The future ofmedicine

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Would you have a microchip inserted into your brain if it could repair brain damage?

There are in fact researchers who are already working on this technology. In the future, they are hoping it will enable them to lessen the effects of brain diseases, visual disorders, paralysis, and depression.

Would you have a transplant using an artificial organ printed in a 3D printer?

Scientists worldwide are working on a number of research projects to reproduce human tissue, bones, skin or even entire organs in a kind of 3D printer.

Would you ask a hospital chat robot questions about your diagnosis rather than waiting for the doctors to visit you?

Initial applications of this kind already exist. Chat robots based on artificial intelligence could relieve the strain on doctors in the future by providing patients and their families with information.

Would you allow a surgeon located 1,000 km away and controlling the scalpel via the internet to operate on you?

The rollout of new 5G network technology means this scenario is no longer the stuff of science fiction. In fact, the first live operation via the internet was performed in 2019.

Would you allow a robot to operate on you?

Ultramodern robots are already assisting surgeons. Some experts believe that surgeons could become superfluous for certain operations in the future.

Would you have a microchip inserted into your brain if it could repair brain damage?

There are in fact researchers who are already working on this technology. In the future, they are hoping it will enable them to lessen the effects of brain diseases, visual disorders, paralysis, and depression.

Would you have a transplant using an artificial organ printed in a 3D printer?

Scientists worldwide are working on a number of research projects to reproduce human tissue, bones, skin or even entire organs in a kind of 3D printer.

Would you ask a hospital chat robot questions about your diagnosis rather than waiting for the doctors to visit you?

Initial applications of this kind already exist. Chat robots based on artificial intelligence could relieve the strain on doctors in the future by providing patients and their families with information.

Would you allow a surgeon located 1,000 km away and controlling the scalpel via the internet to operate on you?

The rollout of new 5G network technology means this scenario is no longer the stuff of science fiction. In fact, the first live operation via the internet was performed in 2019.

Would you allow a robot to operate on you?

Ultramodern robots are already assisting surgeons. Some experts believe that surgeons could become superfluous for certain operations in the future.

The opportunities …

Over the past 150 years, medical progress has brought us breakthroughs such as the invention of X-ray technology, the discovery of penicillin, and the first organ transplants. Many experts believe far greater progress awaits in the years ahead.

1Medical research

High-performance computers can evaluate huge volumes of data in no time at all (this is called “big data”) and, by doing so, help speed up the development of new treat­ments or drugs. Thanks to big data, for example, researchers in the United States have discovered that a drug used for patients with depression could also help treat a specific form of lung cancer.

2Preventing diseases

Imagine wearing a tiny device on your body that analyzes your genetic predisposition, your physical condition, and your behavior. It could raise the alarm before you suffer a heart attack or develop diabetes. Although no such device exists as yet, today’s smartwatches can already warn wearers if, for instance, they have an irregular heartbeat.

3Better health care

If you live in a rural area or on an island, the family doctor is often some distance away. Telemedicine offers a solution in such cases. Cutting-edge blood pressure devices and pacemakers can automatically transmit data to the doctor, while video consultations help decide whether an actual visit is necessary.

4Accurate diagnoses

The ability of artificial intelligence (AI) to evaluate large volumes of data in fractions of a second means, for instance, that AI could compare X-rays or CT scans in global databases and help make a reliable diagnosis far faster. According to initial studies, for example, AI can help doctors detect skin cancer using photos of suspicious changes to the skin.

5Better treatments

Digitalization promises many new treatment options in the future. A few examples are robots that help with operations, tiny microrobots that move through our blood­stream recording values such as blood pressure, and the use of virtual reality to treat diseases such as dementia or Parkinson’s.

6More efficient processes

State-of-the-art technology is already relieving the strain on staff at medical practices and hospitals. Digital treat­ment and patient data is available at the touch of a button, and medical devices can be equipped with tiny transmitters so that everyone always knows exactly where they are currently in use. All kinds of other possibilities are also conceivable in the future, such as robots reliably taking blood samples from patients.

7Better nursing care

In the case of nursing and geriatric care, too, robots con­trolled by AI could take over heavy physical work such as washing, turning, and lifting patients. This would give nursing staff more time to attend to individual patient needs. Rehabilitation robots that help stroke victims, for example, regain their mobility are another potential application.

8Risks and side effects

Do these technical advances therefore actually promise mankind the chance of a longer, healthier life? Or should we be worried that the technology will be misused? Risks and side effects cannot be ruled out, even when it comes to the digital future of medicine.

… and the risks

Despite all the benefits, we must never lose sight of the risks associated with digitalization.

1So long to privacy?

Health is a very personal thing. Our health data accompanies us throughout our lives and is not interchangeable. None of us would want it to influence employers’ staffing decisions or be used by insurance companies to calcu­late their premiums, so it must be clearly regulated who is allowed to access which data – and who isn’t. This is a task for companies and, above all, for legislators.

2Hacking attacks on our health?

Health data is valuable. Hackers could steal sensitive data and hold the victims to ransom. They could also put peo­ple’s lives at risk by paralyzing the infrastructure of hos­pi­tals or medical practices. When developing new health care system technologies, it is therefore vital to include effec­tive IT security solutions in the planning from the outset.

3Is technology flawless?

To err is human, as the saying goes, which means artificial intelligence is not infallible either. Algorithms learn using the data provided and recognize patterns in this data. The quality of the algorithm’s results ultimately depends on how it is trained – by humans. The criteria based on which algorithms make decisions must therefore meet ethical and legal requirements.

4Do robots make you lonely?

No machine can replace human contact, and such contact is particularly important to people who are old or sick. Consequently, robots can complement doctors, nurses, and carers, but not replace them. Clear rules are required for their use to ensure technical progress does not exacerbate the problem of loneliness.

