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Harnessing the Power of the Digital Patient


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Dominique Godefroy's curator insight, April 24, 2013 3:14 AM

The biopharmaceutical industry is currently facing a number of macro-environmental factors, which underscore its need to
think of itself not as a developer of singular products, but as a critical part of an interoperable system. This fundamental shift
must include a strategic approach for engaging with an increasingly informed and connected patient population.

The amount of medical information now available to patients online is truly remarkable. Coupled with a decrease in the amount
of time physicians can actually spend with their patients, today’s health care consumers are savvy, engaged and have a strong
desire to learn as much as they can about their diseases.

By not directly engaging with patients, biopharmaceutical companies are missing an enormous opportunity to reduce the time
and cost of clinical development and maximize the return on their development investments. However, by earning patient trust
and creating a two-way dialog, some companies have been able to engage patients to participate and remain in research; prove
product value and safety by directly gathering personal outcomes, medical records, and diagnostic data from labs or devices;
and accelerate product adoption and adherence.

This white paper discusses how biopharmaceutical companies can harness the power of the digital patient when it engages
them in the appropriate manner. Quintiles’ Digital Patient Unit was founded to continue to innovate around these areas
of opportunity.

Mobile Health: How Mobile Phones Support Health Care
Mobile Health: How Mobile Phones Support Health Care
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89% of US physicians would recommend a health app to a patient

89% of US physicians would recommend a health app to a patient | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

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Dave Burianek's comment, May 15, 8:45 AM
I think this is interesting.. and as we think about the whole integrated care delivery model, this data and information will play a critical part. Of those practices that Humana will own or be part of in a significant way, I believe we can make this happen. For those docs with small practices, we would need to find the right motivation to have them leverage this info. Do we offer it to them? such as ipads for usage during an office visit? we have to make it simple yet provide the best information so they could provide the best quality of care.
Scott Normandin's comment, May 16, 10:24 PM
the question begs: is/are applications that make access to health care the domain of the younger generation, or as some would content, are applications an additional level of complication to our senior population. Personal experience from the lens of my parents is that "absent" a vetted and universally adopted application that supports a universal view for all, this may by perceived as the "new best new toy" and fade with time. Our seniors; albeit are digital immigrants, working their way into the development of new technologies clumsily, whereas Gen X/Y find the technology adaptable, available and importantly expendable when the next best thing comes available. What defines consumerization: speed of development and release, or the ability to support end users?
Scott Normandin's comment, May 16, 10:24 PM
the question begs: is/are applications that make access to health care the domain of the younger generation, or as some would content, are applications an additional level of complication to our senior population. Personal experience from the lens of my parents is that "absent" a vetted and universally adopted application that supports a universal view for all, this may by perceived as the "new best new toy" and fade with time. Our seniors; albeit are digital immigrants, working their way into the development of new technologies clumsily, whereas Gen X/Y find the technology adaptable, available and importantly expendable when the next best thing comes available. What defines consumerization: speed of development and release, or the ability to support end users?
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Is Wearable Tech Changing Behavior?

Is Wearable Tech Changing Behavior? | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

This article was originally published at The Conversation. The publication contributed the article to Live Science's Expert Voices: Op-Ed & Insights.

Are you being recorded? Thanks to the ubiquity of CCTV and camera phones, the answer is more than ever before likely to be “Yes”. Add to this the growth of wearable technology such as Google Glass and people are increasingly exposed to devices that can monitor and record them, whether they realise it or not.

The privacy implications are obvious, but also interesting to psychologists such as myself, are how such invasions of privacy – real or perceived – change the way people behave in everyday life.

 

My colleagues and I have been examining the ways people change their behaviour when they are being recorded. In a typical psychology experiment, participants are aware that they are being watched, and a range of equipment monitors their responses, from computers and cameras to eye-trackers and electrodes. Do people in this scenario behave the same way as they’d behave, unwatched, in everyday life? While this may be true for some people and some behaviour, it is not in all cases. Thankfully, with some ingenuity, we can investigate whether being monitored changes how people behave. This should be a crucial topic for psychologists.

Research using eye-tracking devices, led by Eleni Nasioupolous and Alan Kingstone from the University of British Columbia, Evan Risko at the University of Waterloo in Canada, and myself, provides a good example. In several situations participants were left alone in a room with a calendar featuring a scantily-clad female, behind which lay a hidden spy camera. When people were free of any recording device, they usually looked at the calendar. However, when they wore an eye-tracking device, which records the wearer’s field of view and their eye movements within it (just like Google Glass) they stopped behaving naturally and avoided looking at the saucy image.

In other words they were aware that what they were looking at was being watched and changed their behaviour accordingly. This reinforces our natural assumption that we can’t take for granted that people will behave normally when they know they’re being watched, both in lab experiments and when using wearable technology out in the world.

Those aware that what they are looking at is being monitored seem to act in a more socially acceptable manner, something that is consistent with a range of behavioural research. The presence of others leads us to act in a way that converges with social norms. Security cameras – even a picture of someone’s eyes – can have the same effect by implying that someone is watching.

In our recent paper published in the British Journal of Psychology we varied the amount of time that people had to get used to wearing the eye-tracker. Surprisingly, we found that even after only 10 minutes of wearing the equipment, users essentially forgot about being monitored and started acting normally again. Soon enough the socially acceptable behaviour associated with being watched dissipated and they again spent time, for example, looking at the calendar.

But while the implied social presence of another watching the participant’s behaviour wore off surprisingly quickly, when they were reminded that they were wearing the eye-tracker they once more reverted to a socially acceptable pattern of behaviour and averted their eyes.

So what does this mean for privacy in the age of Google Glass and other wearable smart devices? We shouldn’t assume that people will be sufficiently self-aware to regulate what they’re doing while using wearable technology. Our research shows that users can easily forget that they are recording (or being recorded) and even with the best intentions could violate the privacy of others.

This is good news for those of us who seek to measure and understand natural behaviour, and particularly for using eye-trackers to achieve this. However it could be bad news for those who champion the use of wearable computing in everyday life. With even short periods of use, people may stop being aware of their own actions and in doing so end up recording things they would rather not be seen – look away now if you value your privacy.

Tom Foulsham receives funding from The British Academy.

This article was originally published on The Conversation. Read the original article. Follow all of the Expert Voices issues and debates — and become part of the discussion — on Facebook, Twitter and Google +. The views expressed are those of the author and do not necessarily reflect the views of the publisher. This version of the article was originally published on Live Science.


Are you being recorded? Thanks to the ubiquity of CCTV and camera phones, the answer is more than ever before likely to be “Yes”. Add to this the growth of wearable technology such as Google Glass and people are increasingly exposed to devices that can monitor and record them, whether they realise it or not.


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ChemaCepeda's curator insight, September 22, 11:56 AM

¿El simple hecho de sentirnos monitorizados hace cambiar nuestro comportamiento?

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Enhancing Clinical Decisions through Mobile Health Devices

Enhancing Clinical Decisions through Mobile Health Devices | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

Smartphones, tablets and other mobile devices have become indispensable in doctor’s offices and hospitals. The mobile health devices help in simplifying the implementation of electronic health records. According to a 2013 survey conducted on behalf of Wolters Kluwer Health by Paris-based market and technology firm Ipsos, nearly 80 percent of the 300 practicing primary care, family and internal medicine physicians surveyed said they were using a smartphone in their day-to-day practice. Another 61% were using tablets.

A 2013 infographic on mhealth compiled by Strategy& supports these findings, reporting that 85 percent of doctors use smartphones and medical apps. In addition, 86 percent of all clinicians – doctors, nurses and nurse practitioners – now use smartphones in their practice areas every day, up from 78 percent in 2012.

Also See : How Smartphone Apps Are Expanding the Role of EMRs And Managing Chronic Care

The 2013 Wolters Kluwer Health Physician Study suggests that more than half (55%) of physicians who use mobile devices use both smartphones and tablets in their daily practice. The major use for which smartphones are used is to access drug information while tablets are primarily used to access medical research. At Catholic Health partners, one of the largest non-profit health systems in the U.S., we use mobile devices to provide our clinicians with anytime, anywhere access to the clinical answers they need alongside our mobile electronic medical record (EMR) system, during rounds, in the hall between patients or at home catching up on charts, said their spokesperson.

