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Pharmaceutical Care in Digital Revolution: Insights Towards Circular Innovation [Pehme köide]

Edited by (School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Australia), Edited by
  • Formaat: Paperback / softback, 363 pages, kõrgus x laius: 235x191 mm, kaal: 750 g
  • Ilmumisaeg: 19-Mar-2019
  • Kirjastus: Academic Press Inc
  • ISBN-10: 0128176385
  • ISBN-13: 9780128176382
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  • Formaat: Paperback / softback, 363 pages, kõrgus x laius: 235x191 mm, kaal: 750 g
  • Ilmumisaeg: 19-Mar-2019
  • Kirjastus: Academic Press Inc
  • ISBN-10: 0128176385
  • ISBN-13: 9780128176382
Teised raamatud teemal:

Pharmaceutical Care in Digital Revolution demonstrates how blending human and digital pharmaceutical care can establish optimal Apothecary Intelligence (AI). Organized into four parts, it examines digital health advances that will synergize the pharmaceutical care process and prepares stakeholders for a dynamic future, fueled with innovation. Beginning with the global picture on health care systems, patients’ expectations, and current pharmaceutical care practices, the book covers details of relevant digital technologies as well as compliance, ethical, educational, and cultural aspects to take successful steps towards digital pharmaceutical care. The text includes links to lectures and technology facts, tutorials on how to implement advances in your own working environment, and examples of stakeholders who are successful in building synergy between digital and pharma.

Pharmaceutical Care in Digital Revolution is a practical resource to equip pharmaceutical care stakeholders, such as pharmacists, physicians, pharmacy technicians, and students as well as those in surrounding ecosystems like payers or regulators. It is a crucial reference to understand how technological innovation is changing the paradigm in which we provide current and future pharmaceutical care and how to keep it accessible, affordable, and sustainable.

  • Learn about advances in digital health technology and apply them as a change leader to create circular pharmaceutical care
  • Provides insights on future pharmaceutical care and implement essential conditions to create the best outlook for patients
  • Access links, QR codes, and explanatory animations as educational material to the book

Arvustused

"This is an impressive book, to which 6 authors contribute. The editor has written many chapters and shared valuable thoughts. She obviously is a very experienced digital innovator in the world of pharmaceutics and pharmacy, with a lot of knowledge and insight." --International Journal of Clinical Pharmacy

"Pharmaceutical Care in Digital Revolution is a must-read for pharmacists practicing in hospitals or community pharmacies, students, and health researchers active in the field of (clinical) pharmacy who are interested in the use of technology to advance our field."--European Society of Clinical Pharmacy

"With a doubling healthcare demand and a fixed or even declining budget, well never be able to cope with the burden of work were facing. Migrating routines with help of technology, assisting patients to collect more data themselves and shifting from treatment to prevention we might be able to stop this cost epidemic. Coming from the age of scaling efficiency we are now stepping into the era of scaling opportunities and learning. Working towards a new paradigm in pharmacy this book guides, teases, informs and teaches about the segway into circular pharmaceutical care." --Lucien Engelen, Global Strategist Digital Health, Deloitte Center for the Edge, Amsterdam - Netherlands

"Pharmacists are having and will be having an important role to drive digital innovation for the benefit of patients as well as the society. There is a lot of demand for clarity, support and education about digital impact in healthcare from patients, caregivers and many more. This is a big challenge, but a great opportunity at the same time. This book will help pharmacists and interacting professions to very well prepare for this new responsibility. It is an excellent source for getting closest to new digital trends and their expected impact on the way pharmacists will interact with people and society. The book is energizing to support and leverage the digital evolution. A great starting point for every pharmacist to creatively think about their role in a digitalizing future." --Herbert Altmann, Region Europe Head Digital Innovation - Novartis Basel - Switzerland

"This book is essential for all pharmacists who want to lead in the digital revolution. The pharmacy profession has always evolved. Changes are now faster, broader and deeper than ever. Thanks to technology, the patient is even more in the center of health systems, receiving better, more efficient and more convenient care in their day to day regular routine. Thus, future skills required for pharmacists will be different from today. Pharmacists are professionals that are expected to keep the ethical balance between technology and humanity. Being informed by an increasing number of digital data, they drive patient outcomes by optimal human pharmaceutical care. This book not only prepares for the day after tomorrow but also greatly inspires by the examples given." --Jaime Antonio Acosta Gómez, Community Pharmacist and immediate past ExCO Member CPS of FIP (International Pharmacy Association) - Spain

