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The Future of Mobile Healthcare
The document summarizes key findings from a survey on mobile health (mHealth) apps. It discusses current usage of health apps, reasons for non-use, and desired app features. A panel then discusses opportunities and challenges for mHealth, including using apps and devices to better manage conditions like obesity and diabetes. Goals are improving access to care, monitoring health remotely, and facilitating communication between patients and healthcare providers.
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The Future of Mobile Healthcare
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- 2. The mHealth panel Prof.Christopher Dr Tom Barber Owen Booth Jon Hoeksma Emma James Associate Head of Editor, eHealth Sinden Professor of Professor and Content, Insider Head | Healthcare Honorary Diabetes UK Healthcare Technology Consultant technology (University of Endocrinologist, practice, Warwick) and University of Ruder Finn UK Director, Institute of Warwick and Digital Healthcare UHCW NHS Trust ©Ruder Finn 2012
- 3. Ruder Finn 2012mHealth Repor t Summary of key findings ©Ruder Finn 2012
- 4. Ruder Finn mHealthRepor t • The survey was conducted by YouGov among its online panel of GB adults • Total sample size was 2,148 adults of whom 1,204 had access to a smartphone/ tablet • Fieldwork was undertaken between 26th -29th June 2012 • The survey was carried out online. The figures have been weighted and are representative of all GB adults (aged 18+) ©Ruder Finn 2012
- 5. What are peopleusing? ©Ruder Finn 2012
- 6. Current healthy livingapp use ©Ruder Finn 2012
- 7. Reasons why respondentsdon ’t currently use health apps • I have no need to But 21% said they access health-related were very or fairly apps likely to use a service • I prefer to talk to my delivered via mobile doctor in person about technology, to better any health-related manage their health questions by the end of the • I do not find health year apps to be helpful ©Ruder Finn 2012
- 8. What did respondents wantfrom mHealth? ©Ruder Finn 2012
- 9. Top three apps Forme…. • An app to book an appointment with the GP For my doctor… • An app to view your medical • Monitoring devices that can alert records carers, doctors and nurses to a • An app to check test results health emergency • An app to access test results • Devices that enable doctors and nurses to record observations and share information while away from the surgery or hospital ©Ruder Finn 2012
- 10. Introducing the panel… ©Ruder Finn 2012
- 11. the Institute of DigitalHealthcare Christopher James Professor of Healthcare Technology & Director of IDH
- 12. Emerging model of the challenges we face Healthcare Old model of care: New model: Focus on acute conditions, Focus on long term reactive management conditions, prevention & Hospital centred, disjointed continuing care episodes Integrated with people’s lives Doctor dependent in homes & communities Patient as passive recipient; Team based, shared record self care infrequent Patient as partner; self care Use of ICT rare encouraged & supported Dependent on ICT & devices
- 13. The Institute ofDigital Healthcare who are we? A world-class £4M 5-year funded partnership between the NHS, WMG, WMS and other relevant organisations Aims: to improve people’s health and wellbeing through the use of innovative digital technologies and methodologies Wedo this through high quality research, education and training capabilities
- 14. The Institute ofDigital Healthcare what do we do?
