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101 Things To Do With A Mobile Phone In Healthcare

Wireless Healthcare, June 2005

- An overview of the market for wireless and mobile ehealth.
- Market accelerators and inhibitors.
- The role of clinicians as innovators.
- Self diagnosis - a threat or an opportunity.
- 101 applications for mobile and wireless devices in healthcare.

When sites offering medical advice first appeared on the World Wide Web few GPs believed that, within a decade, they would encounter patients who used the Internet to become specialists in a particular ailment. Before the arrival of the 'informed patient' the GP was expected to provide a diagnosis, then recommend a course of treatment. Today many patients believe they already have a diagnosis and merely wish to have it confirmed by a series of tests. The question is no longer 'Doctor what is wrong with me?' but 'Doctor when can my treatment begin?' Mobile and wireless ehealth will enhance and broaden the scope of this type of self diagnosis.

The market for ehealth technology could be approaching a tipping point. In this report we look at a number of ehealth companies that have been formed by surgeons. We feel that companies such as Intelligent Medical Systems and Xenetec, that are run by clinicians with first hand experience of clinical processes, will accelerate the take up of wireless ehealth by giving credibility to ehealth as a technology and providing reference sites within the healthcare sector itself.

Peer pressure will drive the ehealth market, especially if consultants start reaping the benefits of venture capital backing and IPOs. The report states that, in the not too distant future, the ehealth market will enter a new phase where clinicians themselves encourage the automation of clinical processes.

This is happening as a new generation of ehealth products and services, based on wireless and mobile technology, is putting diagnosis and treatment management into the hands of the patient. Companies such as Card Guard and Vitaphone are offering suites of wireless ehealth applications – which include blood pressure, heart rate and blood glucose monitoring - to patients, with or without the support of a conventional healthcare provider.

This report describes 101 examples of the use of wireless and mobile technology in healthcare. While some of the applications are speculative, for example a mobile device to detect MRSA, others, such as SMS based patient reminders, have already been deployed and are earning revenue for vendors.

Who should purchase this report:-

Healthcare IT vendors.
Wireless equipment vendors.
Healthcare providers.
Decision makers in the public healthcare sector.
Investors in the healthcare IT sector.
Mobile operators.
Other organisations active in ehealth provision.

1 Introduction – The Tipping Point 1
2 Engaging The Mobile Telecoms Industry 2
3 Large IT Vendors and Wireless eHealth 3
4 New Outlets For eHealth 4
5 Outsourcing Mobilised eHealth 5
6 PACS - Getting The Picture At Last 6
7 Wearable Wireless eHealth 7
8 Wireless Tagging 8
9 SMS - Keeping The Appointment 9
10 101 Applications 11
10.1 Appointment Reminders (SMS) 12
10.2 Patient Support (SMS) 12
10.3 Medication Reminders (SMS) 12
10.4 Appointment Booking 13
10.5 Medical Data On SIM Card 13
10.6 Patient Information For Relatives 13
10.7 Peer Support For Patients 14
10.8 Post Cardiac Surgery Support 14
10.9 Accessing Patient Records 14
10.10 Access To Dietary Information 15
10.11 ePrescribing 15
10.12 Patient Paging In Outpatient Clinics 15
10.13 Support For Alzheimer Patients 16
10.14 Support For Diabetes Sufferers 16
10.15 Clinical Trials 16
10.16 Support For Dementia Sufferers 17
10.17 Support During Rehabilitation 17
10.18 Support For The Deaf 17
10.19 Support For The Chronically Ill 18
10.20 Support For Addicts 18
10.21 Support For STD Sufferers 18
10.22 Baby Monitoring 19
10.23 Suicide Watch 19
10.24 Support For Children 19
10.25 Food Product Dietary Information 20
10.26 Allergy Alert Services For Asthmatics 20
10.27 Doctor At Home 20
10.28 Self Diagnosis 21
10.29 Patient Data For Overseas Travellers 21
10.30 Data Capture From Medical Instrumentation 21
10.31 Smart Card Applications 22
10.32 Monitoring For Asthma Sufferers 22
10.33 Blood Glucose Monitoring 22
10.34 Temperature Measurement 23
10.35 Weight Measurement 23
10.36 Medication Compliance Monitoring 23
10.37 Voice Pattern Analysis 24
10.38 Analysis Of Breath 24
10.39 Heart Rate Monitoring 24
10.40 Smart Homes For The Elderly 25
10.41 Patient Diaries For Clinical Trials 25
10.42 Collecting Data From Pacemakers 25
10.43 Fitness Monitoring 26
10.44 Real Time Patient Assessment 26
10.45 Sleep Monitoring 26
10.46 Collection of Data From Wearable Sensors 27
10.47 Collection of Data From Implanted Devices 27
10.48 Diabetes Monitoring In Chiropody 27
10.49 Detection Of Septic Episodes 28
10.50 Remote Antenatal Care 28
10.51 Telehealth Gateways 28
10.52 Patient Location 29
10.53 Pulse Oximetry 29
10.54 Personalised Diagnosis 29
10.55 Early Detection Of Cardiological Syndromes 30
10.56 Appointment Scheduling 30
10.57 Access to Patient Data For Domiciliary Workers 30
10.58 Diagnosis Support For Domiciliary Workers 31
10.59 Personal Attack Alarm Services 31
10.60 Clinician Identification 31
10.61 Asset Tracking (RFID) 32
10.62 Stock Control (RFID) 32
10.63 Patient Identification (RFID) 32
10.66 Dispensing Support 33
10.65 Locating Staff 33
10.66 Conferencing During Emergencies 33
10.67 Accessing Training Material 34
10.68 Accessing Laboratory Results 34
10.69 Blood Bank Support Services 34
10.70 Locating Blood Donors 35
10.71 Locating Organ Donors 35
10.72 Support For A&E 35
10.73 Tracking Surgical Instruments 36
10.74 Controlling Insulin Patches 36
10.75 Billing 36
10.76 Patient Consent 37
10.77 Drug Authenticity Verification (RFID) 37
10.78 Patient Entertainment And Communication 37
10.79 Patient Notes Dictation Systems 38
10.80 Administration At The Point Of Care 38
10.81 Linking Emergency Services To A&E 38
10.82 Access To X-ray Images 39
10.83 Skin Cancer Monitoring 39
10.84 Remote Consultation (Telemedicine) 39
10.85 Data Collection From Capsule Endoscopes 40
10.86 Conventional Endoscopes (Picture Phones) 40
10.87 Nutrition Coaching 40
10.88 Monitoring Wound Healing 41
10.89 Support For Neurosurgeons 41
10.90 Breast Cancer Screening 41
10.91 Context Sensitive Medicine 42
10.92 Disease Monitoring 42
10.93 Food Contamination Alerts 42
10.94 Environmental Contamination Alerts 43
10.95 MRSA Detector 43
10.96 Telecare In Rural Areas 43
10.97 Telecare In Developing Countries 44
10.98 A&E Field Support 44
10.99 Wireless Stethoscope 44
10.100 Support For AIDS Sufferers 45
10.101 Call Centre Supported Health Services 45

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