• No results found

MOBILE TECHNOLOGY IN PATIENT CARE

N/A
N/A
Protected

Academic year: 2021

Share "MOBILE TECHNOLOGY IN PATIENT CARE"

Copied!
14
0
0

Loading.... (view fulltext now)

Full text

(1)

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

(2)

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

(3)

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.

(4)

mHealth applications for smartphones

mHealth applications for smartphones

(5)

Patient Monitoring

Patient Monitoring

(6)

Patient Monitoring

Patient Monitoring

(7)

Patient Monitoring

Patient Monitoring

(8)

Patient Monitoring

Patient Monitoring

(9)

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.

(10)

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!

(11)

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

(12)

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.

(13)

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.

(14)

References

Related documents

Participants shared strategies to navigating the field and their advocacy, the influence of theirs and others’ identities on their work, techniques for implementing intentional

Enterprise sector, total Enterprises which have begun ownership e transformation Companies wholly owned by the state treasury, of which: – prepared for individual capital

“Vision: … accelerate the adoption and effective use of Health Information Technology to improve healthcare quality, increase patient safety, reduce.. healthcare costs, and

According to this understanding of the potential of these technologies to improve productivity and articulated in different lines of business, also support to biotechnology as

• Improve health care quality for patients by coordinating care transitions throughout the continuum of care.. • Reduce avoidable costs during

Continuing pressures to increase access to care, increase coverage to a greater number of patients, enhance quality, and reduce costs will result in a healthcare delivery model

As with most instances, the modification to the release of patient healthcare information requirements by Texas HB300 is an effort to provide better care and

Is a fine Grain Leather wallet with a zip running up the centre anda specially made &#34;feel guide&#34;. This is the HEART of the method which makes it hundreds of ti-nes easier