About the editor and disclosure of conflicts of interest xv
About the authors and disclosure of conflicts of interest xvii
Foreword xxiii
Acknowledgments xxv
Executive summary xxix
Introduction xxxix
Nine future thoughts for the day after tomorrow xlvii
PART 1 WHY: GLOBAL HEALTHCARE SYSTEMS UNDER PRESSURE
Chapter 1 Oxygen required
3(6)
Claudia Rijcken
Sustainability Focus
4(1)
Patients Are in General Positive, But Expect Better
5(1)
System Change Required to Create Future Oxygen
5(1)
The Benefits and Budgets of Drugs in Healthcare Systems
6(3)
Value for Medication Money
7(2)
Chapter 2 Innovation biotopes required
9(12)
Paul Louis Iske
From Innovation to Value
10(2)
General Principles of Successful Innovation
12(2)
The Innovation Funnel
14(1)
Open Innovation
15(1)
Combinatoric Innovation
16(1)
Creating the Best Environment for Combinatoric Innovation
17(1)
Risks for Failure
17(1)
Brilliant Failures
18(2)
Ideas Ready to Survive in a Complex World
20(1)
Chapter 3 Value-based healthcare forestry
21(6)
Claudia Rijcken
Measuring Outcomes
22(2)
Triple Aim and Proving Value of Medicine
23(1)
The Quantified Self to Measure Outcomes
24(1)
Driving Value as a Pharmaceutical Care Provider
25(2)
Chapter 4 Hunting grounds of outcome-based financing
27(8)
Claudia Rijcken
From Activity-Based to Outcome-Based Financing
28(3)
Changing Models for Spending Control on Drugs
29(2)
Real-World Evidence
31(1)
Broader Societal Benefits and Health Impact Bonds
32(1)
Pharmaceutical Care Providers as Drug Outcome Optimizers
32(3)
Chapter 5 #PatientsIncluded™ botany
35(12)
Claudia Rijcken
Patient Centricity
35(1)
Why Healthcare Systems Promote Active Patient Participation
36(1)
Consumerism to Take Autonomy for Own Healthcare
36(3)
Targeted Information Supply at Individual Literacy Levels
37(1)
Care Systems from Volume to Value
38(1)
Regulatory Interest in Patient Perspectives
38(1)
What Do Patients Consider as Good Healthcare?
39(1)
Shared Responsibility
40(4)
Patients Getting Acquainted with Digital Health Technology
42(1)
Some Examples Where Patients are Making a (Digital) Difference
43(1)
What Patients Can Expect from Pharmaceutical Care
44(3)
Not Just a Shop or Department
45(2)
Chapter 6 Scenery of pharmaceutical care
47(20)
Claudia Rijcken
Pharmaceutical Care
47(6)
Digital Pharmaceutical Care
49(1)
Five Essential Domains of Pharmaceutical Care: The Role of Pharmacists
50(3)
From Hospital or Community to Home Pharmaceutical Care
53(1)
Integrated Care
53(1)
Preventing Inadequate Drug Use
54(2)
Avoidable Harm Due to Medication
55(1)
Inadequate Drug Use
55(1)
Adherence, Its Relevance and Taxonomy
56(4)
Measuring Adherence
58(2)
Technology to Support Adherence
60(1)
Individualized Goal Setting
61(1)
Return of Investment of an Adherence Program
62(5)
PART 2 WHAT: DIGITAL ADVANCES TO INNOVATE PHARMACEUTICAL CARE JOURNEYS
Chapter 7 Abiotic digital health technologies
67(16)
Claudia Rijcken
Digital Health
68(1)
Booming Digital Health Environment
69(3)
Digital Health Classification by Type of Data Transfer
70(1)
WHO Classification of Digital Health Interventions
70(1)
Health Technology at Different Stages of the Patient Pathway
71(1)
Technology Adoption
72(4)
The Promise of Smartphones
73(1)
Challenges of Health Technology Adoption
74(2)
Persuasive Health Technology to Drive Adoption
76(4)
Creating Hooks to Improve Adequate Use of Drugs
78(1)
Serious Gaming to Change Habits
79(1)
Economic Benefits of Digital Health
80(3)
Research on Digital Health Cost-Effectiveness
80(3)
Chapter 8 Data outback of an internet of (pharma) things
83(12)
Claudia Rijcken
IoT Explosion
84(1)
Internet of Health
84(2)
Internet of Pharma Things
86(1)
Data in the Internet of Things
87(8)
Data in the Health Ecosystem
88(1)
HL7-FHIR and the Interoperability of Healthcare Applications
89(1)
FAIR Data Exchange
90(1)
Turning Health Data Into Knowledge
91(1)
Considerations for Future IoT Uptake
92(1)
Privacy and Security
93(2)
Chapter 9 The jungle of health apps
95(12)
Claudia Rijcken
Technology
95(1)
Categories of Health Apps
96(1)
Impact on Core Responsibilities in Pharmaceutical Care
96(1)
Implementation in Daily Practice
97(3)
For Professional Support: Medical and Pharmaceutical Reference Apps
97(1)
