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PSFK Future Of Health Report

From www.slideshare.net

This report examines 13 trends that fit within four larger themes highlighting how consumer technologies, data analytics and information systems are changing the way healthcare is delivered both from a patient and physician...

ET Russell's curator insight, February 24, 2014 3:31 PM

A compressive presentation supported by [VIDEOS] and examples covering:

- Behavioural nudge

- Holistic tracking

- Incentivized wellness

-  Game therapy

- Empowered Patient

- DYI diagnosis

- Care guidance

- Social support communities

- Orchestrated care

- Remotehouse calls 

- Cloud powered medical records

- Physician to physician networks

-  Data driven plans

- Augmented treatment

- Embedded vital monitors

- Overlay OR (visualisation tools)

 

 

 

 

 

 

 

 

You'll Need a Doctor's Prescription to Download This App

From spectrum.ieee.org

This year, when patients throughout the United States begin downloading the world’s first doctor-prescribed smartphone app, mobile health care will finally get what big-time medicine most requires: a way to get insurance companies to pay for it.



The app, called BlueStar, helps people with Type 2 diabetes (the most common kind) by suggesting, in real time, when to test their blood sugar and how to control it by varying medication, food, and exercise. That it requires a physician’s prescription is actually an advantage, because it means insurance companies will reimburse BlueStar’s fee.


“This is a piece of software getting the same treatment as a medical device,” says Sonny Vu, cofounder of Misfit Wearables in San Francisco, a maker of wearable computing devices. “It’s pretty world-changing.”


The U.S. Food and Drug Administration cleared BlueStar for market in 2010, in line with its recent determination to regulate devices that provide a diagnosis or recommend a treatment, not those that simply track activity, like calories consumed or steps taken. The success that WellDoc, the app’s manufacturer, has had with the FDA may inspire other mobile health companies to go the regulatory route. “It gives us hope that you can pull something like this off,” says Vu. The European Commission has also issued guidance on regulations for mobile health apps, but countries such as China and India have not.


The app addresses one of the toughest tasks a physician has: changing patient behavior.


Doctors ask diabetic patients to keep a daily record of glucose readings, food, exercise, and medications. If managed well, these factors keep patients’ blood sugar in a safe range, reducing their risk of complications from the disease. But only 15 to 20 percent of patients actually keep a log, says Philis-Tsimikas.


Diabetes apps that make activity tracking easier are available, but their effectiveness is limited. “No one does it, because you have to wait 90 days before you get feedback [at your next doctor visit],”


nrip's curator insight, January 5, 2014 2:47 AM

Will using this app have any side effects? If not,  why should a Doctor "have" to prescribe the App? 


While this idea seems revolutionary and game changing, I think this is actually retrograde if its available "ONLY" on prescription.

Happtique certified #mhealth apps runs into first major hurdle: Security Flaws

From venturebeat.com

Happtique is on a mission to build a professional app store for health care. But independent developers spotted security flaws just days after the company authorized its first set of medical apps.


The company has responded to these concerns by suspending its certification registry until further notice.


The flaws were initially spotted by Harold Smith III, chief executive of Monkton Health, who published his findings in a blog post. Smith wrote that he typically reaches out to express his concerns in a private forum. But in this particular case, he felt that Happtique had been slow to respond. “I chose to publicly disclose after waiting eight days in one instance and three in another,” he wrote.


Smith explained that he randomly picked two apps from the 16 apps that Happtique had certified and found that both had issues storing sensitive information as plain text files and one of them wasn’t using HTTPS.

Happtique is attempting to do something very bold in a sector that is riddled with regulation.


The company is taking data security seriously, as its potential customers (primarily hospitals) are concerned that new mobile health apps will put sensitive patient information at risk. 


In an interview, Corey Ackerman, Happtique’s president and chief executive, said the program will remain suspended into the company determines a “responsible course of action.” According to Ackerman, Happtique is currently working with Smith to resolve the flaws. He said that “participating appdevelopers [like Smith] deserve a lot of credit throughout this process.”


“Certification is not a product; it’s an iterative process,” he added. Ackerman believes that feedback from third parties will help the company keep pace with the complexities and rapid advancements of mobile health technology.


We most recently covered Happtique back in September, when the company’s former chief executive Ben Chodor, was called in to Congress to testify about how the Food and Drug Administration (FDA) should regulate health-related applications. In recent months, Happtique has seen some turnover, as it focuses its attention on hospital customers, according to a report in MobiHealthNews.


