Innhold levert av Shubs Upadhyay. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Shubs Upadhyay eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.
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Innhold levert av Shubs Upadhyay. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Shubs Upadhyay eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.
The podcast delves into the realm of health tech, highlighting a common trend: a focus primarily on the US, EU, and UK. However, it advocates for a broader perspective, urging listeners to look beyond this bubble and consider the innovations happening in low- and middle-income countries (LMICs). These regions face significant digital and non-digital healthcare challenges, leading to inventive solutions borne out of necessity. By exploring the work of those in LMICs, the podcast aims to uncover valuable lessons from their successes and obstacles. Hosted by Shubs Upadhyay, a primary care physician with a wealth of experience spanning clinical practice, innovation, regulation and medical software engineering quality, the podcast offers a unique viewpoint. Through this lens, it reveals a stark disparity between technological advancements and their impact on underserved populations. With a focus on spotlighting individuals and organizations making a real impact in these communities, the podcast invites listeners to join the journey of discovery.
Innhold levert av Shubs Upadhyay. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Shubs Upadhyay eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.
The podcast delves into the realm of health tech, highlighting a common trend: a focus primarily on the US, EU, and UK. However, it advocates for a broader perspective, urging listeners to look beyond this bubble and consider the innovations happening in low- and middle-income countries (LMICs). These regions face significant digital and non-digital healthcare challenges, leading to inventive solutions borne out of necessity. By exploring the work of those in LMICs, the podcast aims to uncover valuable lessons from their successes and obstacles. Hosted by Shubs Upadhyay, a primary care physician with a wealth of experience spanning clinical practice, innovation, regulation and medical software engineering quality, the podcast offers a unique viewpoint. Through this lens, it reveals a stark disparity between technological advancements and their impact on underserved populations. With a focus on spotlighting individuals and organizations making a real impact in these communities, the podcast invites listeners to join the journey of discovery.
Practical breadth and depth on the global state of regulation from someone at the cutting edge of regulatory policy. Shubs welcomes Hugh Harvey, founder of Hardian Health and a regulatory expert in digital health. Shubs and Hugh discuss the complex landscape of medical device regulation worldwide, with emphasis on how these frameworks impact digital health innovation in low and middle-income countries (LMICs). Guest Background Hugh Harvey is a former radiologist who transitioned to the digital health industry. After working at Babylon Health and serving as Clinical Director at Kheiron Medical (where they secured Europe's first CE mark for a deep learning-based breast cancer detection device), Hugh founded Hardian Health to help companies navigate regulatory pathways for AI and digital health solutions. Key Discussion Points The Global State of Medical Device Regulation Regulatory Variation : Hugh explains the significant differences in regulatory approaches between regions like the EU (stricter) and the US (increasingly deregulatory) (Some) LMIC Contexts : Only about 40% of African countries have actual medical device regulations, with only South Africa having comprehensive frameworks Cybersecurity Risks : Medical health data sells for more than financial data on black markets, making robust regulation essential for protecting patients Challenges for Digital Health Innovators Founder Misconceptions : Many startups allocate insufficient resources for regulatory compliance. Regulatory compliance should represent 5-10% of a company's overall budget. Regulatory Debt : Postponing regulatory considerations creates compounding challenges that become increasingly difficult to address later down the line Large Language Models : Hugh's skepticism about LLMs in healthcare, noting they're "massively overrated" for medical reasoning tasks and face significant regulatory hurdles, and yet Hugh sees some promise over the hill. Practical Guidance for Digital Health Companies Getting the mindset right : Thinking about it in the same way you might approach a driving test. Universal Standards : Quality management systems (ISO 13485) are increasingly harmonized globally Approach in LMICs : Thinking about deploying in an place where there is little to no regulatory structure? You might want to consider securing certification in countries with established regulatory pathways prior, and then work with the local government. What Regulators Could Do Better Proactivity : Regulators should be more proactive in providing guidance on novel technologies Transparency : More open sharing of regulatory decisions would help the entire industry move forward Capacity : Governments should increase funding for regulatory bodies to reduce backlogs and improve efficiency Chapters 00:00 Introduction and Background 07:05 The State of Regulation in Healthcare 09:57 Why so regulated? 