Comments on: Will P4 Medicine Be The Killer Healthcare App? http://untetheredhealthcare.com/2009/11/18/p4-medicine/ A blog on the intersection of mHealth, medical decision support and design Sun, 21 Mar 2010 19:41:44 +0000 hourly 1 http://wordpress.com/ By: Craig Brandis http://untetheredhealthcare.com/2009/11/18/p4-medicine/#comment-14 Craig Brandis Mon, 14 Dec 2009 22:18:04 +0000 http://untetheredhealthcare.wordpress.com/?p=80#comment-14 Yes, the article you cited summarizes the vision, with the emphasis on genomics being the big enabler. Yes, the article you cited summarizes the vision, with the emphasis on genomics being the big enabler.

]]> By: psonnier http://untetheredhealthcare.com/2009/11/18/p4-medicine/#comment-13 psonnier Mon, 14 Dec 2009 06:27:02 +0000 http://untetheredhealthcare.wordpress.com/?p=80#comment-13 Excellent points, Craig. I can definitely see how P4 (predictive, personalized, preventive, and participatory) medicine can become the ultimate healthcare app in the very near future. On a related note, I just came across an analysis of the Dec '09 PWC report, "The Science of Personalized Medicine: Translating the Promise into Practice", written by Bernie Monegain in Healthcare IT News: "IT helps drive $232B personalized medicine market" http://www.healthcareitnews.com/news/it-helps-drive-232b-personalized-medicine-market What do you think? Is this basically a long-form reiteration of Dr. Hood's basic premise? At the end of the article there’s a salient quote of Gerald McDougall, principal in charge of personalized medicine and health sciences at PricewaterhouseCoopers, who explicitly lists out the four elements of P4 medicine: "We need to replace our current focus on treating disease with a better approach that is personalized, preventive, predictive and participatory, the basic tenants of personalized medicine. Greater collaboration around personalized medicine should be a key strategy for health reform." -Paul Excellent points, Craig. I can definitely see how P4 (predictive, personalized, preventive, and participatory) medicine can become the ultimate healthcare app in the very near future.

On a related note, I just came across an analysis of the Dec ’09 PWC report, “The Science of Personalized Medicine: Translating the Promise into Practice”, written by Bernie Monegain in Healthcare IT News:

“IT helps drive $232B personalized medicine market”
http://www.healthcareitnews.com/news/it-helps-drive-232b-personalized-medicine-market

What do you think? Is this basically a long-form reiteration of Dr. Hood’s basic premise?

At the end of the article there’s a salient quote of Gerald McDougall, principal in charge of personalized medicine and health sciences at PricewaterhouseCoopers, who explicitly lists out the four elements of P4 medicine:

“We need to replace our current focus on treating disease with a better approach that is personalized, preventive, predictive and participatory, the basic tenants of personalized medicine. Greater collaboration around personalized medicine should be a key strategy for health reform.”

-Paul

]]> By: Craig Brandis http://untetheredhealthcare.com/2009/11/18/p4-medicine/#comment-8 Craig Brandis Sun, 06 Dec 2009 01:18:23 +0000 http://untetheredhealthcare.wordpress.com/?p=80#comment-8 Thanks Paul. My sense of Dr. Hood's talk was that this procedure would indeed be inexpensive and use a new class of bio-assay chips now being prototyped. Assuming it all worked as advertised and detected disease much earlier, then that alone has the promise of lowering costs. I would be concerned about data privacy as well. That issue is only going to get thornier as time goes on regardless of any specific technology, so somehow it will need to be addressed in a general way. Thanks Paul. My sense of Dr. Hood’s talk was that this procedure would indeed be inexpensive and use a new class of bio-assay chips now being prototyped. Assuming it all worked as advertised and detected disease much earlier, then that alone has the promise of lowering costs. I would be concerned about data privacy as well. That issue is only going to get thornier as time goes on regardless of any specific technology, so somehow it will need to be addressed in a general way.

]]> By: Paul Sonnier http://untetheredhealthcare.com/2009/11/18/p4-medicine/#comment-7 Paul Sonnier Sun, 06 Dec 2009 00:03:46 +0000 http://untetheredhealthcare.wordpress.com/?p=80#comment-7 Craig, Great post! I think that the stated paradigm for the amount of time it takes for large scale adoption of “radical” new technologies in healthcare is obsolete. Take wireless health innovations which offer the paradoxical opportunity to both reduce costs and improve outcomes. For this, and other reasons, we are set to see massive market growth in this area in just the next few years. The caveat here is that we categorize wireless health innovation adopted in physical fitness and healthcare delivery as being “radical” as compared to long-standing conventional modalities. In my opinion, unless the stated example in this report has a very low price point and dramatically reduces healthcare costs (e.g. by preventing the manifestation of expensive-to-treat illnesses), it seems an unlikely candidate to become “the killer healthcare app”. We should also consider that there is already a problem with private insurers knowing too much about someone’s risk factors (e.g. pre-existing conditions) and dropping coverage which, unless resolved, would present yet another barrier to rapid adoption. Thanks, Paul Sonnier Founder, Wireless Health group on LinkedIn Co-Chair, Healthcare Communications SIG at CommNexus San Diego Craig,

Great post!

I think that the stated paradigm for the amount of time it takes for large scale adoption of “radical” new technologies in healthcare is obsolete. Take wireless health innovations which offer the paradoxical opportunity to both reduce costs and improve outcomes. For this, and other reasons, we are set to see massive market growth in this area in just the next few years. The caveat here is that we categorize wireless health innovation adopted in physical fitness and healthcare delivery as being “radical” as compared to long-standing conventional modalities.

In my opinion, unless the stated example in this report has a very low price point and dramatically reduces healthcare costs (e.g. by preventing the manifestation of expensive-to-treat illnesses), it seems an unlikely candidate to become “the killer healthcare app”. We should also consider that there is already a problem with private insurers knowing too much about someone’s risk factors (e.g. pre-existing conditions) and dropping coverage which, unless resolved, would present yet another barrier to rapid adoption.

Thanks,
Paul Sonnier

Founder, Wireless Health group on LinkedIn
Co-Chair, Healthcare Communications SIG at CommNexus San Diego

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