What next?

Scientists, doctors, politicians, IT experts, ethicists, and patient representatives must work together to ensure full use of all the opportunities digitalization offers and make progress while also minimizing the risks.

What next?

Scientists, doctors, politicians, IT experts, ethicists, and patient representatives must work together to ensure full use of all the opportunities digitalization offers and make progress while also minimizing the risks.

Fundamental conditions must be created for this

1Discussing ethical questions

How much digitalization do we want to allow in the health sector? How can we ensure the focus is always on human well-being? Questions of this kind need to be discussed in a wide social dialog and joint solutions found.

2Break down technical obstacles

An extensive, high-performance network infrastructure and cutting-edge technology are required in both health care institutions and private households.

3Safeguard security

Everyone has the right to have their personal data protected. This must be safeguarded, and not just using technological means. We need legal conditions that minimize the risk of data misuse without impeding progress.

4Build expertise

Innovative technologies can only realize their full potential if all users handle them correctly. Medical staff in particular must be given comprehensive training on the use of new technologies.

We need to talk about exactly what digital respon­si­bility can look like. No one individual can decree it – no one company, no one insti­tu­tion, no one government. We can only develop digital responsibility together. Deutsche Telekom CEO Tim Höttges

Right in the living room

“Your results are fine. You don’t need to worry.” Karin Müller is relieved about the good news from her family doctor. She says goodbye and switches off her tablet. That’s because she’s sitting in her living room and has just had a video chat with her doctor.

The future is now

The COVID pandemic placed huge restrictions on public life for many months, closing it down for long periods of time. In some areas, however, the virus made things move faster, and that includes the digi­ta­li­za­tion of the health care system. According to a study con­ducted in spring 2020 by the Health Innovation Hub of Germany’s Federal Ministry of Health and the Public Health Foun­dation, 52.3 percent of doctors questioned offered video consul­tations. This compares with a figure of just 1.8 percent in 2017. Psycho­thera­pists, physicians in private prac­tice, and general practitioners in particular are making use of such consultations.

SDG 3 – HEALTHSDG 3 – HEALTH

With our e-health solutions, we are helping to achieve Sustainable Development Goal 3 of the United Nations.

The digital way through the crisis
The digital way through the crisis

Digital solutions for the health system

From hospital management systems and telemedicine platforms to electronic health cards, Deutsche Telekom offers a whole host of solutions for the health care system.

For the benefit of patients

Smart solutions help in emergencies and prevent illnesses. Digital platforms also make the jobs of doctors, nurses, and care staff easier.

1Digital emergency call from your wrist

2Recognizing the early warning signs of stroke

3Central access to COVID study data

4Networked working in clinics around the world

5Digital patient files in Africa

Everything is connected …

All on one card …

Most Germans already carry an electronic health card that stores the master data relating to their health insurance. Since 2019, it has also been used to store emergency information and a medication plan. Electronic prescriptions and other health data are potential further inclusions for the future. Deutsche Telekom has been offering medical staff a starter package for out-patient and in-patient care since 2019. This enables them to connect to the Germany-wide IT infra­struc­ture associated with the health card. The full package contains everything a practice or hospital needs to establish a secure connection to this infra­structure. In 2019, telemedicine applications for aftercare of stroke patients were also connected to the telematics infra­structure for the first time. All products are subject to the rigorous review of the Federal Office for Information Security (BSI) or approval from gematik (Gesellschaft für Telematik­anwendungen der Gesund­heits­karte mbH), a company dealing with telematics applications of the health card.

Preventing adverse interactions

Anyone who regularly has to take a range of medications knows that doctors and pharmacists always need to know exactly which medicines are being taken so they can exclude the possibility of dangerous interactions. Since 2020, medical practices and pharmacies have been able to create and edit an e-medication plan on the electronic health card of patients who are taking at least three medications and want this to be done. Hospitals, practices, and pharmacies are connected to a central telematics infrastructure to ensure data is shared securely. Patient details are reliably encrypted so they can be transmitted securely. gematik, a company in which the German Federal Ministry of Health has a controlling interest, is responsible for establishing the new digital health care structures. The iMedOne® hospital information system from Deutsche Telekom also includes a function for the e-medication plan. gematik has assessed this function and confirmed that iMedOne® is one of the first hospital information systems in Germany that complies with the interface for the telematics infrastructure.

“Comprehensive digital access to patient data within stringent data protection requirements is a fundamental prerequisite for digitalizing the health care system.” Dirk Hoffmann – Director of Product Management, Deutsche Telekom Clinical Solutions GmbH

The most important foundation – the network

Digital ethics

Digital health programs at Deutsche Telekom

In 2020, we launched the MyHealth Journey program for mental health, which includes a range of offerings such as webinars, online meditations, podcasts, and recordings of presentations on preventive health care.

The immune system for data

The immune system for data

If digitalization in the health care system is to be a success, it is vital for people to be confident about the protection and security of sensitive data. Data protection and data security are therefore a top priority when it comes to e-health applications. Just as with health protection, we focus on two key aspects to ensure that medical practices, hospitals, and health insurance companies do not become targets of cybercrime – prevention and control. This is done by simulating cyberattacks, for instance. Our “good” hackers use the same methods for this as professional hackers would. This helps us track down security vulnerabilities and fix them. However, should it still come to an attack, our emergency Incident Response Service is ready for action. It is available 24/7 and, in the event of an incident, can immediately investigate and assist anywhere in the world with absolute focus – by telephone, by email, or in person. If necessary, we also secure digital evidence so that it can be used later on in court. Find out more about data protection and data security here.

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