on translation of PHC solutions into clinical care and
In an uncertain landscape, especially in terms of reimbursment and regulations, it is imperative that the value of PHC solutions offered is demonstrated.
Unfortunately, there is no one approach to demonstrate the value of PHC solutions.49
In an uncertain landscape, especially in terms of reimbursment and regulations, it is imperative that the value of PHC solutions offered is demonstrated. Unfortunately, there is no one approach to demonstrate the value of PHC solutions.49
Selecting partners that already have PHC initiatives and policies in place, and who are actively engaged in changing the healthcare system, will help to overcome challenges that may arrise.
The realization of PHC requires the support and collaboration of an entire ecosystem. These partnerships will also be crucial in addressing growing volumes of patients, reducing overall healthcare costs, and improving patient quality and satisfaction.54
The realization of PHC requires the support and collaboration of an entire ecosystem. These partnerships will also be crucial in addressing growing volumes of patients, reducing overall healthcare costs, and improving patient quality and satisfaction.54
will be the key to achieving personalized healthcare. Of course, as with any change, there will be challenges to overcome. This is especially true for a system that has been developed over hundreds of years and requires fundamental modifications. The success of the transformation will rely on collaboration; collaborations across disciplines, across functions, across industries and across ecosystems.
Complex data and volumes of it!
Routinely collected healthcare data is growing in complexity and volume.20 In 2020, it is estimated that the amount of medical data will reach 2,314 exabytes (1 exabyte = 1 billion gigabytes).21 The principal types of big data in biomedical research stem from multiomics, imaging, device data, and electronic health records (EHR).20
Improving the value of data
New methods dedicated to improving data collection, storage, cleaning, processing and interpretation continue to be developed at a rapid pace.
PHC aims to ensure that the screening, diagnosis, treatment and even prevention of diseases will more quickly and effectively transform patients’ lives. It is a multifaceted approach to patient care that encompasses:1
1
RISK ASSESSMENT
Genetic testing to reveal
predisposition to disease
2
PREVENTION
Behavior/lifestyle
treatment intervention
to prevent disease2
3
DETECTION
Early detection of disease
at the molecular level
when treatment can be
most effective3,4
4
DIAGNOSIS
Accurate diagnosis
to enable effective
and individualized
treatment strategy
5
TREATMENT
Targeted treatments to
improve outcomes and
reduce side effects
6
MANAGEMENT
Active monitoring of
treatment response and
disease progression