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Globalisation of HealthcarebyVirtualisation of HospitalsG. Graschew, T.A. Roelofs, S. Rakowsky and P.M. SchlagSRU OP 2000, MDC/RRK, Charité, Berlin, Germanywww.OP2000.euSecond United Nations International UN-SPIDER WorkshopDisaster Management and Space Technology – Bridging the GapBonn, 13-15 October 2008OP 2000SRU OP 2000, RRK/MDC, Charité, Berlin

What is Charité? Largest university hospital in Europe: 3,200 beds in 107 clinics and institutes 127,000 inpatients, 500,000 outpatients yearly 12,800 employees, including 4,000 scientists 7,500 students State-of-the-art business enterprise:– 1,100 million annual budget, including– 331 million for research and educationOP 2000SRU OP 2000, RRK/MDC, Charité, Berlin

What is Global ORMATIONInternet / Interactive TVmobile / stationaryInterconnectivity forHealthc.ServicesServicesfor theCitizensHealthcareat HomeSENSOR DATABody Area NetworksBiochips, NanotechnologyMobilityManagementof Trauma,Emergency& tionSatcomWireless / Wired Local AccessOP 2000SRU OP 2000, RRK/MDC, Charité, Berlin

Developments expected in 5-10 yrs(selection from 36 topics)* Virtual Reality integral part of medical education & training Ambient Intelligence at home allows telemonitoring Implantable EPR chip Computer-assisted planning for Adaptive Radiation Therapy Speech control for daily routine in OR Expert systems for decision support Nursing robots*Source: “Future IT for Healthcare”, May 2007,Fraunhofer ISI & ZEWOP 2000SRU OP 2000, RRK/MDC, Charité, Berlin

Satellite-based Networks for Global HealthcareOP 2000SRU OP 2000, RRK/MDC, Charité, Berlin

Real Time Digital Medicine Telesurgery (includinglaparoscopy) General Teleconsultation forsecond opinioning Pre- and post-transplantconsultation Teleteaching, Teletraining &Tele-educationOP 2000SRU OP 2000, RRK am MDC, Charité,

MEDASHIP Satellite NetworkOP 2000SRU OP 2000, RRK am MDC, Charité,

Telemedical Applications in MEDASHIPOP 2000SRU OP 2000, RRK am MDC, Charité,

Teleconsultation and Telesonography duringtriageOP 2000SRU OP 2000, RRK am MDC, Charité,

e-Health for u-Health –real-time Telemedicine in VH provide the best possible patient care at any site optimal use of all available medical resources contribute towards standardised treatment protocols(disease management and evidence-based medicine) allow the wide use of interactive real-time telemedicalservices for medical e-learning contribute to bridge the quality gap in patient care: between Centres of Excellence and middle-rangeand small medical centres; between various regions of the worldOP 2000SRU OP 2000, RRK/MDC, Charité, Berlin

VH and Global u-HealthSimultaneous and synchronized access from localand remote– collaborative access of patient data– collaborative manipulation– collaborative controlOP 2000SRU OP 2000, RRK/MDC, Charité, Berlin

Digital Medical Education – Project 2020 Integration of Head tracking Systems for realisticstereoscopic view Use PHANToM as force feedback manipulator Use synchronized client abilities for drivingmedical CAVE SystemsOP 2000SRU OP 2000, RRK am MDC, Charité,

VH – Project 2020: Technology of Interacting andIntegration of MeansAdvancedTelecommunicationsSurgical Oncological Working Place 2020Medical CommandCentresSource: MedSMART 2003OP 2000SRU OP 2000, RRK am MDC, Charité,

VH – Robotic TelepresenceSource: InTouchHealth, USAOP 2000SRU OP 2000, RRK am MDC, Charité,

Are all possible innovationsin healthcare desirable? Implantable EPR-chip: 64 % say no! Nursing robots:54 % say no!Source: “Future IT for Healthcare”, May 2007,Fraunhofer ISI & ZEW users’ acceptance is pivotal(professionals & patients/citizens) ICT: optimisation rather than maximisation !OP 2000SRU OP 2000, RRK am MDC, Charité,

Global Health –Challenges & Opportunities Raisingawareness and consolidation of the demand Development of economic models for sustainableservices To move from curative to preservative medicine To account for ethical and privacy aspectso Is health a human right or a social duty?OP 2000SRU OP 2000, RRK/MDC, Charité, Berlin

SRU OP 2000, RRK/MDC, Charité, Berlin Globalisation of Healthcare by Virtualisation of Hospitals G. Graschew, T.A. Roelofs, S. Rakowsky and P.M. Schlag SRU OP 2000, MDC/RRK, Charité, Berlin, Germany www.OP2000.eu Second United Nations International UN-SPIDER Workshop Disaster Manageme