1. What is e-health and why Hong Kong needs it

The World Heath Organisation (WHO) defines e-health as “the cost effective and secured use of information and communications technologies in healthcare.” There are many applications of e-health, such as patient record management, remote monitoring of patients, education of health professional, decision support system for doctors to prescribe medicine.

With the advancement in health care and living standards, the life expectancy of people in developed economies has greatly improved. At the same time, we can see a growing trend in chronic diseases which are closely associated with ageing. Some experts estimate that 1/3 of the population in developed economies could have some kind of chronic diseases, such as diabetes, hypertension, dementia and depression. The associated medical cost is very high. In some countries close to 3/4 of medical cost are spent on patients with chronic diseases. As Hong Kong moves into an ageing society, e-health provides a new model and cost effective approach to health care, particularly in treating and supporting people with chronic disease.

2. Chronic disease management in Hong Kong
For years, the Hong Kong Society of  Rehabilitation (HKSR) had been promoting self-management of chronic disease, based on a model adopted from Stanford School of Medicine. The success of self management program requires very good self-discipline to do exercises, measure and recorded vital health parameters such as blood pressure and blood sugar level. And most important of all, is the willingness and persistency to change life styles.

With the advancement of wearable heath devices, self-management is much easier because these devices could monitor and record these health parameters automatically. For example, an e-health company in Europe has developed a watch like device that will monitor the sleep pattern and physical activities of the user. With a sophisticated algorithm behind, it can send alert to caregiver when it detects something wrong had happened to the user.

3. Community care of elderly

Many elderly have installed emergency alert system in their homes, which is often a device with an alert button. It requires the user to press the button and call for help from a call centre.

The new generation of wearable device is much “smarter” and proactive than before.
Hong Kong has over 1 million of elderly age 65 and above, living in the community. If they wear such smart devices, their health conditions could be monitored by social workers, nurses and other para-medical professionals. And timely support and interventions could be provided.
 All in all, telecare with new generation of smart wearable devices is probably a perfect combination towards a cost-effective community care model.

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