13:03 Global Perspectives on Regulatory Approaches 21:51 Harmonization of Global Standards 24:59 Recommendations for Regulators 38:48 Regulatory strategy for founders: The Driving Analogy 50:03 What if there is little or no regulatory enforcement where I operate? 51:57 The Five Stages of Regulatory Grief 55:59 Hugh's spicy takes 🌶️ Key Quotes "Regulations are written in blood... the reason regulations/FDA are as they are today is because of events like thalidomide. "What's the cost of not being compliant? Well, it's everything, it's your entire business model." "The attack surface vector, especially under these generative AI models, is huge, vast, and frankly, completely unknown." Hugh provides a compelling case for embracing regulatory requirements as not just necessary obligations but strategic advantages. While acknowledging the challenges of navigating complex regulatory landscapes, particularly for innovators working in regions with limited frameworks, he offers practical guidance on approaching compliance as a foundation for long-term success in digital health. You can find Hugh and his work at hardianhealth.com 💕 If you found this podcast episode helpful, please leave a comment, give us a 5 star review and share with your colleagues and people who would find this useful. It helps us reach the people who are implementing and could find this useful in creating an impact with digital health in LMICs. Check out the Substack here…
Dr. Smisha Agarwal (Johns Hopkins University Global Center for Digital Health Innovation) joins me to unpack some hard truths on the Global Perspectives on Digital Health podcast. 🛑 Why global health systems remain fragile 📉 How digital tools often scale without legitimacy 📊 What’s wrong with our fixation on "did it work?" and significance values 🔁 And how global health is stuck in systems that haven’t evolved 💬 “We’re brought into a system of aid and global development that has stopped questioning how things were done. And the world has progressed, but our field hasn’t.” 🔑 But Smisha also offers a way through: - Thinking differently about evaluating system level impact - The work of the Oxford Open Health Journal to increase visibility and representation of people's research in LMICs 👉 If you work in digital health, research, policy, or global development this is for you. About Smisha: Dr.Smisha Agarwal, PhD, MPH, MBA, BDS is the Director of the Center for Global Digital Health Innovation and Associate Professor in the Department of International Health at the Johns Hopkins Bloomberg School of Public Health. She brings expertise in advancing primary health care through strengthening community health systems and leveraging innovative technological solutions including digital devices. A part of her research has focused on using predictive analytics and machine learning algorithms based on routine monitoring data to enhance our understanding of quality of care, create safety nets to care for high-risk populations and improve effectiveness of reproductive health services. Over the last two decades, her research has been leveraged by normative agencies like WHO to develop guidelines on national digital transformation, donors to guide investments in primary health care, and governments to develop their national digital health strategies. She is the Editor-in-Chief of the Oxford Open Digital Health Journal . (00:00) - Introduction, Smisha's background (05:01) - Impact of Global Health Aid Cuts (10:03) - Challenges in Monitoring and Evaluation (15:35) - Health First: How to think about outcomes, measuring the right things (20:54) - Supporting healthcare workers as a goal (26:37) - Impact: Measuring what matters (28:39) - Donor decision making dynamics (30:09) - Rethinking system level success: from yes/no to more nuance (33:50) - Innovations in Academic Publishing (37:37) - Challenging the Status Quo in Global Health (42:20) - Upcoming events in Global Digital Health…
