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Modular smartphones, onboard sensors, and personalised mobile health care

Modular smartphones, onboard sensors, and personalised mobile health care | Patient | Scoop.it

A month ago I saw a video on Youtube about creating modular smartphones, created by Phonebloks. Phoneblok puts forth their idea that such a product could reduce waste, and allow highly customizable products for smartphone users who utilize their phone for different purposes. In essence, this platform moves beyond a modifiable user interface that focuses on apps, and focuses on a system with modifiable hardware to supplement those apps.


While the premise was interesting, I did not give it much thought due to the fact I could not envision any smartphone developer investing into such a product. Needless to say, I was wrong since Motorola hasannounced it will be creating modular smartphones with its Project Ara. Motorola’s idea is to create an endoskeleton that will provide the key components of a phone with modules that may be attached.


Such a modifiable phone would allow users to create a phone that will be tailored to their primary user preferences. For instance, someone who may like to take pictures with their phone could invest into a better camera module and more storage to keep the pictures.

Andrew Spong's insight:

This may be a stopping-off point on the journey to a future health scenarion dominated by NIAP (non-invasive, all-pervasive) sensors, but it certainly isn't the destination. More: http://stwem.com/2013/03/16/next-looking-beyond-the-device-in-digital-healt/

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The empowered patient is a symptom of change in healthcare
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Healthcare is getting better. Let's talk about what you can do to make it even better, faster.

Healthcare is getting better. Let's talk about what you can do to make it even better, faster. | Patient | Scoop.it

Healthcare is getting better. Let's talk about what you can do to make it even better, faster.

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How Ben Munoz built online rare disease patient community Ben's Friends

How Ben Munoz built online rare disease patient community Ben's Friends | Patient | Scoop.it
Ben Munoz launched Ben’s Friends in 2007. The site, which partners with Crowdtilt Open, offers over 30 community forums dedicated to rare diseases.
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The coming of the health selfie: smartphone peripheral measures cholesterol, Vitamin D levels

The coming of the health selfie: smartphone peripheral measures cholesterol, Vitamin D levels | Patient | Scoop.it

A new smartphone-enabled Cornell University device  sees users drop a blood sample on a test strip which they subsequently take a picture of.

 

The device processes the image of the blood reacting to the test strip, determines cholesterol or vitamin D levels from that image, and displays the results.

 

The technology also works with drops of saliva or sweat.

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The digital behaviours of patients: an infographic

The digital behaviours of patients: an infographic | Patient | Scoop.it
Patient digital behaviours
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Over half of currently available diabetes apps only have one function

Over half of currently available diabetes apps only have one function | Patient | Scoop.it

iMedicalApps describes a recent survey that discovered 54% of diabetes apps were limited to one function, with documentation (via glucose log) being the most common feature, being found in 348/656 (53%) of total apps.


Most apps required manual data input, although researchers did find a small selection of apps (30/656, 4.6%) that synchronized with online platforms or via Bluetooth. Regarding target users, an overwhelming majority (630/656, 96%) of the examined apps were designed specifically for patients, with 24/656 (3.7%) supporting both patients and qualified health personnel. The study found 50/656 (7.6%) apps were designed specifically for qualified health personnel.

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Patient Digital Health Platforms (PDHPs): the epicentre of healthcare transformation?

Patient Digital Health Platforms (PDHPs): the epicentre of healthcare transformation? | Patient | Scoop.it

Apple’s recent announcement about its HealthKit platform is a beacon of a much bigger trend. We are at the early stages in the rise of a new business and IT ecosystem: Patient Digital Health Platforms (PDHPs)

 

These new platforms should be high on the radar screens of healthcare providers. While v1.0 of PDHPs is starting fairly narrow, companies will be high incentivized to move up the food chain into mainstream health data exchange, workflow integration, and virtual care delivery.

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Three common complaints patients make about healthcare providers via social media

Three common complaints patients make about healthcare providers via social media | Patient | Scoop.it

Symptoms, services, and the search for health information are on patients' minds

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Samsung unveils Simband wristband and a shared healthcare platform

Samsung unveils Simband wristband and a shared healthcare platform | Patient | Scoop.it

woSamsung has proposed a common developmental framework in order that different manufacturers can interchange key components and thereby hasten progress towards more useful healthcare technologies for self-management.