- 15. Intervention Framework Iterative Process
- 16. Mobile Health Technology: AClinician’s Perspective Dr. Tom Barber [email protected] Associate Professor and Honorary Consultant Endocrinologist University of Warwick and UHCW NHS Trust The Future of Mobile Healthcare London, 27th November 2012
- 17. Outline of presentation •My background • General remarks regarding clinical applicability of m-health • The case for obesity • The Human Metabolism Research Unit • Concluding remarks
- 18. My Background Edinburgh SHO GeneralMedicine 1999-2001 (MRCP) Newcastle University 1995-1998 (MBBS) Carlisle and SpR Endo 2001-2004 Middlesbrough Junior House Officer 1998-1999 Cambridge University University of Warwick 1992-1995 (MA Hons) UHCW NHS Trust 2010-present Associate Professor Oxford University Honorary Consultant (OCDEM) Endocrinology, Obesity, 2004-2007 DPhil Metabolism, Diabetes 2007-2010 SpR Endo and Locum Consultant
- 19. General remarks regardingclinical applicability of m-Health • Broad applicability: administration (appointments), direct and continuous monitoring of health/disease parameters, ‘alarms/alerts’, interaction with health care professionals, reminders, disease prevention • Confidentiality is key! • Ubiquity of usage of mobile devices and apps • Avoidance of acute admission in chronic disorders (eg. diabetes-related) • Ease of use/application is essential • Communication improved • Remote clinics (eg. thyroid disorders; remote communities) • Adjunctive rather than replacement • Facilitate many aspects of traditional healthcare • Paramedic application (communication with A&E) • Financial implications for NHS are substantial • Health of the nation
- 20. The Case forObesity The global obesity epidemic: trends in children
- 21. The Case forObesity Portion sizes and activity
- 22. The Case forObesity The Link Between Sleep Deprivation and Obesity Forest plot of the association between Adults who sleep less than 5 hours Adults who sleep less than 5 hours short duration of sleep (≤5 hrs) and per night have a 60% increase in the per night have a 60% increase in the risk for obesity compared to adults risk for obesity compared to adults obesity in studies carried out in adults who sleep more who sleep more Cappuccio et al. SLEEP 2008
- 23. The Case forObesity The effect of cold exposure on brown fat activation in an obese man A sugar-cube volume of brown fat can burn off up to 4Kg white fat in a year if stimulated
- 24. The Human MetabolismResearch Unit
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- 26. Developing the DiabetesUK Tracker App Owen Booth| November 2012
- 27. 1. Let’s developan app!
- 28. “We need todo an app because…” ● Everyone’s doing them ● Mobile is really important ● Something something fundraising ● Er…
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- 30. How can wefind out what our audience wants? Diabetes UK Facebook page Snapshot: June 2012 ● Page likes 39,388 ● Total reach 46,381 ● Number of times DUK posts shared 682 ● Number of comments on DUK posts 667 ● Number of likes on DUK posts 2,818
- 31. What are theytalking about? Diabetes UK Facebook page comments ● 27% comments about Blood Glucose levels ● 26% people seeking medical information ● 18% concerned supporters ● 10% external links ● 8% complaints about diabetes ● 6% general conversation ● 5% people seeking nutritional advice
- 32. Will they talkto us? ● We used Facebook, Twitter and forums to ask our (potential) users about how they manage their condition… ● … and to source 15 face-to-face interviewees ● Then we fed the initial insights back to the community for comments ● … and got 200+ responses
- 33. What we foundout Key insights about our audience ● They don’t tell the truth to their doctors ● They think family and friends don't understand ● They like to share information with their ‘inner circle’ ● They often keep notebooks to monitor their condition ● …including their emotional state
- 34. User goals “I want…” ●Something that helps me self-manage, even on bad days ● Something that’s easy to share with others ● To be able to communicate about the daily impact of my condition ● To participate in the development of my own healthcare plan ● A better relationship with my health care professional
- 35. Using the DiabetesUK Tracker app ● Log and track blood glucose, insulin, carbohydrates, calories, weight and ketones ● View data in day and week graphs to spot trends ● Track feelings - and see whether this affects levels ● Share entries with friends or healthcare professionals ● Save specific records as 'talking points‘ Recognise patterns and use them as reminders in healthcare appointments. Get the most out of appointments by setting an agenda of concerns.
- 36. Results ● 25,000 downloads in first year ● 22,000 updates downloaded – suggests ongoing use ● Extensive user feedback guiding continuing development ● Third Sector Excellence Awards 2012: Use of Digital Media – Winner ● Unintended consequence: strong response from younger audience, who are often unengaged with their condition
- 37. Next steps ● Other operating systems ● Desktop version ● Interest from other charities ● Ability to take BG measurements straight from meter? ● HCP involvement…???
- 38. Thank you For furtherinformation about digital health contact Emma Sinden Head| Healthcare Technology Practice Ruder Finn UK +44 (0) 7734 905583 [email protected] ©Ruder Finn 2012
Editor's Notes
- #13 Aging populations lead to longer term conditions, complicated by comorbidities. Tighter fiscal constraints coupled with rising costs associated with healthcare lead to Increasing patient to medic ratio; Increased pressures on standards and quality.