Bringing research to implementation. Shubs is joined by Lucy Cesnakova from DiMe in this quick dive into an important piece of research bringing insights to advance digital solutions that serve mental health, DiMe's work here was great here because Lucy and the team intentionally sought out input from different countries, access levels and other demographics across the ecosystem. It's great that the Wellcome Trust funded this work. And more of this type of research would clearly be, ahem, welcome. Why should I listen? This will be useful if you are building solutions with underserved communities in mental health and applies both to high income and LMIC settings. If you are researching digital endpoints and biomarkers in mental health or involved in health system transformation for mental health this is well worth a listen. We cover the big commonalities across all geographies, plus what we can learn about local nuances as well as some key a-ha moments Lucy and the team gained. Check out my substack article for a written reflection on this episode. Chapters 00:00 Introduction to DiMe and Lucy's work 03:57 Current healthcare context 06:01 Methodology of Research and Data Collection 08:27 Key Findings: Universal Commonalities in Mental Health Technologies 16:04 Unique local insights Here's the full report: https://datacc.dimesociety.org/mental-health/ DiMe society:https://dimesociety.org/ About Lucy: Lucy Cesnakova, MS, is a Program Lead at Digital Medicine Society (DiME). At DiME Lucy has led several projects in the space of digital measurements and technologies for health: a flagship pre-competitive collaboration project to advance the digital measurement of nocturnal scratch; an initiative that explores path forward for sensor-based digital health technologies for mental health; or recent work on use of patient-generated health data in development of medical products and health technologies. At DiMe she works with industry, patient organizations, regulators, clinicians and payers to create resources that will improve adoption of digital technologies in research and care. In the past, Lucy has led technical development of digital endpoints or other software solutions as a product lead.…
Special bonus episode. This is a shortened version of the episode with Jess Morley, focusing on ethical approaches and takeaways relevant for digital health companies. How do you move from having ethical approaches as 'nice to haves' to actually getting prioritised. It can be tough when good intentions rub up against business realities. Jess shows how you can avoid getting your initiative or feature getting kicked down the roadmap. People who will find this useful: Product managers and product leaders Design/UX folk Software engineers Clinical safety officers Clinicians working at digital health companies Quality assurance and regulatory professionals Founders Operations leads…
Making Ethics Actionable. What can the UK’s AI Action plan reveal about the state of ethics in the digital health industry? If you are a health system leader or government entity, how do you elevate ethical approaches in your ecosystem? What levers are available? And for the builders: product leaders, founders, clinicians at health tech companies, software engineers, designers, QA folk: how to negotiate and advocate for ethical approaches against business realities in the current climate? We cover all of this, as well as Jess’ super hot takes on the UK govt AI action plan, Ethics 101 for vendors, researchers and policy folk, AND what leaders in LMIC settings can take away from all of this. Jess Morley of the Digital Ethics Center at Yale also previously worked with NHSX and also on the Goldacre review in 2022. She has deep expertise on ethics and policy and some really unique insights. Links to stuff we discussed UK Govt AI opportunities action plan Jess' linkedin article with commentary on the action plan Goldacre review Jess' Google Scholar Yale Digital Ethics Center…
🎙️ New Episode: Connecting Global & Local Perspectives in Digital Health Implementation In this special episode, we close out the year with two fantastic guests: Rigveda Kadam , Digital and AI Lead at FIND, and Andrew Muhire , Chief Digital Officer at Rwanda's Ministry of Health. Building on the innovator insights in Rwanda from our previous episode with Dr. Jana Alagarajah , this discussion dives into the critical connection between product development partners and ministries of health to create conditions for successful digital health implementation. From Rwanda’s patient-centered approach to FIND’s global perspective across LMICs, we explore: ✔️ How Rwanda balances top-down mandates with frontline adoption to foster trust. ✔️ Tackling antimicrobial resistance with clinician decision support as a case study. ✔️ Using systems thinking to measure success in evolving interventions—Andrew’s "contribution lines" approach is a must-hear! ✔️ Rigveda’s wishlist for the ecosystem: from WHO priority areas to better alignment on patient journeys. Tune in for an inspiring conversation on infrastructure, policy, and trust —key elements for making impactful digital health innovations stick. FIND: https://www.finddx.org/ Some resources mentioned: Rwanda MoH 7 priorities: https://newmoh.staging.risa.rw/1/strategic-plans-priorities The value of diagnostic imaging for enhancing primary care in low- and middle-income countries: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00478-4/fulltext ASSESSMENT OF DIAGNOSTIC GAPS AND RELEVANT DIGITAL HEALTH SOLUTIONS SUMMARY FINDINGS FROM PERU, INDIA, NIGERIA AND UGANDA: https://www.finddx.org/wp-content/uploads/2022/12/20201515_rep_assessment_dx_digital_health_FV_EN.pdf Principles for Digital Development: https://digitalprinciples.org/ Overview of the validation platform: AI validation platform About the guests: Riveda Kadam : Experienced global health strategist with expertise in digital health, AI, and public health programs, driving impactful innovations and policy alignment. Andrew Muhire : Chief Digital Officer at the Rwanda Ministry of Health…
