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MONITORING OF COMPLIANCE ON AN INDIVIDUAL TREATMENT
THROUGH MOBILE INNOVATIONSAIM RESEARCH TEAM
BIOMEDICAL ENGINEERING LABORATORY – NATIONAL TECHNICAL UNIVERSITY OF ATHENS
Kostas Giokas
WHAT IS MHEALTH?
mHealth stands for mobile-based or mobile-enhanced solutions that deliver health. The ubiquity of mobile devices in
the developed or developing world presents the opportunity to improve health outcomes through the delivery of
innovative medical and health services with information and communication technologies to the farthest reaches of the
globe.
Includes any wireless device carried by or on the person that is accepting or transmitting health data/information
• Sensors (e.g., implantable miniature sensors and “nanosensors”)
• Monitors (e.g., wireless accelerometers, blood pressure & glucose monitors)
• Mobile phones
With mHealth we can have:
• Low network maintenance
• Remote monitoring in rural areas
• Phones are always on, computers are not
• Carrying a Phone/Tablet is part of a modern lifestyle
• Using a small portable multi-communication computing device is convenient, economical, practical and personal
M-HEALTH GOALS
Develop patient-centered healthcare delivery
Increased self-management of illness
Alleviate the systemic pressures on the healthcare industry
Reduced number of hospital beds occupied
Remote monitoring and smart diagnosis
Improved disease management
Improved compliance with treatment regimes
1. >165,000 consumer mHealth apps in app stores
2. 10% capable of connecting to device or sensor
3. 50% of downloads generated by 36 apps, 40% have fewer than 5K downloads!
4. 65% of top mHealth apps connect to social media
5. February 2012 only 12% of Americans reported have no cell phone
6. 62% of 25-34 year olds own smartphones
7. Half of mobile phones in the US are smartphones
8. Around 100 million people have smartphones in United States
9. Smartphones = Multiple sensors disguised as a phone
GPS
Accelerometer
Compass
Gyroscope
A Tidal Wave of mHealth Apps
A Formula for Patient-Centric mHealth Apps
Quality mHealth App = Satisfy Patients’ Needs + Transparency +
Reliable Health Data Management
Satisfy Patients’ Needs = Useful Functionality + Efficacy
Reliable Health Data Management = Good Privacy Practices +
Data Security
• 33% of patients with chronic diseases don’t
currently use mobile apps to manage their
conditions, but would like to start.
• 50% of patients believe they should bring
information/digital tools to their doctor – rather
than the other way around.
• 26% of respondents agree that finding direct
means of communicating with health
professionals presents the biggest hurdle.*
Mastering mHealth Apps & Wearables to Improve Health Outcomes
• 41% of doctors agree
that health apps could
be a “game changer”...
BUT just 36% said they are
likely to recommend
such an app to their
patients.
• Currently, the main
reasons for
recommending mobile
health apps are: Diet
and Weight Loss (70%),
General health and
fitness activity (65%), Health Monitoring (53%),
Smoking Cessation (49%),
and Compliance (45%).*
Most Doctors Not Ready to Recommend Mobile Apps to Patients
No mobile healthadoptions
PatientDemend
Improved communication withpatients
Improved quality and continuty of care
Cost Efficiency
Timeefficiency
0% 5 % 10% 15% 20% 25 % 30% 35% 40% 45% 50%
Top Reasons for Physicians Adoption of mHealth
Patient’s Compliance
“The degree to which the person’s
behavior corresponds with the agreed
recommendations from a health care
provider.”
– World Health Organization
FACTORS THAT AFFECT COMPLIANCE
• Cognitive factors
• Interpersonal factors
• Patient involvement and participatory
decision making
• Patients' attitudes
• Cultural variations
CO-MORBIDITY
Primary disease
+
One or more diseases
=
Co-morbidity
Overcoming barriers to Compliance
Blood Pressure Measurement
Heart Rate Measurement
Glucose Measurement
Insulin Measurement
Cholesterol Measurement
Body Weight Measurement
Body Temperature Measurement
Height Measurement
PT/INR Measurement
Patient’s Mobile App
THE BIGGEST IMPACT OF MHEALTH TECHNOLOGY IS YET TO BE FELT
Apple’s iOS 8 Healthbook App
Could Be HubFor Wearables
Apple Patent App: It counts
accurate steps and distance
elimination whilewalking
Lenses:
Contact
Detects
glucose intears
Withings
people
insomnia.
Aura: Built for
suffering from
Tracks bodymovements, Breathing
motion, noice pollution &
room temperature
Kolibree toothbrush: Record
every brush stroke. Sends your
dental report to your smartphone
via Bluetooth.
THE FUTURE OF M-HEALTH
DISCUSSION
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