online and mobile healthcare-exploring technologies,services and business models- gp capt (dr)...

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7th eIndia – India’s largest ICT event

Online and Mobile Healthcare-Exploring

Technologies,Services and Business Models

Gp Capt (Dr) Sanjeev Sood MD, PGDHHM, M.Phil (HHSM), FCGP, AFe ISAM

NABH Empanelled Assessor


Online Services

• Empowered patient

• Better awareness through internet

• Health 2.0 through SNS


mHealth-Intoduction• m-health - merging mobile

communications & network technologies for both the HCPs & pts with an efficient, secure, ubiquitous and robust infrastructure coupled with tools for the assessment and management of patient health status and the support of preventive and patient empowerment programmes.


mHealth- Opportunities• Today, India has the right opportunity with

875 million mobile phone users, 1.55 lakh post offices, 2.38 lakh gram panchayats, 8 lakh chemists and 2.2 million SHGs spread across the nation.

• The optimum utilisation of these networks, involving SHGs and training them with PoC diagnostics connected to mobile devices for diagnosis and treatment, will help deliver a cost effective and an impactful primary healthcare system for rural India.


mHealth- Opportunities• High penetration, ubiquitous, high impact, low cost

technology

• Total mobile connections 4.3 billion• Developing countries

– 3.5 billion mobile phones (64% of all connections)– 305 million computers– 875 mill mobile subscribers in India– 15 ongoing projects in India– 50 ongoing health projects in 26 countries

2010 – the year of m-Health


MESSAGING MIGRATION- - FROM SMS TO MOBILE MULTIMEDIA


Role of Mobile Phones in Increasing Accessibility & Efficiency in Healthcare

Voice & Text Applications– Tackling inefficiency in service provision by

improving communication & interface eg., missed appointments(800 Mill pounds in UK), compliance,due dates for vaccinatn

– Contacting Blood Donors

– Improved self management & monitoring of patients ( DM,RA,TB,HIV,Br Asthma)

– Providing psychological support & helpline

– Increasing the ability of some inaccessible groups teenagers, mobile & working pop to access health service by reducing the barriers


Role of Mobile Phones in Increasing Accessibility & Efficiency in Healthcare

3G Networking application– Transmitting data – image, ECG– Patient educatn through web based

services– Amputation service performed– 3G Doctor to start offering informed

consultations with registered Doctors using FaceTime Video Calls on iPhone


Live Video Streaming on PDA

Features:• Live Video Streaming with Forward,Backward,Next and Previous options• Clear Video and Audio • Patient Information along with the Video


Radiology (Dicom) Images on PDA

Features:• Zoom In / Zoom Out options• Enlarge small images • Patient Information along with the dicom images


Cell Phone as a Platform for Healthcare

• Vaccination tracker– Started in Surat municipality,

which covers pregnant mothers and children during vaccination age

– Parents are reminded ahead of date of next vaccination

– Has led to improved vaccination coverage



• Disease surveillance– Data on communicable diseases sent as SMS from each

health center (PHC or CHC) or IVRS or Internet– Gets compiled along with data from district and other hospitals– Statewide data gets depicted on GIS map to show areas

affected outbreak of communicable diseases – Improves response time



• CellScope: Portable low-cost imaging for disease diagnosis by turning the camera of a cell phone into a clinical-quality light microscope that can transmit images of patient samples remotely for evaluation by specialists.

• Continuous Real-Time Monitoring and Automatic Detection of Cardiovascular Disease (CVD) by having cell phone-based wearable ECG platform


http://www.text4baby.org/free mobile information service designed to promote

maternal and child health


Mobile Tech for ASHA (Accredited Social Health Activist)

Mother and ChildTracking Reporting on

Births/deaths

Pregnant Mothers Vaccination

Paper to electronic (Direct at Source)


Policy Implications• What happens when data does not get reflected in

true form at the remote end?• What standards should be put in place for these to

succeed?• Who will draft the policies?


Effective and Empowering

Darling is it time for our next visit to the doctor already ??


How 3G can control pop & help achieve MDGs!

An innovative idea Sir Ji!


CONCLUSION

Online and mHealth Services have made the delivery of healthcare more efficient, effective,accessible and safer across the care continuum for both, patients and providers

Holds immense promise of changing medical practice for the better


Go as far as you can see, and then see what lies beyond

online and mobile healthcare-exploring technologies,services and business models- gp capt (dr)...

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