Implementing a digital mental health solution in Rwanda. What does real, meaningful co-design look like? What does it mean to truly engage with a community to develop a solution they actually use and that addresses their problems? What incentives and mindsets allow us to, instead of 'driving' a certain technology into a context, stop and listen, and go in with no pre-conceived notion of what would be built? How do we get procurement and policy to really value and elevate equitable solutions? These are some of the great questions we covered in the latest podcast episode with Dr Jana Alagarajah. His wide experience, and work implementing a digital mental health tool with young people in Rwanda gives us some great talking points. Jana shares what he learned working with people and community leaders, as well as carers, and how they approached co-design and evaluation. We also talked about his insights from working in partnership with UNICEF, USAID, the King's Fund and Health Foundation. Dr Jana Alagarajah (MD MPH): Digital mental health specialist, UK-trained public health doctor, and psychiatrist co-designing equitable and impactful digital health innovation in Africa with young people as Technical Lead at YLabs. Partnering with UNICEF, USAID, and Gates Foundation, he leverages digital tools to strengthen health systems. Linkedin: https://www.linkedin.com/in/janaganalagarajah/ YLabs : https://www.ylabsglobal.org/ Grand Challenges Canada: https://www.grandchallenges.ca/ Key Resources: Design: Co-design: YLabs’ Youth-driven approach to digital health focussing on co-designing with youth. Designing for diversity: Importance of co-creating culturally adapted tech to address health inequalities in diverse populations - report from NHS Race and Health Observatory . Regulation: Co-developed Africa’s first evidence-based digital mental health regulation (‘ HealthTech Hub Africa Digital Health Policy Blueprint 1.0 ’) with the Rwandan Ministry of Heath, Africa CDC, Jhpiego, Novartis Foundation covering key design elements such as interoperability, data privacy and UX approaches to meet the needs of diverse populations. Implementation: Digital stigma reduction tool: ‘ Prepare for a Better Tomorrow ’ (Rwanda, 2021): Rwanda’s first youth-driven, holistic digital learning and peer support platform to increase mental health literacy and psychosocial support for Rwandan youth aged 10-19 years old. Funded by Grand Challenges Canada. Digital tools for mental healthcare workers: ‘ USAID Kijana Nahodha ’ (Tanzania, 2023): digital mental health education and referral tool for community health workers in Tanzania as part of a $5.4M USAID grant, impacting 140,000 youth and 250 community health workers. Evaluation: Evidence generation: A systematic literature review evaluating the efficacy of digital mental health technologies for youth in low and middle-income countries: Alagarajah J, Ceccolini D, Butler S. Digital mental health interventions for treating mental disorders in young people based in low-and middle-income countries: A systematic review of the literature. Cambridge Prisms: Global Mental Health. 2024;11:e74. doi:10.1017/gmh.2024.71 Innovative approaches to digital evaluation: At YLabs, we have utilized traditional evaluation methodologies such as cluster RCTs to evaluate our digital interventions. However, given the challenges in evaluating digital health solutions , novel methodologies, such as cyclical evaluation , can be used to maximize usability, and support integration into health systems.…
