经济学人医疗保健的未来预防个性化和精确化英文20181123页

Sponsoredby:THEFUTUREOFHEALTHCARE:PREVENTATIVE,PERSONALISEDANDPRECISETHEFUTUREOFHEALTHCAREPREVENTATIVE,PERSONALISEDANDPRECISE©TheEconomistIntelligenceUnitLimited20181Executivesummary2Keytakeways2Whatcanbemeasured2Gettingpersonalandprecise3Customisinghealth3Abouttheresearch4Introduction6Necessityandaccessinduceprogress6Goingfromdisruptivetomainstream6Chapter1.Measuringyourhealth8Convertinghealthintodata8Startingwithgenes8Trackingactivity9Mobilemonitoring10Measuringhealthstatus11Translatingdataintobetterhealth12Chapter2.Deliveringmorepersonalisedmedicine15Precisionmedicineandgenetics153Dprinting16Immunotherapy16Chapter3.Mainstreamingnewtechnologies18Standinginthewayofprogress18Combiningtheoldandthenew19Seeingintothehorizon21ContentsTHEFUTUREOFHEALTHCAREPREVENTATIVE,PERSONALISEDANDPRECISE©TheEconomistIntelligenceUnitLimited20182Habitsofthewealthyandgloballymobilecanoftenprovideexamplesofhowcutting-edgehealthcaretechnologiesintegrateintopeople’slives,andmayserveasthepreliminarystageofwidespreadfutureadoption.Toexplorethisphenomenon,TheEconomistIntelligenceUnitrecentlysurveyed480high-net-worthindividuals(HNWIs)acrossthefast-growingregionsofAsia,theMiddleEastandAfricatostudyhowtheircurrenthealthcarehabitsmightleadtobreakthroughsforsocietyasawhole.Thedatatellofahealthcarefuturethatisincreasinglypreventative,personalisedandprecise.Itisalsoonethatmaybefarlessfocussedontreatmentandmoreontailoringlifestyleinterventionstomanageone’spersonalhealthriskandavoiddiseases.Manyoftoday’sinnovationsaremovinginlock-steptoenablethischange.Mobileapps,genetictestingandadvancedscreeningsarejustsomeofthenewtechnologiesproducingbiometricdataonanunprecedentedscale.Bigdataanalyticsandartificialintelligence(AI)areleveraginglargecollectionsofinformationtoprovidemorepowerfulinsightsthathelpphysiciansandpatientsbettertargethealthgoalsandmeasureprogress.Advancementsinprecisionmedicine,immunologyand3Dprintingarealsoallowingformorepersonalisedinterventionwhendiseasesdoarise.However,whennewhealthcaretechnologiesgofromnicheusetobroaderapplication,theycanfindtheirefficacyandpotentialchallengedbylegacysystems,ethicaldebatesandpracticalitybarriers.Whatwillimpedefuturetechnologiesandpropelothers,andwhy?Whichoftoday’stechnologieshavethegreatestpotentialforimpactinthenearandfarterm,howaretheybeingadopted,andhowwilltheyultimatelyworktheirwayintoeverydayhealthcare?ThesearethequestionsexploredinThefutureofhealthcare:preventative,personalisedandprecise,thethirdpartofaresearchseriesonBetterLifeBreakthroughs,sponsoredbyStandardCharteredPrivateBank.KeytakeawaysWhatcanbemeasuredlHNWIsreportusingtechnologytoself-managetheirhealththroughtheinputting,trackingandmonitoringoftheirpersonaldata.Othermainusesincludemonitoringandmanagingfoodintakeanddietandencouraginguserstoexercise.lBasedonthehabitsoftoday’swealthy,wearabletechnologyisshiftingfromanaffluentnichetomainstreamadoption.Nearlyallrespondentssaidtheyusewearablestohelpcarefortheirhealth,with62%doingsototracktheirexerciseandmovementand47%totracktheirdailysleephabits.ExecutivesummaryTHEFUTUREOFHEALTHCAREPREVENTATIVE,PERSONALISEDANDPRECISE©TheEconomistIntelligenceUnitLimited20183lAswearablesbecomealifestylenecessityandself-monitoringthenorm,bigdatawillbemoreubiquitous,withtheaimofdrivingmorediseasepreventionthroughbettermanagementofone’spersonalhealthrisks.However,thisfutureappearsfaroffformost.Whenaskedifthegreatercollectionofpersonaldataimprovestheirabilitytocarefortheirhealth,only39%stronglyagree,while43%somewhatagreeandtheremainderareeitherneutral(13%)ordisagree(5%).lThekeytounlockingthepotentialinbigdataliesinbuildingecosystemsthatlayeranumberoftechnologiestogether,includingAIcapabilitiesanddataanalytics.Eighty-threepercentofrespondentsseebetterdataanalyticsasimpactfulonthepersonalisationofpreventativehealthcareandmedicaltreatments.lHowever,therearesignificantecosystemgapstobefilled.Despitecommunitiesbeinganimportantinfluenceonhealthandlifestyledecisions,usingtechnologytoconnectwiththemranksinthebottomthreeusesoftechnologytoself-manageone’shealth.ThisisbelowusingtechnologytostayengagedwithhealthresearchandnewsandjustaboveusingittoconnectwiththeInternetofThings(IoT).GettingpersonalandpreciselNewtreatmentsareleveragingtoday’stechnologiestodrivesolutionsthataremorepersonalandprecise.Ninetypercentexpectthatprecisionmedicinewillimprovethepersonalisationofpreventativehealthcareandmedicaltreatments.Seventy-eightpercentexpectthesamefromgenetherapies,85%fromimmunotherapies,and72%from3Dprintingformedicaluse.lTherearemanybarrierstomainstreamingthesetechnologies,rangingfromethicalobjections,tocosts,access,talentandresources.Respondentsseealackoftrainingformedicalstaff(30%)andgapsinhealthcareinfrastructure(29%)asthemostimmediatechallengestotacklefornewtechnologiestobemainstreamed.Publicawareness(26%)andtechnologycosts(25%)arealsoseenassignificantbarriers.CustomisinghealthlHNWIscombineavarietyoftraditional,alternativeandconventionalhealthcarepracticesincaringforthemselves.Almosthalfreportusinghomeopathicmedicineforthetr