This document discusses the use of mobile phones for healthcare and public health initiatives, known as mHealth. It details the 12 main clusters of mHealth applications, including patient communication, access to web-based resources, point-of-care tools, disease management, education, and more. The document examines how widespread mobile phone ownership is globally and among different populations. It argues that mHealth offers opportunities to improve individual and population health as well as address disparities, but that barriers still exist that must be overcome for successful initiatives.
2. This slide deck is comprised of lectures
delivered at Nova Southeastern University
Colleges of Medicine (MI) and Pharmacy
(PHA) in the following courses:
MI 6410 Consumer Health Informatics and
Web 2.0 in Healthcare
PHA 5203 Consumer Health Informatics
and Web 2.0 in Healthcare
3. Objectives
Detail the use of mobile phones in various
populations
Examine the 12 clusters of mHealth
Discuss how mHealth can be used to
enact change and improve health
Delineate hurdles and psychosocial issues
associated with mHealth initiatives
4. mHealth is the use of mobile devices
and global networks to deliver health
services and information
9. This translates
to 82% of
American
adults owning
a cell phone*
Owns
*Range: 57% (65+) to 90% (18-29) Does not own
Pew Cell Phones and American Adults 2010
10. The United Arab Emirates boasts
a 204% mobile penetration rate
UAE Telecommunication Regulatory Authority
13. …and grew to a quarter of all
households by 2009
14. Pew Internet Mobile Access 2010
87% of blacks
and Hispanics
own a cell phone*
*Compared to 80% of whites
15. Pew Internet Mobile Access 2010
Hispanics use
their phone to go
online and to text
more frequently
than any other
group*
*English-speaking Hispanics
16. Pew Internet Teens and Mobile Phones 2010
Texting has eclipsed all other forms of
communication for teens to connect with friends
17. 31% of teens
who take
phones to
school text
every day
during class
Pew Internet Teens and Mobile Phones 2010
18. Due to connectivity, accessibility, and
preferences – teens may be
particularly well suited for targeted
mHealth interventions
25. 3) Point of Care
The 12 Clusters of m-health
• 3) Point of Care
26. “That it will ever
come into general
use…is extremely
doubtful”
- London Times in 1834
appraising value of
stethoscope
J Healthc Inf Manag 2010;24(3):9-10.
29. Walgreens sees hockey-stick growth
for text alert program
Mickey Alam Khan
By
August 13, 2010
BALTIMORE – SMS text alerts are a big hit for Walgreens Co., a $63 billion drugstore
chain which puts its 7,500 stores nationwide at the center of all marketing and
commerce.
Walgreens has seen tremendous growth in registrations for its prescription SMS alerts in
the eight months since the Chicago company began the program. In fact, SMS sign-up
is outpacing email, according to a senior executive.
“Both are growing, but text alerts are hockey-sticking – we weren’t expecting that,” said
Abhi Dhar, chief technology officer for ecommerce at Walgreens.
30. Cough into your cell phone
• Diagnostic extender;
help with triage/
decision making
• $100,000 grant by
Bill & Melinda Gates
Foundation
38. How did
purposefully
limiting access
to this creation
cost millions of
lives?
SuperFreakonomics: Global Cooling, Patriotic Prostitutes, and
Why Suicide Bombers Should Buy Life Insurance, 2009.
45. 11) Research Data/image collection by
first responders
Data collection in 11
languages in Africa
Self-administered
sensitive data
collection
in Peru
46. Mobile Mediated Research
• Fewer inconsistencies and missing
values with the PDA-based system
vs. paper-based system
BMC Med Inform Decis Mak
2008;8:11.
• PDA-based systems less likely to
suffer from transcription errors and
data more easily analyzable
Eval Rev 2003;27(2):165-78.
• Review of PDA-based collection
vs. paper
J Clin Epidemiol 2007;60(1):8-17.
47.
48. 12) Body Area Network Applications
EDA Tech Forum 2008
49. Wearable Cardiac Monitoring System
Bluetooth heart monitor records
ECG and transmits information
via patient's phone
Analyzer circuit checks the ECG
signal for signs of cardiac failure
Cell phone automatically alerts
the patient and nearest medical
center via SMS
International Journal of Electronic Healthcare 2007;3(3):303-16..
50.
51.
52. What would it be worth to keep you or a
family member living independently?
JAMA 2002;287(8):1022-8.
63. Summary
mHealth offers opportunities to improve
individual and population based health as
well as address health disparities
Strategy is to find the tech that serves as a
solution, not the reverse
Barriers exist for mHealth initiatives as
with all aspects of healthcare
68. Recommended Poolside Reading
Waegemann CP. mHealth: the next
generation of telemedicine? Telemed J E
Health 2010;16(1):23-5.
Vital Wave Consulting. mHealth for
Development: The Opportunity of Mobile
Technology for Healthcare in the
Developing World, 2009.
Smith A. Mobile Access 2010. Pew
Internet & American Life Project, July
2010.
Lenhart A, Ling R, Campbell S, Purcell K.
Teens and Mobile Phones. Pew Internet
& American Life Project, April 2010.
Lenhart A. Cell phones and American
adults. Pew Internet & American Life
Project, September 2010.