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What the evidence shows about patient activation

What the evidence shows about patient activation | Patient | Scoop.it

"Policies and interventions aimed at strengthening patients’ role in managing their health care can contribute to improved outcomes and that patient activation can — and should — be measured as an intermediate outcome of care that is linked to improved outcomes."

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Could digital patient communities be the launch pad for patient-centric trial design?

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What to say to a 35-year-old mother dying of cancer

What to say to a 35-year-old mother dying of cancer | Patient | Scoop.it
Kate Gross knows she will not survive colon cancer. Here she advises friends how best to help, whose shoulder to cry on, and when you should just breeze in and do the ironing
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Patients, nurses, and privacy in digital health

Patients, nurses, and privacy in digital health | Patient | Scoop.it

Ian Oliver of Here, a Nokia company, writes:

 

"The more knowledge we have, the more responsibility for its correct, moral and ethical use we have; and as we move towards more centralised, intelligent (maybe) and complete medical records which are in no doubt going to be (and already are in most cases) electronic, how is this going to be encoded?"

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Patient confidentiality in the digital age

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Exploring patient engagement through communities, advocacy groups, registries and more

Exploring patient engagement through communities, advocacy groups, registries and more | Patient | Scoop.it

Jerry Matczak reflects on what he learned about what patient engagement really means at the 50th Annual Drug Information Association (DIA) Annual Meeting. 

Andrew Spong's insight:

I couldn't be more pleased to see this on the Lilly Clinical Innovation blog, particularly as it features Regina Holliday's Walking Gallery, which I am very proud to be a part of.

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OMsignal raises $10M for health-sensing clothing line

OMsignal raises $10M for health-sensing clothing line | Patient | Scoop.it

OMsignal manufactures clothing embedded with various health sensors. The shirt captures ECG, activity, breathing patterns and “emotive” states on a continuous basis. A small device that the user must clip on to the shirt sends data from the shirt’s sensors to a companion smartphone app via Bluetooth. Users can then view all of their metrics from the smartphone app. The shirts come in long sleeve, short sleeve, and sleeveless options.

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A patient's perspective on the power of community

A patient's perspective on the power of community | Patient | Scoop.it

Clarissa Schilstra (@Ms_Clariss) writes:

 

"The diagnosis a serious illness, whether it is acute like cancer or chronic like Type 1 diabetes, can leave a person feeling isolated and lost. You wonder why it has happened to you.


Fortunately, through a variety of social media and online resources, I found a way to cope with those challenges after I was given a life-threatening diagnosis..."

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Bettina Gifford's curator insight, July 1, 5:38 PM

Social media and online resources helping patients 

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Google, Apple, Samsung: the big three data hubs and digital health's next phase

Google, Apple, Samsung: the big three data hubs and digital health's next phase | Patient | Scoop.it

Tech writers are on the hunt to find out which spaces in the digital health arena are most likely to be seriously impacted by (the article uses provocative language like 'steamroll[ered]' and 'crushed' by Apple, Google and Samsung's entry into the digital health space. 

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Refinements in motorised exoskeletons to enhance the mobility of people living with lower body paralysis

Refinements in motorised exoskeletons to enhance the mobility of people living with lower body paralysis | Patient | Scoop.it
ReWalk Robotics, previously known as Argo Robotics got FDA clearance for their motorized exoskeleton to help people with lower body paralysis walk.
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Kickstarter closes the door on digital health

Kickstarter closes the door on digital health | Patient | Scoop.it
Kickstarter announced new project submission rules this week that for most startups and project owners will come as welcomed news. The crowdfunding giant has
Andrew Spong's insight:

Interesting.

 

With trust in traditionally VC funded at low levels due to their being deemed a poor fit with healthcare propositions for ethical reasons, this makes VC-free health community funded-propositions more important.

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The arguments for and against signal-emitting smart pills

The arguments for and against signal-emitting smart pills | Patient | Scoop.it

Each morning around 6, Mary Ellen Snodgrass swallows a computer chip. It’s embedded in one of her pills and roughly the size of a grain of sand. When it hits her stomach, it transmits a signal to her tablet computer indicating that she has successfully taken her heart and thyroid medications.

 

The 91-year-old retired schoolteacher is at the forefront of what many predict will be a revolution in medicine powered by miniature chips, sensors, cameras and robots with the ability to access, analyze and manipulate your body from the inside...

