Apps useful, familiar to tiny number of patients

By: Brian Dolan | Mar 29, 2010        

Tags: | | | | | |  |

Dr. Joseph Kvedar, Center for Connected HealthPew Internet Research recently published a report that notes that for patients with two chronic illnesses, 52 percent are Internet users. Another Pew study found that 27 percent of patients over 65 years old define themselves as “e-patients”. The director of the Center for Connected Health, Joseph Kvedar, points to the latest Pew Research in the first post of his new Connected Health (cHealth) Blog:

“This is consistent with our observations in rolling out connected health programs in a large integrated delivery network,” Kvedar writes. “For instance, in one of our primary care practices, only 60% of diabetics we enrolled in our home glucose monitoring program were Internet users. In our CHF population, it’s even less. I always note this when talking about technology choices and program design. There are so many really exciting iPhone apps out there for example, but we haven’t tried to deploy one in our setting because the population of patients who would find it useful, let alone familiar, is tiny.”

During an interview with MobiHealthNews last year, Kvedar expanded on this: “As you and I know, there are 40 million people with diabetes, how many of them have iPhones? If you really want to get diabetes taken care of you have to solve that problem. I think those are just some of the challenges that I don’t see talked about a lot. That’s sort of skunk at the picnic view. There is so much potential here and I don’t want to see it go the way of the Internet Bubble and be remembered as the Mobile Health Bubble.”

Kvedar told us that the market for these types of technologies might start with the kids: “We have done research on parents of children with Type 1 diabetes. We have found a very rich market there for this type of thing. We have developed a prototype, we haven’t been able to bring it to the next level yet, where the child tests their glucose and it gets uploaded to the mobile phone and then that is automatically messaged to Mom or Dad that the child had uploaded the glucose and what it was. So they could keep track that the kids are in fact testing and that the kids are taking their insulin.”

Read more from our interview here
Be sure to read Kvedar’s entire post over at his new cHealth Blog

  • http://3gdoctor.wordpress.com/ David Doherty

    Great to hear this important point being made. iPhone Apps only reach a minuscule proportion of patients, and as such care providers would probably do a lot better if they built services that utilised the potential of SMS, MMS and the Mobile Web.

    A point that really confuses me is why I continually seem to be hearing that healthcare service providers are “developing prototypes”? For the same reasons we don’t have TV companies developing TV’s, why aren’t Healthcare Providers happy to just work with the technology providers who have had working solutions in the market?

    For example I had a GlucoTel device that was capable of sending blood glucose readings via bluetooth through mobile phones in 2007.

    Surely the rewards for their primary care clinics would be much greater if they just worked on the patient experience rather than the underlying tech?

  • third brain

    60% is a small portion? Seems to me 60% is more than half of the patients and a significant enough number to roll out Internet support for diabetes. The 65+ population is the fastest growing population to get online. Those numbers are sure to grow in the coming years.

  • http://www.connected-health.org Rob Havasy

    Just to clarify … we have rolled out a Diabetes support program. Among other features, the program has a patient-facing web component that can help visualize data trends, The 60% number to which Dr. Kvedar refers is the percentage of users to whom the program was offered that are able to utilize the web-based piece. They can still share their readings with their providers without using the web.

    This article highlights the need to utilize what I call “appropriate technology.” As David said in his comment, there are already many options for data transmission; building a flexible program to accommodate many modes is the key to success and universal access. The practical solutions for patients today aren’t always mobile. And even when they are, they aren’t always smart phone based.

  • http://www.intelecare.com Matthew Pepe

    Thanks for the clarification Rob. I can certainly understand the desire to reach a larger audience by choosing technology that can be accessed by all. However, new technology in healthcare is not a fad and neither are smartphones. It’s the direction we are moving in. If you can reach even a small percent of the 40 million patients with Diabetes by using an advanced technology and programs that really work, why wouldn’t you. The rest of the population will catch up with technology, just as the always do.

  • http://mobihealthnews.com/10127/massive-health-apps-that-appreciate-patients/ Massive Health: Apps that appreciate patients | mobihealthnews

    [...] March Dr. Joseph Kvedar, director of Partners Health Care’s Center for Connected Health, explained: “In one of our primary care practices, only 60% of diabetics we enrolled in our home glucose [...]