At CHP (Catholic Health partners), we also are committed to offering mobile EHR viewer access on iPad, iPhone, or Android to any physician provider. This allows access in remote areas where Internet or PC access is not available so providers can view data when off-site and on-call.

Our secure patient record viewers store no information on the local device and do not require a unique log in so private information is protected, said the spokesperson. With the Affordable Care Act already in effect mobile devices are sure to play an even more larger role in easing communication in healthcare facilities.
- See more at: http://www.kmgus.com/blogs/healthit/index.php/2014/09/04/enhancing-clinical-decisions-through-mobile-health-devices/#sthash.huLVIskw.dpuf

Smartphones, tablets and other mobile devices have become indispensable in doctor’s offices and hospitals. The mobile health devices help in simplifying the implementation of electronic health records. According to a 2013 survey conducted on behalf of Wolters Kluwer Health by Paris-based market and technology firm Ipsos, nearly 80 percent of the 300 practicing primary care, family and internal medicine physicians surveyed said they were using a smartphone in their day-to-day practice. Another 61% were using tablets.

A 2013 infographic on mhealth compiled by Strategy& supports these findings, reporting that 85 percent of doctors use smartphones and medical apps. In addition, 86 percent of all clinicians – doctors, nurses and nurse practitioners – now use smartphones in their practice areas every day, up from 78 percent in 2012.

Also See : How Smartphone Apps Are Expanding the Role of EMRs And Managing Chronic Care

The 2013 Wolters Kluwer Health Physician Study suggests that more than half (55%) of physicians who use mobile devices use both smartphones and tablets in their daily practice. The major use for which smartphones are used is to access drug information while tablets are primarily used to access medical research. At Catholic Health partners, one of the largest non-profit health systems in the U.S., we use mobile devices to provide our clinicians with anytime, anywhere access to the clinical answers they need alongside our mobile electronic medical record (EMR) system, during rounds, in the hall between patients or at home catching up on charts, said their spokesperson.

At CHP (Catholic Health partners), we also are committed to offering mobile EHR viewer access on iPad, iPhone, or Android to any physician provider. This allows access in remote areas where Internet or PC access is not available so providers can view data when off-site and on-call.

Our secure patient record viewers store no information on the local device and do not require a unique log in so private information is protected, said the spokesperson. With the Affordable Care Act already in effect mobile devices are sure to play an even more larger role in easing communication in healthcare facilities.

- See more at: http://www.kmgus.com/blogs/healthit/index.php/2014/09/04/enhancing-clinical-decisions-through-mobile-health-devices/#sthash.huLVIskw.dpuf

Smartphones, tablets and other mobile devices have become indispensable in doctor’s offices and hospitals. The mobile health devices help in simplifying the implementation of electronic health records. According to a 2013 survey conducted on behalf of Wolters Kluwer Health by Paris-based market and technology firm Ipsos, nearly 80 percent of the 300 practicing primary care, family and internal medicine physicians surveyed said they were using a smartphone in their day-to-day practice. Another 61% were using tablets.

A 2013 infographic on mhealth compiled by Strategy& supports these findings, reporting that 85 percent of doctors use smartphones and medical apps. In addition, 86 percent of all clinicians – doctors, nurses and nurse practitioners – now use smartphones in their practice areas every day, up from 78 percent in 2012.

Also See : How Smartphone Apps Are Expanding the Role of EMRs And Managing Chronic Care

The 2013 Wolters Kluwer Health Physician Study suggests that more than half (55%) of physicians who use mobile devices use both smartphones and tablets in their daily practice. The major use for which smartphones are used is to access drug information while tablets are primarily used to access medical research. At Catholic Health partners, one of the largest non-profit health systems in the U.S., we use mobile devices to provide our clinicians with anytime, anywhere access to the clinical answers they need alongside our mobile electronic medical record (EMR) system, during rounds, in the hall between patients or at home catching up on charts, said their spokesperson.

At CHP (Catholic Health partners), we also are committed to offering mobile EHR viewer access on iPad, iPhone, or Android to any physician provider. This allows access in remote areas where Internet or PC access is not available so providers can view data when off-site and on-call.

Our secure patient record viewers store no information on the local device and do not require a unique log in so private information is protected, said the spokesperson. With the Affordable Care Act already in effect mobile devices are sure to play an even more larger role in easing communication in healthcare facilities.

- See more at: http://www.kmgus.com/blogs/healthit/index.php/2014/09/04/enhancing-clinical-decisions-through-mobile-health-devices/#sthash.huLVIskw.dpuf
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The Near Future Of Implantable Technology - YouTube

Jennifer French is the 2012 Rolex Yachtswoman of the Year, a silver medalist in sailing, and a quadriplegic. She is the first woman to receive the implanted ...

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UK Regulator Leads Innovative EU Project on the Use of Smartphones and Social Media for Drug Safety Information cc @evepie

UK Regulator Leads Innovative EU Project on the Use of Smartphones and Social Media for Drug Safety Information cc @evepie | Mobile Health: How Mobile Phones Support Health Care | Scoop.it
UK Regulator Leads Innovative EU Project on the Use of Smartphones and Social Media for Drug Safety Information243 Targeted News Service

LONDON, Sept. 5 -- The British Medicines and Healthcare Products Regulatory Agency issued the following news release:

The Medicines and Healthcare products Regulatory Agency (MHRA) is leading a consortium of organisations including European medicines regulators, academics and the pharmaceutical industry in a three year project to develop new ways of gathering information on suspected adverse drug reactions (ADRs).

The project, known as WEB-RADR, is in response to the rapid adoption of smartphones, apps, and social media for discussing issues with medicines and health.

It will work to develop a mobile app for healthcare professionals and the public to report suspected ADRs to national EU regulators. It will also investigate the potential for publicly available social media data for identifying potential drug safety issues. All social media data used within the project will be appropriately anonymised to protect data privacy.

In addition to reporting suspected ADRs the app could also serve as a platform to send accurate, timely and up to date medicines information to patients, clinicians, and caregivers.

WEB-RADR will also examine the value of these new tools for monitoring drug safety. It will help to develop recommendations for medicines regulators and the pharmaceutical industry internationally on how these should be used alongside existing systems.

This project is funded though the Innovative Medicines Initiative, a public private partnership between the European Commission and European Federation of Pharmaceutical Industries and Associations.

Mick Foy, Group Manager in the MHRA's Vigilance and Risk Management of Medicines division said:

"The growing use of smartphones and tablets by patients and healthcare professionals creates a need for reporting forms to be provided on these platforms to ensure regulators receive ADR reports that are easy to access and complete.

"Additionally the recent growth of social media platforms such as Facebook, Twitter and the many specialist sites and blogs has given rise to many people sharing their medical experiences publicly on the internet.

"Such data sharing, if properly harnessed, could provide an extremely valuable source of information for monitoring the safety of medicines after they have been licensed.

"WEB-RADR will deliver recommendations for international drug safety monitoring as to how these resources should be used ethically and scientifically."

Notes to Editor

1. The Innovative Medicines Initiative (IMI) (external link) is Europe's largest public-private initiative aiming to speed up the development of better and safer medicines for patients. IMI supports collaborative research projects and builds networks of industrial and academic experts in order to boost pharmaceutical innovation in Europe. IMI is a joint undertaking between the European Union and the European Federation of Pharmaceutical Industries and Associations (EFPIA).


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Making patient engagement meaningful (to the doctor) | mHealthNews

Making patient engagement meaningful (to the doctor) | mHealthNews | Mobile Health: How Mobile Phones Support Health Care | Scoop.it
he popular theory these days is that consumers with chronic health conditions want to take more control over their healthcare, and they'll be using mHealth tools to do just that.

Glen Tullman disagrees.

"They don't want to be engaged," the mHealth venture capitalist and former Allscripts CEO says. "They want to be able to live their lives. … The last thing that people with any kind of chronic condition need is one more thing to do."