Overview We are joined in this episode by Ruchit Nagar, the CEO and Co-Founder of Khushi Baby. For his efforts to deliver scalable public health impact, Ruchit has been recognized as a Forbes 30 under 30 leader in Health Care, a World Innovation Summit in Health Young Innovator, and a Distinguished Young Alumnus by by the Yale School of Public Health This episode covers into the role of India's Community health workers, or Accredited Social Health Activists (ASHAs). We hear from Ruchit's experience implementing with Khushi baby the challenges of integrating technology to support health workers. Ruchit also gives us a lowdown on India's digital public health approach and shares his key learnings and insights for people looking to implement tech in rural areas. We get into the challenges in policy, the data infrastructure layer and the importance of funding for sustainable health initiatives. Ruchit also emphasizes the need for better support and resources for ASHAs, the impact of technology on healthcare delivery, and the necessity of aligning incentives to improve health outcomes. Chapters 00:00 Intro 03:53 Khushi baby origins 05:10 Challenges in Community Health Delivery 07:18 The Role of ASHAs in Healthcare 12:28 The Need for Integrated Solutions 14:14 India public health digital ecosystem 101 19:51 When "too much digital" gets in the way of good care 22:28 Pitfalls in funding and investment approaches 23:20 The 3 I's that drive implementation success 31:56 Leveraging Data for Health System Strengthening 35:53 Challenges in Health System Integration 41:35 Measuring Impact and Effectiveness 47:44 Aligning Incentives with Ground Realities 53:56 Navigating Quality, Evaluation and Regulatory Challenges 56:48 Future Directions for Khushi Baby 01:02:02 Ruchit's top takeaway for developers References Khushi baby website Book reference: Poor Economics by Abhijit V. Banerjee and Esther Duflo TB free India 2025 Like what you hear? Follow us. I'd love your feedback on what you found valuable, and what you want to see. Comment on youtube, and follow the page on linkedin. Want to share your story? Get in touch.…
Episode 6: What can we learn about creating real impact for underserved communities from The Kingdom of Eswatini, a tiny country enveloped by South Africa? Join us on the latest episode of the Global Perspectives on Digital Health podcast where we hear from Executive Director of The Luke Commission, Echo Vanderwal about the way that set up healthcare services for those who needed it most and added digital in a way that enabled healthcare workers to deliver compassionate, high quality care. If you want to see how to create real impact for patients who have real transportation barriers rurally, then hear about what the Luke commission have done with : Telehealth hubs out of shipping containers with access to doctors by video, and secure vending machine for simple non controlled medications, all enabled via Starlink Drones piloted by local staff that deliver critical but high value medications like antivenom rapidly and effectively - and the impact this has had on the people who can now survive Black mamba neurotoxic envenomation Or if you want to learn how they: Enabled their community health workers by creating their own bespoke EHR and admin tool that was clinician centred and based on the fastest feedback loops possible (see the clip!) Created a culture of treating patients with compassion to overcome and the values that helped them make decisions and get through some challenging times Used the end goal of what they wanted great healthcare to look like, and made decisions on how digital could help them get there Proactively worked with the country’s Civil Aviation Authority to work together on how to get in place what was necessary to be safe and deliver a high quality and reliable drone service (lesson here for regulators and developers on working closely together in unchartered territory with the end goal in mind - Stephen talked in episode 5 about how the regulator could and should be a facilitator. There’s so much insight packed into this episode - it was energising to record it to say the least and I’m really inspired by the work and impact they have had. If you are a healthcare leader, developer or working to create impact for the people rurally, you have got to give this one a listen and share it with others who might benefit from Echo’s insights. Links: https://www.lukecommission.org/ https://www.luvelo.org/…
Episode 5: What is the right approach for regulation and evaluation of digital health technologies? In this conversation, Shubs Upadhyay interviews Stephen Gilbert, a professor of medical device regulatory science, about the challenges and successes of digital health regulation and implementation. They discuss the need for flexibility in regulation, the importance of feedback from clinicians and patients, and the evaluation of digital health technologies. They also explore the concept of suites or groupings of digital devices and the need for regulatory approaches that acknowledge their flexibility. Gilbert emphasizes the need for regulation to adapt to the changing landscape of digital health and to ensure that it is fit for purpose. Stephen also talks about what health system leaders, policy makers and developers can learn from the challenges of the DiGA fast track reimbursement framework in Germany, the PECAN framework in France and what is coming in the UK. As well as calling out the stark differences in approach from the FDA and the EU, Stephen helps understand the deeper reasons for the different approaches. On evaluation of