Mobile Health Care The MobiHealth approach

superbshelfMobile - Wireless

Nov 12, 2013 (3 years and 4 months ago)

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MobiHealth
-


Innovative GPRS / UMTS services
for healthcare

www.mobihealth.org

©
2002 The MobiHealth Consortium

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!


The Internet is
anonymous and
global.


Mobile Internet is
personal and
local.

Always
Online

Transactions

Personalization

Location
Based
Services

Mobility

©
2002 The MobiHealth Consortium

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 m
-
health 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



2.5G / 3 G / 4G

Wireless BAN Operating System

Data

Handling

Data

Handling

Generic wireless BAN for

multiple services

©
2002 The MobiHealth Consortium

MobiHealth BAN structure

©
2002 The MobiHealth Consortium

MobiHealth operational overview

Wireless Health
Broker &
Service Provid.

Public
Operator

Hospital

UMTS

Doctor

BAN

©
2002 The MobiHealth Consortium

Trial scenarios

(Randomized controlled)
Trials.

(The Netherlands, Spain,
Sweden, Germany)

Monitoring of chronic
patients.

Monitoring of early
discharged patients.


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)

Acute and trauma care.


©
2002 The MobiHealth Consortium

Patient management leads to

significant savings

Source:
BKK,

Preussen
Elektra,

Hannover

McKinsey

Cost Basis for
Insurers
Savings in
Treatment
Costs
New claims
due to PM
Costs of PM
Program
Total Costs
Net Savings for
Insurers
30 - 40
100
5 -10
5 -10
70 - 90
10 - 30
EXAMPLE :

Percentage of yearly treatment costs per patient for Asthma, (100=

5,000)

©
2002 The MobiHealth Consortium

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




Total potential users




2.960.000

5.920.000

Disease

Prevalence


Acceptance*


10%

20%

* Estimated acceptance rates for mobile disease management programs

Potential number of users of


mobile patient management

©
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

Rainer Herzog

Senior Consultant

Maximilianstr. 36/RG

D
-
80539 München

Germany

Tel.:


+49 89 25543715

Mobile.: +49 178 534 0067

mailto:

rainer.herzog@ericsson.com

Ericsson GmbH

University of Twente

Prof. Dimitri Konstantas

Dr. Val Jones

Mr. Richard Bults

CTIT


APS

P.O.Box 217

NL
-
7500 AE Enschede


The Netherlands

Te
l
.:
+31 53 489 3784 / 4018

mailto: dimiti@cs.utwente.nl

mailto: jones@cs.utwente.nl

mailto: bults@cs.utwente.nl


Project Website: www.mobihealth.org