
Professor Dr. Dale Adler MD, prominent cardiologist and medical heart disease treatment expert, and Dr. Anton Titov MD PhD MBA / Exclusive interview on medical therapy for coronary heart disease, high cholesterol and hypertension treatment, and sudden death prevention and treatment.
- There is a lot of mergers and acquisitions happening in the health care services business in the United States. The large hospitals are really getting their patients through the referrals, which provide 75% of hospital patients. So large hospitals are trying to secure the referral networks by buying private physician practices in their areas, by partnering with smaller hospitals. But at the same time the prevailing trend in health care is to move away from hospitals. Healthcare moves into, essentially, an iPhone, into more ambulatory services, remote monitoring and telemedicine. Some countries such as Denmark are already very advanced in progressive models of healthcare which goes to the patients, instead of bringing the patient into the system. You have a lot of experience integrating hospital networks as well as in healthcare management. What kind of business models do you think benefit patients most? Where do you see the health care business in medical services moving in the next 10 years? These are very interesting questions and I will take first the personal side of medicine and people being able to track their blood pressure or their heart rate. And we hope one day, and it's already starting, people can very easily check their blood sugar. For example, people who have asthma might be able to track their peak flow - the amount of air they're able to force through their lungs at once, So there could be a tremendous amount of information that patients will be able to track on their own. And you're just right - without coming in the hospital. I think everyone is excited about a particular device now that allows us to detect the pressure inside the pulmonary artery, so we can tell in those patients who've had problems with heart failure, if they're starting to go in the wrong direction. We obviously can do a lot with heart rhythm issues monitoring remotely So it's very very exciting area. And we hope that we'll learn more about it, we have to learn how to process the data, because right now we've done studies in people, for example, who come to the hospital with atrial fibrillation, and we know what their history is. Then you have to do additional studies to say, "Well, what about a person who has a pacemaker and we can detect when they have atrial fibrillation for just one minute in a month. What does that mean?" So that's a whole other area for us to try to figure out how do we not only handle that huge amount of data that's coming in, but what does it actually mean in terms of patient's health. So that's an area that's very exciting.
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