Nobody likes going to the hospital, whether it's because of the logistical challenges of getting there, the astronomical costs of procedures or the alarming risks of complications like antibiotic-resistant bacteria. But what if we could get the lifesaving care provided by hospitals in our own homes? Health care futurist Niels van Namen shows how advances in technology are making home care a cheaper, safer and more accessible alternative to hospital stays.
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This is the way we are going in Australia, especially for the elderly, as we are facing a crisis in a few years as our baby boomers are ageing. There aren't enough high care aged care facilities, so there has been a huge emphasis on home care. Not just nurses but also cleaners, personal carers and the like. And if admitted, people get out of hospital faster, and therefore more beds are available, but people feel better at home usually. Personal care buzzers such Tunstall provide are also there for people who need help after falling etc.
Postnatal home care is huge, as well as aged care. There are now also mobile physios, podiatrists, occupational therapists. I'm not sure about the chemo treatment. I think some-one still has to go to hospital but once a stent is inserted, there is no reason why it can't be administered at home by a nurse. After-hours home visits by doctors are now becoming more common. I had one come to me on a weekend when I thought I had food poisoning but it turned out to be a severe case of diverticulitis. I didn't even know what that was, and if left untreated my bowel would have burst. I then ended up in hospital as it was necessary. It is changing for the better I think.
This has already been considered:
Jules Verne & Paschal Grousset - The Begum's fortune
Someone decides to spend his inherited fortune to build a city where home healthcare is used instead of hospitals, where drainage and sewerage work properly and pollution and endemics are not a problem anymore.
(I hope someone tries to implement this someday. )
Hospitals are very eager to get rid of chronically ill patients, claiming they're better at home. Usually a family member, completely alone, becomes responsible for continual care. Sure, the hospital will promise they will provide this that and everything, just to get the patient out the door. In reality, there is practically nothing in terms of community supports. Start there.
This is a complex topic, there really is not a "one size fits all" type of solution, but one thing is certain and ubiquitous . . . people have to become much more proactive in managing their own health.
This means much more focus on one's own preventative health management . . . better diet, exercise, common sense lifestyle. The days of people living very unhealthy lifestyles, over eating, smoking, excessive drinking and so on, and then showing up at the hospital with ailments that they caused to themselves, these days have to come to an end.
Having said that, it does make sense that much of the care and procedures that had been relegated to the "big fancy hospitals" can in fact be rendered at home with current and emerging technologies. Which leads to a larger question, that being the required change of the "traditional" economic and business models that have surrounded so-called health care industry, and is now spiraling out of control.
And yes, it is absolutely true that many doctors are getting completely burned out with the assembly line type of practice they find themselves in, and for many still in med school or starting out in residency, the extreme cost of the education and crushing debt incurred just to get to that point is daunting.
This system is imploding in on itself . . . a radical change in so-called healthcare is necessary and unavoidable.
If people have to be proactive, then give them access to test results and physician's notes without charging $40 fees each time. I automatically receive detailed written information from a $50 oil change, but not from a visit to the doctor. This is still the "doctor knows best" attitude from the 1960's.
My family hospital is our backyard, &our farm, growing my own , and if you read this please make sure you plant a moringa tree, doesn’t need a huge garden even a flower pot or old bucket will do..! Research on it 👌🏾 I believe every family needs this plant in their backyard/garden.
Why is health care so expensive? (1) Medical insurance, (2) Malpractice AKA defensive medicine (related to insurance), (3) wage & work rules in medical field, (4) drug prices (related to insurance), overuse of expensive tests & procedures(related to insurance and defensive medicine).
It is a great concept, that would result in an easier recovery and less complications. However it is important to know why hospital came to be and fix the problems of the past where a similar system existed. First of all there would be shortage of healthcare workers. Even in the current system, there is a deficit of nurses, physicians, and other types of providers. If we were to establish a system where nurses administer treatment at home, the patient load they can logistically carry would decrease. The number of healthcare workers need to care for the same amount of patients would drastically increase and make the current problem even worse. Secondly although a lot patients in the hospital can be treated at home, the treatment they are on requires supervision for side effects or there is a possibility of their condition worsening and potential need more specialized care. This can be solved by either setting up secondary healthcare centers close enough to hospitals or determining very specific criteria for conditions and patients that can be given home healthcare.
Overall the transition towards home healthcare has begun for simple conditions and patients who are responding well to treatment however it is important to have the vision to see potential problems and arrange solutions before we start treating patients with complex conditions at home.
It is sad this has to be a TED Talk when the solution is so obvious and beneficial to not only the individuals affected, but to every country as a whole and their entire financial future. What are we doing? 17% instead of 5% monetarily and providing worse treatment for ourselves. Capitalism cannot be placed over Care!!!
A lot of things we make it as it invaded our natural life,
Why use food Imperfect?
Why do we use antibiotics and on the shelves of our kitchens better ones?
Vinegar is very useful in the treatment of infections, effectively and quickly and strengthens the immune system - for exm
I agree with him in principle but there are kinks to work out . There's a visiting nurses association where I live that a couple people I knew quit because they are nosy and sometimes get social services involved . There have also been complaints about lack of punctuality which annoys me in any care setting . Furthermore opening my home to the homeless like the speaker suggests wouldn't be something I'd be very comfortable with .
Good. Although I'd say that preventive self-care should be the main focus, if people learn to have mental wellness, and therefore, a
good physical condition, they won't even need to have a treatment at home because they're always going to be healthy. Just avoid getting sick by being positive and happy. Nice talk!