Read more: http://venturebeat.com/2013/12/13/first-health-app-store-runs-into-first-major-hurdle-security-flaws/

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Santé digitale: médecins et patients acteurs du changement

Quelles que soient leurs formes, les principaux actes de télémédecine (téléconsultation, télé-expertise, télésurveillance) ne sont pas remboursés et les praticiens qui participent aux nombreuses expérimentations en la matière, médecins ou pharmaciens, ne sont pas rémunérés pour le service médical rendu. Si le PLFSS 2014 prévoit le financement d’actes ciblés, ils ne seront pilotés et évalués qu’au décours des trois prochaines années. Nous sommes donc loin d’un modèle économiquement viable et reproductible au niveau national, à la différence de nos voisins européens (Italie, Allemagne ou Espagne) qui ont profité d’une autonomie de gestion et de fonctionnement au niveau régional pour définir des protocoles de prise en charge.

Pour autant, la France fourmille d’initiatives portées par les professionnels, certaines en toute indépendance. Toutes visent un bénéfice immédiat pour les patients montrant que les outils sont bien au service des usages et non l’inverse, comme le rappelle Pierre Traineau, Directeur général du CATEL. Les patients eux-mêmes se mobilisent et tirent profit des nouvelles solutions technologiques mises à leur disposition pour prévenir, suivre ou mieux accompagner leurs symptômes et leurs maladies. Preuve en est la consommation croissante des applications mobiles de Santé et l’explosion du « Quantified self ». Ces deux tendances pourraient inciter les différents acteurs de la chaîne de Santé à basculer définitivement vers une économie de services.

Xavier SEDES's curator insight, November 30, 2013 9:31 AM

Les professionnels s’organisent

 

Le Dr Fabrice Denis installé au Mans est un médecin pionnier. Ancien chercheur de l’INSERM et féru de numérique, il s’est associé à une équipe du CNRS pour concevoir une application inédite, utilisable sur n’importe quel smartphone, ordinateur ou tablette, permettant au patient de rester en contact régulier avec son cancérologue pour prévenir les rechutes de cancer du poumon. Plusieurs paramètres cliniques sont surveillés de façon hebdomadaire parmi lesquels le poids, la fatigue, la perte d’appétit, la douleur, l’essoufflement ou la toux. Des algorithmes d’alerte ont été conçus permettant de repérer de potentiel rechutes, en moyenne 6 semaines plus tôt que les examens d’imagerie programmés, selon une étude réalisée auprès de 43 patients et publiée dans la revue Supportive Care in Cancer (Springer - Septembre 2013). Encourageant, sachant que la survenue d’une perte de poids, d’un essoufflement ou d’une toux n’amène pas forcément les malades à consulter. Le système est simple d’utilisation, ne prend que 5 minutes par semaine au patient et lui permet de rester en liaison étroite avec son médecin. Il devrait être prochainement élargi à d’autres cancers, œsophage, vessie, colon-rectum et ovaire.

A quelques centaines de kilomètres de là dans le Limousin, le Dr Patrick Dary a monté de toutes pièces son projet de télémédecine. Alors qu’il répond aux priorités définies par le gouvernement de lutte contre les déserts médicaux et les AVC, ce cardiologue a eu le plus grand mal à trouver des sources de financement. Sans une bourse de BOEHRINGER, reçue dans le cadre du programme international de prévention des AVC « 1 Mission – 1 Million » et l’aide de la structure mutualiste KLESIA, son projet n’aurait certainement pas vu le jour. Pourtant, les résultats cliniques obtenus sont remarquables. De quoi s’agit-il ? Le Dr DARY suit à distance plusieurs centaines de patients depuis 2011, poursuivant 3 principaux axes de recherche: mise en place d’une télésurveillance pour le suivi de l’hypertension artérielle mal contrôlée, de l’insuffisance cardiaque et de la fibrillation auriculaire (FA). Cette dernière approche est particulièrement novatrice sachant que la FA est une cause majeure de survenue d’AVC. Une personne âgée de 40 ans ou plus sur quatre développe au cours de sa vue une FA avec un risque d’AVC multiplié par 5. Le défi technique pour télé surveiller la FA suppose le port d’un holter par le patient, permettant de détecter les troubles du rythme. Le Dr DARY l’a relevé et les résultats de son étude observationnelle viennent d’être publiés dans la revue European Research in Telemedecine (Elsevier – Octobre 2013) et présentés au dernier congrès de l’ANTEL les 15 et 16 novembre dernier. Elle a été menée sur 200 patients à risque, le suivi était ambulatoire par la pose quotidienne d’un enregistreur sur une durée de 11 jours et 10 h par jour avec détection d’arythmie et transmission automatique d’ECG. Pour 33 % des patients, la télésurveillance a amélioré le diagnostic et le traitement de la FA, permettant d’ajuster et de sécuriser la thérapeutique délivrée. Prochain défi pour le Dr DARY et prochain axe de recherche, le déploiement de ce programme à plusieurs EHPAD et maisons pluridisciplinaires de la région limousine. 

