Transcript The Technology Contribution to the Future of Preventive Medicine

The Technology Contribution
to the
Future of Preventive Medicine
Richard M. Satava, MD FACS
Professor of Surgery
Yale University School of Medicine
New Haven, CT 06510
[email protected]
Technologies that Change
Healthcare
Devices
for diagnosis and treatment
Pharmacological for prevention and treatment
agents
Information tools for coordination, analysis
and dissemination of
preventive health information
The 5 P’s
of the Future of Medicine
Predictive
- Genetics, allergies, specific
medications
Preventive - Acting proactively with
preventive medicine
Point of care - Mobile communications &
ubiquitous computing
Parametric - Multiple parameters, over time,
referenced to patient’s own
baseline, compared to standard model
Personalized -Individual treatment for each patient
SATAVA 7 July, 1999
DARPA
The 5 P’s of the Future of
Medicine
Predictive
With genetic screening, epidemiology
and population analysis it will be
possible to focus preventive health
efforts on those most highly at risk
The 5 P’s of the Future of
Medicine
Preventive
By identifying those populations and
individuals who are at risk, medical
education, screening and treatments
can become more proactive.
The 5 P’s of the Future of Medicine
Parametric
Collecting multiple parameters over time
determining the change over time
(which is more critical than isolated measurements)
Comparing that change to the person’s own
baseline in the past
Final interpretation of these changes relative to a
population standard for age, sex, race, etc.
The 5 P’s of the Future of Medicine
Point-of-care
Continually monitoring all relevant
parameters in an unobtrusive manner
wherever it is most convenient,
including the home and work place
The 5 P’s of the Future of Medicine
Personalized
Customizing healthcare by time, dose
and method of application so that each
individual has the SPECIFIC
treatment for their needs
Genetic Chips
DNA based genetic screening
devices will permit the
accurate genetic profiling of
susceptibilities
Figure 1 - Gene Chip (Affymetrix,
Inc, Santa Clara, CA)
Genetic Engineering
Direct the cells to fight disease
rather than proscribe drugs
Extend potential life span beyond
120 - 130 years
Micro-sensors and
nanotechnology
Brings the ability to detect
and monitor disease
down to the practical and
point-of-care level
Figure 2. Micro-chip embedded into
watches (Polar, Inc. Australia)
Figure 3 Non-invasive blood glucose
sensor (MiniMed, Inc, Northridge, CA)
Hand-held imaging
Provides point-of-care diagnosis
of anatomic and structural
abnormalities with the capability of
remote transmission of images
Figure 4 Hand-held ultrasound
(SonoSite, Inc, Bothwell, WA)
Medical Informatics
Powerful information tools will permit
data acquisition
decision support
information distribution/storage
ubiquitous access
distant education
CONCLUSION
Technology will shift
healthcare from acute,
emergent care to proactive
preventive health