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Issues in Mobile Health (Robyn Whittaker)
 

Issues in Mobile Health (Robyn Whittaker)

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    Issues in Mobile Health (Robyn Whittaker) Issues in Mobile Health (Robyn Whittaker) Presentation Transcript

    • ISSUES IN mHEALTH
      Panel:
      Robyn Whittaker, MD PhD, mHealth researcher, Public Health Physician, Commonwealth Fund Harkness fellow 2010/11
      Barbara Mittleman, MD, internal medicine/rheumatologist, Director NIH Public-Private Partnership Program, co-chair of the first mHealth Summit
      Wendy Nilsen, PhD, Health Scientist Administrator Office of Behavioral and Social Sciences Research NIH
    • mHealth research project
      To identify the key issues facingthe implementation of mHealth in the U.S.
      via
      Environmental scan
      text4baby case study
      Key informant interviews
    • Panel Session
      Overview of research & key issues in mHealth (RW)
      ‘Big picture’ issues (BM)
      Research issues (WN)
      Opportunities to address mHealth issues
    • mHealth
      the delivery of health-related services via mobile communications devices
      Portable
      Personal
      Connected
    • Prelim findings: interviews
    • Transformative?
      “a great equaliser”
      No:
      an extension of current health communication or current models of care
      Yes:
      • from provider & location centric system to patient-centered anywhere care
      • from provider control to individual locus of control
      • change the way we search
      for and use information
    • Issues in mHealth: categories
      Policy & regulatory
      Wireless environment
      Health system
      mHealth in practice
      mHealth research
    • Policy & regulatory issues
      Privacy +/- data security
      FDA regulation
      Bandwidth spectrum availability
      Medical practice regulations e.g. practice across states/countries, regulated roles
    • Wireless environment issues
      Large number of wireless networks
      Working across platforms & other proprietary complexities
      Potential costs to users
    • Health system issues
      Who pays/reimbursement
      Competing priorities & opportunity cost
      Integration into existing systems, practice & EHRs
      Clinical roles & accountability
      Lack of demonstrably sustainable business models
    • mHealth in practice issues
      Immature understanding of how to do it well (what, for whom, and why)
      Lack of demonstrated added value of existing initiatives & focus on where it can add value
      Lack of theory & evidence base
      Technology focus/legacy systems
    • mHealth in research issues
      Need for more high quality research demonstrating effectiveness & cost-effectiveness
      Mismatch in pace & flexibility of research with tech developments
      Measuring reach & access into under-served populations
    • Opportunities in mHealth U.S.
      Optimising opportunities provided by health reform environment
      CMMI, Beacon demo projects, EHRs
      Some degree of federal level guidance
      Strategic collaborative (open) approach
      Improving mHealth practice & research
      Iterate, integrate, improve
    • Acknowledgements
      Dr Kyu Rhee
      Health Resources & Services Administration, U.S. Dept of Health & Human Services
      The Commonwealth Fund
      All interviewees