Tullman has launched a new mHealth company to back up his words, and he's targeting the fast-growing diabetes market that's now dominated by the likes of Glooko and Telcare. His company, Livongo (LIve ON the GO) Health, debuted its FDA-cleared interactive blood-glucose monitor and corresponding cloud-based analytics platform at TechCrunch DISRUPT earlier this month in San Francisco.

Tullman, serving as the company's CEO, has a personal stake in the industry – a college-aged son who's a type 1 diabetic. He sees today's mHealth landscape heading in the wrong direction in treating people with chronic conditions. They don’t want to be asked to do more to manage their healthcare, he says – they want mHealth solutions that will manage their health for them. He calls it "rethinking the way we currently manage diabetes."

"We don't want them to do more – we want them to do less," he said. "What we can do is empower them."

Livongo's product consists of a touchscreen device that serves as a blood glucose monitor, pedometer and two-way link to the cloud-based platform, which offers analytics and real-time monitoring and support. A user need only test his or her blood sugar, and the device and cloud will do the rest. The user can share information with a select group of caregivers, from doctors to parents to friends, and ask for and receive advice as often or as infrequently as necessary. The analytics platform, meanwhile, processes blood sugar readings, diet and exercise to chart the user's health, issue alerts when there's a concern and provide useful tips on health management.

Tullman says the Livongo platform is ideal for healthcare providers "who don't want to be data geeks." It pulls them into the consumer's orbit only when necessary – when the consumer has a question or the data indicates an intervention is needed – and that's it.

This targets one of the enduring challenges in today's healthcare landscape: patient engagement. Tullman doesn't like the phrase, because it connotes more intervention by a provider than might be needed. The idea is to enable someone with a chronic condition to live as normal of a life as possible, with minimum interventions, and to give doctors the freedom to provide health management only when necessary. This adds value to the provider's time, and reduces waste.

The company, which received financial backing from 7wire Ventures (the Chicago-based venture capital firm run by Tullman and longtime collaborator Lee Shapiro) and General Catalyst Partners, has been beta testing its platform at the University of Massachusetts and the University of South Florida, and is partnering with HealthCare Partners, one of the country's larger managed care networks.

According to Tullman, three-quarters of the patients who have used Livongo in the beta tests said they'd pay to keep it after the project concluded.

Calling Livongo "a promising new technology," David Harlan, MD, director of the Diabetes Center of Excellence at UMass Memorial Medical Center, said in in a press release that the product was "well received by our patients with diabetes and also provided more data and information than our clinicians have ever had before."

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Topics: Innovation, Clinical, Consumer
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Ginny Dillon's curator insight, September 17, 1:36 PM

Livingo founder says patients with diabetes don't want to do more, they want to do less so they can live their lives. For doctors. The question remains, will the app empower diabetics, help them control blood sugar and result in less need to contact their physician or healthcare provider?

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Most mHealth Apps Lack Privacy Policies - Pharmacy Times

Most mHealth Apps Lack Privacy Policies - Pharmacy Times | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

The majority of mobile health care (mHealth) apps do not have privacy policies, and those that do tend to publish policies that are long and hard to understand, recent research suggests.
 
The results of a study published online in the Journal of American Medical Informatics Association showed that only 183 of the 600 most commonly used mHealth apps that are available for iOS and Android devices have a privacy policy. Those policies, however, are 1755 words in length, on average, and require a college-level education to understand. Furthermore,  the policies do not address the app specifically, the researchers found.
 
“The privacy policies that are available do not make information privacy practices transparent to users, require college-level literacy, and are often not focused on the app itself,” the authors concluded.
 
In response to their findings, the researchers recommended conducting further studies to determine why privacy policies for mHealth apps are absent, opaque, or irrelevant.
 
An FDA rule issued on September 25, 2013, regulates mobile apps that function as medical devices, including those that provide medical readings or diagnostic examinations. The guidance, however, does not cover medical apps that record blood pressure or blood glucose levels, nor does it regulate medication adherence apps.
 
In a study published in the March/April 2013 edition of Journal of the American Pharmacists Association and covered by Pharmacy Times, a team of University of Arkansas researchers determined that mobile apps have the potential to improve patient health, particularly in the area of medication adherence. Their analysis showed a multitude of apps for smartphones, but found none that actively incorporated the pharmacist.
 
Despite this, the researchers concluded that mHealth apps have the potential to fill gaps between health care provider visits, though they should not be viewed as a solution for every case. - See more at: http://www.pharmacytimes.com/news/Most-mHealth-Apps-Lack-Privacy-Policies#sthash.Wh0pbWCK.dpuf


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#mhealth : Vital Signs is the new website and app to help #NHS staff stay fit, healthy and informed.

#mhealth : Vital Signs is the new website and app to help #NHS staff stay fit, healthy and informed. | Mobile Health: How Mobile Phones Support Health Care | Scoop.it
Home
VitalSigns is the new website and app to help NHS staff stay fit, healthy and informed. 

Packed with healthy features, this website offers tips,advice and information to
keep you on track with health, work and play. Use the 'health tools' and 'work  
tools' tabs above to access a range of features for a healthy lifestyle and to keep
you in the know around the Trust.

You can access VitalSigns from wherever you are by downloading the VitalSigns

app to your mobile device using the links on the left or searching your app store

using the search term: VitalSigns. 

Check you VitalSigns for health, work and play.


http://t.co/xj43IRLOR4

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Report: Nearly 100M Mobile Health Devices To Ship in Next Five Years

Nearly 100 million wearable health monitoring devices are expected to be sold over the next five years, according to a new ABI Research report, FierceMobileHealthcare reports (Mottl, FierceMobileHealthcare, 9/8).

Report Findings

According to the report, the growth in remote patient monitoring is driven by several factors, including:

Apple, Google and Samsung entering the mobile health market (Perna, Healthcare Informatics, 9/5);An increasing ability to collect health care data through various devices and share that data with health care providers and payers; andConsumers' growing interest in and awareness of how mobile health devices can improve patient care and bolster health-related activities.

ABI Principal Analyst Jonathan Collins said that data have "traditionally resided in silos belonging to specific applications delivered primarily by device vendors themselves." However, he said, "New cloud platforms capable of collecting data from a range of vendor devices and sharing it securely with a range of related parties, including patients, health care providers and payers, will drive adoption and bring more connected devices to market" (Fierce Mobile Healthcare, 9/8).


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Text Reminders Improve Cervical Cancer Screening

Text Reminders Improve Cervical Cancer Screening | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

A new study has demonstrated that SMS based screening intervention in Korean American women significantly increased their knowledge of cervical cancer and cervical cancer screening as well as encouraged them to obtain pap test. Korean American women have one of the highest cervical cancer mortality rates in the United States and the lowest Pap test screening rates.

The study leveraged BJ Fogg’s Behavior Model to create three sequential elements in this SMS intervention – identify barriers, develop motivators, and provide triggers to effect a behavior change.

The researchers at the University of Minnesota, Twin Cities, Minneapolis conducted this study among 30 Korean American women aged 21 to 29 years who had not received a Pap test. The researchers used 7-day text message-based mScreening intervention, which covered topics such as – information about cervix and cervical cancer, including cervical cancer incidence and mortality; introduction to Pap test to prevent cervical cancer; introduction of cultural barriers; availability of local clinics and cost of Pap test; testimony of a Korean American woman who had gone through the Pap test experience; testimony of Korean American cervical cancer survivor who found cervical cancer at later stage and had no previous receipt of a Pap test

Messages were also customized to the strengths and weaknesses of individual participants. For example, participants with weaknesses on culture-based health beliefs on cervical cancer screening at baseline, were sent additional messages designed to reduce cultural barriers – messages such as “We understand it is a bit embarrassing to get it done. But do it for you! Your happy cervix will appreciate it!”

After 7-day mScreening intervention, the researchers observed significant improvements in women’s general knowledge about cervical cancer, Pap test, beliefs about and attitudes toward the Pap test, knowledge about risk factors of cervical cancer and its screening as well as significant reduction in socio-cultural barriers to cervical cancer screening. Most impressively one woman reported receiving the Pap test within 1 week after completing the mScreening program and 6 women reported receiving the Pap test by the 3-month follow-up visit.

