Patient care today is confined to hospitals – large or small, swanky or average, near or remote. There have been a lot of discussions about how to make Mobile Health (mHealth) all pervasive but it is yet to take its feet off the ground.
At present, the total world population served by mHealth services is probably less than a few hundred thousand (I may be inaccurate), though 80 percent of the world’s population lives in areas with mobile phone coverage. Ironical, isn’t it?
Read another amusing fact: By 2013, more people will access the internet through their mobile phone than their desktop.
According t o a report, five hundred million of a total of 1.4 billion smartphone users will be using mobile health applications in 2015.
Again, although it is a reality that technology-driven data channels can open up tremendous opportunity for the entire medical supply chain from hospitals to doctors to pharmacist but not much of it has come into practice.
Today the patients are demanding a greater role in treatment decisions. They seek information from a range of sources which can result in a new era of consumerism in healthcare.
Gartner (depending on how much we believe in these forecasting machines), says that mHealth will be one of the key applications that will catch the fire in next few years. The agency further says that mHealth will help governments, care delivery organizations (CDOs) and healthcare payers reduce costs related to chronic diseases and improve the quality of life of their patients.
Interestingly a few years ago McKinsey polled 3,000 people in Brazil, China, Germany, India, South Africa, and the United States to find out how will people respond to mHealth services and it found out that 1/3rd of respondents were willing to pay for mHealth services such as drug delivery, physician phone consultations, and remote monitoring with alerts.
McKinsey in its report estimated that the global market opportunity for mHealth in 2010 was a whopping $50 billion – by far the highest amount to be quoted by a forecasting machine on mHealth. But this was just an “opportunity”. There is a difference between the opportunity and reality.
The reality ( though not quoted from any trustworthy source) is the total revenue from mHealth was nearly US$1.7 billion in 2010 which may grow to US$5.7 in 2015 – 4 years from now.
For patients suffering from obesity, chronic diseases and those who are elderly, mHealth can be a boon in disguise. On the other hand imagine how this will impact the equipment and IT industry. The vendors who make digital still cameras, PCs, energy meters, communication device manufacturers will all be in brisk business.
I know it is not so easy. For a moment, imagine a doctor (sitting remotely) and asking his patient to cough in the phone and prescribes him the right medicine. Now the patient (though mobile) connects with the druggist and places order for medicines and then pays to both channels. It is an interesting story, but not so easy to accomplish.
Even weird an idea could be urinate on a specific phone chip to know about STDs (sexually contracted diseases or in case of a female, she can know about pregnancy.
Imagine, in the future you have to embrace in-body sensing. A small, battery-free sensor (of the size of a rice grain) fitted in your body for remote monitoring of your health. These sensors can gather all the data pertaining to any change in the normal physiological conditions and refer to a health practitioner for an immediate health prescription.
I was reading about a few interesting mHealth apps (you have to qualify them yourself) in the US. Since this is not my IP I must reveal the site from where I am going to copy the next 3 paragraphs.
The site URL is: http://barnraisersllc.com/?p=3861
JANSSEN (PSORIASIS 360): Launched a mobile phone app to help psoriasis patients track the severity of their condition. The index helped them know when to seek professional care and allowed their medical professional assess to the severity of their patient’s condition. Janssen also opened a Facebook page, which they moderated for regulatory reasons, to let patients tell personal stories and had over 30,000 posts and comments. According to Janssen, the investment in the mobile app overachieved ROI but more important delivered the right therapy to the right patient at crucial times.
CARITAS HOME CARE: Boston-based home healthcare agency used mobile health devices to enhance communications and data collection with its 150 mobile clinicians. Caritas documented how the mobile devices were able to save 19,200 hours or 98 hours per clinicians per year. Although Caritas didn’t release salaries of clinicians, if we estimated $50/hour, which would be conservative, Caritas saved $960,000. If the devices were $100 each for 150 clinicians at $15,000, which would also be conservative, the ROI would be 64-to-1.
CLEVELAND CLINIC: Used MedApps and an app-based solution called HealthPAL to remotely monitor patients with chronic diseases. The results were:
- HEART FAILURE patients participating in the program were able to visit their doctor 27 percent more often to better detect problems that required medical attention
- DIABETIC patients were able to increase the number of days between their appointments by 71 percent.
- HYPERTENSION patients were able to do so by 26 percent.
Those were some of the examples how mHealth can be the next wave for both society and the IT industry (both hardware and apps). Like these there are various other examples of mHealth/eHealth but these are not all pervasive.
Apple’s Face Time app and video support by the telecom operators can be of tremendous help in mass proliferation of mHealth.
Tell me why should a patient of diabetes and/or blood pressure need to see a doctor every time there’s something wrong with him/her? mHealth can make it more convenient and time saving.
In India (and countries like ours) there is a huge potential to leapfrog to an integrated national mHealth platform. We have very little infrastructure (read physical technology infra) which we can claim as word-class. But with reduced needs for cables and their maintenance, wireless infrastructure can prove less expensive and faster to deploy. Mobile health solutions can be augmented using newer technologies like high-speed packet access (HSPA) for faster patient care.
With telecom operators in India now claiming that 3G is all pervasive (if it is true even 50%) they can be crucial due to their broad geographical coverage and widely deployed infrastructure, which significantly expand the telemedicine system’s reach. In fact mHealth could be an excellent example of public-private partnership.
To give you an example, Apollo (one of the premier healthcare organizations in India) uses telemedicine to make secondary and tertiary medical expertise available to rural and semi-urban areas in India. The hospital uses audiovisual-enabled delivery system to accomplish this. Due to shortage of qualified doctors, tele-medicine has come pretty handy.
From the year 2000 to 2009, over 57,000 tele-consultations were performed across various disciplines, from sexual health to neurology. The hospital now offers round the clock consultations (for as low as Rs 50) and has nearly 80 tele-medicine centers across India.
To me mHealth is the answer to replicate “anyone, anywhere, anytime” motto in the healthcare segment…
What do you think?
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