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Abstract

Demographic and socio-economic changes in large parts of the world enforcing change to health care systems as we know them. While our societies are ageing and thus require more health services the number of hospital beds, at least in Europe, is decreasing, while at the same time the point of care is shifting towards outpatient departments, doctor’s surgeries, care homes, patient homes and—the Internet. Buzz words such as Individualized Medicine, Precision Medicine , mHealth and lately the 5th generation mobile networks are driving a trend towards virtualization and a transition from manufacturing, for example of pharmaceutical products, to service provision. Pharmaceutical companies are aiming at the provision of holistic services including data processing with algorithms, case management and billing. However, this must not be confused with the business models of health maintenance organizations (HMOs) in the United States but needs to be understood as a paradigm shift in the health industry driven by new technologies and strategies. One of these fundamentally new strategies is Industry 4.0, which is not only restricted to manufacturing industries but seems to scale well into the health domain.

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References

  1. WHO (2015) Life expectancy. http://www.who.int/gho/mortality_burden_disease/life_tables/situation_trends_text/en/. Accessed 11 Jan 2016

  2. United Nations (2015) World population prospects, the 2015 revision. http://esa.un.org/unpd/wpp/Maps/. Accessed 11 Jan 2016

  3. World Bank (2015) Age dependency ratio, old (% of working-age population). http://data.worldbank.org/indicator/SP.POP.DPND.OL. Accessed 11 Jan 2016

  4. Eurostat (2013) Projected old-age dependency ratio. http://ec.europa.eu/eurostat/tgm/table.do?tab=table&init=1&language=en&pcode=tsdde511&plugin=1. Accessed 11 Jan 2016

  5. OECD (2012) Health at a glance: Europe 2012, OECD Publishing http://ec.europa.eu/health/reports/european/health_glance_2012_en.htm Accessed 11 Jan 2016

  6. German Federal Office of Statistics (2015) https://www.destatis.de/EN/Homepage.html. Accessed 11 Jan 2016

  7. The World Bank (2015) Hospital beds (per 1,000 people). http://data.worldbank.org/indicator/SH.MED.BEDS.ZS. Accessed 11 Jan 2016

  8. OECD (2014) Health at a Glance 2014. http://www.oecd-ilibrary.org/docserver/download/8114211ec031.pdf?expires=1451902968&id=id&accname=guest&checksum=26C049C99583A74EF9BAF6171F8081B0. Accessed 11 Jan 2016

  9. Gray A (2005) Population ageing and health Care expenditure. Ageing Horiz 2:15–20

    Google Scholar 

  10. Yang Z, Norton EC, Stearns SC (2003) Longevity and health care expenditures: the real reasons older people spend more. J Gerontol B Psychol Sci Soc Sci. 58(1):S2–10. doi:10.1093/geronb/58.1.S2

    Article  Google Scholar 

  11. European Commission (2015) The 2015 ageing report. http://ec.europa.eu/economy_finance/publications/european_economy/2015/pdf/ee3_en.pdf. Accessed 11 Jan 2016

  12. Eurostat (2015) Share of in-patient procedures for cataract surgery, 2008 and 2013. http://ec.europa.eu/eurostat/statistics-explained/index.php?title=File:Share_of_in-patient_procedures_for_cataract_surgery,_2008_and_2013_(1)_(%25)_Health2015B.png&oldid=262801. Accessed 11 Jan 2016

  13. United Kingdom Office for National Statistics (n.d.) http://www.ons.gov.uk/ons/index.html. Accessed 11 Jan 2016

  14. ELGA (2015) http://www.elga.gv.at. Accessed 11 Jan 2016

  15. Sundhed.dk (2015) Healthcare in Denmark. https://www.sundhed.dk/service/english/an-ehealth-nation/healthcare-in-dk/. Accessed 11 Jan 2016

  16. U.S. Department of Health and Human Services (n.d.) http://www.hhs.gov. Accessed 11 Jan 2016

  17. National Bureau of Statistics of China (n.d.) http://www.stats.gov.cn/english/. Accessed 11 Jan 2016

  18. Kibasi T, Teitelbaum J, Henke N (2012) The financial sustainability of health systems: a case for change. World Economic Forum and McKinsey & Company, Geneva

    Google Scholar 

  19. Appelby J (2013) Spending on health and social care over the next 50 years, The King’s Fund. ISBN: 978 1 909029 03 3

    Google Scholar 

  20. Ebel GK (2015) 2015 Health care outlook Germany, Deloitte. https://www2.deloitte.com/content/dam/Deloitte/global/Documents/Life-Sciences-Health-Care/gx-lshc-2015-health-care-outlook-germany.pdf. Accessed 11 Jan 2016

  21. Centers for Medicare & Medicaid Services (n.d.) National Health Expenditure Projections 2012–2022. https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/downloads/proj2012.pdf. Accessed 11 Jan 2016

  22. Munro D (2014) Annual U.S. Healthcare spending hits $3.8 trillion. http://www.forbes.com/sites/danmunro/2014/02/02/annual-u-s-healthcare-spending-hits-3-8-trillion/. Accessed 11 Jan 2016

  23. Munro D (2015) U.S. healthcare spending on track to hits $10,000 per person this year. http://www.forbes.com/sites/danmunro/2015/01/04/u-s-healthcare-spending-on-track-to-hit-10000-per-person-this-year/. Accessed 11 Jan 2016