Despite the fact that the study has multiple limitations – small sample size, lack of design to investigate optimum length of mhealth intervention or SMS vs other messaging channels and privacy of data, the study provides promising data that mobile technology can improve cervical cancer screening in a vulnerable population.


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Patient engagement: 'We don't want to be managed, we want to be supported'

Patient engagement: 'We don't want to be managed, we want to be supported' | Mobile Health: How Mobile Phones Support Health Care | Scoop.it
Healthcare providers need to better incorporate the patient into a new care team model that makes them, not the physician or the specialist, the focal point, especially for patients with chronic illnesses (Patient engagement: 'We don't want to be ...

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Keith McGuinness's curator insight, September 13, 2:01 PM

Notice the term "patient behavior" and the words "outcomes" and "engagement" in the same paragraph. (I added the bold.) This is a breakthrough.  Now, if we can help app developers (that target behavior change) to measure the "engagement" relative to the "outcomes" (health outcomes that is) it will be important progress.

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Weekly text message could encourage healthier food choices, new study shows

Weekly text message could encourage healthier food choices, new study shows | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

Many people are unaware that the U.S. Food and Drug Administration's mandated nutrition labels are based on a 2,000-calorie-a-day diet, but a simple weekly text message reminder can greatly improve that awareness, according to a new study from the Johns Hopkins Bloomberg School of Public Health.

While not an outright recommendation, the 2,000-calorie benchmark is what the FDA considers a reasonable daily calorie intake for many adults. More importantly, nutrition labels on food products sold in the U.S. are based on it.

The key to translating nutrition labels and using them to make healthy food choices, researchers say, may be an understanding of this basic fact.

The study, published online in Health Promotion Practice, surveyed 246 participants dining in the Johns Hopkins Hospital cafeteria to assess their initial knowledge of the 2,000-calorie value. The cafeteria included calorie labels for food choices but no information on the daily context.

Participants were then randomly assigned to receive either a weekly text message reminder, a weekly email reminder, or no weekly reminder about the 2,000-calorie value. Participants received the reminder messages each Monday for four weeks; after the four weeks, their knowledge of the 2,000-calorie value was assessed with a follow-up survey.

Prior to receiving the weekly reminders, 58 percent of participants could not correctly identify the 2,000-calorie value, even those with college or graduate degrees. After the study period, those receiving the weekly text messages were twice as likely to correctly identify the 2,000-calorie value as compared to those who received no weekly reminder.

"While daily energy needs vary, the 2,000-calorie value provides a general frame of reference that can make menu and product nutrition labels more meaningful," says study leader Lawrence J. Cheskin, MD, director of the Johns Hopkins Weight Management Center at the Bloomberg School of Public Health. "When people know their calorie 'budget' for the day, they have context for making healthier meal and snack choices."

The FDA has proposed new menu-labeling regulations, which will soon require chain restaurants with 20 or more outlets to list calories on menus, menu boards, and drive-through displays. Cheskin says that those calorie counts are not helpful tools for making good food choices if people don't understand roughly how many calories they should consume each day.

"Given the low level of calorie literacy, simply posting calorie counts on menu boards is not sufficient," Cheskin says.

The weekly text and email reminders were based on The Monday Campaigns' model for health communications, which leverages the idea that Monday provides a weekly opportunity to start fresh and commit to new healthy habits, such as exercise regimens, healthy eating plans or smoking cessation. The Monday Campaigns is a nonprofit organization that started in 2003 with research support from the Johns Hopkins Bloomberg School of Public Health.

"There are many simple ways to convey calorie information to consumers, including point of sale communication, text messages, emails and even smart phone apps," Cheskin notes. "Ideally, these could work together, with calories posted on menus, restaurant signage and food labels along with personal reminders delivered through the latest technology. Our data indicate that weekly text messages are one element in this mix that can be effective."

Story Source:

The above story is based on materials provided by Johns Hopkins University Bloomberg School of Public Health. Note: Materials may be edited for content and length.


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Connected Health Devices Used by 27% of US Households, another 13% to Join in Within the Next Year

Connected Health Devices Used by 27% of US Households, another 13% to Join in Within the Next Year | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

Based on the research findings by Parks Associates, 27% of U.S. broadband households currently own and use at least one connected health device. Parks Associates shared the results at the Connected Health Summit: Engaging Consumers, held earlier this month in San Diego. The data is collected via a survey of more than 5000 US broadband households.

According to Parks, the research also showed that another 13% of these households share the intention to purchase a connected health device in the next 12 months. Park cited an earlier research it conducted, which expects more than 32 million U.S. consumers to actively track their personal health and fitness online or via mobile by 2016. The connected health devices covered in the research include the exercise equipments with built-in app support, digital pedometers or fitness/activity trackers, blood pressure cuff,s digital weight scales, GPS watches, sports watches with built-in heart-rate monitor, sleep-quality monitors, smart pill boxes and glucometers. The study found that the exercise equipment with built-in app support and the digital pedometer or fitness/activity tracker are the most commonly used connected health devices among these households with an adoption rate of close to 14% and 7% respectively. The blood pressure cuff followed closely with an adoption rate of slightly more than 6%.

"The most popular connected health devices are treadmills, exercise bikes, and ellipticals. These devices come with built-in support for mobile health apps, which effectively merges the demands of mobile and healthcare consumers. Wearables are another developing area for digital health, and this market is getting increasingly competitive, with Apple scheduled to announce its iWatch next week to compete with big brands like Motorola, Samsung, and LG. To be successful in connected health, all form factors will need to leverage mobile connections in order to keep users engaged."

-        Harry Wang, Director, Health & Mobile Product Research, Parks Associates


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Why the Apple Watch Left Healthcare Enthusiasts Disappointed, Yet Hopeful

Why the Apple Watch Left Healthcare Enthusiasts Disappointed, Yet Hopeful | Mobile Health: How Mobile Phones Support Health Care | Scoop.it
Despite months of anticipation, Apple’s Keynote suggests that the Apple Watch is not ready to meet our lofty healthcare aspirations – at least for now.
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Why do docs think mHealth is useless for patient monitoring? | HealthITAnalytics.com

Fitness trackers and smartphone mHealth apps have been enjoying a huge surge in popularity as shiny new technologies attract the consumer eye, but physicians are still not sold on the benefits of mHealth to truly improve patient health, according to a new survey by Deloitte.  Despite studies and pilots that show the potential for mobile communications to improve relationships with providers and bolsterpopulation health management programs, just 38% of physicians believe that adherence and patient monitoring are a potential benefit of the mHealth spectrum.The low percentage is notable for two reasons: firstly, because it contrasts sharply with the 60% of consumers who want to use mobile health technologies to keep track of their fitness, sleep, or chronic diseases, and secondly because the vast majority of physicians are eager to embrace smartphones and other devices for clinical uses that make their jobs easier.Nine out of ten physicians agreed that they are interested in mHealth technology and that it has clinical value, even if they were not adopters.  Three-quarters of mHealth users and 59% of non-users believe accessing clinical information during a patient encounter is one of the primary benefits of mHealth, while similar numbers like the ability to perform research on specific conditions, interventions, or medications while making clinical decisions.  Sixty-three percent of users and 48% of non-users would use mHealth for catching up on journal articles and news items or for engaging in continued medical education.So why don’t physicians believe that patient monitoring through mHealth is a worthwhile goal?  As with so many other issues plaguing the healthcare system, it might come down to a lack of communication.  A recent report by Mobiquity found that while up to 70% of consumers engage in the use of wristbands or smartphones to track at least one long-term health issue such as weight gain or exercise, just 40% have shared that data with their physicians.  Eleven percent of those patients who kept their data to themselves are afraid that their physicians won’t take them seriously if they proffer the information.Providers and patients may be caught in an mHealth catch-22.  If providers were more welcoming of patient-generated data, patients might be more willing to offer it.  If patients are more willing to share, providers may end up becoming more comfortable with the notion of using mHealth data to monitor health and make clinical decisions, and could start seeing more value in the data.  But mutual distrust and a lack of understanding and comfort with the patient-provider relationship might be keeping unnecessary siloes firmly in place.Part of the problem could be that EHR systems are not yet optimized to accept large volumes of patient-generated health data (PGHD), and physicians fear becoming overwhelmed by useless statistics that don’t actually benefit the patient.  Yet another mHealth survey, this one by eClinicalWorks, found that a whopping 93% of physicians would be more likely to embrace mHealth apps if they were better integrated with their EHRs, and that the marriage of clinical systems with PGHD could be the key to improving outcomes.“There’s a huge opportunity for medical professionals, pharmaceutical companies and health organizations to use mobile to drive positive behavior change and, as a result, better patient outcomes,” said Scott Snyder, Mobiquity’s President and Chief Strategy Officer. “The gap will be closed by those who design mobile health solutions that are indispensable and laser-focused on users’ goals, and that carefully balance data collection with user control and privacy.”