Logistic Prescription Management Support Apps for Providers and Patients
98(1)
Disease Management Apps
98(1)
A Wealth of Adherence Improvement Apps
99(1)
Considerations
100(7)
Responsibility for Connecting and Working With Health Apps
101(1)
Simplification Efforts Ongoing
101(1)
Assessing the Quality of a Health App
102(1)
Certification of Healthcare Apps
103(1)
Are Apps as Effective as They Promise?
104(1)
Reimbursement of Apps
105(2)
Chapter 10 Rainforests of wearables and insideables
107(12)
Claudia Rijcken
Technology
107(4)
Insideables and Digestables
109(1)
Virtual Personal Assistants and Wearables
110(1)
Impact on Core Responsibilities in Pharmaceutical Care
111(1)
Implementation in Daily Practice
111(2)
Pharmaceutical Care Providers as Consultants on Use of Health Wearables
112(1)
Wearables That Empower Pharmaceutical Care Providers' Work
113(1)
Considerations
113(6)
Retentive Wearables Use: Bring Your Own health Device
113(2)
Is a Wearable the Best Solution?
115(1)
Digital Health Compliance of Wearables
115(1)
Reliability of Digital Biomarker Data
116(1)
Resistance to Using Wearables or Insideables
116(3)
Chapter 11 Sequoias of artificial intelligence
119(16)
Claudia Rijcken
Technology
120(3)
The Promise of Machine Learning
121(1)
Stream-Mining in Continuous Data Flows
122(1)
AI Technology in Our Current Era
123(1)
Impact on Core Responsibilities in Pharmaceutical Care
123(1)
Implementation in Daily Practice
124(6)
Examples of ALs Impact on Doctors' Activities
125(1)
IBM Watson
126(1)
Google
126(1)
Microsoft
127(1)
AI to Fuel `"Pharmacy-as-a-Service" Platforms
127(1)
How to Start Tomorrow With AI?
128(1)
Kaggle to Answer Pharmaceutical AI Questions
129(1)
Considerations
130(5)
Bias and Responsible Data Science
130(1)
Lack of Differentiation in AI Providers
130(1)
Proven, Less Complex Machine-Learning Capabilities Can Address Many End-User Needs
131(1)
Ethical Challenges
131(1)
Competencies and Skills to Evaluate, Build, and Deploy AI Solutions
132(1)
Privacy, Quality, and Security
133(2)
Chapter 12 Pharmbot canopies
135(12)
Claudia Rijcken
Technology
135(3)
How Chatbots Work
135(1)
Chatbots and AI
136(1)
Chatbots in Healthcare and Phannbots
137(1)
Avatars and Digital Humans
138(1)
Impact on Core Responsibilities in Pharmaceutical Care
138(1)
Implementation in Daily Practice
139(4)
Logistic and Administrative Pharmacy Support
139(1)
Alexa, Can You Help Me With My Medication?
140(1)
Intelligent Chatbots to Support Triage, Diagnosis, and Screening
141(1)
Doctors Versus Chatbots
142(1)
Closed Loop Medical Ecosystems Required
142(1)
Virtual Pharmacists
143(1)
Considerations
143(4)
Security, Privacy, and Ethics
144(1)
SPoTs to Facilitate Phannbots
144(1)
Liability
145(2)
Chapter 13 Savanna of virtual, augmented, and mixed reality
147(10)
Claudia Rijcken
Technology
147(2)
Impact on Core Responsibilities in Pharmaceutical Care
149(1)
Implementation in Daily Practice
149(4)
VR-AR-MR as a Treatment Option
150(1)
Interactive Learning and Pharmaceutical Care Support
151(2)
Virtual Pharmacists
153(1)
Dynamic Education for Pharmaceutical Care Providers
153(1)
Supporting the Work-Around in the Community and Hospital Pharmacy
153(1)
Considerations
153(4)
Adoption Challenges
154(1)
Potential Adverse Health Effects of VR-AR-MR
154(1)
Other Challenges to Solve
155(2)
Chapter 14 Blockchain taiga
157(12)
Claudia Rijcken
Technology
157(3)
Decentralization Can Facilitate Security
158(1)
Smart Contracts
159(1)
Impact on Core Responsibilities in Pharmaceutical Care
160(1)
Implementation in Daily Practice
160(4)
Blockchain in Healthcare
161(1)
Benefits of Blockchain in Healthcare
161(1)
Blockchain in Different Pharma Domains
162(2)
Considerations
164(5)
If 90% of Functionality is Database-Like: No Blockchain
164(1)
Speed and Capacity of Blockchain Networks
164(1)
The Challenge of Identity and Privacy
165(1)
Uncertainty in Regulation
166(1)
Development Stage Technical Standards
166(1)
Making Changes in Blockchain Transactions
166(3)
Chapter 15 Digital therapeutic mangroves
169(12)
Claudia Rijcken
Technology
170(1)
Impact on Core Responsibilities in Pharmaceutical Care
171(1)
Implementation in Daily Practice
171(4)
Digital Therapeutics to Enhance or Replace Medication
171(1)
