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Progress in healthcare has accelerated dramatically since the late 20th century. What once evolved over decades now changes within a few years. Advances in computing power, digital connectivity, medical devices, and data availability have fundamentally reshaped how medicine is practiced, measured, and scaled. Our wild guess? Electronic health records, genomic sequencing, advanced imaging, wearable technology, and, more recently, artificial intelligence have pushed healthcare into a new era of speed and complexity.
Of course, this acceleration did not happen by chance. Each technological breakthrough lowered barriers to information, improved diagnostic precision, or expanded access to care. At the same time, it introduced new challenges around interoperability, cost, and data overload. Progress became faster, but also harder to manage.
To understand where healthcare is heading next, it helps to look back. By examining the past quarter, we can see how different innovations shaped the healthcare systems we rely on today. Throughout this journey, we can highlight the turning points to see how today's healthcare organizations, insurers, and research teams can reflect on past decisions, avoid repeating mistakes, and better prepare for the next wave of changes.
Below, we have summarised the key differences and advancements that Healthcare went through over these 25 years:
At the beginning of the millennium, healthcare was still dominated by paper records and department-specific systems. Information flow was slow, fragmented, and heavily siloed, limiting continuity of care and cross-provider visibility.
Imagine a healthcare environment with:
Treatment delivery was largely reactive. Clinicians treated acute events with little ability to observe trends or plan proactively. Without accessible real-time data, prevention and longitudinal analysis were almost impossible. While many of these challenges still exist today, this era clearly exposed the inefficiencies of analog healthcare and laid the groundwork for digital transformation.
As the first years passed by, Electronic Health Records became widely adopted. The focus shifted from paper to digital documentation, driven by policy, reimbursement, and compliance requirements.
This phase delivered important gains:
As we know, there are two sides of the coin, and such digitalization leads to challenging consequences. EHRs were optimized for administration rather than care delivery, increasing documentation time and contributing to clinician burnout. Data was digital, but not yet meaningfully analyzed or used for prevention. This period reinforced a critical lesson: digitization alone does not equal transformation.
The rise of smartphones and consumer wearables expanded healthcare beyond clinical settings. Continuous data from daily life became available for the first time.
This era introduced:
At the same time, fragmentation became a major issue. Device ecosystems operated in isolation, producing inconsistent and noisy data that rarely integrated with clinical systems. Still, this period marked a turning point: health was no longer measured only during appointments, but lived and tracked every day.
By 2018, healthcare faced data abundance rather than scarcity. Advanced analytics and AI emerged to transform raw data into insight.
Key developments included:
However, many initiatives struggled due to poor data quality, lack of standards, and weak interoperability. Between 2023 and 2025, rising costs, aging populations, and workforce shortages made one thing clear: reactive care models are economically unsustainable. Prevention became unavoidable, and real-world data turned into core infrastructure.
The past 25 years have revealed several foundational lessons for modern healthcare:
All of these lessons lead us to one conclusion: preventive healthcare requires real-time data and reliable infrastructure!
The next decade will be shaped less by individual technologies and more by how well systems connect, scale, and collaborate:
As healthcare looks toward the next decade, one lesson from the past 25 years stands out clearly: progress depends less on individual technologies and more on the infrastructure that connects them. Without interoperability, even the most advanced tools remain isolated. This is especially critical as healthcare increasingly relies on real-world data from wearables, remote monitoring, and everyday interactions, data that must be trustworthy, contextual, and continuously available.
At Thryve, we understand the complexity of health data management, and therefore, our health data API provides the most support during the process. We ensure:
The next chapter of healthcare belongs to those who invest in strong foundations and use data not just to document care, but to transform it.
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Paul Burggraf, co-founder and Chief Science Officer at Thryve, is the brain behind all health analytics at Thryve and drives our research partnerships with the German government and leading healthcare institutions. As an economical engineer turned strategy consultant, prior to Thryve, he built the foundational forecasting models for multi-billion investments of big utilities using complex system dynamics. Besides applying model analytics and analytical research to health sensors, he’s a guest lecturer at the Zurich University of Applied Sciences in the Life Science Master „Modelling of Complex Systems“