The Journal of mHealth Vol 2 issue 5 (Oct) | Page 29

The Secret Recipe of Meaningful Digital Health of control, a vital component of dealing with challenging illnesses.” “Cancer treatment is a challenging journey. Adherence to complicated treatment regimens, and the streamlined recording and reporting of health issues during treatment are of paramount value. Medopad's Apple Watch chemotherapy application is an exciting new development in medical technology that can transform the quality and safety of care for patients, carers and care providers. This can eventually reduce the cost and improve the outcome of treatment for cancer patients,” said Dr Siamak Arami, MD, MRCP, MD (Res), FRCPath - Consultant Haematologist at King’s College Hospital NHS Foundation Trust. Approximately 10% of the UK NHS’s annual budget is dedicated to cancer treatment and a single pill can cost upwards of £1,000 per day. When a patient misses a drug, not only is there the potential for a significant physical impact, but there is also a compliance concern. Doctors trust their patients to take their prescriptions regularly and the comparatively low cost of an Apple Watch assists doctors and patients during that process. The Medopad platforms ensure that this relatively complex project can be easily managed and deployed and is designed for patients of any technical level to use. n The Secret Recipe of Meaningful Digital Health Extending the Patient-Provider Relationship + Proven Clinical Effectiveness In the United States, “meaningful use” metrics are defining high quality healthcare not simply on an interventional basis, but rather from a holistic perspective. Lifestyle management, educational counseling, and disease prevention strategies have been deemed requisite to the highest standard of care. Yet, this presents a logistical challenge for even the most efficient providers. First, the management of patient behavior – whether it is related to nutrition, exercise, or use of medication – requires appropriate tact and painstaking attention from the healthcare professional. Providers lament the fact that, given their workload, they do not have sufficient time and resources to adequately devote to their patients, especially as it relates to education and counseling. Moreover, in order to deliver precise, personalized care, providers require timely and accurate patient data. Whether it is the management of chronic hypertension, diabetes, heart dis- ease, or pregnancy, the collection and analysis of clinical data is critical to the improvement of medical outcomes. Clinical data needs to reach the provider often in a time-sensitive fashion, yet not be overwhelming to the provider by the presence of “noise.” And then, of course, the data must be rigorously analyzed to discover medically-meaningful trends. Sorting through the data can therefore be a massive headache. In short, in order to manage patient behavior and monitor their clinical data, there is more work to be accomplished than there are providers. While the adequate management of a patient population can be daunting, the majority of doctors believe that these approaches are nonetheless necessary for the delivery of high quality care. The Emergence of mHealth and Internet of (Health) Things Can the behavior of the everyday person provide the healthcare community with a clue to the solution? Given the affordability and accessibility of smartphone technology, mobile applications (“apps”) and other digital tools have become nearly universal. A large swath of Americans use mobile digital tools to manage some facet of their lives. In the medical space, 31% of cell phone owners look up health information while one in five users have downloaded a healthrelated mobile app, not to mention the prevalent use of medicallyrelated Internet sites by non-cell phone users, such as WebMD1. Through the internet-enabled immediacy of medical knowledge, the average user has not only become actively interested in their health, but now can actively collect data about their lives. In particular, the high-resolution collection of health data has engendered the so-called “quantified self ” movement. The widespread use of wearable technologies, like the Fitbit and Apple Watch are popular examples of this trend. By 2016, there will be 80 million wearable wellbeing sensors, and the market for health apps will represent $400 million2. All in all, this wireless Continued on page 28 The Journal of mHealth 27