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An Overview:
Consumer Facing Digital Health Technology:
What Is It and What Are The Challenges?
Ted Vickey MSc, PhD (ABD)President – FitWell LLC
Institute of Medicine Roundtable on Health LiteracyWashington, DC - March 2015
advisor
Can consumer facing digital health technology really help people live
healthier lives?
What is Consumer Facing Digital Health
Technology?
WHAT IS IT ?
AppsWearablesWebsites
“Digital Health innovation takes longer than you think and happens faster than you think at the same exact time."
Unity Stoakes
We keep our phones within arms reach 91% of the time
There are more users of fitness apps than there are members of health clubs
73% of users say they are healthier today because of
their app
Mobiquity, 2014
69% of mobile health users think tracking their health and fitness on their smartphone is more important
than using it for social networking or online shopping
46% say tracking has changed their overall approach to maintaining their health or the health of another
40% of trackers say it has led them to ask a health professional new questions or to get a second opinion
34% say it has affected a decision about how to treat an illness or condition.
…and then there is the rest of the story.
…the world suggests a different story.
Age‐adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults Aged 18 Years or Older
Obesity (BMI ≥30 kg/m2)
Diabetes
1994
1994
2000
2000
No Data <14.0% 14.0%–17.9% 18.0%–21.9% 22.0%–25.9% 26.0%
No Data <4.5% 4.5%–5.9% 6.0%–7.4% 7.5%–8.9% >9.0%
CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
2010
2010
Consider the following:
• An increasing number of people with chronic disease account for a disproportionate percentage of overall health costs.
• 84% of national healthcare dollars• approximately 99% of Medicare spending
Source: Medical Expenditure Panel Survey, 2006 and Robert Wood Johnson Foundation, Chronic Care: Making the Case for Ongoing Care, February 2010
Projections are it could get worse…
• Nearly half of the U.S. population suffers from one or more chronic diseases
• By 2020, the number of Americans suffering from multiple chronic diseases is expected to reach 81 million, up from 63 million in 2005.
Source: Bodenheimer, T., E. Chen, and H.D. Bennett. “Reorganizing Care: Confronting the Growing Burden Of Chronic Disease: Can the U.S. Health Care Workforce Do the Job?” Health Affairs. January/February 2009. 28:164
“Users love apps, but providers hesitant”
• Only 16% of healthcare providers are using mHealth apps in their with patients,
• Almost half of healthcare providers expect to use them to their practice within the next five years,
• While healthcare providers are well aware of the benefits, most are still reluctant to jump in.
Source: 2015 Research Now Survey - 500 healthcare professionals and 1,000 health app users
Primary reasons for U.S. internet users to access mobile health and fitness apps as of March 2014
Source: Research Now; Website (Mobiquity); eMarketer; ID 298033
30%
28%
27%
7%
5%
2%
2%
0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%
Goal tracking
Awareness of health issues
Motivation
Identifying unhealthy habits
Medication adherence
Connecting with an expert
Competition
Share of respondents
Pew Mobile Health 2012
Latino African American
Ages 18-49 College Degree
Smartphones
Groups more likely to use smartphone to gather health info
We are in the middle of a perfect storm
Smartphone usage
Tech Savvy users
Peer to peer healthcare
The Big Three
Convergence of technology and health
Smartphone usage
• Self-care: More than two-in-three seniors prefer to use self-care technology to independently manage their health.
• Wearables: More than three-in-five seniors are willing to wear a health-monitoring device to track vital signs, such as heart rate and blood pressure.
• Online Communities: Three-in-five seniors are somewhat or very likely to turn to online communities, (Patient Like Me) for reactions to a doctor’s recommendation before acting on it.
• Navigating Healthcare: A third of seniors would prefer to work with a patient navigator to manage their healthcare.
• Health Record Management: A quarter of seniors regularly use electronic health records for managing their health, projected to grow to 42% in five years, as consumer-facing tools increase.
Tech savvy senior users want tech access to their health
The Big Three
•Microsoft•Google•Apple
Challenge:
Privacy
Who owns the data?
Who has access to the data?
What will they do with the data?
Privacy
Challenge:
Lack of Standards
Recap:Consumer facing digital health technologies
• This area of tech is growing and changing
• Problems remain with access and equity
• Missing link – Health Literacy?
Question:
How can Health Literacy create the behavior change needed in Consumer Facing Health Technologies?
