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ISSUES IN mHEALTH<br />Panel:<br />Robyn Whittaker, MD PhD, mHealth researcher, Public Health Physician, Commonwealth Fund...
mHealth research project <br />To identify the key issues facingthe implementation of mHealth in the U.S. <br />   via<br ...
Panel Session<br />Overview of research & key issues in mHealth (RW)<br />‘Big picture’ issues (BM) <br />Research issues ...
mHealth<br />the delivery of health-related services via mobile communications devices<br />Portable <br />Personal<br />C...
Prelim findings: interviews<br />
Transformative?<br />“a great equaliser”<br />No:<br /> an extension of current health communication or current models of ...
 from provider control to individual locus of control
 change the way we search</li></ul> for and use information<br />
Issues in mHealth: categories<br />Policy & regulatory<br />Wireless environment<br />Health system<br />mHealth in practi...
Policy & regulatory issues<br />Privacy +/- data security<br />FDA regulation<br />Bandwidth spectrum availability<br />Me...
Wireless environment issues<br />Large number of wireless networks<br />Working across platforms & other proprietary compl...
Health system issues<br />Who pays/reimbursement<br />Competing priorities & opportunity cost<br />Integration into existi...
mHealth in practice issues<br />Immature understanding of how to do it well (what, for whom, and why)<br />Lack of demonst...
mHealth in research issues<br />Need for more high quality research demonstrating effectiveness & cost-effectiveness<br />...
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Issues in Mobile Health (Robyn Whittaker)

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Transcript of "Issues in Mobile Health (Robyn Whittaker)"

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