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Enabling sustainability in health care T Ruers Head of the Division Surgical Oncology Antoni van Leeuwenhoek Hospital Amsterdam Population by age Europe 2040 2019 Gapminder.org, RIVM/NIVEL > 50% of people have at least 1 chronic


  1. Enabling sustainability in health care T Ruers Head of the Division Surgical Oncology Antoni van Leeuwenhoek Hospital Amsterdam

  2. Population by age Europe 2040 2019 Gapminder.org, RIVM/NIVEL

  3. > 50% of people have at least 1 chronic disease Source: NIVEL,RIVM

  4. Disability adjusted life years dementia coronary heart disease CVA arthrosis diabetes COPD neck + back anxiety mental disorders lung cancer Lost life years (death ) Lost years by disease Source: NIVEL,RIVM

  5. Income – life expectancy Africa/Asia East Europe Western Europe Gapminder.org

  6. Income – life expectancy Gapminder.org

  7. Income – life expectancy Gapminder.org

  8. Income – life expectancy NL Bangladesh UK US Russia China Congo India Gapminder.org

  9. Health Care spending *US Billion USD

  10. 70% of health -4 indicators care costs are (weight, glucose, caused by blood pressure, cardiovascular cholesterol) control disease, diabetes costs and cancer -Cancer screening Marvasti NEJM 2012, Cigna 2015

  11. Health care > Sick care Personalized Tsunami of data medicine AI Diversity generations Individual driven Technology driven Data ownership consumer Digital health

  12. Enablers Digital health AI Sensor Big data technology

  13. Location / suppliers Home care Care moves outside hospitals Data ownership consumer Other suppliers enter the market

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