My Personal Health Check
A scientific
e-Health platform
for
Personalised
prevention and
Early Diagnostics
October, 2014
Coenraad van Kalken, MD, PhD
Netherlands Institute for Prevention and e-Health Development (NIPED Institute)
Chronic disease burden
Major societal challenge !
Cardiovascular disease
Common mental disorders
COPD
Diabetes
Cancer
Obesity
Arthrosis
Current medical practice
Pre-symptomatic
prevention
early diagnostics
early intervention
late
intervention
Everybody through the scan?
Advanced testing in an unselected population is undesirable, costineffective and could even be ‘dangerous’
False positive results
– overdiagnosis
– unnecessary treatment
– medicalization and stigmatization
 weighing risk versus benefit is important
 adequate selection high-risk individuals is essential
 Individualized tailored approach
Personalised prevention approach
• Integrated approach (multiple disease processes)
• Expert system for personalized health / risk profiling
• Patented expert system (US-7,650,290 B2) as basis
• State-of-art scientific content / national board
• Links profiles to medical thresholds, - guidelines & best practice
lifestyle , psychological and social interventions
• The concept: A personal health account to empower individuals
and professionals
The concept
Awareness
Assessment
Action
NIPED E-health Platform
Results development program
(40.000 participants)
• 11% of “ Healthy Dutch” has red profile with a medical
indication according to 1st line medical guidelines
• 60% has code orange (lifestyle, mental)
• 3-5% has undiagnosed common mental disorder
• 9% of 50+ participants has indication for colonscopy
• 60+% of people acts on healthier behavior plan;
• 97% has positive judgment of employer’s initiative
• 20% decrease absenteeism
(www.niped.org)
NIPED Research
45.000 PARTICIPANTS
6 PhD theses
9 PhDs
Results: Individual improvements
*6 months after participation
74% gemotiveerd tot
gezonder gedrag
70% verbeterde
voeding
54% meer
bewegen
50% verhoogd risico
15% sterk verhoogd
risico
10% zeer hoog
risico
25% licht of
geen risico
25% minder gaan
drinken
23% gestopt
met roken
Amsterdam - In september wordt “De Persoonlijke Gezondheidscheck” (PGC)
geïntroduceerd. Dit innovatieve preventieve gezondheidsonderzoek komt voort uit de
samenwerking van Hartstichting, Nierstichting, Diabetesfonds, Longfonds, de Landelijke
Huisartsenvereniging, het Nederlands Huisartsen Genootschap, de Nederlandse
Vereniging voor Arbeids- en Bedrijfsgeneeskundigen, GGD Nederland en het NIPED
instituut.
De betrokken partijen geven hiermee concreet inhoud aan de doelstellingen van het recent
gestarte Nationaal Programma Preventie ‘Alles is Gezondheid…’, dat tot doel heeft de groei
van het aantal chronisch zieken te keren en gezondheidsverschillen tussen groepen mensen
te verkleinen.
The essence
 Realization 1 standard for multimodulair preventive health check
 Scientific answer to multiple disease specific tests
 Supported by Health Funds and Medical Organizations
 Novel modules COPD, mental disorders, at work and cancer
 Selective prevention positioned as 0-line diagnostics
 Public private market model (@-work and regional projects)
 Health Voucher for laboratory and biometry testing (if required or desired)
 Payment by employers, insurance, local government or individual
Powerd by:
Partners:
The Personal Health Check
My Personal Health Account:
Powerd by:
Partners:
Validated (self) biometry and lab tests:
The Personal Health Check
PERSONAL HEALTH ACCOUNT
Webmodule hart- vaat risico
Webmodule leefstijl
Webmodule long
Uitslag, persoonlijk advies en verwijzing naar passende hulp
Free
BASIC LAB AND BIOMETRY
Cholesterolprofiel
Diabetesprofiel
Bloeddrukprofiel
Buikomvang & vetverdeling
Uitvoer checkpoint op locatie werkgever
Health Voucher
@-WORK MODULES
Webmodule @-Work: Draagkracht/draaglast, Psychosociale Arbeidsbelasting, RUG-/KANS-klachten, WAI
Webmodule Psyche: Risico depressie, burn-out, angstklachten
Nierfunctie bepaling
Health Voucher @-Work
OPTIONAL
Screening op dikkedarmkanker (alleen voor 50 jaar en ouder)
Gezondbox met bloeddrukmeter en buikomvanglint
Powerd by:
Partners:
Sustainable employability
Powerd by:
Partners:
The ambition
2014: 300.000
2015: 1.000.000
2016: 2.000.000
Powerd by:
Partners:
Conclusion
Health management platform for personalized prevention
• The first integrated knowledge- and decision support platform for
personalized prevention
• A scientifically sound personalized prevention program linked to
individualized medical and non-medical follow-up
• Tailored prevention advice and stepped care intervention strategy
according to loco regional guidelines and best-practices
• Broadly applicable at low costs
• Successful development in the Netherlands with effective early
detection, lifestyle change; effects on productivity & absenteeism
• Broad coalition for broad implementation