The Role of the Pharmacist in a Digital Health Management Team
172(1)
Diabetes
173(1)
Substance Abuse
174(1)
Pain, Stress, and Mental Disease Management
175(1)
Digital Contraceptives
175(1)
Considerations
175(6)
Gamification
176(1)
Regulatory and Reimbursement Framework
177(1)
Owner of the Prescription of Digital Therapeutics
178(3)
Chapter 16 Digital vegetation beyond 2024
181(14)
Claudia Rijcken
Precision Medicine
181(2)
Considerations
182(1)
3D-Printed Drugs
183(3)
3D Printing Towards Individualized Dosing
183(1)
Added Value of 3D Printing
184(1)
Considerations
185(1)
Big Opportunities Ahead
185(1)
Social Robots in Every Home
186(9)
Attitudes Towards Robots
186(1)
Social Companion Robots in Healthcare
187(1)
Social Robots in Pharmaceutical Care
188(1)
Considerations
189(1)
Ethics in the Time of Robotics
189(1)
The Value of Humans
190(5)
PART 3 HOW: CONDITIONS TO DRIVE COMBINATORIC PHARMA-DIGITAL INNOVATION
Chapter 17 Heathlands of digital health compliance
195(16)
Rob Peters
Barry Meesters
Manasing Risks
196(9)
Compliance Blueprint: What to Do Tomorrow
205(3)
Compliance Within the Context of Your Organization
207(1)
Defining Your Compliance Approach
208(3)
Reduce Compliance Costs and Work
208(1)
RegTech
209(2)
Chapter 18 Ethical practice: Fostering trees of life
211(16)
Wilma Gottgens
Claudia Rijcken
Ethical Practices in a Technological Culture
211(2)
The Core Values and Virtue-Based Practice of Pharmaceutical Care Providers
213(2)
Digital Ethics
215(1)
Technology Versus Humanity
216(2)
A Principle-Based Approach Is Not Sufficient to Safeguard Holistic Ethical Decision Making
217(1)
Responsible Research and Use of Technology
218(3)
Responsible Use of Data
218(2)
Responsible Scientific Research
220(1)
A Meaningful Life and Human Rights in the Digital Age
221(2)
A Meaningful Life
222(1)
Human Flourishing in a Digital Age
223(1)
Final Thoughts for Ethically Sound Digital Pharmaceutical Care
223(4)
Time to Care
224(3)
Chapter 19 Educational biome
227(16)
Claudia Rijcken
Characteristics of a Professional Practice
227(1)
Knowledge Domains in Pharmaceutical Care
228(1)
Competencies
228(1)
Skills
229(1)
Shift From Product-Orientation to Patient-Centricity
230(1)
Lifelong Learning Paradigm and Adopting Digital Change
231(1)
A New Fundamental Competency Proposed
232(3)
Understanding the Ecosystem of Digital Health Technology
232(1)
Data Consciousness
233(1)
Specializing in Pharmacy Informatics
234(1)
General Skills Required for Pharmaceutical Care in the Digital Revolution
235(2)
Serious Gaming to Enhance Skillsets
237(1)
The Future of the Pharmaceutical Care Job
237(6)
Analyze Which Tasks Can Be Automated, and Which Tasks Cannot
238(1)
Be Prepared for New Roles
239(4)
PART 4 HOW: WHAT TO DO TOMORROW AS A PHARMACEUTICAL CARE LEADER
Chapter 20 Digital by Design: Creating effective future oxygen Supply
243(10)
Claudia Rijcken
Why: Identity True Pharmaceutical Care Problem and the Blue Sky
244(1)
Who: Select the Most Relevant Patient Group
245(1)
What: Validate How the Target Population Sees the Blue Sky
246(1)
How: Choose the Most Suitable Future Solution
247(2)
Do: Lead the (Digital) Transformation Process
249(1)
How to Lead Digital Transformation
249(1)
Sustain: Check the New Process and Adjust Where Required
250(1)
Considerations
251(2)
Chapter 21 Hayfields of high-performance cultural transformation
253(6)
Paul Rulkens
Why Culture Drives Results
253(1)
The Need for Clarity, Connection, and Goals
254(1)
How Distinctions Build a Culture Focused on the Future
255(2)
The First Important Distinction Is: Are You Playing to Win, or Are You Playing Not to Lose
256(1)
The Second Important Distinction Is: Do You Fall in Love With Your Patients, or Fall in Love With Your Product or Processes?
256(1)
How to Use Power Laws
257(1)
The Value of Strategic Quitting
257(1)
How to Take the First Step and Maintain Momentum
258(1)
Final discussion: Circular pharmaceutical care 259(16)
List of abbreviations 275(4)
Appendix: Overview of Laws, Legislation, and Standards Referred to in
Chapter 17
279(14)
References 293(14)
Index 307
Claudia has an educational background as a pharmacist and obtained a PhD in Pharmacoepidemiology and a Master of Health Administration (eMBA).

