MOBILE TECHNOLOGY IN
PATIENT CARE
Elizabeth Urteaga, Pharm.D.
National Wellness Conference
June 23, 2014
Learning Objectives
•
Identify mobile instruments available to
monitor a patient’s disease states
•
Educate patients, the public, and health
care professionals regarding the selection
and use of self-monitoring devices to
improve health status and medical
conditions
•
Discuss the use of mobile technology to
enhance wellness
Patient Assessment
•
Communication and empathetic listening
(interview)
•
Examination techniques
Patient Interview
•
Demographics
•
Patient’s perceived needs and concerns
•
Medical history
•
Medication history
•
Drug allergies
Objective data
•
Vital Signs
•
Physical examination
•
Laboratory tests
•
Diagnostic tests
The Smartphone
•
The number of active smartphone users around
the world has topped 1 billion
•
Estimated that another billion will become smart
phone users by 2015
• Study: Number of smartphone users tops 1 billion: From CBS News. http://www.cbsnews.com/8301-205_162-57534583/study-number-of-smartphone-users-tops-1-billion/Accessed June 2, 2014.
mHealth applications for smartphones
•
Mobile device applications intended to
improve health outcomes
•
More than 100,000 mHealth apps are
published on the iOS and Android platforms
•
Estimated that 500 million smartphone
users will use mHealth apps in 2015
•
Majority of smartphone users have >20
apps
Research2guidance. mHealth App Developer Economics 2014: The State of the Art of mHealth App Publishing.
http://research2guidance.com/r2g/mHealth-App-Developer-Economics-2014.pdf. May 6, 2014. Accessed June 2, 2014
Research2guidance. 500m people will be using healthcare mobile applications in 2015. http://research2guidance.com/500m-people-will-be-using-healthcare-mobile-applications-in-2015/. Accessed June 2, 2014.
IMS Institute for Healthcare Informatics. Patient Apps for Improved Healthcare from Novelty to Mainstream. www.imshealth.com October 2013. Accessed June 2, 2014
mHealth applications for smartphones
•
Impact on healthcare in the next 5 years
•
Improve patient outcomes
•
Improve prevention and education
•
Reduce or slow down increase of healthcare costs
•
Improve interaction between patients and doctors
•
Enable people to take better care of their own health
•
Provide (better) access to healthcare in remote
locations
Research2guidance. mHealth App Developer Economics 2014: The State of the Art of mHealth App Publishing.
mHealth applications for smartphones
mHealth applications for smartphones
Patient Monitoring
Patient Monitoring
Patient Monitoring
Patient Monitoring
Patient Monitoring
Patient Monitoring
Patient Monitoring
Patient Monitoring
Safety of Applications
•
False claims are a target of federal
regulation, as well
•
Acne and light emitted by smartphones
•
Apps which provide a diagnosis will be
subject to FDA clearance as a medical
device
•
Detection of cancer based on picture of mole
Comprehensive analysis
•
As of June 2013, 43,689 mobile healthcare
apps categorized as “health and fitness” or
“medical” existed in the U.S. iTunes store
•
23,682 genuine healthcare related apps
•
Inform – 10,840
•
Instruct – 5,823
•
Record – 5,095
•
Display – 2,302
•
Guide – 1,434
•
Remind/Alert – 1,357
•
Communicate - 395
•IMS Institute for Healthcare Informatics. Patient Apps for Improved Healthcare from Novelty to Mainstream.
www.imshealth.comOctober 2013. Accessed June 2, 2014.
mHealth applications for smartphones
•
5,400 of these apps relate to diet and
fitness
•
Self-monitoring of physical activity and
dietary intake are key components of
behavioral weight loss programs
IMS Institute for Healthcare Informatics. Patient Apps for Improved Healthcare from Novelty to Mainstream.
www.imshealth.comOctober 2013. Accessed June 2, 2014
IMS Health ranking of top apps
•
Prevention/Healthy Lifestyles
•
Calorie Counter and Diet Tracker by MyFitnessPal HD
•
Calorie Counter PRO by MyNetDiary
•
Chest Trainer: powered by Fitness Buddy
•
Cycle Tracker Pro-Training Peaks GPS
•
Quit it 3.0 – stop smoking
•
Quit Smoking Now HD – Hypnotherapy with Max
Kirsten
•
Finding a Provider
•
Healow
•
Vitals – Your top 10 doctors!