#mHealth is useless for #PatientMonitoring?


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Opportunities abound for mHealth in Africa

Opportunities abound for mHealth in Africa | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

Africa presents a unique opportunity for those who wish to pioneer mHealth or mobile technology healthcare solutions on the continent.

Mobile cellular subscribersAfrica presents an interesting opportunity for mobile health. PHOTO: TechHealth Perspectives

This is according to Doctor Harry Greenspun, a director at the Deloitte Center for Health Solutions, who believes that healthcare in Africa could follow suit behind the continent’s unique adaptation to telecommunications technology.

(READ MORE: The changing face of Africa's healthcare sector)

“Africa presents a really interesting opportunity for mobile health which is different from other parts of the world. If you look at some of the more developed countries in the world, the opportunity in Africa is really around using mHealth as the basis for healthcare infrastructure,” Greenspun told CNBCafrica.com.

“In healthcare, as countries develop more sophisticated healthcare delivery systems, they’re not going to model it on the old-fashioned bricks and mortar type-of healthcare system. They’re going to be using technology in order to provide better access, better quality, better safety at a lower cost.”

HEALTHCARE INFRASTRUCTURE

Greenspun also stated that an increased use of mobile healthcare solutions would be able to service those who live in inaccessible areas.

“If you think about the way healthcare’s traditionally delivered, you need facilities, you need trained people, as opposed to a lot of the ways healthcare is delivered in Africa, where it is often delivered in the homes and in the community,” he said.

“The spread and adoption of mobile devices opens the door to use these as the healthcare infrastructure, to bring better information to individuals, provide specialist care, remote monitoring to do remote diagnosis. [By] connecting people via phones, you can create infrastructure.”

SAFETY AND SECURITY

He added that as a result of this need, there is a lot of innovation in the use of mobile and other devices to provide a higher level of care and emphasised the need to provide healthcare solutions in the safest and most secure way possible.

(WATCH VIDEO: Trends that create variance to healthcare in Africa)

“There’s always a concern about privacy and security so establishing trust is going to be very important. It has to be done in a safe way with the right safeguards or training. You have to match the level of care with the ability for the people on the other end to be able to take advantage of it,” he explained.

“There is a lot of interest in mobile health in Africa because people recognise that it’s going to be important for public health. The important thing for people to understand is there are differences between how mobile gets deployed in the industrialised world versus the opportunity to improve healthcare in the developing world.”


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EHR giant Epic explains how it will bring Apple HealthKit data to doctors

EHR giant Epic explains how it will bring Apple HealthKit data to doctors | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

Epic Systems, the dominant EHR provider in hospitals and large medical groups, has been working with Apple on its HealthKit consumer health data initiative. But until now, the famously media-shy Epic and the famously secretive Apple have said very little about how the HealthKit ecosystem will work to the benefit of clinicians. But Epic has begun to talk.

Apple launched its new iOS 8 mobile operating system today, and a significant feature in that release is the Health app, which stores various types of our health data. You can think of HealthKit as a consumer health-information cloud data repository that connects to, and receives information from, a variety of consumer devices (connected scales, fitness trackers, smartwatches, etc.) and apps (food diaries, calorie counters, workout journals, and so on).

People in the health care industry hoped for more from Apple’s HealthKit platform than just amassing and sharing wearables data among app and device makers. They wanted HealthKit to make a difference. They wanted it to make people healthier.

A large platform collecting billions of data points about hundreds of aspects of our health on a daily basis might create a powerful information resource for health care providers and researchers. But in order for that to happen, the data will have to find a way into clinical systems, like the electronic health record (EHR).

“Apple’s HealthKit has tremendous potential to help close the gap between consumer collected data and data collected in traditional healthcare settings,” said Epic president Carl Dvorak in an email to VentureBeat. “The Epic customer community, which provides care to over 170 million patients a year, will be able to use HealthKit through Epic’s MyChart application—the most used patient portal in the U.S.”

The “customer community” Dvorak refers to is the hundreds of clinics and hospitals that use the Epic EHR. Patients use the Epic MyChart app to access elements of their own patient record from the Epic EHR. But note that the EHR accesses HealthKit data from the MyChart app, not via a direct integration with the HealthKit platform.

“While Apple will never mirror your Health data to iCloud (or allow another app to do that), once you provision access to another app, they may transport it elsewhere (e.g., to your provider’s EHR), but only if that particular endpoint allows access,” said Malay Gandhi of the accelerator Rock Health.

This may have been by design to avoid regulatory or privacy issues that might have arisen from Apple storing personal health data on its servers and then transmitting it past a health provider’s firewall and into clinical systems within. Here’s how Epic spokesman Brian Spranger describes the movement of data starting at the consumer device and ending at the Epic EHR.

“A consumer health app, like the Withings Scale, will notify HealthKit that it has a new weight and ask HealthKit to store that weight in the database on the iPhone,” he said.

Notice that the weight data that the scale collects doesn’t sit in the HealthKit cloud; it’s on the user’s phone.

“If the patient has given permission for the MyChart app on their phone to know about that data, HealthKit “wakes up” the MyChart app and tells it there’s new data,” Spranger said.

So in this regard, HealthKit acts more like a traffic cop, connecting to devices and directing them to send or store data, all guided by privacy rules.

“The MyChart app on the phone then transmits that weight back to the EpicCare EHR system where it can be used appropriately as part of the patient’s medical care,” Spranger said.

Gandhi says that for the consumer, the Health app in iOS 8 is really the epicenter of Apple’s health ecosystem.

“Health is fundamentally a data aggregation and provisioning app disguised under very thin visualization,” he writes in a note to VentureBeat. “The consumer controls what data goes in, and what goes out, at a reasonably deep level (it would be like if when an app asked for access to your contacts, you specified access at the individual contact level).”

A year from now there may be many developers working with hospitals and their EHR vendors on HealthKit apps that present all kinds of consumer-generated information to physicians. The challenge, for now, is to boil down the mountains of information that will be gathered into the clinically meaningful and actionable bits.


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Online social networking linked to use of web for health info - Medical Xpress

Online social networking linked to use of web for health info - Medical Xpress | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

The use of social networking sites may have implications for accessing online health information, finds a new longitudinal study from the Journal of Health Communication.

"Socioeconomic and demographic factors that lead to the disparities in social networking sites could also contribute to disparities in seeking health information online," said the study's lead author, Yang Feng, Ph.D., associate professor in the department of communication studies at the University of Virginia's College at Wise.

"People who are active users of social networking sites may tend to be active online health information seekers. With the growth of social networking, the relationship between their use and people's likelihood to seek health information online was more obvious in 2010 than in 2008 and 2006."

Researchers analyzed data collected from phone interviews of 2,928 adults who took part in the Health Tracking Surveys from the Pew Internet & American Life Project during 2006, 2008 and 2010. The surveys asked participants whether they used the Internet; used social networking sites such as Facebook; whether they searched for health information online, including information about a specific disease, medical treatment or doctors; and whether or not they or someone close to them had a chronic disease.

The researchers found significant disparities in use of social networking sites and the tendency to search for health information online. In all three years of the survey, age was the most significant factor in social networking site use, with younger people more likely to use them than older people. In 2010, women and people with higher incomes were more likely than men and people with lower incomes to use social networking sites.

Additionally, in 2008 and 2010, having a chronic disease and use of online social networking predicted people's likelihood of seeking information about a specific disease or medical condition online. In 2010, after controlling for demographic factors, people who used social networking sites were 131 percent more likely to seek information about a specific disease or medical problem online than people who did not use social media.