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Report: mobile tech such as tablets creates opportunities to engage with older people and hard-to-reach populations

A report on the Tinder Foundation and NHS England ‘Widening Digital Participation’ project concluded that "mobile technologies such as tablets created opportunities to engage with older people and hard-to-reach populations.


Working with committed, enthusiastic partners in the health and community sectors is identified in the report as a powerful way to maximise reach and engage with communities, and events provided new opportunities to engage people."

 
Andrew Spong's insight:

"82% of learners reached by the project (n = 59,755) were 'socially excluded'"

 

Interesting, on the basis that the opposite case is usually proposed as a reminder of technology's capability to exclude..

 

These data suggest otherwise.

 

In this transitional period towards 'digital by default', personally I'd still favour a blended approach whereby the resources saved by providing digital health information resources which will be accessible to the majority (or those at one degree of separation from them) should free up sufficient capability to connect in person with those who are reluctant to use technology.

 

Let's remember that such reluctance is not associated with seniors alone.

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Supporting people to manage their health: an introduction to patient activation

Supporting people to manage their health: an introduction to patient activation | Patient | Scoop.it

With 60 to 70 per cent of premature deaths caused by detrimental health behaviours, it is vital that people engage more with improving their own health. This paper introduces a way of conceptualising and measuring that engagement known as 'patient activation'. 

 

Patient activation can be used to reduce health inequalities and deliver improved outcomes, better quality care and lower costs. Drawing on US and UK-based evidence, the paper describes the robust patient-reported measure – the PAM – used to gauge patient activation. PAM measures an individual's knowledge, skill, and confidence for self-management.  Research shows that appropriately designed interventions can increase patients’ levels of activation, with associated health benefits. The paper explores how this is being achieved in practice and offers recommendations for extending early use of the PAM in the United Kingdom.

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The patient experience and health outcomes: how are they related?

The patient experience and health outcomes: how are they related? | Patient | Scoop.it

"Although there are unresolved methodologic issues related to the measurement and interpretation of patient experiences — regarding survey content, risk adjustment, and the mode and timing of survey administration — we believe that both theory and the available evidence suggest that such measures are robust, distinctive indicators of health care quality.

 

Therefore, debate should center not on whether patients can provide meaningful quality measures but on how to improve patient experiences by focusing on activities (such as care coordination and patient engagement) found to be associated with both satisfaction and outcomes, evaluate the effects of new care-delivery models on patients' experiences and outcomes, develop robust measurement approaches that provide timely and actionable information to facilitate organizational change, and improve data-collection methods and procedures to provide fair and accurate assessments of individual providers".

Andrew Spong's insight:

Whilst the personal and economic burden of disease must be balanced at a population level, at the level of the individual and those who care for and about them, improved patient outcomes are the only measure that matter.

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Uses for Skype in healthcare

Uses for Skype in healthcare | Patient | Scoop.it
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Patient-centeredness in the design of clinical trials

Patient-centeredness in the design of clinical trials | Patient | Scoop.it
Andrew Spong's insight:
Abstract 

Evidence from clinical trials should contribute to informed decision making and a learning health care system. People frequently, however, find participating in clinical trials meaningless or disempowering. Moreover, people often do not incorporate trial results directly into their decision making.

 

The lack of patient centeredness in clinical trials may be partially addressed through trial design. For example, Bayesian adaptive trials designed to adjust in a prespecified manner to changes in clinical practice could motivate people and their health care providers to view clinical trials as more applicable to real-world clinical decisions.

 

The way in which clinical trials are designed can transform the evidence generation process to be more patient centered, providing people with an incentive to participate or continue participating in clinical trials.

 

To achieve the transformation to patient-centeredness in clinical trial decisions, however, there is a need for transparent and reliable methods and education of trial investigators and site personnel.

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Apple continues medical tech exec recruitment

Apple continues medical tech exec recruitment | Patient | Scoop.it

According to LinkedIn profile changes and other sources, Apple is hoovering up medical tech experts, and potentially building a full-on health and fitness platform.

Andrew Spong's insight:

Apple and Google will also need to expand their healthcare professional faculty if they're going to continue to be the final arbiters of which apps should and should not be published via the App Store and Google Play

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