•
ZocDoc – Doctor appointments online!
IMS Health ranking of top apps
•
Compliance
•
Dosecast
•
Pill Monitor Free – Medication Reminders and
Logs
•
RxmindMe Prescritpion/Medicine Reminder and
Pill Tracker
IMS Health ranking of top apps
•
Diabetes
•
Daily Carb
•
Glucose Buddy
•
Go Meals
•
Mental health
•
ADHD Angel
•
Live OCD Free
•
T2 Mood Tracker
IMS Health ranking of top apps
•
Musculoskeletal
system
•
Office-Fit
•
WebMD Pain Coach
•
Zimmer Arthritis 411
•
Oncology
•
Dr. K’s Breast
Checker
•
PCR Tracker
•
SkinKepper
•
Nervous system
•
Noteness
•
Parkinson Diary
•
Young Epilepsy
•
iWander
Choosing Applications
•
Familiarize yourself with a few apps that
you can offer
•
Exchange information with colleagues
•
iMedicalApps (imedicalapps.com)
•
Consider the source
“Prescribed” Applications
•
Anxiety
•
Breathe2Relax
•
Relaxation Techniques
•
Headache/migraine
•
iHeadache
•
Medication management
•
GoodRx
•
MedMory
•
MyPill
•
Menopause
•
myPause
•
Pain
•
WebMD Pain Coach
•
Sleep problems
•
Sleep Diary
•
Voiding
•
Bladder Pal
•
iP Voiding Diary
•
Weight loss
•
Calorie Count
•
Lose It!
•
MyFitnessPal
•Lippman, H. How apps are changing family medicine. J Fam Pract 2013; 62(7):362-367.
BlueStar App
•
Three month clinical trial of 30 patients with
type 2 diabetes mellitus showed average 3
month A1c decrease of 2.03% compared to
0.68% (p<0.02)
•
WellDoc group improved self-care in diet,
medical and exercise as compared to usual
care
IMS Institute for Healthcare Informatics. Patient Apps for Improved Healthcare from Novelty to Mainstream. www.imshealth.com October 2013. Accessed June 2, 2014.
The Future
•
Technology is enabling the easy access of health
information at the same time as the patient is being
encouraged to be more involved in managing their
health; however, apps should not replace human care
•
If patients are regularly collecting health data, the
data can be evaluated and the information can be
used to modify a behavior, better manage their
condition, empower patients to live a healthier
lifestyle, promote adherence
•
Meaningful evidence of the efficacy of mHealth apps
•
http://www.qualcommtricorderxprize.org/
References
•Study: Number of smartphone users tops 1 billion: From CBS News. http://www.cbsnews.com/8301-205_162-57534583/study-number-of-smartphone-users-tops-1-billion/Accessed June 2, 2014.
•Research2guidance. mHealth App Developer Economics 2014: The State of the Art of mHealth App Publishing.
http://research2guidance.com/r2g/mHealth-App-Developer-Economics-2014.pdf. May 6, 2014. Accessed June 2, 2014.
•Research2guidance. 500m people will be using healthcare mobile applications in 2015.
http://research2guidance.com/500m-people-will-be-using-healthcare-mobile-applications-in-2015/. Accessed June 2, 2014.
•IMS Institute for Healthcare Informatics. Patient Apps for Improved Healthcare from Novelty to Mainstream.
www.imshealth.comOctober 2013. Accessed June 2, 2014.
•Smartphone physical. http://www.quantifiedcare.com/smartphone-physical/Accessed May 31, 2014.
•Ozdalga E, Ozdalga A, Ahuja N. The smartphone in medicine: a review of current and potential use among physicians and students. J Med Internet Res 2012;14(5):e128.
•Lippman, H. How apps are changing family medicine. J Fam Pract 2013; 62(7):362-367.
•Blue Star. http://www.bluestardiabetes.com/?page_id=409. Accessed June 2, 2014.
•Powell A, Landman A, Bates D. In search of a few good apps. JAMA 2014; 311(18):1851-1852.
•Boulos M, Brewer A, Karimkhani C, Buller D, Dellavalle R. Mobile medical and health apps:state of the art, concerns, regulatory control and certification. Online J Public Health Inform 2014;5(3):e229.