After managing community pharmacy roles, she moved into clinical drug development in roles with increasing responsibility at Organon and Novartis.

Next, she acted within Novartis in international leadership roles in patient access, key account management, and public affairs. Here, Claudia developed a growing passion to educate an facilitate the adequate use of digital health technology to further enhance the value of pharmaceutical care.

She invested in learning about business development and health technology at Erasmus University Rotterdam and MIT Sloan and moved into a European digital innovation role within Novartis.

In 2019, Claudia founded the company Pharmi BV which is located at the Philips High Tech Campus in Eindhoven, the Netherlands.

Pharmi develops interactive digital medication care modules that facilitate blended care support to patients. It offers pharmacists the possibility to provide care digitally where possible, freeing up more time to provide the ultimate important human care where needed. Pharmis platform MedsWise acts as an interactive digital coach for patients, warranting 24/7 patient access to reliable information, interaction and support at respective patient literacy levels and preferences.

Claudia is since 2019 also lecturer in digital pharmaceutical care for MSc Pharmacy students at the University of Utrecht, Netherlands. She regularly lectures on national and international events on digital pharmaceutical care and the transformation of care models.

Claudia is an active member of the FIP Technology Advisory Group.

Ardalan (Ardi) Mirzaei, BPharm, MPhil, GradCertEdStud (Higher Ed), PhD is a registered pharmacist and data scientist.

He completed his PhD in the School of Pharmacy, developing a dynamic model of patients' health information-seeking behaviour.

Ardi has worked in community pharmacy for over 15 years, having worked in a clinical setting as well as managing multimillion-dollar stores. In addition, he has a background in education, working as a training coordinator for pharmacy internships and teaching at the University of Sydney on subjects in business, pharmacy, and machine learning.

This is supplemented with over eight years of experience in data science, developing business solutions for the healthcare, education, retail, academic and government sectors. His passions include health, teaching and technology.



Ardi enjoys exploring the use of AI, machine learning and deep learning models and their application to everyday tasks and in healthcare. His interests have led to his involvement in the International Pharmaceutical Federation (FIP) Technology Advisory Group.