Older people were less likely to search for information about a specific treatment or doctor online. Non-Whites were less likely to search online for disease or treatment information. As expected, people with a chronic disease or a person close to them with a chronic disease were more likely to look for disease-specific information online but no more likely to search for information on doctors or hospitals.

"Even though social networking sites have grown over the years, some social groups, such as older men with low incomes and minorities, are not fully engaged with social networking and are less likely to obtain health information through these sites. Yet, we may still lack customized health education programs to target these people. This study helps to identify those social groups who are not making good use of social networking sites throughout the years," noted Feng.

Ajay Sethi, Ph.D., associate professor in the department of population health sciences at the University of Wisconsin-Madison School of Medicine and Public Health, agreed with the study's findings but noted, "Whenever a new technology or intervention is introduced to a population, the early adopters are typically distinct from the late or never adopters."

The volume of information on diseases and conditions on the Internet is huge compared to the number of websites that review doctors and hospitals and those websites. "Those sites, pertaining to providers tends to be buried," said Sethi. "A Google search of a hospital name, for example, will bring up lots of links, and if you add 'review' you'll probably pull up mostly anonymous individuals."

He suggested healthcare providers ought to ask their patients, in a non-accusatory way where they get their information. "That can spark a discussion as to what is credible and what may not be. Many health care systems offer links to health websites through their own site or provide informational pages for patients."

Explore further:Which couples who meet on social networking sites are most likely to marry?

More information: Yang Feng & Wenjing Xie (2014): Digital Divide 2.0: "The Role of Social Networking Sites in Seeking Health Information Online From a Longitudinal Perspective," Journal of Health Communication: International Perspectives, DOI: 10.1080/10810730.2014.906522

Journal reference:Journal of Health Communication

Provided by Health Behavior News Service


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Health developers, doctors want to see more from Apple's watch

Health developers, doctors want to see more from Apple's watch | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

(Reuters) - Technology pundits were quick to predict the demise of most fitness wristbands and smartwatches when Apple Inc launched its Apple Watch. But healthcare professionals and fitness junkies were left wanting to see more.

Observers say there is little evidence for now that the device's fitness capabilities surpass the competition. Others, hoping for groundbreaking health features from a company whose Chief Executive Officer Tim Cook spoke of how sensors are "set to explode," were left wondering what's in store for the product.

Two people familiar with Apple's plans told Reuters the company is planning to unveil richer health features and additional sensors in later versions, the first iteration not hitting the market until early 2015.

The sources could not be identified because Apple's plans for the watch are private.

The Apple Watch, unveiled on Thursday, is designed to be used alongside the iPhone. Independently of a mobile device, the watch can track activity: it uses an accelerometer to measure your movement as well as heart rate. Runners can also listen to music through a bluetooth headphone. Many connected wristbands already on the market, such as Jawbone's UP or the Fitbit, can do all that and more.

At this point, it's unclear whether the watch will appeal to the two consumer groups most in need of health data: Self-professed "quantified selfers" who regularly track their own body metrics such as food intake and sleep, and those battling chronic medical conditions and their care providers.

"I'd need to see data that it's useful before buying the watch or recommending it to colleagues," said Joshua Landy, a Toronto, Canada-based critical care specialist and the chief medical officer for Figure 1, a health startup.

Landy said he would look at patients' data from the watch, but would be equally interested in data collected in a notebook.

Danielle Levitas, a technology analyst for IDC, described the health and fitness aspects so far as "table stakes."

"I was expecting there to be some true healthcare applications that would take it a step further beyond wellness," she said. Levitas noted that the watch did not track sleep, like Jawbone's UP wrist band, but said she did not expect this would be a deal breaker for most consumers. Her primary frustration with the watch was the decision to offload GPS and Wi-FI to the phone, presumably to keep the price tag at a modest $349, she said.

Apple declined to comment on future health offerings for its watch.

INTELLIGENT POSITIONING

Apple may have longer-term plans for the watch as it moves into the nascent but highly fertile field of mobile health. Unlike, say, an iPhone, a wrist-worn device can pick up on far more body signals, and in real time.

Policy experts say that Apple may have deliberately avoided mentioning medical use-cases for the watch for now to avoid attracting attention from the U.S. Food and Drug Administration. In its current form, the watch would not pose a threat to makers of mobile medical devices used by patients with chronic conditions.

"Apple probably is very intelligently positioning its products for use to maintain good health generally, which is a perfectly appropriate way to avoid FDA regulation," said Bradley Merill Thompson, a Washington D.C.-based FDA specialist with the law firm Epstein Becker Green.

"There are thousands of unregulated wellness applications on the market, so in a way Apple is joining a crowded field."

Health-focused iOS developers say they are already brainstorming new watch applications. Despite the lack of health advancements, there is hope the watch will appeal to a mainstream market. Mike Lee, chief executive officer of MyFitnessPal, said the sensors in the Apple Watch weren't "revolutionary" but conceded it was better-designed than most wearable devices.

Lee said Apple may have prioritized making the device sleek, slim and wearable, rather than packing it to the brim with sensors in its first iteration.

Nate Gross, a physician and cofounder of Doximity, a mobile and web service that helps physicians communicate, praised Apple for making the most of "cheap and consumer-friendly sensors."

Some doctors said they would be more likely to recommend the watch, once developers build new medical applications.

Mango Health, maker of a mobile application that uses games to solve complex medical problems, is already considering sending medication alerts to patients via the watch.

"We'll see dozens of medical use cases over time," said Mango Health chief executive Jason Oberfest, who works closely with Apple. "This is just the beginning."

(Editing by Edwin Chan and Bernard Orr)


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mHealth: Are You Ready for Sensors in Healthcare?

mHealth: Are You Ready for Sensors in Healthcare? | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

The market for wearable sensors is increasing dramatically. Devices are being designed to help people manage chronic conditions, recover more quickly from injuries, analyze physical and environmental abnormalities that may lead to more serious health issues and detect unhealthy habits before they cause problems, according to Pathfinder Software. A new infographic from Pathfinder Software takes a look at the types of wearables available, how they are used, their wireless capability and other details on this technology. Thank you to Pathfinder Software for an educational Infographic. Also, thank you to the Healthcare Intelligence Network for having this Infographic on their site.


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ChemaCepeda's curator insight, September 17, 5:02 AM

Parece que los wearables (dispositivos vestibles), es la tecnología de moda ¿cómo chocará esta tecnología con la salud clásica?

Bouzid Menaa's curator insight, September 22, 7:28 AM

In collaboration with international renowned scientists, I am developing a new quantitative and qualitative  mobile device for bacterial surface detection and diagnostic tool

 

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Mobile Healthcare Market (mHealth) to see 40% CAGR Globally for Next 6 Years

Mobile Healthcare Market (mHealth) to see 40% CAGR Globally for Next 6 Years | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

DALLAS, Sep 12, 2014 (PR Newswire Europe via COMTEX) -- DALLAS, September 12, 2014 /PRNewswire/ --

ReportsnReports.com adds The Mobile Healthcare (mHealth) Bible: 2015 - 2020 [http://www.reportsnreports.com/reports/297797-the-mobile-healthcare-mhealth-bible-2015-2020.html ] market research report of 392 pages, to its store. mHealth revenue is forecast to reach $15 billion in 2015 as per this report. This report presents an in-depth assessment of the global mHealth market. In addition to covering key market drivers, challenges, future roadmap, value chain analysis, deployment case studies, service/product strategies and strategic recommendations, the report also presents comprehensive forecasts for the mHealth market from 2014 till 2020. Historical revenue figures for 2010, 2012 and 2013 are also presented. The forecasts and historical revenue figures are individually segmented for 5 individual submarkets, 29 use case categories, 5 ecosystem player categories, 6 geographical regions and 34 countries.

