• Michal Hemmo Lotem and Mordechai Shani.
• Medical Research Infrastructure Development, Sheba Medical Center Fund.
• Harefuah. 2018 Dec 1; 157 (12): 797-801.

IntroductionA tremendous paradigm shift is occurring in the field of medicine. This is because the forward momentum in the evolving sphere of digital medicine has opened up new worlds of discovery that all fuse together to form a tsunami of innovation, along with sociological and social changes. The exponential rate of technological change creates profound sociological changes and these dynamics affect the medical field. This paper reviews some dimensions of this paradigm shift, such as the transition from illness to a focus on wellness; the shift from slow medicine into exponential medicine; personalized medicine to digital medicine, and more. Each paradigm shift creates challenges for health professionals, regulators, the public and the industry. The bottom line is that medicine is shifting from hospital back to the home. Physicians, health care organizations, the Ministry of Health, insurance companies and the industry need to prepare for this change - each in their respective areas of expertise. Careful strategic thinking is required, not only to adjust to the change but also to promote it in a patient-centered manner. The role of the medical doctor, the utilization of exponential technologies and finding new uses for existing hospital infrastructures are only secondary challenges with the primary consideration being improving people's health and decreasing medical costs. The best minds and talents should be involved in preparing for this shift and in planning "home hospitalizations" supported by technologies that will give the new patient - consumer exactly what they want and need.

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