The above central illustration of “The Digital Cardiovascular Physician Visit” featuring in this fascinating Journal of American College of Cardiology paper by Steven Steinhubl MD & Eric Topol MD got me thinking what it might look like if we let a child (a member of the ‘born mobile’ generation) redesign it.
Why does an Ultrasound probe need it’s own screen?
Why does an Ultrasound probe need a cable attached to it?
Why do we have to have the Cardiologist in the room with us – for most things can’t we just share our history and then use FaceTime?
Why would we need to take our mobile out of our pocket?
Update: 9 October 2015
Just seen a picture of this 2016 “directory of Mobile Healthcare apps” and it has me wondering if the born mobile generation would ever even consider distributing information like this by printing it on paper?
Update: 12 October 2015
Linda Avey, cofounder of 23andMe, wearing an Apple Watch & OuraRing Activity Monitoring RingOuraRing Activity Monitoring Ring makes some interesting observations about where she sees a growing need for Doctor office visits as Patients seek to take more control of their health data in this video from last weeks 9th annual Health 2.0 Fall Conference at the Santa Clara Convention Centre:
“…(12:10) I have a ring that I wear that tracks my sleep every night and my steps during the day – they’re actually going to be presenting here it’s (made by) a Finnish company called Aura – but I wake up in the morning and I run to my phone to see how I slept and it’s a really interesting indicator of what’s going on in my personal life but will I ever share this with my Doctor? It’s questionable whether my Doctor would even want to hear about the sleep and how much deep sleep I’m getting versus my REM sleep but I think one story that really highlights this movement is there is a very famous designer in New York city who I won’t even say her name because she’s from the 70’s so most of you won’t even know who she is but anyway she’s really been trying to optimise her health and she’s finally gotten to a point in her 70’s where she feels fabulous and she’s just feels everything is in the right place so she went to her Physician and said ‘I want to measure where i am right now, I want to do my microbiome, sequencing, maybe my gene expression profile’, she kind of rattled off all these things to her Doctor and her Doctor just said ‘sorry I can’t do that’ and so it kind of was a conversation around wellness but it just couldn’t really be conducted in a Doctors office. So i think that’s really what’s going to happen and we’re going to see consumers taking more charge of their own care, they’re going to really try and identify how they feel better whether it’s their diet or their sleep, their exercise or whatever, supplements, there’s a lot of stuff that we will probably have to do on our own and then at the appropriate time we can take that information into our Doctors and say ‘look I’ve been tracking my blood pressure for 2 months and here’s what it looks like and here’s the trend” and then have a conversation based on that. It’s a lot different than bringing your genetic information in which a lot of Doctors just don’t recognise it and aren’t familiar with it”
What do you think a member of the Born Mobile Generation (a group that think most things can be learnt from watching YouTube videos) would think of the idea of taking time off work, booking an appointment, waiting in a waiting room and attending an expensive Doctors examination room to discuss information like this?
We have an chicken & egg situation with biomonitoring tech as it will struggle to add value until healthcare interactions are redesigned by people who think above and beyond ‘bringing things to Doctor office consultations’.
*** UPDATE 11 July 2017 ***
An interesting question from @PetulantSkeptic. My answer? Because Electronic Medical Records only make sense to people who haven’t yet worked out how to use an iPhone (we need Mobile Medical Records).