The Journal of mHealth Vol 1 Issue 2 (Apr 2014) | Page 6

mHealth...What Does it Really Mean? mHealth... What Does it Really Mean? Mobile digital solutions have revolutionised the way in which consumers engage with many industries, e.g. banking, retail, and travel. The provision of access to data and services through relevant, timely, mobile systems helps promote informed consumers, and improve the working business practices of those industries, ultimately, resulting in cost efficiencies and improvements to service provision. The benefits have been widely accepted and the technology has become entrenched within the daily activities of those industry providers and the way in which they interact with their customers and conversely the methods by which those customers can access information, products, and services. The ‘digital health’ revolution has been long-awaited. For many years now, there has been a considerable amount of discussion and planning for fully-integrated and mobile care solutions that should have the potential to change the composition of the traditional care continuum. However, the reality has often been significantly less successful than the rhetoric. Many of the promises of digital healthcare and mhealth have yet to be witnessed, particularly at scale. Many view the ultimate goal for the integration of digital into healthcare as being the tool that will allow the complete system to reach a symbolic ‘tipping point’. By which it is suggested that the system of healthcare delivery would be ‘flipped’ from the current status quo of care delivery 4 April 2014 dictated by care providers in primary (doctors) or secondary (hospital) led treatment environments, to a situation of personalised care provision, where ‘you’ the patient and ‘your’ individual care requirements dictate the care pathway. Digital is obviously not the only factor in reaching such a radical change in the way healthcare is delivered, but is most likely to be the tool that facilitates the process. What we are finally beginning to see is an institutional change in perceptions across the healthcare ecosystem, leading to wider adoption of modern mobile and digital solutions, that have the potential to significantly change the way in which modern healthcare is delivered. We still have a long way to go before this type of care model becomes the reality, and there are many barriers to overcome, not least in terms of policy, data and protocol standards, compliance, and strategy, all of which will need to become standardised across the health sector and ideally across geographical regions, in order to facilitate the exchange of information and data between systems. The likelihood of this happening in the short-term is improbable, however, that is not to say that technology is not already beginning to radically and systematically alter the way in which care is delivered. Current technology has started to provide this personalised level of care across a number of health sectors, and as these systems become more widely available and entrenched within working practice and clinical procedure, then the possibilities for providing treatment characterised by the individual become much more likely. It is in this realm of personalised care where the subject of mobile health or mhealth has become synonymous. The term itself, however, can be extremely difficult to define and its scope problematic to determine. mHealth has different meanings for different people. Many patients, health consumers, and to a large extent health-