Transcript Mobile Health Care The MobiHealth approach

MobiHealth Innovative GPRS / UMTS services
for healthcare
www.mobihealth.org
The MobiHealth Project
IST 2001-36006
Overall objective
The development and trialing of new
services and applications in the area of
mobile health, promoting the use and
deployment of GPRS and UMTS.
© 2002 The MobiHealth Consortium
Challenges in healthcare
• We have a growing number of chronic disease
patients (diabetes, cardiovascular, asthma etc)
• National healthcare systems face increasing costs
and serious financial and budgetary problems
• Patients (and healthy people) become proactive,
health-conscious and seek individual, personalized
healthcare
• Mobility of people in Europe is increasing
© 2002 The MobiHealth Consortium
Wouldn’t it be nice ...
• To have the same level of healthcare while
continuing a normal active life, instead of being
stranded at the hospital?
• To maintain a high quality-of-life, inspite of having a
chronic disease?
• To have your health status monitored without
having to go to a health center?
• To be able to give patients the most (cost) efficient
therapy and support?
© 2002 The MobiHealth Consortium
With Mobile Internet it can be
done!
Mobility
Transactions
Personalization
Always
Online
© 2002 The MobiHealth Consortium
Location
Based
Services
The Internet is
anonymous and
global.
Mobile Internet is
personal and
local.
The dream ...
GPRS
UMTS
© 2002 The MobiHealth Consortium
Try to make the dream come true:
MobiHealth targets
•
Development of new m-health services and
methodologies for their evaluation
•
Integration of a generic m-health Body Area
Network (BAN)
•
Validation of GPRS and UMTS networks for mhealth services via large scale trials
•
Validation of the accuracy of measurements and
data capture
•
Validation of medical, social/ethical and economic
advantages of the new m-health applications
© 2002 The MobiHealth Consortium
Generic wireless BAN for
multiple services
Wireless BAN Operating System
Data
Handling
Data
Handling
2.5G / 3 G / 4G
© 2002 The MobiHealth Consortium
MobiHealth BAN structure
© 2002 The MobiHealth Consortium
MobiHealth operational overview
Wireless Health
Broker &
Service Provid.
UMTS
Public
Operator
BAN
© 2002 The MobiHealth Consortium
Doctor
Hospital
Trial scenarios
Monitoring of early
discharged patients.
Monitoring of chronic
patients.
(Randomized controlled)
Trials.
(The Netherlands, Spain,
Sweden, Germany)
Acute and trauma care.
Monitoring of high risk
patients.
(Primary endpoints: hospital and emergency room admission, mortality. Secondary endpoints:
patient quality of life, satisfaction and functional performance, adherance to the treatment, cost
analysis, usability)
© 2002 The MobiHealth Consortium
Patient management leads to
significant savings
EXAMPLE :
Percentage of yearly treatment costs per patient for Asthma, (100=€5,000)
Cost Basis for
Insurers
100
Savings in
Treatment
Costs
New claims
due to PM
Costs of PM
Program
Total Costs
Net Savings for
Insurers
Source: BKK,
Preussen
Elektra,
Hannover
McKinsey
© 2002 The MobiHealth Consortium
30 - 40
5 -10
5 -10
70 - 90
10 - 30
Potential number of users of
mobile patient management
Acceptance*
Disease
Prevalence
10%
20%
Diabetes
5.000.000
500.000
1.000.000
Stroke
1.500.000
150.000
300.000
Asthma
4.000.000
400.000
800.000
Hypertension
17.600.000
1.760.000
3.520.000
CAD
1.500.000
150.000
300.000
2.960.000
5.920.000
Total potential users
* Estimated acceptance rates for mobile disease management programs
© 2002 The MobiHealth Consortium
Important issues for MobiHealth
to tackle
•
•
•
Quality of service
– Network related issues: hand-over,
interruption/delays in transmission, data loss
bandwidth problems, etc.
Social acceptance
– Health risks (cell phone usage), economic
issues, ethical issues
Legal issues
– Accreditation of the devices and applications
– Protection of health related data
– Privacy, security and encryption of data
– Medical responsibilities / liability
© 2002 The MobiHealth Consortium
Project timetable
• First wireless BAN prototype
Mid November 02
• BAN final release
End April 03
• Final release of service applications
End April 03
• Start of field trials
Beg. May 03
• Evaluation of trial results
July-Sept. 03
• End of project
End October 03
© 2002 The MobiHealth Consortium
The MobiHealth consortium
• Ericsson (D)
– GesundheitScout 24
• Telia (S)
– University of Lulea
• University of Twente (NL)
– MST, TMSI, Compaq, Yucat
• Telefonica Moviles (E)
– Corporacia Sanitari Clinic, Universitat Pompeu
Fabra
• Phillips Research (UK)
• CMG Wireless Data Solutions (NL)
© 2002 The MobiHealth Consortium
Summary
© 2002 The MobiHealth Consortium
Contacts
Ericsson GmbH
Rainer Herzog
Senior Consultant
Maximilianstr. 36/RG
D-80539 München
Germany
Tel.:
+49 89 25543715
Mobile.: +49 178 534 0067
mailto: [email protected]
University of Twente
Prof. Dimitri Konstantas
Dr. Val Jones
Mr. Richard Bults
CTIT – APS
P.O.Box 217
NL-7500 AE Enschede
The Netherlands
Tel.: +31 53 489 3784 / 4018
mailto: [email protected]
mailto: [email protected]
mailto: [email protected]
Project Website: www.mobihealth.org
© 2002 The MobiHealth Consortium