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Telemedicine helps remove barriers to health care

Telemedicine helps remove barriers to health care | Health around the clock | Scoop.it
Terry Hargenrader needs to visit his doctor every couple of months.
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Health around the clock
For health professionals who think global and like to open up their mind
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Axa propose des consultations médicales 24 heures sur 24

Axa propose des consultations médicales 24 heures sur 24 | Health around the clock | Scoop.it
La complémentaire santé destinée aux entreprises de l'assureur comprend désormais un service de consultation médicale par téléphone. 29 généralistes se relaient pour assurer le suivi des patients.
AttractiveHealthcare's insight:

AXA prend le leadership sur la télémédecine en France. Un service grand public,  une vraie consultation 24/24 ... 

La technologie: aussi simple qu'un coup de fil, pas de download, de code d'accès ... Et le tout sans surcoût pour les assurés AXA. Avec ce lancement, la télémédecine vient de faire un grand pas en France ... et AXA prend une belle avance sur les autres complémentaires.

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mHealth masters: 50 states, 50 telemedicine laws - mHealthNews

mHealth masters: 50 states, 50 telemedicine laws - mHealthNews | Health around the clock | Scoop.it
Noted telemedicine attorney Nadia de la Houssaye says the jungle of state telemedicine regulations might be the biggest barrier to widespread adoption across the country.
AttractiveHealthcare's insight:

Pour tous ceux qui trouvent qu'en France, c'est compliqué ...

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Why security must be top focus of mHealth wearable data exchange strategy - FierceMobileHealthcare (press release)

Why security must be top focus of mHealth wearable data exchange strategy - FierceMobileHealthcare (press release) | Health around the clock | Scoop.it
The explosive growth of mHealth wearables, illustrated by Fitbit's recent IPO and the debut of Apple's Watch earlier this year, isn't happening without some concerns and serious worries about user security.
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Tableau de bord santé Malakoff Médéric

La maîtrise des dépenses de santé est une préoccupation majeure des Français. Malakoff Médéric a donc conçu, pour ses clients, le Tableau de bord santé : un ...

Via Esposito Christelle
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L'Afnor publie son livre blanc sur le Big Data

L'Afnor publie son livre blanc sur le Big Data | Health around the clock | Scoop.it
L’association française de normalisation vient de publier un livre blanc intitulé « Big Data : impact et attentes pour la normalisation ». Elle propose une normalisation internationale pour développer le marché. 

Via FrancoisMagnan, Lionel Reichardt / le Pharmageek
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Do Reimbursement Limitations Deter Telemedicine Integration?

Do Reimbursement Limitations Deter Telemedicine Integration? | Health around the clock | Scoop.it

Telemedicine and reimbursement do not always go hand in hand. Reimbursement complications often hinder telemedicine's progression within


Via Emmanuel Capitaine , Lionel Reichardt / le Pharmageek
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Analyser son sang à domicile, bientôt possible ?

Analyser son sang à domicile, bientôt possible ? | Health around the clock | Scoop.it

“ Un appareil de poche, conçu par une entreprise française, devrait permettre de réaliser soi-même une quinzaine de tests sanguins courants.”


Via France Silver Eco, Fabrice Vezin, Sophie Lebreton
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La start-up Hoope redéfinit le processus d'analyse sanguine

La start-up Hoope redéfinit le processus d'analyse sanguine | Health around the clock | Scoop.it
[Hello Tomorrow] La start-up Hoope créée par trois étudiants de la Singularity University propose un dispositif médical en forme de bague permettant d’analyser le sang du porteur en 20 secondes.

Via Philippe Marchal/Pharma Hub, Lionel Reichardt / le Pharmageek
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Microsoft’s big telemedicine move

Microsoft’s big telemedicine move | Health around the clock | Scoop.it

SOURCE April 23, 2015 What a time for telemedicine. Just a few days before Google officially shuttered its Helpouts telehealth initiative, rival Microsoft revealed an effort all its own.


