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New pill sends SMS when swallowed

New pill sends SMS when swallowed | Digital health content |

A new pill has been developed by Proteus Digital Health which sends an SMS alert to a designated mobile phone once the patient has ingested it

Via Olivier Delannoy, Sigalon
eMedToday's curator insight, May 27, 2013 9:56 PM

This is great example of brilliant technology. Medical adherence is a big expensiver problem where Pharma's lose USD $ 300  billion a year in lost sales. 

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Are mobile health apps and digital interventions improving adherence?

Are mobile health apps and digital interventions improving adherence? | Digital health content |

Mobile and digital health’s potential to help bring about healthy behavior changes has led a number of companies to target the problem with new connected devices, applications, and services. Some of these have claimed to be highly effective: MediSafe recently stated that their app raised users’ adherence rate to 81 percent over the course of its first eight weeks that it was made available, and Vitality GlowCaps once reported pushing adherence rates to as high as 98 percent, both well above the World Health Organization average of 50 percent. NEHI has stated that digital health offerings similar to these have considerably improved adherence, but the market penetration for these tools is still low.


The challenge for these companies is not just to develop an effective product, but also to figure out who will pay for it. That means addressing the sticky question of whose problem med adherence really is.

 Patients don’t take their medication for a number of reasons. Forgetfulness is one, particularly in chronic disease patients who have a large regimen of pills to keep track of and in elderly patients who may have poor memories or become confused easily. But other patients don’t take their meds for psychological reasons: some patients “feel fine” and skip a drug, some are concerned about real side effects. Some, according to NEHI Senior Health Policy Associate Nick McNeill, are concerned about imagined side effects. Finally, many patients stop taking medications because they simply can’t afford the co-pay. This, of course, is not a complete list but it does include some of the more commonly referenced reasons. Digital health could play a role in resolving some of them.

Jenni Lawrence's comment, January 22, 2013 10:46 PM
cost of taking now versus BIGGER costs of not taking now.... hmmm... seems like a no brainer to me!
rob halkes's curator insight, February 21, 2013 3:38 AM

Indeed, it is due to a lot if still unknown and  scarcely reserached personal reasons that influence adherence to therapy. More must be done!

Keith McGuinness's curator insight, September 18, 2014 8:50 PM

This is moving in the right direction.  Measure the change in health brought about by the app.  The patient will learn why taking the meds is helpful, and the physicians can embrace this kind of evidence.

Once a developer understands the mechanisms (within the app) that drive the desired change in health metrics, he/she can focus product design efforts on driving patients toward those mechanisms.  

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What is mHealth? Is it Mobile health or Modern health?

What is mHealth? Is it Mobile health or Modern health? | Digital health content |

Syllogism causes confusion among healthcare terms such as modern health, mobile health, digital health, ehealth, mhealth, telemedicine, and telehealth.


Clearly, Lions & Tigers are both cats, and cats are animals, but the healthcare syllogisms aren’t as straight forward. People often associate Mobile Health with the ambulance that shows up to provide care and transportation, rather than the use of mobile devices and wireless networks. They may also associate Mobile Health with the tablet device the doctor uses as she moves about, rather than a smartphone device. That’s why I drew the diagram with mHealth not entirely within Wireless Health or within Telehealth. And it’s why I added a new term to  encompass them all - Modern Health.


I apologize to my consumer audience if this article sometimes gets a bit technical. That’s because it was partially written to address a technical audience. You can skip the technology, go straight to the Cool mHealth Trends.


mHealth & Telehealth


Telehealth is the delivery of health-related services and information via telecommunications technologies. These services could be as simple as two health professionals discussing a case over the telephone, a video call between patient and practitioner(s), or doing robotic surgery between facilities at different ends of the globe. Telehealth is an expansion of telemedicine, because it’s not limited to clinical treatment but can also apply to prevention. Likewise,telehealth is an expansion of mHealth, because it’s not limited to cellular technologies.


mHealth & Wireless Health


Wireless health differs from mHealth in that wireless health solutions will not always be mobile and mobile health solutions will not always be wirelessly enabled. Wireless Health integrates wireless technology into traditional medicine, such as for diagnosis, monitoring and treatment of illness. Wireless technologies eliminate the cost and effort to install wires and support the ability to move about without being tethered. Wireless networks can cover very short distances such as between wearable sensors and a smartphone, entire buildings such as Wi-Fi home networks; or wider areas such as cellular networks that extend from tower to tower. These mobile broadband networks are especially useful in reaching new patients in remote areas than previously possible.


mHealth & eHealth


eHealth describes any healthcare practice supported by electronic information processing and communication, so it has broader reach than mHealth, which relates to practices using mobile  (phone or computing) technologies


mHealth: Mobile Health or Modern Health?


Many app developers view mHealth as exploiting mobile telecommunication in health care delivery. That can include mobile phones (voice & SMS text), smartphones, or a variety of other devices that include laptop computers, patient monitoring devices, MP3 players, PERS systems, and more.  The term can extend to both mobile and stationary devices, as long as they used mobile/cellular telecom technologies, but what if they don’t communicate at all?


What if a smartphone app uses sensors to collect health & fitness data and then stores and tracks it on the device itself without ever sending it anywhere? If the device itself is viewed as a telecom device, it might fit in the mHealthcategory, but the iPod Touch has no mobile phone connection, and even though it uses the same iPhone technology, it arguably would not fit the mHealth definition, even though it’s running the exact same code. That’s where the traditional mHealth definition breaks down, and it’s one reason that I prefer to extend mHealth to Modern Health, rather than just Mobile Health.

Modern Health encompasses innovations that collectively define the future of healthcare. They include: digital, electronic & mobile health, telehealth & telemedicine, electronic sensors & cloud-based monitoring services, video calls & telepresence, electronic medical & personal health records, big data & analytics, healthcare robotics & artificial intelligence, personalized medicine & genomics, and the wireless connections (ANT+, Bluetooth LE, ZigBee, Z-Wave, Wi-Fi, 4G, LTE), big broadband networks (fiber-optics), and regulatory & payment reforms that bind them.


Yes, nearly 40,000 health-related apps are available today for smartphones, and that number is up ten-fold from about 4,000 in 2010. So clearly smartphone availability and fast Internet access are driving much of the growth of modern healthcare applications, but don’t discount large mHealth opportunities on other devices and in other geographic markets.

Via nrip
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Infographic: Is Cyberchrondria the Darkside of Digital Health?

Infographic: Is Cyberchrondria the Darkside of Digital Health? | Digital health content |
Is the rise of digital health tools such as mobile health, telehealth, and remote patient monitoring creating a new nation of cyberchondriacs?

Via Richard Meyer
Tony Hardman's curator insight, June 18, 2013 5:22 PM

Healthcare Interrupted -
Top Five Vulnerabilities Hackers Can Use Right Now To Shut Down Medical Devices