While wearable patch technology is a still-growing mHealth market, its future bodes bright as a worthwhile investment for providers and as a valuable consumer tool. However, currently there are challenges to the devices that need to be addressed, according to a recent Tractica report.
Connected wearable patches range from tattoos to small devices affixed to the skin, as defined by Tractica The patches feature wireless connectivity for monitoring physiological data, delivering medication and more.
Tractica forecasts worldwide unit shipments will hit 12.3 million annually by 2020, a big jump from the 67,000 shipped in 2014. The market is expected to increase to $3.3 billion annually, states the research.
Doctors are using digital tools and willing to receive data feeds from their customers, but they are quite frustrated by poor usability of digital healthcare tools and difficulty getting measurable results
• EHRs are typically hard to use. Many doctors I know complain of spending several extra hours each day entering data to EHRs. In some practices medical scribes have been added to help with data entry.
• EHRs are often local, island systems that do not provide access to other clinical resources, so doctors need to use multiple systems.
• Patient portals are often a dismal experience. HIPAA has motivated administrators to mandate defensive designs that are often so inconvenient for patients that they are seldom used, which I suppose makes them highly secure.
• Doctors feel they have tons of data available to them, but few tools to use it to make intelligent and timely decisions.
Depuis plus de 40 ans, Sanofi s’attache à traduire les avancées scientifiques en réponses concrètes dans le but d’apporter des solutions innovantes et personnalisées aux besoins des patients et de les accompagner dans leur quotidien. Les nouvelles technologies et l’essor du digital ont été le moteur d’une accélération sans précédent en matière d’innovation requérant aujourd’hui …
Hooking up has never been easier. For those who want to avoid the crowded, boozy bar scene, finding a sexual partner is just a click away online. One popular site for such cyber-assisted trysts is Craigslist, which has an entire section dedicated to “casual encounters,” categorized by who’s looking for whom. Also, a number of new smartphone apps have hit the market recently, bringing no-strings-attached sex to the palm of one’s hand.
With sex so much easier to come by, many researchers and activists have raised concerns about technology increasing the spread of sexually transmitted diseases, such as HIV/AIDS. Social-networking technologies seem especially popular among gay and bisexual men, particularly African Americans and Latinos, some of the most at-risk populations for HIV/AIDS in the United States. Some epidemiological studies have found correlations between the use of such technologies and rates of HIV infection. One study that made headlines earlier this year, for example, found that the appearance of Craigslist in a given region was associated with a 15.9 percent increase in HIV incidence, and that more than 6,000 new cases of HIV infection could likely be attributed to the site each year (MIS Quarterly, December 2014).
“The take-away message is that in the age of social media, new social routes of HIV transmission are possible,” study coauthor Jason Chan, now at the University of Minnesota, told The Scientist in an e-mail. “On the users’ end, the adage ‘buyers beware’ is still very applicable in this context. . . . It would be fruitful for health-care practitioners and academics to look into these new avenues to uncover areas that are in need of intervention.”
But the relationship between social-networking technologies and HIV risk is not straightforward. First of all, it is still unclear whether the correlations that have been documented between such technologies and HIV incidence are indicative of causality, notes Ian Holloway, a social behavioral scientist at the University of California, Los Angeles’s Center for HIV Intervention, Prevention, and Treatment Services. Perhaps the technologies are increasing HIV risk, or perhaps they are simply attracting those who tend to engage in sexually risky behaviors. “Really, the question of whether it’s selection or influence that’s contributing to greater HIV risk behavior among guys who use these platforms is unknown,” says Holloway. “There haven’t been good longitudinal studies to tease out which of those mechanisms is in place.”
In the age of social media, new social routes of HIV transmission are possible.
—Jason Chan, University of Minnesota
Another consideration is what types of sexual behaviors tend to result from Internet hookups. UCLA’s Sean Young, a faculty leader of the new UC Institute for Prediction Technology, and his colleagues have found, for example, that men who find male sexual partners on social-networking sites are more likely to have oral sex, which carries a much lower chance of disease transmission (PLOS ONE, 8:e62271, 2013). “If it’s easier to find people to have sex with, then it definitely increases your risk for HIV just by having a larger number of sexual partners,” Young says. “[But] that increase in sexual partners may be mitigated . . . by a change in sexual-risk behaviors, like oral sex compared to unprotected anal sex.”
People looking for sexual partners online may also be able to lessen their risk of infection by having access to information they wouldn’t necessarily have about someone they met in a bar. Many technologies geared specifically to arranging sexual encounters even provide users with an opportunity to indicate their HIV status. If honestly reported, this can result in sero-sorting, allowing people to choose a sexual partner who matches their own HIV status. “You have to have a sero-discordant sexual act in order to transmit a new case of HIV,” says behavioral health scientist Kathryn Muessig of the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill. “If both people accurately know their status, it could reduce risk.”
Independent of how social-networking sites influence sexual-risk behaviors, there is evidence that these technologies are effective at spreading HIV/AIDS awareness, prevention measures, and even HIV testing. For example, the Harnessing Online Peer Education (HOPE) study, led by Young, found that people who joined Facebook intervention groups, in which peer leaders moderated discussions about HIV testing and infection prevention, were about three times more likely to request a home-based HIV testing kit than those in Facebook groups that received only general health information (Am J Public Health, 104:1707-12, 2014). Upon reading of their success, researchers in Peru contacted Young to implement a Facebook-based intervention program there, and got very similar results, with participants three times more likely to get tested for HIV. (Lancet HIV, 2:e27-32, 2015). Young and his colleagues are now gearing up to test this social media–based intervention strategy in a five-year randomized controlled trial.
