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FUTURE

  Digital Health

  The Future of Healthcare and the Pharmaceutical Industry

  Ray Hammond is Europe’s most                      devices become more capable (providing          Getting data about how effective a drug
  experienced and most widely                       blood pressure monitoring, blood-glucose        is during stressful activity, while sleeping,
  published futurologist. For over 30               measurements, etc.), a growing proportion       on very hot days, cold days, etc. will
  years he has researched, written                  of patients with chronic conditions are also    provide doctors with far better insight into
  and spoken about how future                       likely to start wearing digital technology to   a condition (and the efficacy of treatment)
  trends will affect society and                    monitor their health on a daily basis.          than has been available before, and will
  business.                                                                                         provide drug companies with the opportunity
                                                    It is this “monitoring movement” – a fashion    for real-time feedback about drug
Healthcare is about to undergo                      for self-measurement identified as the          effectiveness, side effects and other factors
                  severe and radical disruption     “quantified self ” movement in the USA –        whilst patients are living in the “real world”.
                  caused by digital technology.     that will provide the stream of data that will
                  This disruption will also change  transform healthcare.                           In time, wearable digital health technology
  profoundly the way the pharmaceutical                                                             will provide drug manufacturers with “real-
  industry operates.                                Ambulatory health data (data about a            time, real-world” clinical trials of their
                                                    patient’s vital signs collected 24/7 during     products. This opportunity has never
  Digital Health is about to become a central       normal daily activities) has always been        previously existed.
  topic in all of our lives. As Steve Jobs said     regarded as the “Holy Grail” of health
  in 2011: “The convergence of technology           data. Monitoring a patient’s response to        The key question is; what percentage of the
  and biology will be the biggest innovation of     a particular drug whilst he or she is lying     healthy (and less healthy) population will be
  the twenty-first century”.                        in a hospital bed or sitting in a doctor’s      motivated to monitor their health and fitness
                                                    consulting room is not nearly as useful as      using wearable digital health technology?
  Digital technology is already disrupting          monitoring vital signs as a patient goes
  major business, industry and professional         about daily life.                               At present, this is likely to be a small
  sectors such as retail, travel, the hotel                                                         percentage – perhaps less than 15 per cent.
  trade, taxis, banking, legal services, etc.                                                       But, as the price of wearable
  Now it is the turn of medicine – and this will                                                    monitors drops, and as the devices become
  be a long-lasting and profound change.                                                            more stylish, this percentage is likely to
                                                                                                    grow. I estimate that by 2030 half the
  The central driver of this change is wearable                                                     population of the developed world will be
  digital technology – devices which will                                                           using some sort of digital body monitoring
  monitor, record and wirelessly stream data                                                        technology. The information streaming back
  from consumers to their doctors, to hospitals                                                     from these billions of “smart, digital bodies”
  and to pharmaceutical companies.                                                                  will change the way doctors and healthcare
                                                                                                    professionals interact with patients and will
  Today, most wearable health technology                                                            transform the methods used to conduct
  is focussed on fitness (Fitbit, etc.) but,                                                        clinical drug trials. n
  as smart watches and other wearable

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