I often hear some version of the phrase “Yeah but you don’t understand it’s so complicated we just can’t do that” from medics when they try to justify their reasons for not moving beyond the office visit only model and it really bugs me because the vacuum left by their inactivity is enabling a growing number of convenient health services that are operated by businesses that are much more about making profits than providing care.
This week I read a couple of news items that I think will help Rural Community Pharmacists and GPs realise the need to make the change before things get a lot worse for them personally:
Rural Community Pharmacists:
Political leaders don’t understand what you do and are so deluded they actually think you can be replaced with an App:
Meanwhile the boss at the biggest Pharmacy chain in the UK/Ireland (owned by McKesson) has paid Amazon to put a recording device in the companies HQ boardroom…
This week I read in the Australian Doctor that Dr Aifric Boylan (an Irish Locum GP who felt forced to emigrate to Australia after feeling “very uncertain about my future career security” and “mentally exhausted by the burden of debt which we saw little prospect of ever repaying”) has started an online service that offers to remotely provide one of the most complex and valuable roles a Family Doctor offers (direct referrals to a range of specialists).
We live in times of great change and there’s clearly a need to urgently modernise medical education and ensure that the GP career is viable as an unfortunate side effect is that medics will approach innovative ways of doing their job only once they’re financially vulnerable and more vulnerable to being pressurised to nickel and dime things in ways that might be very profitable despite being obviously “controversial and confronting” and possibly dangerous for Patients.
The mobile operators and their trade organisation have proved themselves to be spectacularly clueless when it comes to understanding the big mHealth opportunities but I think this caller ID checking Scam Block service introduced by T-Mobile is a very positive move.
It’s in no way going to prevent all attempts (eg. concerted manual efforts to scam specific Patients who identify themselves through online review sites etc are probably not going to be effected as they’re done on an individual basis rather than by robocallers) but Patients are very vulnerable as so many EHR databases (containing telephone numbers) have been hacked and there’s enormous scope for tech like this to be expanded to also end fraudulent practices like caller ID spoofing.
For a start wouldn’t it be great if the customer could with a simple swipe redirect the call to a roboanswer service run by T-Mobile to collect intelligence on scams and waste scammer time.
T-Mobile Introduces New Network Technology to Protect Customers from Phone Scams
||Here, eat this root.
||That root is heathen. Here, say this prayer.
||That prayer is superstition. Here, drink this potion.
||That potion is snake oil. Here, swallow this pill.
||That pill is ineffective. Here, take this penicillin.
||Oops… bugs mutated. Here, take this tetracycline.
||39 more “oops”… Here, take this more powerful antibiotic.
||The bugs have won! Here, eat this root.
||Call or SMS. Failing that Google It.
||Let your iPhone take care of it.
The History of Medicine. HatTip: @DrAliLynTan
“If you think about the brain as a muscle, then certain activities, like learning maps of London’s streets, are like bodybuilding,” he (Hugo Spiers) says, “and all we can really say from our new findings is that you’re not working out these particular bits of the brain when you’re relying on SatNav.”
Research published Tuesday in Nature Communications reveals two distinct brain regions become inactive when people follow SatNav instructions instead of using their spatial memories.
I’ve been using and researching the use of mHealth medication reminder apps for over a decade (long before the Apple AppStore was launched when most Patients/Carers just used the native calendar/alarm apps and Nokia execs were surprised to find that their obscure Wellness App was proving a hit with Patients and getting >100,000 downloads/month) and think we’ll probably find something similar (but more desirable) is happening.
I see no reason to wait for any more evidence to be published before we make it a compulsory requirement for medications to be complemented by mHealth apps but perhaps the reason we are seeing benefits is because it’s simply less taxing on your brain when our mobiles provide discrete reminders/nudges and this makes it less stressful for us to follow medication regimes?
Irish Health Service Executive hits Lloyds Pharmacy with allegations of fraud & breach of contract for success of their mHealth service (Aug 2015)
Walgreens CMO shares insights on what it took to create the USA’s most popular mHealth app & mHealth revenues of $375M per month (April 2014)
How long before Mobiles make Med Reminders smart? (April 2013)
‘most women have already figured how to set reminders with the calendar/alarm functionality on even basic mobiles’ (May 2011)
Why aren’t all Healthcare providers using SMS appointment reminders? (Feb 2011)
“Its now twenty years from the first fixed-mobile service bundle which launched the whole revolution of digital convergence centered around mobile. There had been digital convergence prior to mobile already on the fixed-landline-internet side but digital convergence without mobile would be… pretty pointless by now. Anything we now look at, from Big Data to IoT to Augmented Reality to Cloud Computing etc is dependent on a mobile convergence element. So lets take a stroll back through recent mobile tech history and see how we got here and where we are now going…
…It does not mean ‘only mobile’ but it means always including mobile. Then we hear from WPP (world’s largest advertising group) and their China head who say in China all advertising is mobile-first but if you don’t have a big budget, you go mobile-only. (Wow?).
…mobile took a company that didn’t know HOW it might make money, an obscure search-engine internet company, and powered it to become the second most valuable company on the planet in barely more than 10 years since they uttered the words ‘the internet will go mobile’….
…This is how I see the future unfold as well. Mobile is cannibalizing the world eating up everything. But doing things better, easier, faster. Doing things previously not possible. And then we get a new opportunity that comes up for mobile, what happens? Mobile. Always. Wins”
Twenty Years of Digital Convergence Around Mobile: What can we learn from the Cannibal of Cannibals?
In this great post the world’s #1 Mobile Industry guru Tomi Ahonen nails the reasons why the big opportunities for healthcare are and will be in Mobile (and the convergence of technologies to Mobile).
It’s no longer sales as usual for medical device firms when Patients shop in the Apple Store for devices that are better & less expensive than what Hospitals are prescribing… (March 2017)
Will established medical device manufacturers become more than iPhone accessory brands before the mHealth decade is out? (Jan 2017)
Here’s why ‘Mobile’ should be your NY2016 resolution (Jan 2016)
Digital Health: “that must cost a bomb” (Nov 2016)
2000-2009 the “Nokia Decade” …but why should it stop there? (Jan 2010)
How will IoT impact healthcare? An interview with David Doherty (April 2016)
Google has apologised to advertisers for paying ad revenue to rape apologists & racists but has said nothing to the 1.6 Million Patients who had their NHS Health Records copied by the American Technology company without consent:
“In July 2015, clinicians from British public hospitals within the Royal Free London NHS Foundation Trust approached Google DeepMind Technologies Limited, an artificial intelligence company with no experience in providing healthcare services, about developing soft- ware using patient data from the Trust. Four months later, on 18 November 2015, sensitive medical data on millions of Royal Free’s patients started flowing into third-party servers contracted by Google to process data on behalf of DeepMind”
Note: The vast majority of these 1.6 million Patients will have never had access to these NHS records.