So has social media helped or hurt the HIV community? According to Simon Rosser, director of the HIV/STI Intervention and Prevention Studies (HIPS) Program at the University of Minnesota School of Public Health, that’s the wrong question to ask. “Something as complex as new technology and media, it’s like asking the question, ‘Is the Internet good or bad?’ It’s just too simplistic a question when framed that way,” says Rosser. On the other hand, “asking what are the effects of the Internet, how is it changing society, and what are the benefits and risks inherent in it is very, very helpful, even critical.”
Vous souhaitez mettre un bébé en route et l’impatience vous guette déjà ? Les applications et les objets connectés pour suivre au jour le jour l’évolution de votre fertilité sont peut-être pour vous. Que faut-il savoir sur la fertilité connectée et sur les accessoires disponibles dans ce domaine ?
Gamified medication adherence app maker Mango Health is moving beyond medications, using a new Google Fit integration to add tracking of blood pressure and weight, as well as activity tracking, into its app, the company announced today.
“From a patient or consumer’s perspective in the app, it leverages the existing paradigm around reminders, which we think is a very effective way to begin encouraging patient populations in other forms of even more proactive health,” CEO Jason Oberfest told MobiHealthNews. “So whether it’s recording blood pressure regularly, or moving regularly, monitoring glucose regularly, whatever the case may be, it was a very logical extension for the app.”
#digiIllustration: Tavis Coburn SOURCE May 2015 The game-show-winning AI struggles to find the answers in health care Four years ago, Neil Mehta wasamong the 15 million people who watched Ken Jennings and Brad Rutter—the world’s greatest “Jeopardy!
Physicians should actively manage their online presence to present a positive image, a social media expert advised during a Monday AGA session about disruptive threats to GI practices.
During Digestive Disease Week® (DDW) 2015, Lee A. Aase, director of the Mayo Clinic Center for Social Media, Rochester, MN, said that staying active on social media and online, especially on LinkedIn and Twitter, reinforces a physician’s positive message.
The creation of positive content can push away negative information such as lukewarm comments on sites that review doctor performance.
“The solution to pollution is dilution,” Aase said.
He said that physicians must stay vigilant so that content they create dominates the first page of online search results by name.
Posting a video on YouTube that includes the physician’s name helps drive positive content to the top of search results, Aase said. He also recommended that physicians actively manage their profiles on Doximity, a social networking platform for physicians.
But physicians shouldn’t dwell on the downsides and difficulties of maintaining a professional presence in the digital world. Aase pointed out that these tools help build new and stronger relationships with patients. Twitter is great for sifting through the increasing amount of clinical information and research that is now available to improve care.
“These technologies do present some amazing opportunities,” he said. “So the same type of disruption that causes some of the difficulties also has opportunities for us, as well.”
The online world can even lead to patient-led medical research. Aase cited an example from Mayo, where a woman from Virginia essentially gathered participants for a pilot study on a rare coronary disease by seeking out people with the condition on an online message board. This was after her doctor could not answer her questions about the condition.
“It all came about from a woman who decided it was not good enough not to know,” Aase said. Mayo established the Center for Social Media to accelerate the use of social media in improving health at Mayo and to provide information on how other facilities around the world can adopt the strategies, Aase said.
Highlighting another disruptive threat, Joel V. Brill, MD, AGAF, chief medical officer at FAIR Health, Inc., in Phoenix, AZ, talked about narrow networks, where payors and employers put together provider panels comprised of practices that can prove value, which is a function of both cost and outcomes.
For practices in areas where a large system employs a significant number of referring doctors, that means paying attention to that system.
“What are you doing now to demonstrate value to that entity?” he asked the audience.
Lawrence Kosinski, MD, MBA, AGAF, a managing partner with a gastroenterology group in the Chicago, IL, area, focused on exchanges. Exchanges were established through the Affordable Care Act, but private companies now are also adopting the strategy for their employees.
Since many of the people gaining coverage through exchanges have not had insurance before, he said, these exchange customers represent a way for practices to increase revenue.
“New paying customers are the answer,” Dr. Kosinski said.
Le premier congrès dédié à l’éthique et la compliance santé sera organisé le 23 juin prochain à Paris : PharmaCompliance. Buzz E-santé est partenaire de cet évènement. Présentation. En partenariat avec l’AFAR (Association Française des Affaires Réglementaires) et le CEDHYS (Club des Directeurs des Systèmes d’Information des Sciences de la Vie), EuroHealthNet (PharmaSuccess) et Market iT …
Denise Silber a lancé l’événement Doctors 2.0 & You en juin 2011 avec le double objectif d’attirer le médecin vers le numérique et de donner une place à la parole des patients. Ce positionnement original vient de se traduire par son adhésion à la charte Patients included. La 5e édition de Doctors 2.0 se prépare, pour les 4 et 5 Juin prochains, Cité Universitaire, à Paris.
Qu’est-ce qu’innover dans la santé ? Co-construire ensemble, avec et pour les patients. Un événement organisé par Sanofi. Sanofi organise une table ronde autour du thème « Qu’est-ce qu’innover en santé ? Co-construire ensemble, avec et pour les patients». Il s’agira de mettre en lumière les contraintes et les attentes des différentes parties prenantes en matière …
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