Via Celine Sportisse, Lionel Reichardt / le Pharmageek
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Télémédecine : Publication du rapport du groupe de travail du Comité Stratégique de Filière des Industries et Technologies de Santé | Faire avancer la santé numérique

Télémédecine : Publication du rapport du groupe de travail du Comité Stratégique de Filière des Industries et Technologies de Santé | Faire avancer la santé numérique | Health around the clock | Scoop.it

La Délégation à la Stratégie des Systèmes d’Information de Santé (DSSIS), le ministère de l’Economie, de l’Industrie et du Numérique, et les syndicats industriels (SNITEM et Syntec Numérique) ont achevé leurs travaux dans le cadre du Comité...


Via Celine Sportisse, Lionel Reichardt / le Pharmageek
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Survey: Only 30 percent of insured consumers want to track health on a mobile device | mobihealthnews

Survey: Only 30 percent of insured consumers want to track health on a mobile device | mobihealthnews | Health around the clock | Scoop.it

Via Richard Meyer
AttractiveHealthcare's insight:

Read it to the end: 

It’s not that consumers aren’t interested in employee-sponsored wellness at all: Another survey sponsored by HealthMine found that 71 percent of consumers want their employer or health plan to offer a program or a set of guidelines that helps them manage their health and 75 percent want their health plan or employer to offer incentives to help them improve their health.

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An Open Discussion with the COPD Community – Novartis Pharmaceuticals

An Open Discussion with the COPD Community – Novartis Pharmaceuticals | Health around the clock | Scoop.it
Fourteen patient organizations came together to help address the needs of patients.
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Connected devices to monitor COPD. Yes it works. In Portugal with AXA Assistance and HopeCare

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How Aetna and Massachusetts Blue Cross are leveraging mHealth to lower ... - Healthcare Dive

How Aetna and Massachusetts Blue Cross are leveraging mHealth to lower ... - Healthcare Dive | Health around the clock | Scoop.it
Maternal and newborn care make up the most expensive category of hospital payouts for most private plans and Medicaid programs. Can the right app move the needle?
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No proven results yet ...

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A l'hôpital, une borne pour créer son dossier médical

A l'hôpital, une borne pour créer son dossier médical | Health around the clock | Scoop.it
Depuis début juin, les patients du centre hospitalier de Niort peuvent eux-mêmes créer leur carnet de santé numérique. Une première en Deux-Sèvres.

Via Philippe Loizon, Lionel Reichardt / le Pharmageek
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DoctorGratis on Twitter

DoctorGratis  on Twitter | Health around the clock | Scoop.it
La #telemedecine gratuite en Français arrive enfin en Afrique dans 24 h ! #esante #mhealth pic.twitter.com/AmL93nirwi
AttractiveHealthcare's insight:

There is nothing such as a free lunch ... La télémédecine sans sécurité des échanges, sans traçabilité, sans identification des médecins c'est gratis. pour le reste, c'est un peu plus cher .

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Hackathon What Health: neuf projets récompensés à l'AP-HP #hcsmeufr

Hackathon What Health: neuf projets récompensés à l'AP-HP #hcsmeufr | Health around the clock | Scoop.it

Premier site français d’information en continu sur les technologies de l’information et de la communication (TIC, NTIC) dans la santé - TIC santé


Via Chanfimao, Lionel Reichardt / le Pharmageek
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Une femme trahie par... son bracelet Fitbit ! - Stuffi

Une femme trahie par... son bracelet Fitbit ! - Stuffi | Health around the clock | Scoop.it
La plaignante a vu la justice se retourner contre elle après que les données de son bracelet connecté aient prouvé qu'elle mentait sur son activité.

Via Agathe Quignot
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Les bracelets connectés peuvent servir de preuve ... en Pennsylvanie

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HealthTap, Quest Diagnostics Launch Virtual Diagnostic Testing for Healthcare Consumers

HealthTap, Quest Diagnostics Launch Virtual Diagnostic Testing for Healthcare Consumers | Health around the clock | Scoop.it

HealthTap, the world’s largest, most trusted digital health hub and Quest Diagnostics has announced a collaboration that will enable doctors to order diagnostic testing services for patients through HealthTap’s comprehensive virtual care platform.