  24. Le Deu F, Parekh R, Zhang F, Zhou G (2012) Health care in China: Entering ‘uncharted waters’. McKinsey & Company. http://www.mckinsey.com/insights/health_systems_and_services/health_care_in_china_entering_uncharted_waters. Accessed 11 Jan 2016

  25. HM Government (2014) Personalised health and Care 2020—using data and technology to transform outcomes for patients and citizens. http://www.nhsbt.nhs.uk/download/personalised_health_and_care_2020.pdf. Accessed 11 Jan 2016

  26. Saran C (n.d.) Apollo 11: the computers that put man on the moon. http://www.computerweekly.com/feature/Apollo-11-The-computers-that-put-man-on-the-moon Accessed 11 Jan 2016

  27. GSMA Intelligence (n.d.) Definitive data and analysis for the mobile industry. https://gsmaintelligence.com. Accessed 11 Jan 2016

  28. Reuters (2015) Global smartphone subscriptions to double by 2020: Ericsson. http://uk.reuters.com/article/us-ericsson-subscriptions-idUKM1KBN0OJ0HS20150603. Accessed 11 Jan 2016

  29. 5G Infrastructure Association (2015) 5G-PPP white paper on eHealth vertical sector. https://5g-ppp.eu/wp-content/uploads/2014/02/5G-PPP-White-Paper-on-eHealth-Vertical-Sector.pdf

  30. German Federal Ministry of Education and Research (2015) Förderkonzept Medizininformatik Daten vernetzen – Gesundheitsversorgung verbessern. https://www.bmbf.de/pub/Medizininformatik.pdf. Accessed 11 Jan 2016

  31. El Hattachi R, Erfanian J (2015) 5G White Paper version 1.0, NGMN Alliance

    Google Scholar 

  32. Politis C, Thuemmler C, Grigoriadis N, Angelidis P, Jefferies N, Zhen B, Kang G, Fedell C, Li C, Bai C, Danas K, Wac K, Ketikidis P (2016) A new generation of e-health systems powered by 5G, WWRF. http://www.wwrf.ch/files/wwrf/content/files/publications/outlook/Outlook17.pdf

  33. Geisberger E, Broy M (eds) (2015) Living in a networked world. Acatech—National Academy of Science and Engineering. http://www.cyphers.eu/sites/default/files/acatech_STUDIE_agendaCPS_eng_ANSICHT.pdf. Accessed 11 Jan 2016

  34. WHO (2011) mHealth: New horizons for health through mobile technologies. http://www.who.int/goe/publications/goe_mhealth_web.pdf. Accessed 11 Jan 2016

  35. Roland D (2016) Google parent and sanofi name diabetes joint venture onduo. The Wall Street Journal. Accessed 12 Sep 2016

    Google Scholar 

  36. Herrmann M, Pentak T, Otto B (2015) Design principles for Industry 4.0 scenarios: a literature review. Technische Universität Dortmund, Audi Foundation Professorship, Supply Net Order Management. http://www.snom.mb.tu-dortmund.de/cms/de/forschung/Arbeitsberichte/Design-Principles-for-Industrie-4_0-Scenarios.pdf. Accessed 11 Jan 2016

  37. Collins FS, Varmus H (2015) A new initiative on precision medicine. N Engl J Med 372:793–795

    Article  Google Scholar 

  38. Vermesan O, Friess P (eds) (2015) Building the hyperconnected society: IoT research and innovation value chains, ecosystems and markets. River Publishers, Denmark

    Google Scholar 

  39. 5G PPP (n.d.) The 5G infrastructure public private partnership. https://5g-ppp.eu. Accessed 17 Aug 2016

  40. 3GPP (2016) Standardization of NB-IOT completed. http://www.3gpp.org/news-events/3gpp-news/1785-nb_iot_complete. Accessed 17 Aug 2016

  41. LoRa Alliance (n.d.) Wide area networks for IoT. https://www.lora-alliance.org. Accessed 17 Aug 2016

  42. oneM2M (n.d.) Standards for M2M and the Internet of Things. http://www.onem2m.org. Accessed 17 Aug 2016

  43. Hypercat (n.d.) Driving secure and interoperable Internet of Things for industry and cities. http://www.hypercat.io. Accessed 17 Aug 2016

  44. Alleven M (2016) Verizon’s Shammo: 5G Pilot in 2017 is all about fixed wireless, not mobility, Fierce Wireless. http://www.fiercewireless.com/tech/verizon-s-shammo-5g-pilot-2017-all-about-fixed-wireless-not-mobility

  45. IBM Watson (n.d.) Meet Watson: the platform for cognitive business. http://www.ibm.com/watson/. Accessed 17 Aug 2016

  46. Google DeepMind (n.d.) Solve intelligence: use it to make the world a better place. https://deepmind.com. Accessed 17 Aug 2016

  47. Thuemmler C, Mueller J, Covaci S, Magedanz T, de Panfilis S, Jell T, Gavras A (2013) Applying the software to data paradigm in next generation e-health hybrid clouds. In: Proceedings of the information technology: New generation (ITNG), Las Vegas, 15–17 Apr 2013. doi:10.1109/ITNG.2013.77

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Thuemmler, C. (2017). The Case for Health 4.0. In: Thuemmler, C., Bai, C. (eds) Health 4.0: How Virtualization and Big Data are Revolutionizing Healthcare. Springer, Cham. https://doi.org/10.1007/978-3-319-47617-9_1

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  • DOI: https://doi.org/10.1007/978-3-319-47617-9_1

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