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Month: August 2016

Elevating the Role of Patient-Curated Med Lists in Meds Rec Processes

Elevating the Role of Patient-Curated Med Lists in Meds Rec Processes

… based on data that I have recently been studying, patient-curated medication lists are more likely to be accurate than clinically-curated medication lists.   In my experience, the majority of clinicians don’t have a lot of respect for patient-curated medication lists.  I believe that a growing evidence base shows that this view is unfounded, and I want to explain why. First let me say that I understand that many (perhaps most) patients aren’t interested in or don’t need to keep their…

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New Models of Care, Not Just Mobile Health Apps

New Models of Care, Not Just Mobile Health Apps

In order to envisage a better (i.e. more transparent, safe, accessible, sustainable and efficient) health system than we have today, we must lift our vision above the siloed mobile health app as the building block of future improvement.  Seen correctly, mobile apps are the current delivery channel of choice for new, digitally-enabled models of care, but not the solution on their own.   If today’s vast pile of overwhelming, under-regulated, piecemeal mobile health apps is our vision for a future health system then something…

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The Rise of the Expert Patient

The Rise of the Expert Patient

Our model of distributing medical knowledge to the front line of healthcare delivery is broken.  Completely broken. Through my work I’m fortunate to meet a lot a patients and carers, and to hear their often powerful and moving stories. As I listen to these stories, a number of key themes run through many of them, particularly with respect to people’s experience with General Practitioners in Australia.  I want to explore one of these themes in this post. It never ceases to…

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Our Journey: How Digital Health Communities Got Us Through Tough Times

Our Journey: How Digital Health Communities Got Us Through Tough Times

So I want to take you back to 2007, and tell you about the epic journey that my wife and I had through the health system… Now the stereotype of pregnancy is that it is a wonderful, happy time, and of healthy, glowing expectant mothers.  Well, not so much. When my wife was pregnant with our two beautiful children, she suffered from a terrible condition called hyperemesis gravidarum.  Severe nausea and vomiting during pregnancy.  But this wasn’t just morning sickness.  She was…

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Mobile First: Socio-Economics, Technology Usage and Chronic Disease Risk

Mobile First: Socio-Economics, Technology Usage and Chronic Disease Risk

The jury is in.  Patient portals don’t work. Research shows that, despite spending tens or hundreds of millions of dollars on patient portals, some of the leading healthcare providers in the US have achieved very low levels of patient engagement using these technologies.  Likewise, in Australia, the level of patient engagement with the My Health Record through the “consumer portal” has been minimal. Whilst the reasons for this are complex and multi-faceted, I’d like to focus on one of the…

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Harnessing the Power of Gamification to Reduce Disease Risk

Harnessing the Power of Gamification to Reduce Disease Risk

One of the most exciting tools in the Digital Health toolbox is gamification.  Let me explain more about gamification and its significance…   What is Gamification? Gamification is the application of game-design elements and game principles in non-game contexts.  Gamification commonly employs game design elements which are used in so called non-game contexts in attempts to improve user engagement, organizational productivity, flow, learning, employee recruitment and evaluation, ease of use and usefulness of systems, physical exercise, traffic violations, and voter apathy, among others.  A review of research on gamification shows that a majority…

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Patient as Aggregator: The Logical Conclusion of Patient Owned Health Data?

Patient as Aggregator: The Logical Conclusion of Patient Owned Health Data?

The recent announcement that HealthKit in iOS 10 will support the storing and viewing of CCD / CDA documents has got me thinking.  Are Personal Health Records on a path to possible disruption of health system operated Electronic Health Records? More specifically, if we believe the growing rhetoric of the health system that “patients own their data”, then we need to stop and ask some further questions.  If I own my own health information as a patient, why is it…

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Digital Health vs eHealth: Focusing on Demand-Side Levers

Digital Health vs eHealth: Focusing on Demand-Side Levers

I often get asked about the difference between Digital Health and eHealth.  Here’s what I think…   You can transparently and equitably share not enough money but it’s still not enough money.  At some point you have to consider the demand-side of the healthcare equation.   eHealth eHealth is largely about driving supply-side efficiency, quality and safety in the health system using Health IT.  It should be about helping health providers to do a better job more efficiently through technologies such as Electronic Medical…

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The Healthcare Reformation

The Healthcare Reformation

What sits behind the rise of Digital Health is not ultimately about technology.  It goes far deeper.  Fundamentally, we’re seeing a significant cultural shift in healthcare, driven by patients and carers.  Through the internet, mobile devices and Digital Health Communities we’re seeing the democratisation of medical knowledge. Knowledge that was previously only available to and understandable by health providers (an educated elite) is increasingly being opened up to health consumers, many of whom are capable of understanding and synthesising large…

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