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La médecine personnalisée, ou la santé confiée à Google et Apple ?

La médecine personnalisée, ou la santé confiée à Google et Apple ? | Health around the clock | Scoop.it
Avec leurs gadgets électroniques et leurs capacités de calculs dans d'immenses bases de données, Google, Apple ou encore IBM pourraient devenir les acteurs incontournables de See it on Scoop.it, via E-HEALTH - E-SANTE - PHARMAGEEK...

Via Pharmacomptoir / Corinne Thuderoz
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Google Gets Patent for Drone Use for Medical Emergency Services

Google Gets Patent for Drone Use for Medical Emergency Services | Health around the clock | Scoop.it
Google wants to create a fleet of ambulance drones that could be used to reach humans stranded in remote locations during medical emergencies, according to a patent granted to the tech giant Tuesday by the U.S. Patent and Trademark Office.
The pa

Via Assurance du futur, Lionel Reichardt / le Pharmageek
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E-santé : les assureurs cherchent encore une proposition de valeur #hcsmeufr

E-santé : les assureurs cherchent encore une proposition de valeur #hcsmeufr | Health around the clock | Scoop.it
Alix Pradère est co-fondtrice et co-directrice du cabinet de conseil OpusLine, spécialisé en stratégie et management dédié au secteur de la santé.

Via Assurance du futur, Lionel Reichardt / le Pharmageek
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Suzana Biseul PRo's curator insight, June 26, 3:29 AM

Nous sommes en plein changement dans plusieurs secteurs d'activité! Dont l'assurance et la banque.

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Number of medical video consultations, visits to reach 158M annually by 2020 #hcsm #hcsmeu

Number of medical video consultations, visits to reach 158M annually by 2020 #hcsm #hcsmeu | Health around the clock | Scoop.it

Medical video consultations and visits will increase from 19.7 million annually in 2014 to 158.4 million per year by 2020, according to a new report from Tractica.


Via Assurance du futur, Lionel Reichardt / le Pharmageek
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How hospitals hope to boost ratings on Yelp, HealthGrades, ZocDoc and Vitals

How hospitals hope to boost ratings on Yelp, HealthGrades, ZocDoc and Vitals | Health around the clock | Scoop.it

Laura Markowski used to worry every time a text alerted her that a patient had posted a negative review online of a doctor at her health-care system.

She’s in charge of “reputation management” at a group of hospitals and clinics in Virginia, and it’s her job to monitor complaints about rudeness, long waits, lack of face time with a doctor or something more serious.

But after several months of reviewing comments in real time on nearly a dozen Web sites, including Healthgrades.com, ZocDoc.com and Google Plus, as well as Facebook and Twitter, she’s calmer.


Most reviews have been “one-offs for different physicians,” she said, not focused on just one doctor or group practice that would raise a red flag.

Markowski is part of a new and urgent effort by hospitals and health systems to track and control their online reputations. As out-of-pocket costs for health care have risen, people are increasingly shopping for their medical care and comparing reviews. And younger consumers who have grown up on Yelp and Rate My Professors expect the same seamless, digital experience with health care that they have used in other aspects of their lives.

Cox Business commercial: 'Doctor's Office'(0:43)
At a recent meeting of the American Hospital Association in Washington, D.C., Nancy Agee, the chief executive of the Carilion Clinic health system in Virginia, showed this commercial to poke fun at the way health-care has long ignored the patient experience. (Cox Business)
Patient satisfaction, long ignored by the health-care industry, is a strategic priority for another simple reason: It’s playing a more important role in determining how the federal government pays hospitals. In the last three years the government has been taking into account patient satisfaction data when determining how much to reimburse hospitals for Medicare patients.

