How would the Born Mobile generation redesign that Patient Care Experience?


mHealth Insight

3G Doctor Cardiology Future

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?

How would that future care experience look if it was designed by a child

Related post: Can smart objects be more than uninvited guests?

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“I’m a healthy skeptic of the fluff associated with much of what we see/read/hear regarding mHealth today”


Power arguments on why we should move away from Main Frame Healtcare

mHealth Insight

Dr Evil mHealth

A sentence in an email I received today from a Linkedin mHealth group member got me thinking it might be time for an update on the Why mHealth? post from last year.

I think it’s important to realise there will always be a lot of noise around anything that’s exciting and requires the imagination (especially when big Pharmacy retailers are reporting $B’s in annual revenue from their mobile app and Danish fitness app startups are getting $85M exits from US apparel brands) but get some good filters in place (follow some of these mHealth leaders on Twitter etc) and you should find it easy enough.

I’m personally more sceptical that we can go on…

with the current situation where you don’t have your care documented.

pretending that we can afford the 2000 year old office visit based healthcare model.

without providing Carers…

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“being a naive medical student I gave her my cell phone number”


mHealth Insight

JAMA Learning to Breath Elizabeth Levin MD

Reading this JAMA article by Elizabeth Levin MD reflecting on a medical school experience and it reminded me of the incredible efficiency with which some Medical Schools erode student empathy.

Let’s be clear: there are times where it isn’t appropriate to share your mobile number with a Patient but it’s not a sign of naiveity, giving your number to a Patient can be an incredibly caring thing to do and you get your authority from how much you care and Patients want to know how much you care before they want to know how much you know.

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Announcing our TED Prize 2015 winner: Dave Isay of StoryCorps


TED Blog

Dave Isay of StoryCorps is the winner of the 2015 TED Prize. On March 17, he'll reveal his wish. Photo: StoryCorps Dave Isay of StoryCorps is the winner of the 2015 TED Prize. On March 17, he’ll reveal his wish. Photo: StoryCorps

“I’m a storyteller.”

It’s a sentence that can be found in a wide variety of TED Talks — because, really, it is the heart of what we do.

This is why, for the 10th anniversary of the TED Prize in 2015, we are thrilled to award the million-dollar prize to Dave Isay, the founder of StoryCorps. A large-scale oral history project, StoryCorps puts two people who know each other well — a husband and wife, a father and son, longtime co-workers — in a recording booth, giving them 40 minutes to have a real conversation, the kind that digs beyond the mundanities of life to unlock the powerful stories we each hold inside. So far, 100,000 Americans have participated in StoryCorps. All the digital audio files go to…

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JAMA Forum: An Observational Study Goes Where Randomized Clinical Trials Have Not



Austin B. Frakt, PhD (Image: Doug Levy) Austin B. Frakt, PhD (Image: Doug Levy)

Randomized clinical trials (RCTs) are considered the “gold standard” for providing actionable evidence to guide clinical decision making. However, they cannot always address important questions. For instance, statistically significant results for low-frequency outcomes like mortality sometimes require longer follow-up times or larger studies than can be practically undertaken.

In such cases, we have a choice: we can either go without evidence or we can turn to observational studies. Such studies often can be much larger and accommodate longer follow-ups. But because participants are not explicitly randomly assigned to treatment and control groups, observational studies can produce biased results. There are, however, advances in methods that can minimize that bias and increase our confidence in findings.

Consider a recent observational study comparing 2 classes of drugs that are used to treat type 2 diabetes when initial treatment fails to control blood-sugar level. The investigators…

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Still unsure about the potential for forward facing cameras? Watch this hint to the future…


Vital signs Apps — mHealth / Telehealth are the way forward in shifting medical care away from Hospitals into the community

mHealth Insight

I commented last week on the backward step that’s been taken by Nokia who have for the first time in 6 years omitted the front facing camera from their latest flagship smartphone. I’ve also commented before on the greater potential I think there is for forward facing cameras than backward facing cameras on the larger tablet devices (eg. to enable FaceLocking security mechanisms, self recording of video clips, etc).

Don’t hesitate to check out the following video of the new $0.99c Vital Signs App from Philips for the iPad 2 that uses the forward facing camera to give an indication of Heart and Breathing Rate. I think it’s a great example of the potential that can be accessed by this small inexpensive hardware addition:

How long before a patient can also share this information when browsing a website or during a video call?

For us here at

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