Pharma > Patient Engagement

OUTCARE

HAVAS HEALTH & YOU, Sao Paulo / OUTCARE / 2022

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Overview

Credits

Overview

Why is this work relevant for Direct?

New formats are the essence of the category. With a work of co-creation between different areas: medical, engineering, and technology, we developed an idea that has its strength in the new arrangement, as it manages to combine different devices in a single volume, which was not on the pharmaceutical industry's radar until now. The station is also a medium by being on the backs of caregivers or patients, generating spontaneous reach. We are promoting quality of life for families of electrodependents, but also showing the difference between living and surviving. The result is a new look at chronic pediatric patients.

Background

More than 290,000 electro-dependent patients are estimated to exist in Brazil. These are people who must be connected to machines 24 hours a day, seven days a week in order to survive. Many of them are children who have been sentenced to spend their entire lives within four walls. They are unable to see the sun, interact with other children, or enjoy simple childhood pleasures such as putting their feet on a sandy beach. To give these families more mobility without sacrificing safety, we created Outcare, an independent electro station with more than 8 hours of autonomy that allows them to safely store medical gadgets such as an infusion pump, gastrostomy tube, medical aspirator, total parenteral nutrition (TPN), oximeter, glucose monitor, and intravenous medication in a single volume.

Describe the creative idea

Playing in the sand, lying on the grass, or feeling the sea are all enjoyable activities.Some of the most enjoyable childhood memories are made outside. Life for electro-dependent children, on the other hand, is confined to four walls. We created Outcare to provide mobility to families with electric dependents. It is an independent station that ensures that all machines are safely stored at the same volume and have more than 8 hours of autonomy.

Our goal is that home care, an increasingly common form of de-hospitalization, does not represent a new form of imprisonment for these pediatric patients and their families, this time in their own homes. We hope that by using a portable format, we can give the children and their caregivers more mobility and freedom of access to the development opportunities available in the outside world.

Describe the strategy

Some machines are portable, but each health company is only concerned with its own market. An example is parenteral feeding backpacks. However, in practice, many patients require the use of multiple machines. Furthermore, due to a lack of usability and electricity supply, it is impossible to implement all solutions.

We had to gather a diverse range of opinions and needs in order to create Outcare, including those of doctors, nurses, engineers, experienced designers, and caregivers. A family and their doctor partnered with the product design team to develop the V1 for the station.

For this new version we created a crowdfunding to produce 50 more units to have a sufficient sample to develop a clinical study and safety certifications. Based on these data, we proceed to capture sponsorship for a larger-scale production.

Describe the execution

There were two main challenges in this project: packing different appliances in a single volume and having enough energy for at least 8 hours.

Each device has its correct place and fits, complying with all safety measures. Tubes cannot be bent. The battery cannot heat medication or parenteral nutrition, so it is enclosed in an insulating cover. The fan must have an airtight housing to avoid contaminating other devices. And the maximum target weight was 12kg, approximately the weight of a student's backpack.

Regarding the materials used at the station, we prioritized those that could be properly sanitized such as plastic.

As we mentioned above, we are between version 1 and 2 collecting feedback to implement the improvements. This version 2 will be tested by 36 patients from the Intestinal Rehabilitation Program for Patients with Ultra Short Boweland technicians from Instituto America will evaluate cases to issue safety certifications.

List the results

Outcare's immediate results are difficult to assess because it is not a traditional marketing campaign. Any technology project of this magnitude takes years to fully implement, so it will be divided into phases.

To begin, we created three outpatient models. Leo and his family use a large model that includes five devices. Two more patients are using a medium model (3 devices) and a small model (2 devices).

Based on their findings, we will manufacture more than fifty Outcare 2.0s for use in a clinical study with Hospital Samaritano and Instituto Americas to assess the quality of life of home care patients who can go outside.

We will invite investors to produce Outcare 3.0 with data, scientific foundation, and other learning, and we will try to include our autonomous station in home care programs of health insurance and the Brazilian public health service.

Describe any restrictions or regulations regarding Healthcare/RX/Pharma communications in your country/region including:

ANVISA (Brazil's equivalent to the FDA) is a health regulatory agency that prohibits the direct communication of prescription drugs to patients. We can advertise OTC products, but we can't encourage people to buy them. Hospitals provide electro-dependent machines, which are subsidized by health plans.

Describe the target audience and why your work is relevant to them.

Our aim is to supply families with pediatric patients who are currently on an exclusive home care routine and necessarily involve a combined solution that allows them to load multiple therapies and/or treatments in a single volume without the use of electrical sockets.

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