But putting hospitals and doctors into the online rating world is fraught with possible problems. For one, patients and doctors have widely differing expectations.

When patients are asked to rate how doctor quality should be measured, clinical outcomes, such as getting cured of a disease, rarely come up, said Lisa Suennen, who advises health-care companies. Patients talk about whether a doctor or nurse was kind to them, or whether their experience was fast and convenient. It’s assumed that the doctor is going to treat their illness or condition.


Physicians, on the other hand, go straight to the clinical. The cancer is gone. Or the person can walk again. “They don’t even talk about the other stuff,” Suennen said. The two groups “are really disconnected.”

Physicians are not eager to be rated like restaurants. It’s hard for them to wrap their minds around the process, because taking care of patients is exceptionally complex, said Adrienne Boissy, the chief experience officer at the Cleveland Clinic.

“We don’t have consumers, we have patients,” she said. “Health care isn’t necessarily like shopping at Target.”


And some experts fear that the focus is more on burnishing the online reputations of doctors and hospitals than improving delivery of care.

 When one of the doctors at Carilion Clinic receives a rating of 3 or below (out of 5) on one of several online rating sites, this text message shows up on Laura J. Markowski’s phone. (Courtesy of Laura J. Markowski)
“My wish is that less effort would go to trying to look good and more effort in actually being better,” said Bob Kocher, a former health-care adviser to President Obama who is now an investor in health-care IT.

Information in real time
At the Roanoke, Va.-based Carilion Clinic system where Markowski works, new technology has allowed her to see real-time information about more than 500 doctors since March.

On average, Markowski gets about two negative reviews a day. (A score of 3 or lower, out of 5). Some days there are none. A few weeks ago, she received seven negative reviews, all for doctors who hadn’t been rated before. One scored 1.9 out of 5 because the patient waited more than 45 minutes and had only a few minutes with the doctor. Another review complained about a rude receptionist. Most negative ratings have to do with wait times and scheduling.

How Carilion will share that information is still being decided. But doctors will be aware that the system is monitoring the ratings sites. “If a trend is established, it will be addressed,” she said.

Another option: Carilion may use the technology to survey patients and then push positive comments back out to the ratings sites. That way, an Internet search may display the newest positive comments ahead of older negative reviews.  

“Right now when we get positive feedback, we just send it to the physician or practice,” Markowski said. “We don’t share it with everybody else, and that seems like a missed opportunity.”


Binary Fountain, the McLean, Va., company that provides the software to Carilion, analyzes online consumer feedback and divides it into 37 categories, including office staff and bedside manner. “If someone writes that ‘Dr. Smith seems very smart but he only spent 3 minutes with me,’ ” the doctor scores a 5 for competency but maybe 3 on beside manner, said Ramu Potarazu, the firm’s chief executive.

Even the Cleveland Clinic, one of the country’s most prominent medical centers, felt the digital pressure. It rolled out its own doctor rating site in April for more than 1,550 doctors. Responses are drawn from a patient satisfaction survey required by Medicare, which many hospitals use internally to target areas for improvement.

Unlike some sites that rely on one or two reviews, Cleveland Clinic displays only ratings for doctors who have been reviewed by at least 30 patients. Ratings — one to five stars — are updated weekly and include negative as well as positive comments.

Doctors such Eric Klein, 59, a urologist, had misgivings at first. “Occasionally, patients have sometimes unrealistic expectations about the medical outcome,” he said. But instead of a flood of negative comments and scores, doctors have had “overwhelmingly positive” ratings, he said.

Other health systems that now have their own ratings site include the University of Utah, Piedmont Healthcare in Atlanta and Integris health in Oklahoma. At the University of Utah, which operates four hospitals, officials have cut wait times and significantly boosted patient satisfaction scores.

