M-Health in India Needs a CIO's Bedside Manner

Sudha Nagaraj Bharadwaj, Journalist | 1/24/2013 | 19 comments

Sudha Nagaraj Bharadwaj
The mobile phone and Internet are starting to replace the friendly neighborhood general practitioner in India.

People in big cities and smaller towns are turning to online resources, text messaging, email, and the phone for access to expert medical advice, routine check-ups, and to see a specialist. It isn't people looking to find a doctor. Actual medical advice and services are available. Consider some of the following:

MyLabYogi is an online diagnostic service in Mumbai, which allows patients to choose a laboratory of their choice to get their tests done, while samples are collected and results delivered to their doorsteps.

HelpingDoc is an online front office service (for doctors) in New Delhi and the National Capital Region, which provides access to specialists, doctor profiles, and appointments.

HealthcareMagic is an online "Ask the Doctor" e-clinic in Bangalore, which is available 24x7 and provides an instant question-and-answer format to patients.

Alacurity is a healthcare concierge service that communicates with patients through live chat, phone, and email to facilitate end-to-end services like nursing, transport, accommodation, online health records, appointments, preventive checks, and doctor searches.

Diabeto is a remote monitoring Bluetooth-based hardware unit app that can be plugged into your glucometer and any Android device seamlessly. It helps to track and control diabetes by measuring sugar levels, plotting a graph, and emailing it your doctor.

These are just the beginning. In its June 2012 report, "Touching Lives Through Mobile Health: Assessment of the Global Market Opportunity," PwC predicted that the growth of the mHealth market will lead to a revenue opportunity worth US $0.6 billion for India. In other words, the mobile health market opportunity for India will constitute 8 percent of the total Asia-Pacific opportunity by 2017.

According to the press release, Mohammad Chowdhury, Telecoms Industry Leader of PwC India, said:

Our estimates suggest that in spite of the advancements in medical technologies and a general increase in income levels, healthcare continues to pose challenges of affordability, complexity and access. By contrast, mobile access is almost ubiquitous. With the increasing penetration of smart phones, innovative 'connected devices,' and the proliferation of mobile broadband networks and services, the mobile device will play a far greater role in healthcare.

It is in this context that CIOs at healthcare organizations need to evaluate the opportunities and challenges that m-healthcare presents. The lack of doctors, long lines at hospitals and health clinics, the cost of medical care, and the increased penetration of mobile and Internet technologies are obvious drivers of the market for m-health initiatives.

The challenge in India is not merely to deliver the relevant application in a cost-effective manner, it is to spread awareness and acceptance among both patients and doctors. Every healthcare CIO in India should know:

  • Despite the growth, there is a lack of awareness among consumers that their phone can be used as a healthcare aid/tool.
  • There is also resistance among doctors towards remote diagnosis and treatment. Not all electronically transmitted lab reports, X-rays, and ultrasounds lead to the right diagnosis. Sometimes a face-to-face interaction makes a difference, and doctors are concerned about this.
  • CIOs should be on the lookout for an effective delivery model that ensures ease-of-use (and privacy) for the consumer and support infrastructure for healthcare workers where needed.
  • A business model still needs to be worked out. Given the wide range of services and advice, from consultation about serious ailments to general advice against smoking and drinking, when to charge and how much to charge is still very much an issue for both consumers and providers to work out.

Of course, a focus on the customer, just like a focus in healthcare is always on the patient, is essential. Whatever service you choose to deliver, deliver it in the best way possible for the customer. M-health's growth centers around that convenience.

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rdv   M-Health in India Needs a CIO's Bedside Manner   1/28/2013 12:29:11 PM
awareness is one important
 "there is a lack of awareness among consumers that their phone"...

The patient to doctor ratio in cities is good, but the in rural parts the doctors are less... The awareness of these facilities can help the rural india more... more so with the increasing internet and mobile penetration in rural india
Hammad Masood   M-Health in India Needs a CIO's Bedside Manner   1/27/2013 4:04:18 PM
Re: M-Health's Growth
Here in my country telecom operators are providing e-doctor facility as an sms based service. You can subscribe for health tips and can also talk to the expert system to suggest you medicines. As this system is based on sms, people not having a smartphone as the people in villages, they can also benefit from this system !
MDMConsult   M-Health in India Needs a CIO's Bedside Manner   1/27/2013 2:02:59 PM
M-Health's Growth
India as an emerging country has a lot of growth potential for M-Health and this is powerful for mobile consumers. Keeping up with being adaptive to the change in will be a concern for future. Integration should be faster, more efficient and cost saving.
impactnow   M-Health in India Needs a CIO's Bedside Manner   1/26/2013 9:59:37 PM
Re: the new visiting doctor
Sara I would be too! I had just the expereince you are describing this week with the new norovirus. I got phone consultation which gave me the inforamation I needed and I didn't to take an unecessary trip. Saves everyone time!
impactnow   M-Health in India Needs a CIO's Bedside Manner   1/26/2013 9:56:53 PM
Re: the new visiting doctor
I agree it's a great option for remote areas where getting to doctors may involve a long process. The mobile process can at least get the patient information and determine if an onsite visit is necessary.

 

Regarding the UK process could use some automation, maybe an IVR or an online query system to save all that phone time!
KeithGrinsted   M-Health in India Needs a CIO's Bedside Manner   1/26/2013 6:07:16 PM
Re: the new visiting doctor
Hey Sudha this is great - we don't even have these services in UK (if we do then I've never come across them).  You are far more advanced than we are!!

And Sara queue for an hour to get 10 minutes with a doctor?  Here in UK you are lucky if you can get to see a doctor at all and when you do I think it averages at 7 minutes per patient so most only get a few minutes!!

In our local surgery they have instigated a system where you have to ring for an appointment.  They take your number and the doctor rings you back after surgery and quizzes you to see if you warrant getting an appointment!  Then they fob you off on the practice nurse if they can!

The online systems in India sound great to me!
Sara Peters   M-Health in India Needs a CIO's Bedside Manner   1/25/2013 5:29:49 PM
Re: the new visiting doctor
@Nicky48  It's a great question. I'm not sure if there's a way to remotely replicate the way that a doctor listens to your chest with a stethoscope, but there have got to be easy ways to take your temperature, check your pulse, ask you questions, listen to what sort of cough you have, etc.
Nicky48   M-Health in India Needs a CIO's Bedside Manner   1/25/2013 5:06:22 PM
Re: the new visiting doctor
Sara - I so agree but I often wonder why people take themselves to the doctor's office just to be told they have the cold or flu. 

I wonder if these online options will be able to pick up those cases that do need further help?
Sara Peters   M-Health in India Needs a CIO's Bedside Manner   1/25/2013 12:41:20 PM
the new visiting doctor
I've often wished that I lived in the days when doctors still did house calls. I hate that on those days when I'm at my very sickest -- the days when merely walking from the couch to the kitchen seems like a gargantuan effort -- are the days that I need to get dressed, haul myself out into the cold, and sit in a waiting room with a bunch of other sick miserable people for an hour just to have a 10-minute consultation with a doctor. In a way, these mobile services are bringing back the days of house calls. If it can really work effectively, I'll be one of the first people to start using it.
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