Detenerse en el 9:56; los reparadores de máquinas, humanas, están mentalizados por el excremento del diablo; se han convertido en embaucadores de la salud. Hipocrátes, sostiene: el médico cura, sólo, la naturaleza sana. Finalmente: Distraete=olvida tu dolencia.
There will be no complex treatments at home or social services without afforable basic internet connection for the poor. Android robots for health care are not coming along until you get basic cheap internet which is not exploied by telcos or ISPs and governmment.
He is not really into health care like doctors and nurses are, he is a logistics manager at UPS. Of course it is more comfortable being at home when you are sick. But having 100.000 mini hospitals at home obviously means a lot more business for UPS then having it all in one place. Still, a lot of care now being provided in hospital can be provided at home as well. It is questionable however if that, over all, will be cheaper, or that it will only mean that the money goes more via UPS in stead of where it is going now. Healthcare will always have it's price. No one wants to pay for it and every one wants to be at the receiving end of the money. UPS is one of them. That is not right or wrong per se, but just a different perspective on this talk.
Yes finally someone who speaks my mind. Home healthcare would be so great. And it used to be a thing, that the family doc would come over and do a ll the regular tests and all the vaccines. But the insurance companys wanted more profit so now a doctor only get´s very little per patient so they try to cram in as many as possible.
Yet another important talk! This "healthcare" madness has been going on for too long. In 2018 we can cover the logistics of this system with the current technology while providing necessary and useful jobs to caretakers.
However the best thing you can do is work less, eat healthy foods, go outdoors more and you'd never have to visit a doctor ever again and money you invested in your health will stay IN YOU and not to hospitals. Prioritize your health over jobs and money!
It's good to prioritize self care but accidents , natural degeneration that comes with aging and genetic predispositions can still happen to anybody . As fare as working less a majority of people work long hours just to put food on the table and keep a roof over there heads never mind a nest egg and emergency fund . Living is very expensive ....
Haven't had my thyroid meds thanx to the nature of our screwed up mess. Blood test and a tiny pill but for the man with a suit and tie gatekeeper to the doctor, let alone cheaper and more efficient system.
Very ambitious ideas, but the practical hurdles to overcome are far higher than this one sided passionate talk adresses. This man clearly does only work on the logistics side of health care, not on the 'real' care side of the current health care system
In the US everything is a virus and therefore, you can go home to sleep it off. But that’s the catch, not enough sick days are provided by employers, as if we were the HEALTHIEST PEOPLE IN THE WORLD WITH ALL THE JUNK WE EAT!!!!
I'm from Myanmar, a third world country.I'm about to start a clinic... and this video enlightened me that logistics is very important... it's not about getting more customers It's about providing better service to the patient...
I'm still thinking why we need to go hospital for some minor treatment while we can order pizza to our home..
manipulated by media? Truth is something no one can hide, come in Rohingya camp in Bangladesh and see their sufferings, maybe you're brainwashed by your local media. I believe you're a good man and you'll help them get their land back, but maybe you're kept in dark by your govt. Don't trust this government who will kill people for their own benefit.
We tried it. Some years ago they sent a lot of people who coudn't find work to train to be care givers for the elderly... Today there are thousands cases of brutalization of elderly People...
You can't order people to care for others (especially if the 'other' can't speak up).
in germany this is partly the case. There aren´t enough new nurses, but also the working conditions and the pay is so bad that many people give up their job as a healthcare worker. We´d need better working conditions. Like for instance home visits with enough time per patient. Or another nurse in the hospital to help.
I've bee a live-in health/companion for a number of years because I gave up my marriage & home. Having some mobility issues now but am able to move around in a one level house without difficulty. I'm aware there are now computerized medical beds that compile data on bed's occupant & relays it. The one problem I see is power loss especially when a patient goes into crisis.
We don't have Healthcare. It's "Sickcare". People are realizing that. There are many cures that are held back because the medical system and big pharma has put money over lives and for a long time now.
Costs have skyrocketed, yet the care is worse now then when I was a kid.
I am old enough to remember when the family Dr came to your house to see you.
Look at the amazing technology we have, yet there are more sick people than ever. People are dying younger. I can go on and on because this is my main issue I have been fighting for the last 20 years.
This guy is on the right path.. and we need those cures released.
The best way to bring down health care costs is to stop treating the most expensive cases and let people die -- I wouldn't accept this, thankfully society would not either. But the health insurance companies have been running on this path for a long time.
Another way is to stop using expensive technology developed beyond a certain time when health care was cheaper. This has the same practical effect.
Medical schools and research institutes are taking money from big pharma, and that is a massive conflict of interest that would not be allowed in any other profession. "Evidence-based" medicine is horribly tainted. Governments should fully fund research, except that seems as though it's more costly than just letting big pharma decide what to fund, and what results to publish.
+Lillian Warren Very true, but the treatment for these conditions only makes them worse due to the severe side effects. Either they need to be treated without drugs, or they're better off without treatment.
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As a child, there was a portrait in our family home in Paris that I always loved. Today, it’s known as Maya with Doll – but to me it was just a portrait of my mother, albeit a remarkable one. “Your grandfather was a painter,” she would say, whenever the subject of the canvas, one of many that hung around the house, came up in discussion. It was only when I began school, and whispers about my heritage started to follow me, that I realised what an understatement that was. My grandfather was far more than a painter. He was the defining figure of 20th-century art – and, as I would learn later from years of academic study, a true genius. It was a revelation that would shape the course of my life in many ways. When Picasso died – in 1973, the year before I was born – he left behind 45,000 works, not to mention personal objects and correspondence.