effectivenss, Stephen emphasizes the importance of integrating different technologies into a cohesive system rather than treating them as isolated tools. The discussion also highlights the role of regulation in facilitating interoperability and promoting the use of digital technologies in healthcare. A great section on the need for long-term thinking on exactly how we want to transform healthcare delivery, setting clear goals, and continuous feedback loops is emphasized, along with the recognition that digital transformation in healthcare requires investment, embedding and time to get back the ROI. Takeaways Flexibility is crucial in digital health regulation to adapt to the rapidly changing landscape of technology and healthcare. Feedback from clinicians and patients should be actively encouraged and integrated into the regulatory process. The evaluation of digital health technologies should consider their unique characteristics and the need for holistic assessment. Regulatory approaches should acknowledge the flexibility and groupings of digital devices, such as suites, to ensure they are fit for purpose. Digital healthcare involves the integration of various technologies, such as teleconsultation and remote monitoring, into a cohesive system. Regulation plays a crucial role in promoting interoperability and facilitating the use of digital technologies in healthcare. Long-term thinking and clear goals are necessary for effective digital transformation in healthcare. Continuous feedback loops and monitoring are essential for evaluating the effectiveness of digital health tools. Investment is required for digital transformation in healthcare, and initial costs may be higher before yielding dividends. Links to papers mentioned: Paper on regulation, reimbursement approach: flexible groupings Paper on regulation, reimbursement approach: flexible suites of technologies A/B testing framework mentioned here Stephen Gilbert, Professor at the Faculty of Medicine, Dresden University of Technology (Else Kröner Fresenius Center for Digital Health), leads a multidisciplinary team specializing in regulatory science for medical devices and in vitro diagnostic devices. With over 15 years of expertise in clinical research, computational biology, and regulatory science, he is committed to advancing digital health innovation and governance.…
Episode 4: Creating real impact with AI in isolated communities In this episode, Dino, a pioneer in the digital health landscape, shares his insights on how digital solutions and AI are revolutionizing the healthcare industry. He discusses the critical challenges such as overcrowded healthcare facilities and the urgent need for support for healthcare professionals. Dino’s extensive work at Audere focuses on utilizing digital tools to improve healthcare delivery and outcomes, particularly in underserved communities. Key Topics: Digital Solutions for Overcrowded Healthcare Facilities: Dino explores how digital health can alleviate pressure on healthcare systems. AI Tools in Healthcare: The role of AI and language models in enhancing diagnostic and conversational capabilities in healthcare settings. Building Trust and Reliability: The importance of trust in technology, especially large language models, and how it's achieved through rigorous data handling and prompt engineering. Partnerships and Local Collaboration: How forming strong local partnerships contributes to the successful implementation of technology solutions in healthcare. Regulatory Support and Technology Verification: The necessity of regulatory backing in ensuring the safety and efficacy of new technologies. Impactful Insights: Improving access to rapid diagnostic testing through digital tools and AI. Enhancing patient-provider conversations with advanced language models to make healthcare more accessible and efficient. The significance of trust, reliability, and local partnerships in implementing successful digital health solutions. Utilization of specific data sets and prompt engineering to enhance the accuracy and relevance of responses from large language models. The role of specialization and niche focus in addressing particular healthcare and technology challenges. Links Audere…