 

OPTISAS, vaste étude de télé suivi du syndrome d’apnées du sommeil portée par les professionnels

 

Autre exemple, à large échelle celui-ci, l’étude OPTISAS a débuté en février 2013 sous l’impulsion de la Fédération Française de Pneumologie et de la Fédération des Spécialités Médicales. Elle durera 1 an (6 mois d’inclusion – 6 mois de suivi), impliquant 200 médecins et 1 800 patients. L’hypothèse du projet est que le télé-suivi pourrait réduire de 5 % le taux de patients abandonnant la PPC au cours de la 1ère année ainsi que les hospitalisations associées. Souvenons-nous que l'inobservance très élevée de la PPC, supérieure à 20 % la 1ère année, a conduit les autorités à modifier les conditions de prise en charge et de remboursement des patients nouvellement diagnostiqués à compter du 1er octobre 2013. L’étude OPTISAS  a été rendue possible grâce à l’existence d’un outil préalablement mis en place par la FFP et comptant 63 000 dossiers patients. 1ère du genre par son ampleur et l’origine de ses promoteurs, cette étude pourrait inciter les autres fédérations de médecins spécialistes à suivre la même voie.

 

Les patients se mobilisent

 

Le marché de la m-Santé explose. On estime que le marché mondial des applications mobiles de santé passera de 1,3 milliards de $ en 2013 à plus de 10 milliards de $ en 2018. Même tendance pour le nombre d’objets connectés et de tablettes numériques. Sur les 100 000 applications disponibles à ce jour, celles dites de « bien-être » sont prépondérantes, notamment les applications visant une perte de poids. Le suivi ou la mesure de ses constantes biologiques (Quantified self) est devenu un créneau commercial juteux. Dans le sillage de WITHINGS, véritable success story à la française qui vend balances et tensiomètres connectés, une multitude d’objets communicants pour mesurer stress ou activité physique envahissent le marché: bracelet AIRO, FuelBand Nike, coach électronique FITBIT, etc.  L’offre fait elle la demande ? Dans le cas présent, on serait plutôt tenté de dire que le besoin à couvrir est énorme. S’il est encore trop tôt pour évaluer le bénéfice sur la santé, le succès est au rendez-vous. Recommandées ou non par les médecins, comme c’est déjà le cas en Angleterre pour certaines applications mobiles, ces nouvelles solutions sont plébiscitées par les utilisateurs. Que l’on soit adepte de la prévention ou malade chronique, le suivi de l’activité physique et des mesures hygiéno-diététiques restent des fondamentaux pour aller mieux. Les acteurs du monde médical, laboratoires, médecins, institutionnels, opérateurs télécom et mutuelles ne s’y trompent pas. NOVARTIS a lancé le programme CARDINAL autour de la nutrition et de l’activité physique. Les médecins du sport utilisent des solutions high-tech comme celles de la société PULS@CARE et sont très actifs sur la toile, tel le Dr Philippe Chaduteau. Appuyée par le gouvernement, la société IDS a lancé l’opération MySanté mobile pour mesurer l’activité physique de 1000 volontaires entre juin et novembre 2013. ORANGE soutient le mHealth Grand Tour qui est à la fois une course cycliste et une étude d’envergure sur l’adaptation à l’effort pour les diabétiques de type I. Du côté des mutuelles, les patients du programme VIGI Santé de Malakoff Médéric suivent un programme individualisé d’accompagnement hygiéno-diététique.

Aux Etats Unis, les patients sont mis devant leur responsabilité. Les assureurs mettent en place des polices plus intéressantes pour les patients suivant de tels programmes... CQFD.

 

Xavier Sédès, xavier@xaviersedes.fr, consultant e-Santé

 

Mobile medical apps need to be regulated for patient safety, FDA official tells House panel

From www.fiercemobilegovernment.com

Mobile medical apps need to be regulated because patient safety is at risk when they are used to diagnose or treat a disease, said Jeffrey Shuren, director of the Food and Drug Administration's Center for Devices and Radiological Health at a Nov. 19 House Energy and Commerce Committee subcommittee on health hearing.