[Doctors often score high with patients on rating sites]

Some companies are trying to help doctors improve ratings by keeping them better connected to their patients. HealthLoop, a Mountain View, Ca.-based company, offers doctors daily follow-up with patients through “virtual visits.” Patients are e-mailed set questions, advice and reminders tailored to their illness or condition — a knee surgery patient will be asked about new swelling and shown photos of how to keep the leg elevated — and can e-mail questions and photos back to the doctor’s office. This allows doctors to zero in on the people who need immediate attention.


The result makes for happier patients, said Todd Johnson, HealthLoop CEO. When HealthLoop asks them to post their positive experiences to doctor rating sites, they willingly do so.

“It becomes an amazing marketing engine,” he said. One large West Coast hospital recently raised its patient satisfaction scores by 11 percent after signing up with HealthLoop, he said.

Focus on social media
Markowski, 31, used to juggle several duties at Carilion, but it was a struggle to keep up. Now social media is her sole focus from the moment she wakes up to right before bedtime.

Much of her time goes to answering online questions from people such as Laura Thomas, an ophthalmic assistant who needed help finding an obstetrician last fall. Thomas heard positive comments about a doctor from a friend but hadn’t found online reviews. She posted a question on Carilion’s Facebook page, Carilion responded with a telephone number, and Thomas called it to follow up.

Thomas, 24, who lives south of Roanoke with her husband and young son, also found her primary care doctor by scouring online sites. She has been happy with that doctor and with Carilion. One time, the doctor had called in a prescription before Thomas arrived for her appointment. And it was the doctor, not the nurse, who responded.

Online reviews are second nature for Thomas’s generation. People who may be reluctant to share feedback face-to-face may find it easier now to do so anonymously, with one swipe through an app on their phone.

“A lot of times people don’t know what avenue to take to express their feelings about their treatment,” she said. “Nowadays you just go online and hit 5 stars or whatever as you’re walking out the door. You just pull it up on your phone. It’s so instantaneous.”

 


Via Plus91, Lionel Reichardt / le Pharmageek
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Skyrocketing drug prices leave cures out of reach for some patients

Skyrocketing drug prices leave cures out of reach for some patients | Health around the clock | Scoop.it
They say you can't put a price on hope. But patients with life-threatening diseases now commonly confront eye-popping prices for drugs that offer them a chance at survival. New cancer drugs are routinely

Via Richard Meyer
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French social security: not so bad after all ...

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Michel Mazuez's curator insight, June 16, 12:51 PM

Illustration de ce dont parlait l'infirmière de l'AP-HP  la semaine dernière : le prix de certains traitements va les rendre inaccessibles à de plus en plus de malades , d'hôpitaux , de pays ( il s'agit bien du "prix de vente" , qui n'a rien de commun avec le coût lié à leur élaboration )  . La pression des labo. pharmaceutiques , relayée par l'organisation "centralisée" de la cancérologie , vise à faire utiliser exclusivement ces traitements innovants . Pourtant , les "vieux" traitements dont le coût est 10 à 100 fois inférieur , ont souvent  une efficacité peu différente (  quelques mois "gagnés" en moyenne  ) . On a le sentiment que chaque patient qui a la malchance d'être atteint d'un cancer  devient , sans qu'on tienne compte de son avis , un "cobaye" pour faire valider de nouveaux médicaments  . Un sujet à méditer avant d'être pris en otage  , individuellement en tant que malade , collectivement en tant que "cotisant-tax payer" ? ( en 2014 ,  les dépenses pour  ces médicaments "particuliers" ont augmenté de 70% ... ) . 

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mHealth in Europe: A mixed bag - mHealthNews

mHealth in Europe: A mixed bag - mHealthNews | Health around the clock | Scoop.it
A new study of all 28 EU nations finds some are bullish on what they call eHealth, while others are lagging far behind.
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Great Research

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mHealth masters: Make it invisible and intuitive - mHealthNews

mHealth masters: Make it invisible and intuitive - mHealthNews | Health around the clock | Scoop.it
Ranya Habash, MD, a noted ophthalmologist and CMO of Everbridge, says the most innovative mHealth technology should fly under the radar (and that won't include robots).
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Makes sense ...

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