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Wednesday, November 10, 2010

What's the value of mHealth?

James Rosewell writes:

Helping thefonecast.com answer this rather abstract question is the team at Mobile Monday who invited us to their Monday evening event in London dedicated to the subject. A panel of experts from various fields and countries were assembled to present on their experiences and debate the subject.

Any healthcare solution involving some component of mobile technology seems to come under the banner mHealth. That’s where the 'm' comes from after all. A solution that captures information about diabetes sufferers' blood sugar levels via prompted text messages and relays this information to a physician would be considered an mHealth solution. Providing feedback to the diabetes patient about a change in dosage following review by the physician makes the solution even better. Linking devices that automatically monitor blood sugar levels and dispense insulin involving a remote computer and physician to monitor the real-time situation moves the solution on a level still. All these examples show how mobile technology can be used to improve quality of life.

So the good news for the non-technologist [ed: such as Iain?] is there doesn’t need to be very much technology involved in mHealth solutions. The bad news is that the chain of components, individuals and organisations required to deliver these solutions is vast. Co-ordinating all these stakeholder groups to gain agreement is a herculean task. Barry Flaherty of Grow based in Qatar presented the following slide which highlights the stakeholder groups involved, and this doesn't even show patients and health care professionals.

Grow mHealth Stakeholders

[Diagram provided courtesy of Grow].

According to Sophia Salenius of RegPoint one of the barriers to deployment of mHealth applications is the mobile network operator. The time and cost involved is minimal. The benefits could be vast. A network operator only needs to invest a minimal amount of time and effort deploying a simple solution to market. Network operators represent a small but significant stakeholder group who - generally speaking - have yet to embrace health solutions in western markets. In developing countries the picture is different with government, charities and operators working together to deliver health information and services.

Other stakeholders include the pharmaceutical industry, which could gain insight into the way their drugs are being used, improving the time and reducing the cost of enhanced versions. Healthcare professionals and organisations could become more effective and efficient as they would have a more accurate and time-effective method of helping people. mHealth application will become a significant niche for tablet vendors whose product represents a natural platform for managing patient records. Of importance is the ability to present information to patients in a form they will better understand.

Privacy was discussed at length. Solutions that centralised patient information in a secure environment, only using the mobile network and device for data capture and limited feedback using secure connections, represented little threat. Of more concern was the use of mobile devices to gain access to and edit detailed information about an individual, either directly or indirectly.

Coming back to our original question it seems the value of mHealth will be improved quality of life for people... and animals. However the relatively small role mobile plays in the end-to-end proposition could result in an overly inflated view of the mobile industry's role. Mobile operators enable bits of data to be moved from A to B, facilitating a dialogue between people or machines that otherwise could not happen. Without mobile operators this cannot happen. However the people that need to make health care solutions work are medical professionals. Mobile network operators would be well advised to listen to and help them rather than try and second-guess what they need.


Unsurprisingly, Mobile Monday London runs events on Monday evenings in the London area. The events they arrange are a great way to find out about an increasingly wide range of mobile-related subjects and, just as importantly, meet some very interesting people. Find out more at on the Mobile Monday London blog. And there'll be an audio report from the mHealth event in next week's podcast at TheFonecast.com.

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Opinion Articles

giffgaff has an official voice worth listening to

Mark Bridge writes:

Yesterday I spotted a new blog page from O2-supported MVNO giffgaff. The company’s head of digital marketing Rob Gotlieb announced the finished version of a promotional film – and mentioned the official voice of giffgaff, voiceover artist Tom Oldham (who, interestingly, was also the voice on Vodafone ads at one point). And for a moment I thought “Official voice?  You what?”

Author: The Fonecast
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Mobiles go meddling in medicine

Mark Bridge writes:

“Okay, Mr Bridge, just relax. This won’t hurt a bit. I just need to… oh, hold on a moment, my phone’s crashed. I’ll just pop the battery out and we can start again.”

Some years ago I read an article in Fast Company magazine. Entitled “They Write the Right Stuff”, it explained how NASA’s software engineers couldn’t afford to make errors because any mistakes were likely to kill their colleagues.

That need to check, double-check and then check again was also one of the reasons the space agency ended up looking on eBay for tried-and-tested obsolete components. But now things seem to be swinging towards the opposite end of the scale.

Author: The Fonecast
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I want a mobile wallet - and I want it NOW!

Mark Bridge writes:

A few months ago James wrote about the slow adoption of mobile and contactless payments in the UK. Now we hear that Kenya’s M-PESA mobile money transfer service has arrived here. Yes, m-payments are finally going mainstream in the United Kingdom. Well, sort of. Well, alright, not at all really. What’s happened is that people in the UK are now able to send money to M-PESA users in Kenya. But what about the progress of mobile payments in the UK?

Author: The Fonecast
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Which mobile operating system will top the charts at Christmas?

James Rosewell writes:

It seems to be accepted that the Apple iPhone will be the top selling mobile phone this Christmas now it’s available on almost every UK network. The more interesting question is which handsets will hold the number 2 to 5 positions - and what operating system will they be running when the smartphone scores are announced in the new year?

Microsoft announced Windows Phone last week and I commented on the importance of persuading their heartland fans to move from iPhone and other platforms to Windows Phone. Disappointingly, finding a mobile retailer willing to sell a Windows Phone is not easy at the moment. Orange tell me they’ve withdrawn the one model they were going to offer from Toshiba. Vodafone didn’t even know what a Windows Phone was.

Author: The Fonecast
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Life is toooo complicated!

Iain Graham writes:

I have just bought (well, been given) a new mobile phone!  It, of course, cost me nothing, because we still haven't learnt in this industry, but it came with the now obligatory, shrink-wrapped, 140-page instruction manual on how to use it!!  A perfect cure for insomnia!  I read the opening page or two and it might as well have been written in Serbo-Croatian for all the sense it made to me!!  (I then realised it WAS written in Serbo-Croatian and so I turned to the correct language section) and it was just as incomprehensible!

Even worse, the manufacturers (who are too tight to pay for the printing in the name of 'going green') put the instruction manual on a CD!!

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