Episode 3: How do we meaningfully bridge policy and real impact at the last mile of healthcare. Shubs Upadhyay interviews Bilal Mateen, Executive Director of Digital Square at PATH about digital health challenges and successes in underserved communities. They explore the importance of safety, regulatory considerations, and the need for inclusive data sets and data infrastructure. The discussion also covers the role of community health workers and the impact of AI and large language models in healthcare. Addendum : [As of October 2024 Bilal is now Chief AI Officer at PATH] Key Topics : Digital Public Goods : Exploring how digital solutions can be accessible public goods. Health Data Poverty : Discussing how this issue affects global health equity. The importance of strong data infrastructure Regulatory challenges : Bilal explores some of the work that still needs to be done AI in Healthcare : Insights on the use of AI and large language models to improve healthcare outcomes. Chapters : 00:00 Introduction and Background 05:06 Digital Public Goods 07:04 How Health Data Poverty Plays Out 08:59 Reaching the Last Mile of Healthcare 15:47 AI and Large Language Models in Healthcare 29:00 Investing in Data Science Ecosystems and Regulatory Frameworks 32:59 More Global Representation in Regulation 37:03 Considering Local Nuances in AI Deployment 39:12 Divergent Approaches to Regulating LLMs 45:28 Regulation of LLMs as Medical Devices 48:40 Recommendations to Innovators about Healthcare Regulation Links : AMIE paper by Alan Karthikesalingam et al Digitalsquare.org Audere Website Viamo Canada Call Centre Siontis et al Paper on Diagnostic test comparisons…
Episode 2: Practical Solutions to Health Data Poverty In this episode, we continue our exploration of health data poverty, showcasing a team that's making a real difference based on the issues discussed in Part 1 with Dr. Xiao Liu. We're thrilled to have spoken with Prof. Alexandre Filho, a Professor of Machine Learning in Sao Paulo, Brazil. He shared insights on how his team has been maximizing the impact of data-driven technology in Brazil. Prof. Filho's remark, "The world is becoming more like Brazil," sets the stage for a discussion on what the global community can learn from Brazil's approach to data diversity, especially in serving underserved communities. Key Topics: Global Lessons from Local Successes: How Brazil's high-quality, diverse data sets serve as a model for the world. Overcoming Data Challenges: Tackling issues with data availability and the performance limitations of algorithms developed in affluent settings when deployed in rural areas. Leveraging Local Data: Details on the team's work, including a paper on neonatal mortality prediction using routinely collected data. Direct Benefits to Data Providers: Ensuring that those from whom data is collected see benefits from its use. Balancing Impact and Scalability: The trade-offs between highly tuned, local solutions and the need for scalable models that perform well across broader contexts. Benchmarking for Better Health: Extended efforts in the ITU/WHO focus group on AI for health, evaluating the performance of models across different LMIC settings. Advancing Local Impact: The use of transfer learning to enhance model performance and impact locally. Prof. Filho’s Recommendations: Key advice for innovators and implementers in the EU, US, and UK. Guest Bio: Alexandre Chiavegatto Filho is an Associate Professor of Machine Learning in Healthcare at the Department of Epidemiology, School of Public Health, University of São Paulo. He directs the Laboratory of Big Data and Predictive Analysis in Health (Labdaps), which includes a team of 30 researchers focused on developing AI algorithms to improve healthcare decisions. Find the team's work on Google Scholar…
Episode 1: Health data poverty : what can we do about it? Join us as we dive into a crucial conversation with Dr. Xiao Liu, a leading figure in AI ethics, evaluation, and regulation. This episode focuses on one of the most pressing issues in the field: health data poverty. We cover what it is, and how we might go about addressing this. Key Topics: Defining Health Data Poverty: What it means and why it matters for global health. Relevance to Developed Nations: Understanding the implications for the US, EU, and UK. In-Depth Analysis: Discussing a 2021 Lancet paper co-authored by Dr. Liu. Real-world Examples: Exploring instances of health data poverty and its impacts. Expert Recommendations: Dr. Liu shares her views on current progress and the steps ahead. Broader Implications: How can society and the healthcare ecosystem address these challenges comprehensively? Looking Ahead: Stay tuned for Part 2, where we will showcase implemented initiatives addressing these issues in Brazil. Resources: Standing Together Lancet article https://www.datadiversity.org/…
Welcome to the trailer for the Global Perspectives on Digital Health Podcast. Join Shubs as he unpacks insights from experts and innovators creating real impact for underserved communities around the world. Shubs is a physician working in digital health. With experience across product development and deployment, regulation and also with the ITU/WHO focus group AI for healthcare as co-chair of the working group on clinical evaluation Shubs has seen the challenges across the digital and healthcare ecosystem. Join these conversations as he seeks out innovators and experts to unpack what we can do to create real impact for those who need innovation the most around the world. Get a truly global perspective on digital health.…
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