The FDA's regulation of software as a medical device is based on risk and function, Shuren told the panel, and the FDA treats devices that perform the same function the same way regardless of the platform on which it is used.


"It's not about the platform. It's about the function," said Shuren.

Software becomes a medical device through intended use and diagnosis of disease and conditions or treatment cure mitigation of disease, he said.


"All we are saying is, the functions, when they stay the same, treat them the same, because the impact and the risk to patients is the same," Shuren said. "Simply because they got smaller and I can pick it up and walk out of the room with it, doesn't change the risk to the patients. Why for that reason alone would we treat it differently?"


The FDA issued nonbinding guidance Sept. 25 with their plan of how to regulate mobile apps as medical devices.

If, for instance, an app illuminates an LED light, like prevalent flashlight apps do, the FDA wouldn't consider it a medical device. But if the developer labels and markets it as a light source for doctors to examine patients, the FDA would approach it as it would an ophthalmoscope, the guidance says.


But the FDA might not need that guidance if Congress passes a bill that's currently sitting in the House Energy and Commerce Committee.

The bill (H.R.3303) would amend the Food, Drug and Cosmetic Act to regulate medical software. It would establish three categories of software--clinical, health and medical--with the two former software types not subject to FDA regulation.


But Shuren told the subcommittee that the bill undermines the FDA's authority to assure the safety and effectiveness of high risk medical devices.


The FDA would no longer be able to regulate blood glucose meters and software that is used to analyze pap smear slides, Shuren said.


"It's very confusing to us what this actually accomplishes," he said.



Read more: http://www.fiercemobilegovernment.com/story/mobile-medical-apps-need-be-regulated-patient-safety-fda-official-tells-hou/2013-11-27

PatientView's curator insight, November 30, 2013 10:41 AM

Yes but the FDA meeting also stated that software does not count as a medical app ??

Avraham Harris's curator insight, June 29, 2014 7:43 AM

Medical Apps - FDA's standpoint overkill - or proposed bill is risky?

If you ask me, probably the latter. Health apps are fun, easy to make, distribute and can effect misuse if risk controls and information for safety are not required. Can't they?

What do you think?

Avraham 

What unthinkable things will mHealth make possible?

From mhealthinsight.com

This quote of Nick Mason (the Pink Floyd Drummer) on trends within the music industry got me thinking about some unthinkable things we'll see materialise as a result of the rapid convergence of mob...
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Ron Gutman's HealthTap Seeks to Be the First Global Mobile Health Brand

From www.watchinga.com

“A Series of Forbes Insights Profiles of Thought Leaders changing the Business Landscape: Ron Gutman, Founder and CEO, Healthtap... “My vision is to give peop (#tech #app #news Ron Gutman's HealthTap Seeks to Be the First Global Mobile...”

eMedToday's curator insight, November 21, 2013 9:47 PM

Health Tap is a  brilliant app for patients and hospitals should intergate it features digitally into their story

#Infographic | #Healthcare #mobility trends

From industryview.cdwcommunit.com

“CDW Healthcare's healthcare mobility trends infographic explores the adoption of tablets by doctors, the impact on hospitals and potential savings.”

eMedToday's curator insight, November 6, 2013 6:39 PM

Mobile is the core of future health 

eMedToday's curator insight, November 6, 2013 6:58 PM

mobility is the heart of new pharma marketing.

 

Do Pharma understand that: No

eMedToday's curator insight, November 6, 2013 7:01 PM

mobile devices are at the heart of e detailing

Mhealth trends: More behavioral health apps but few for disabling chronic conditions

From medcitynews.com

An IMS Health report on consumer facing mobile health apps offers an outlook on the future of mobile health technology and has a breakdown of mhealth apps.
eMedToday's curator insight, November 5, 2013 7:56 PM

It reasons that apps for the most disabling chronic conditions such as cancer, stroke and arthritis could:

Provide information for optimal condition management;Track patient health levels over time (and record improvements in well-being or condition);Help patients communicate with caregivers or other patients for motivation and the sharing of best condition management


Five apps account for 15% of all health app downloads - Mobile World Live

From www.mobileworldlive.com

A study found just five apps account for 15 per cent of all downloads in the healthcare category, an example say the authors of a significant skew in how the market works.
rob halkes's curator insight, November 4, 2013 1:56 PM

Mhealth applications are lowering the threshold to people to be more active with their own health.

eMedToday's curator insight, November 5, 2013 8:00 PM

Furthermore, the typical app profile does not address the major crisis in healthcare which is patients dealing with chronic diseases, who typically are aged over 65. They are the patients on which most resources are invested, but among whom smartphone penetration is lowest – only 18 per cent in the US against 55 per cent of those aged 45-54.