The Mobile Healthcare (mHealth) Bible: 2015 - 2020 market report comes with an associated Excel datasheet covering quantitative data from all figures presented within the report. In-depth analysis for 5 individual submarkets and their associated mHealth application use cases are provided for Pharmaceutical Applications, Medical Information & Healthcare Management, Healthcare & Fitness, Remote Consultation/Diagnostic Services, M2M, Wearable Technology, Sensor & Monitoring Applications and Historical revenue figures and forecasts till 2020.

mHealth has the potential to dramatically reduce the costs of healthcare operations, while improving the quality of healthcare. This mobile health market research estimates that by the end of 2015, mHealth could represent up to $290 Billion in annual healthcare cost savings worldwide. The cost saving potential of mHealth comes from a variety of application areas. For example, remote monitoring technologies built upon mHealth platforms can enable patients to be monitored on an ambulatory basis when they previously may have needed to be monitored as inpatients. The mHealth value chain encompasses 7 major segments which work in conjunction to deliver mHealth services to healthcare organizations and patients; mobile/mHealth device, chipset & infrastructure OEMs, mobile network operators, healthcare professionals & service providers, insurers & government health systems, application developers & integrators, pharmaceutical organizations and patients. While most vertical segments still view wearable devices with hesitation, the healthcare sector has embraced them, with applications ranging from consumer healthcare/fitness monitoring to assisted patient examination, and even healthcare cost reduction.

700+ companies are covered in The Mobile Healthcare (mHealth) Bible: 2015 - 2020 industry research report, which is available for purchase at http://www.reportsnreports.com/Purchase.aspx?name=297797, (starting US$2500 for a single user PDF) and has the following key findings:

- Driven by the thriving ecosystem, this research estimates that mHealth market will account for over $13 Billion in 2015 alone - Despite barriers relating to regulation, patient acceptance and privacy concerns, this report estimates further growth at a CAGR of nearly 40% over the next 6 years - The research estimates that mHealth centric wearable devices will account for over 150 Million unit shipments by the end of 2020 - The widespread availability of high speed connectivity has opened up considerable opportunities for advanced mHealth applications such as remote video consultation - Besides video applications, mobile network operators are also eyeing on other latency & bandwidth sensitive mHealth applications to capitalize on their recent LTE infrastructure upgrades. For example London's Air Ambulance uses EE's LTE network for navigational support - mHealth offers a multitude to opportunities to the pharmaceutical industry ranging from R&D activities to securing the supply chain and, in the battle against counterfeit drugs - mHealth has the potential to dramatically reduce the costs of healthcare operations, while improving the quality of healthcare. The report estimates that by the end of 2015, mHealth could represent up to $290 Billion in annual healthcare cost savings worldwide

Market forecasts and historical revenue figures are provided for each of the following 5 submarkets and their 23 use case categories:

Pharmaceutical Applications: Safety Data Collection, Consumer Education, Medical Education, Post-Market Monitoring, Drug Authentication, Social Media and Patient Compliance & Retention: Clinical Trial.

Information & Healthcare Management: Electronic Health/Medical Records & Tracking Tools, Diagnostic Tools & Medical Reference, Continuing Medical Education, Awareness Through Alerts and Logistical & Payment Support.

Healthcare & Fitness: Medical Compliance, Fitness & Nutrition Apps, Clinical Decision Support Systems and Prescribable Mobile Apps.

Remote Consultation/Diagnostic Services: Mobile Video Consultations, Collaboration & Surgery, Non-Video Consultations & Collaboration and Remote Collaboration in Emergency Situations.

M2M, Wearable Technology, Sensor & Monitoring Applications: Health and Wellness Monitoring, Disease Surveillance/Remote Monitoring, Diagnostic Tools and Technical Logistics.

Revenue is also split by ecosystem player: Ecosystem Player, Mobile Network Operators/Connectivity Providers, Mobile & mHealth Device OEMs, Content & Application Providers, Healthcare Service Providers and Pharmaceutical Industry.

Explore more reports on the healthcare market at http://www.reportsnreports.com/market-research/healthcare .

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Why doctors want the FDA to regulate health and fitness apps

Why doctors want the FDA to regulate health and fitness apps | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

Technology is shaping the future of healthcare, and while technology has brought a number of innovative healthcare solutions, healthcare professionals are worried about the impact of unregulated health and fitness apps.

There are a number of healthcare apps that are helpful to users, but there is a growing number of apps that are untested and unregulated by the FDA. Wired spoke to Iltifat Husain, an ER doctor who points out the dangers of health and fitness apps. He offers the example of an app called Instant Blood Pressure, which claims to take a user’s blood pressure without a cuff and deliver the results via an iOS device. Instant Blood Pressure is one of the top paid Health and Fitness apps in the Apple App Store and the developers affiliate the app with John Hopkins University, but when questioned about the app, the university had never heard of it.

Instant Blood Pressure holds no scientific basis, claiming its technology is under wraps due to competition, and the app doesn’t overtly alert users to the fact that the data could potentially be false. There is a warning, but it’s buried deep down in a menu where most people never take time to look. Therefore, it could mean that many people are taking apps like Instant Blood Pressure at face value and inherently trusting the data.

The danger doesn’t come from using the app itself; it’s how users interpret the data. If false data causes keeps someone from going to the doctors, health issues could grow into a larger problem that could have been fixed with early detection. Doctor Husain has written an entire blog post about the app, and the dangers of a number of other applications lurking within the Health and Fitness categories of the Apple App Store and Google Play. But he also profiles the benefits of technology in healthcare, supporting the idea that there is a positive and productive side to health IT.

The FDA has responded as more doctors and health professionals begin to raise serious questions about the legitimacy of health and fitness apps. In a press release by the FDA, Director of the FDA’s Center for Devices and Radiological health, Jeffrey Shuren, M.D., J.D., states, “Some mobile apps carry minimal risks to consumer or patients, but others can carry significant risks if they do not operate correctly. The FDA’s tailored policy protects patients while encouraging innovation.” 

But the FDA has released guidelines for monitoring healthcare apps, and notes that it plans to focus on apps that are “intended to be used as an accessory to a regulated medical device,” and “transform a mobile platform into a regulated medical device,” according to a press release.

Since releasing that statement less than a year ago, an entire list of the types of apps the FDA intends to monitor can be found on its website. The list includes, but is not limited to, apps that diagnose psychiatric disorders, give information about drugs and herbs, diagnose based off symptoms, allow users to track diet and exercise, act as a replacement to an approved medical device, and many more.

Even with the promise of regulation from the FDA, the number of apps that enter the market every day is overwhelming and PBS points out that the FDA doesn’t plan to evaluate every single app that falls under the Health & Fitness. In fact, PBS states that as of early July, the FDA had evaluated some 100 apps, while about the same amount find their way into the Apple App Store and Google Play store each month.

While the FDA may be keeping an eye on as many apps as it can, it also released federal regulations that essentially allow developers to continue creating heath and fitness apps. These guidelines separate Health IT and medical devices, freeing up confusion for developers, and even letting apps that “straddle the line” slide.

The bottom line is: downloader beware. Everyone should take the time to consider the science behind an app, and dig into it a little deeper. And its important to remember that although there are a number of apps that are unregulated and questionable at best, there are also a host of apps that can help users maintain a healthy lifestyle. Apps like HeathTap, Couch-to-5K, MapMyRun, and MyFitnessPal let users have access to healthcare professionals, train to run a 5K, GPS map a workout, and track calories and exercise, which can all lead to a healthier lifestyle. But when it comes to apps like Instant Blood Pressure, which offer an “easy” solution for serious health conditions, users should take a closer look at the fine print. Users should also remember to consult a physician before starting out on any journey to better health, and then use the apps as motivation to track their success.


Via Andrew Spong, Sébastien Letélié
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Andrew Spong's curator insight, August 6, 7:43 AM

This. Will. Never. Happen...

 

...for reasons of resourcing alone.

 

However, once they're settled their first class action against a health app, I can still see Apple and Google hiring massive clinical faculties to assure the quality of apps in house.

 

For health app makers, the era of low-to-no scrutiny will soon be over.

Joel Finkle's curator insight, August 7, 9:52 AM

Sensible - doctors don't want apps that are inaccurate leading to poor choices on patients' part.

