mobihealth - innovative gprs / umts services for healthcare
TRANSCRIPT
MobiHealth - Innovative GPRS / UMTS services
for healthcare
www.mobihealth.org
© 2002 The MobiHealth Consortium
The MobiHealth ProjectIST 2001-36006
Overall objective
The development and trialing of new services and applications in the area of mobile health, promoting the use and deployment of GPRS and UMTS.
© 2002 The MobiHealth Consortium
Challenges in healthcare
• We have a growing number of chronic disease patients (diabetes, cardiovascular, asthma etc)
• National healthcare systems face increasing costs and serious financial and budgetary problems
• Patients (and healthy people) become proactive, health-conscious and seek individual, personalized healthcare
• Mobility of people in Europe is increasing
© 2002 The MobiHealth Consortium
Wouldn’t it be nice ...
• To have the same level of healthcare while continuing a normal active life, instead of being stranded at the hospital?
• To maintain a high quality-of-life, inspite of having a chronic disease?
• To have your health status monitored without having to go to a health center?
• To be able to give patients the most (cost) efficient therapy and support?
© 2002 The MobiHealth Consortium
With Mobile Internet it can be
done!
The Internet is anonymous and global.
Mobile Internet is personal and local.
Always OnlineAlways Online
TransactionsTransactions
PersonalizationPersonalization
Location Based Services
Location Based Services
MobilityMobility
© 2002 The MobiHealth Consortium
The dream ...
GPRS
UMTS
© 2002 The MobiHealth Consortium
Try to make the dream come true: MobiHealth targets
• Development of new m-health services and methodologies for their evaluation
• Integration of a generic m-health Body Area Network (BAN)
• Validation of GPRS and UMTS networks for m-health services via large scale trials
• Validation of the accuracy of measurements and data capture
• Validation of medical, social/ethical and economic advantages of the new m-health applications
© 2002 The MobiHealth Consortium
2.5G / 3 G / 4G
Pat
ien
t C
are
Em
erg
ency
Sp
ort
s
Cli
n.
Res
earc
h
Wireless BAN Operating SystemData
Handling
DataHandling
Generic wireless BAN for multiple services
© 2002 The MobiHealth Consortium
MobiHealth BAN structure
© 2002 The MobiHealth Consortium
MobiHealth operational overview
Wireless Health Broker & Service Provid.
Public Operator
Hospital
UMTS
DoctorBAN
© 2002 The MobiHealth Consortium
Trial scenarios
(Randomized controlled) Trials.
(The Netherlands, Spain, Sweden, Germany)
Monitoring of chronic patients.
Monitoring of early discharged patients.
Monitoring of high risk patients.
(Primary endpoints: hospital and emergency room admission, mortality. Secondary endpoints: patient quality of life, satisfaction and functional performance, adherance to the treatment, cost analysis, usability)
Acute and trauma care.
© 2002 The MobiHealth Consortium
Patient management leads to significant savings
Source: BKK, Preussen Elektra, HannoverMcKinsey
Cost Basis forInsurers
Savings inTreatment
Costs
New claimsdue to PM
Costs of PMProgram
Total Costs
Net Savings forInsurers
30 - 40
100
5 -10
5 -10
70 - 90
10 - 30
EXAMPLE :Percentage of yearly treatment costs per patient for Asthma, (100=€5,000)
© 2002 The MobiHealth Consortium
Diabetes 5.000.000 500.000 1.000.000
Stroke 1.500.000 150.000 300.000
Asthma 4.000.000 400.000 800.000
Hypertension 17.600.000 1.760.000 3.520.000
CAD 1.500.000 150.000 300.000
Total potential users 2.960.000 5.920.000
Disease Prevalence Acceptance*
10% 20%
* Estimated acceptance rates for mobile disease management programs
Potential number of users of mobile patient management
© 2002 The MobiHealth Consortium
Important issues for MobiHealth to tackle• Quality of service
– Network related issues: hand-over, interruption/delays in transmission, data loss bandwidth problems, etc.
• Social acceptance
– Health risks (cell phone usage), economic issues, ethical issues
• Legal issues
– Accreditation of the devices and applications
– Protection of health related data
– Privacy, security and encryption of data
– Medical responsibilities / liability
© 2002 The MobiHealth Consortium
Project timetable
• First wireless BAN prototype Mid November 02
• BAN final release End April 03
• Final release of service applications End April 03
• Start of field trials Beg. May 03
• Evaluation of trial results July-Sept. 03
• End of project End October 03
© 2002 The MobiHealth Consortium
The MobiHealth consortium
• Ericsson (D)– GesundheitScout 24
• Telia (S)– University of Lulea
• University of Twente (NL)– MST, TMSI, Compaq, Yucat
• Telefonica Moviles (E)– Corporacia Sanitari Clinic, Universitat Pompeu Fabra
• Phillips Research (UK)• CMG Wireless Data Solutions (NL)
© 2002 The MobiHealth Consortium
Summary
© 2002 The MobiHealth Consortium
Contacts
Rainer HerzogSenior Consultant
Maximilianstr. 36/RGD-80539 MünchenGermanyTel.: +49 89 25543715Mobile.: +49 178 534 0067mailto: [email protected]
Ericsson GmbH University of Twente
Prof. Dimitri Konstantas Dr. Val JonesMr. Richard Bults
CTIT – APSP.O.Box 217 NL-7500 AE Enschede The NetherlandsTel.: +31 53 489 3784 / 4018mailto: [email protected]: [email protected]: [email protected]
Project Website: www.mobihealth.org