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)
Chronic disease burden Major societal challenge !
Cardiovascular disease Common mental disorders COPD Diabetes Cancer Obesity Arthrosis
Current medical practice
Pre-symptomatic
prevention
early diagnostics
early intervention
late intervention
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
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
The concept
Awareness Assessment
Action
NIPED E-health Platform
Results development program (40.000 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 (www.niped.org)
NIPED Research
45.000 PARTICIPANTS
6 PhD theses
9 PhDs
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
25% minder gaan drinken 23% gestopt met roken
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.
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:
The Personal Health Check My Personal Health Account:
Powerd by:
Partners:
Validated (self) biometry and lab tests:
The Personal Health Check PERSONAL HEALTH ACCOUNT
Webmodule hart- vaat risico Webmodule leefstijl Webmodule long Uitslag, persoonlijk advies en verwijzing naar passende hulp
Free
BASIC LAB AND BIOMETRY Cholesterolprofiel Diabetesprofiel Bloeddrukprofiel Buikomvang & vetverdeling Uitvoer checkpoint op locatie werkgever
Health Voucher
@-WORK MODULES
Webmodule @-Work: Draagkracht/draaglast, Psychosociale Arbeidsbelasting, RUG-/KANS-klachten, WAI Webmodule Psyche: Risico depressie, burn-out, angstklachten Nierfunctie bepaling
Health Voucher @-Work
OPTIONAL
Screening op dikkedarmkanker (alleen voor 50 jaar en ouder) Gezondbox met bloeddrukmeter en buikomvanglint
Powerd by:
Partners:
Sustainable employability
Powerd by:
Partners:
The ambition
2014: 300.000 2015: 1.000.000 2016: 2.000.000
Powerd by:
Partners:
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
