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

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  • 1. 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
  • 2. 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
  • 3. Panel Session
    Overview of research & key issues in mHealth (RW)
    ‘Big picture’ issues (BM)
    Research issues (WN)
    Opportunities to address mHealth issues
  • 4. mHealth
    the delivery of health-related services via mobile communications devices
    Portable
    Personal
    Connected
  • 5. Prelim findings: interviews
  • 6. 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
    • 7. from provider control to individual locus of control
    • 8. change the way we search
    for and use information
  • 9. Issues in mHealth: categories
    Policy & regulatory
    Wireless environment
    Health system
    mHealth in practice
    mHealth research
  • 10. Policy & regulatory issues
    Privacy +/- data security
    FDA regulation
    Bandwidth spectrum availability
    Medical practice regulations e.g. practice across states/countries, regulated roles
  • 11. Wireless environment issues
    Large number of wireless networks
    Working across platforms & other proprietary complexities
    Potential costs to users
  • 12. 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
  • 13. 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
  • 14. 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
  • 15. 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
  • 16. Acknowledgements
    Dr Kyu Rhee
    Health Resources & Services Administration, U.S. Dept of Health & Human Services
    The Commonwealth Fund
    All interviewees

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