There is a big opportunity for Pharma to develop mobile apps related to chronic diseasess

Topol, Scripps cardiologists on moving beyond the mHealth hype - MedCity News

From medcitynews.com

To move beyond the hype of mobile health, the industry needs clinical trial data that shows its benefits in acute care, chronic care and physician efficiency.
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The Healthy Business of mHealth App Marketing | Mobile Marketing Watch

From www.mobilemarketingwatch.com

eMedToday's curator insight, October 25, 2013 8:49 PM

Of those who do use health apps, more than two-thirds believed the apps had a significant impact on their health—the greatest endorsement such apps could garner. As lifestyle improvement becomes a critical concern for individuals—and mobile use expands its reach across the older population—the likelihood that more will engage with health apps is high.

5 Reasons Future Healthcare Will Be Mobile

From www.smartphonehc.com

Melissa Thompson takes an interesting look at mobile healthcare in her Huff Post article about Frictionless Health. First I love the concept of frictionless healthcare. There is almost nothing about healthcare today that’s frictionless.
eMedToday's curator insight, October 19, 2013 4:04 AM

 The phone will become our healthcare brain. It will know everything about our healthcare.

eMedToday's curator insight, October 21, 2013 4:00 AM

this is why e detailing is the future 

From eHealth to mHealth: mobile phones look after your health

From mobileworldcapital.com

Analysis of the influence of technology and smartphones in the field of medicine and how it they can be used to look after our health. @MWCBarcelona

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mHealth Apps Converge On The Fight Against Pediatric Cancer | HIStalk Connect

From histalkmobile.com

New York, NY-based non-profit Stupid Cancer, one of the largest pediatric cancer non-profits in the country, launches a crowdfuding campaign to raise funds
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6 Barriers Towards Realizing the mHealth Potential for Caregiving

From www.hitconsultant.net

White paper identifies barriers of mHealth adoption and addresses the ways mHealth can empower older people to take a more proactive role in their own care.
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Fitness, General Health Are Leading Health Apps

From www.emarketer.com

A majority of web users still don’t use health apps, but there is a growing contingent (26.4%) that does—at least sometimes. Fitness and general health lead the pack.
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8 New Technologies Revolutionizing Health and Fitness - MeMD

From www.memd.me

It’s time to change the way we approach healthcare and fitness. According to the Centers for Disease Control, four out of five U.S. adults do not meet guidelines for healthy physical activity....
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mHealth Markets Related to Telehealth Expected to Reach $1.5T by 2019

From www.hitconsultant.net

mHealth markets related to telemedicine is currently valued at $1.4 billion and is anticipated to reach $1.5 trillion by 2019, according to new report.
eMedToday's curator insight, September 26, 2013 9:33 PM

Key forces driving the telehealth and mhealth convergence trend include:

Rising healthcare costs due to baby boomer population, chronic diseases, etc.More than 7 billion smart phones globally and half that many connected tablet devices all over the worldConsumer tablet computers becoming ubiquitous and inexpensiveTelemedicine is becoming a fee for services much as a cell phone.Increasing role of telemedicine and mhealth in home healthcare deliveryAvailability of home telemonitoring programs that utilize effective monitors support patient education and timely clinician intervention based on real vital signs data gathered on a daily basis.Rising EHR adoption rates due to meaningful use incentivesGovernment and local authorities recognizing the potential of telehealth technology as a tool for delivering health and social care services.

Free Apps for Nearly Every Health Problem, but What About Privacy?

From www.nytimes.com

An analysis of 43 popular wellness apps by the nonprofit Privacy Rights Clearinghouse found that many apps connect to advertising and data-analysis sites without the user’s knowledge.
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Will An App A Day Keep The Doctor Away? The Coming Health Revolution

From www.forbes.com

By Stephanie Tilenius, an executive in residence at Kleiner Perkins Caufield & Byers. With a big assist from technology, Americans are driving a major transformation of the nation’s health care system.
eMedToday's curator insight, September 12, 2013 8:56 PM

WOW

 

By 2017, according to Research and Markets, half of the 3.4 billion smartphone or tablet users worldwide will use mobile health apps.

eMedToday's curator insight, September 12, 2013 8:57 PM

 

The impact on healthcare of mhealth is dramatic.

 

Where is the Pharma digital strategy.

 

Behind the curve