The HEALTH : Jan/Feb 2020 | Page 26

The Health | jan/Feb, 2020 26 Tech & Innovation Can AI ever replace human doctors? Experts discusses the future of digital healthcare Dr Chun Yuan Chiang (second from right) expresses his opinion on how AI is far from being able to replace human doctors in most aspects. F rom detection to diagnosis, digi- tisation is widely being accepted as the new approach to medicine. Healthcare practitioners and patients are quickly embracing digital apps and advanced technol- ogy to get to the bottom of an ailment. But can technology and artificial intel- ligence ever replace doctors? “I don’t think at this stage, we are at 100 per cent, or even close to 100 per cent sure that AI can replace a historical high-touch type of doctor-patient relationship,” said Dr Chun Yuan Chiang, a health practitioner and founder of IHDPay Group, a health care payments firm. “In terms of diagnostic aid, it’s a different category. So, I would say at the end of Day Four, the patient wants recovery,” he told CNBC’s Nancy Hungerford at a panel discus- sion at East Tech West conference in the Nansha district of Guangzhou, China. Changing landscape Still, experts say AI — defined broadly as machines programmed to mimic human intelligence in areas such as problem-solving and learned behaviour — has reshaped the Now, with CT you can see all lung modules, and with AI can tell where it is and how big it is. It’s much more advanced than before.” – Dr Chun Yuan Chiang medical landscape. “We used to use x-rays to detect lung cancer. The problem is you can only go to stage 3 or stage 4 with x-ray,” said another member of the panel Dai Ying, chief innovation officer for GE Healthcare in China. “Now, with CT you can see all lung modules, and with AI can tell where it is and how big it is. It’s much more advanced than before,” he said referring to computed tomography scans used to detect medical conditions. Diagnosis of ailments and diseases is being done remotely these days. Health care providers are connected via centralized systems that can monitor patients remotely. But can AI replace a doctor’s visit for those that are remote? “We are building telemedicine in our apps today where you can consult a doctor from the convenience of your homes, not for emergency,” said Jai Verma, CEO and board member of insurance company Cigna DIFC, and global head of government solutions at Cigna International. “I think AI, internet of things, are going to change the way we deliver health care in the future.” Verma also believes that along with AI, block- chain technology will make it easier for heath care companies, professionals and patients to Health tech trends: Connected devices and telehealth THE healthcare industry, mainly in the US, is in the midst of transformation, including an overhaul of its information infrastruc- ture from physical to digital, and the rise of informed and increasingly empowered consumers. Managing consumers' healthcare experience is no longer a selling point, but a must-deliver component of technology vendors' solutions. Within the connected fitness space, tech leaders in the consumer fitness and wellness segment are entering the medical devices and data market, participating in studies for clinical validation, and seeking regulatory compliance with the FDA and HIPAA. Fitbit and Apple are leveraging their wearables platforms to develop diagnosis and monitoring algorithms. With CareKit, Apple is enabling care pro- viders to develop apps on its platform rather than forcing a one-size fits all solution. This allows the process to be physician-led and physician-guided. Both Apple and Amazon are seeking to make their devices healthcare platforms for share medical records, and that many insurance companies are already looking at integrating blockchain into their modern systems. Blockchain, the technology behind cryp- tocurrencies like bitcoin, is a public ledger of every transaction that has taken place. Fraud and costs As health-care providers plough millions into AI-powered machines, blockchain and other expensive innovative technologies to improve the future of medicine, there are concerns that health care costs could go up. Experts think otherwise. “I think the technology is going to help us streamline the operations and reduce our operating costs,” said Verma, pointing out that most costs these days are associated with manual work. “AI would help you to make it automated, so the future systems are going to help reduce your costs.” In China, one of the largest health care markets in the world, Dai said AI can play an important role in improving efficiency for the hospitals. “I don’t think AI is all the time adding to costs,” he said. “In most cases, it saves the costs.” — The Health on smart technology. Connected devices Connected health and fitness devices, par- ticularly wearables, provide users with new insights into their own health. Adoption of connected health devices has been increasing over the years, and 40 percent of consumers now own at least one listed connected health device, across a variety of devices designed for wellness, fitness and medical purposes. CONNECTED HEALTHCARE: Fitness trackers and smartwatches have become mainstay for many Malaysians nowadays, proving the prevalence in wearables as the top healthcare trend moving forward. third-party medical applications. Alongside tech giants, retail brands are incorporating connectivity into their product lines, helping to raise awareness: Under Armour announced a partnership with Samsung and JBL to provide a fitness ecosystem of smart shoes, watches and applications. Peloton emerged to revolutionize the stationary bike with a subscription model for on-demand and live streaming fitness courses — a first in connected social fitness. The latest trends and developments in connected health include connected health and fitness devices giving consum- ers greater insight into health metrics, increased availability and use of telehealth services, and companies focusing on provid- ing independent living solutions centered Telemedicine and on-demand virtual care services Telemedicine and on-demand virtual care services provide a remote solution for physi- cian visits, transitional care after a hospital discharge, and ongoing chronic care manage- ment, which can lower costs for both patients and providers. In Malaysia, development of such mobile apps like Doctor2u, Pulse, and Naluri give users the chance to talk to their physicians without ever queueing at the clinic or hospital. These services also are incredibly conve- nient for consumers and can expand access for those who have difficulty getting to the doctor, whether due to distance, scheduling or condition. Telemedicine provides the convenience and efficiency of not requiring the patient to physi- cally go to a physician's office, enabling flexibility — a key value proposition for patients. The connectivity will go through another evolution when 5G connectivity becomes more accessible in the country as well. — The Health