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Five Expectations For Patients About The Future of Medicine

Five Expectations For Patients About The Future of Medicine | Mobile Health: How Mobile Phones Support Health Care | Scoop.it
Five Expectations For Patients About The Future of Medicineby Bertalan Meskó (MD, PhD) on September 11, 2014

The waves of technological changes coming towards us will generate new possibilities as well as serious threats to medicine and healthcare. Every stakeholder must prepare for these changes in order to reach a balance between using disruptive technologies in medicine and keeping the human touch. I remain confident that it is still possible to establish that balance and there are reasons for patients to look forward to the next few years in medicine. Here are 5 of them.

1) Health management: The vast majority of people only deal with their health when they get sick. It is due to the fact that it has been really difficult to obtain useful data about our health. Now, the wearable revolution produces a lot of devices that bring health data measurements to our homes. So far, only physicians and hospitals could measure parameters, but today anyone can. Whether it is ECG, blood pressure, pulse, oxygen saturation, EEG or sleep, devices which we can order online provide us with the chance of changing lifestyle based on informed decisions.

Such devices will eventually get smaller and cheaper, and we will hopefully only use them when it is of help.

AliveCor measures ECG with a smartphone.

2) Partnership: Medicine is a paternalistic system with the doctor being on the top making decisions about the patients. The digital revolution has changed it dramatically as now information, devices and even studies became widely available to anyone with an internet connection. This newly formed partnership makes it possible to be equal with the caregiver and play an equal role in making decisions. This will create an ecosystem in which patients get more possibilities to take care of themselves, while physicians will get help from their own patients. Jackpot. Although, a very old system has to be deconstructed for this.

3) Communities: Social media is not famous for connecting patients, but several stories proved its potential power in connecting patients with like-minded others. We have done discussed our health concerns with our neighbors before. Now we do the same online without limitations and physical boundaries. Blogs, community sites, forums, Youtube and Twitter channels focus on patients and let them have their voices heard. As Kerri Morrone Sparling said, her doctor is an expert but can only understand what she goes through every single day if he/she is diabetic, otherwise he/she can only guess.

4) Access to data: The Blue Button movement and E-Patient Dave’s talks encourage people to understand how important it is to own your own health data. It is not only unbelievable but actually outrageous that many hospitals and practices cannot communicate online with each other. Moreover, in others, patients who want to get their own X-Ray image must provide an empty CD disk to get it in the era of digital revolution. As it is not rocket science, we can expect to see major steps forward in this area. Without proper health data, informed medical decisions cannot be made.

5) Prediction and prevention: Never in the history of medicine patients have had that many opportunities to predict and actually prevent diseases. Anyone can order genetic tests that tell them what rare conditions and mutations they carry and what drugs they are genetically sensitive for. We are not far away from doing a blood test or sequencing genes at home. In this sea of opportunities, the activity and participation of patients are very much needed, In a few years’ time, we will have to deal with the problem of too many choices regarding wearable devices. What is required for making good decisions is knowledge about where we are heading; and skills to make our own assumptions.

If changes happen as expected, patients will benefit the most of a newly constructed and entirely better healthcare system.

My new book, The Guide to the Future of Medicine, includes more details and an actual guide about how to prepare properly for the technological changes.

 


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Is the average patient ready for telehealth? (Infographic)

Is the average patient ready for telehealth? (Infographic) | Mobile Health: How Mobile Phones Support Health Care | Scoop.it
iTriage infographic presents new research on people's awareness and use of telehealth and telemedicine services.

Via Chad Johnson, Philippe Marchal/Pharma Hub
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Mayo Clinic partners with IBM's Watson to optimise pairing of patients with clinical trials

Mayo Clinic partners with IBM's Watson to optimise pairing of patients with clinical trials | Mobile Health: How Mobile Phones Support Health Care | Scoop.it
Dive Brief:IBM is in the process of designing a version of Watson, its computer technology that processes information like a human, to match patients with clinical trials at the Mayo Clinic. By automating the process currently performed by people, Mayo Clinic hopes to speed up the clinical trial timeline. "With shorter times from initiation to completion of trials, our research teams will have the capacity for deeper, more complete investigations," said Nicholas LaRusso, MD, Mayo's project lead for the collaboration. "Coupled with increased accuracy, we will be able to develop, refine and improve new and better techniques in medicine at a higher level."Allowing a computer to match patients with clinical trials should also increase the number of individuals taking part. About 3% of patients nationally take part in trials; at Mayo, the number is 5%. The provider would like to use Watson to increase that to 10%.Dive Insight:

Currently, the project is in the proof-of-concept phase, with Mayo and IBM working to increase the cognitive computer's "knowledge" of clinical trials at Mayo and in public databases; and deepen its understanding of Mayo's trial matching process.

This isn't the first time that Watson has been used to improve efficiency in healthcare. Physicians at Memorial Sloan Kettering Cancer Center and medical students at Cleveland Clinic have used the program to aid in decision-making. According to Tech Republic, IBM executives expect Watson will be able to assist providers with diagnosis and treatment; map patterns and conditions based upon physicians' input; assist with diagnosis; and perform research on conditions.

Recommended Reading

Becker's Hospital Review: Mayo Clinic, IBM partner on new plans for Watson


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Can mHealth Ease The Ebola Crisis? - Health IT Outcomes (press release)

Can mHealth Ease The Ebola Crisis? - Health IT Outcomes (press release) | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

Employing mobile health solutions could speed the response to a global health crisis.

The Ebola outbreak in Liberia, Sierra Leone, Guinea, and Congo raises the question of whether mobile health can play a role in easing this type of health crisis. Information Week makes the case that mHealth could be tapped into to offer a way to trace the disease’s spread and help diagnose it.

The World Health Organization (WHO) declared Ebola an international public health emergency on August 8, 2014, and the number of cases of Ebola continues to rise in West Africa. As of August 22, there have been over 2,600 cases and nearly 1,500 deaths reported from Guinea, Liberia, Nigeria, and Sierra Leone. According to WHO, there is some evidence that these numbers may be vastly underestimated. (For the latest numbers, see the Centers for Disease Control and Prevention (CDC) 2014 Ebola Outbreak in West Africa web page.)

“Practical on-the-ground intelligence is the backbone of a coordinated response. WHO is mapping the outbreak, in great detail, to pinpoint areas of ongoing transmission and locate treatment facilities and supplies," says WHO. "CDC is equipping the hardest-hit countries with computer hardware and software that will soon allow real-time reporting of cases and analysis of trends. This also strengthens the framework for a scaled-up response."

So how can mobile health tools help in combatting the spread of the epidemic?

Access To Mobile Technology Is Growing Fast

One advantage for the potential of mobile health in African countries is that Africa has had a rapidly growing number of mobile subscribers in the past decade. Mobile phone users are expected to reach one billion by 2015.

Traceability

Geo-referenced, real-time maps of infected patients could be key to tracking and controlling the spread of the virus. By providing epidemiologists data on positive diagnoses, confirmed vectors, they could serve as especially useful planning tools.

Smartphone diagnostic devices

This technology would be an enormous help in this public health emergency. After all, providing greater access to medical testing for underserved communities is why many healthcare startups like Biomeme got started in the first place.

Availability of mHealth apps

Although access to mobile technology is spreading in sub-Saharan Africa, the technology must be at hand, the applications affordable or free, and importantly, connectivity must be available. With Africa boasting the fastest growth in mobile subscribers in the past decade – predicted to reach one billion by 2015 – technology requirements shouldn't be a restriction. In addition, many leading mobile and service providers are offering low-cost smartphones and broadband to encourage usage.

GSMA, the trade body representing mobile operators, has recently appeared in the press touting its Mobile for Development mHealth program, which aims to help African countries reach many of the United Nation's millennium development goals. This program is a shining example of how mobile applications and smart technology are being used today to facilitate, track, and share healthcare information in resource-poor areas.

What needs to happen is that these technologies should be fast-tracked to assist in the Ebola outbreak. A handful of applications already exist that allow users, aid workers, and other medical practitioners to test and share results for illnesses such as HIV, malaria, and flu using only a smartphone. They could also be used to test and track Ebola. Geo-referenced, real-time maps of infected patients could be key to tracking and controlling the spread of the virus. In a potential global crisis such as this, the World Health Organization has already called on governments to use exceptional measures, and the US FDA has bypassed its normally rigorous approval processes to fast-track military technology for civilian use.


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