Mobile Healthcare Data for Physician Works

Posted: April 2, 2010 at 10:15:25 by Dani Iswara. Words count: 651.
Last updated: April 2, 2010 at 10:15:25.

Mobile handheld technology revolution will bring changes to healthcare. The relatively new way physician take care of medical activities and services. It is called Mobile Health (mHealth), an opportunity to provide better care to patients in a mobile and flexible way of communication. Do physicians need real time data to redefine the doctor–patient relationship or communication in mobility? What is the possible challenges in development of mobile applications? Are there any limitations, infrastructure problem, networking, security and privacy trouble?

Some illustrations in mHealth

Some doctors are lagards. But the rest are early adopters in technology adoption. Where and when do you need mHealth, doc?
  • At patient bedside. Accessing medical references while educating patient.
  • In exam room. While showing anatomical picture to the patient.
  • Far in the field. Accessible medical records would be helpful. Doctor said,"Wait, I will check your health record first."
  • Out of office. "Please send your rontgen to my e-mail."
Sometimes, ubiquitous critical information means life or death. This scientific paper, The Impact of Mobile Handheld Technology on Hospital Physicians' Work Practices and Patient Care: A Systematic Review, by Mirela Prgomet, Andrew Georghiou, and Johanna Westbrook, published on Journal of the American Medical Informatics Association/JAMIA (2009). They identified 13 studies that personal digital assistants (PDAs) have a relationship to rapid response, to prevent the error, data management and accessibility. The context here, time is a critical and a rapid response is crucial. For developers, they need to know what clinicians want in an easy to use/usability small or mobile devices. An one-size-fits-all function? Is it possible?

What is the device of choice?

Some physicians have adopted the Palm-based, Microsoft Windows Mobile-based Pocket PC (PPC) or a Pocket PC Phone Edition, Linux-based, Tablet PC, iPhone, Blackberry, Android, and other smartphones. Small devices may have less memory, power, and screen resolution. The Tablet PC is become a popular choice. Especially for the purpose to view radiological images, multimedia, animation, and other large size data. Many ways for mobile technology. Most important now is, how physicians use those modalities to increasing patient care's quality, safety, and decreasing healthcare costs.

Is it secure?

Based on this study, Managing and Securing Mobile Healthcare Data and Devices:
Forrester determined that 89% of healthcare organizations have some percentage of their employees working away from the office at least one day per week, ..., and more than 50% have some segment of workers telecommuting at least four days per week
To support this mobile work style, 95% of these enterprises have users relying on smartphones for work, usually in addition to laptop computers.
The healthcare industry has one of the broadest and most diverse deployments of mobile devices, but lacks the operational solutions to protect mobile electronic health information.
Who is the most responsible person to secure health data transfer? What happen if there is unsecure wireless connection? IT person? Physician itself? What is the law?

Cost benefit

Calculating the Return on Investment of Mobile Healthcare by Nancy E Oriol, Paul J Cote, Anthony P Vavasis, et al, published on BMC Medicine (2009). The relative value of the mHealth clinic model has not been elucidated.
The question that the return on investment algorithm has been designed to answer is: can the value of the services provided by mobile health programs be quantified in terms of quality adjusted life years saved and estimated emergency department expenditures avoided?
Their mobile health clinic project titled The Family Van for 2008:
...we calculated the annual cost savings from preventing emergency room visits, $3,125,668 plus the relative value of providing 7 of the top 25 priority prevention services during the same period, U $17,780,000 for a total annual value of $20,339,968. Given that the annual cost to run the program was $567,700, the calculated return on investment of The Family Van was 36:1.

Summary

Mobile health may have a chance to increase healthcare services on the move. Related to its ubiquity. Especially in a mobile works and rapid response to medical information. But there are more research needed. How secure will be? Just unessential weblog
Dani Iswara, mail me: [myfirstnamelastname]@gmail.com.

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