Thierry Zylberberg, EVP and Head of Healthcare at Orange / France Telecom, shares vision and insights about the mHealth sector at the mHealth Israel conference, October 7th, 2013
3. 1 | (m)-health realities
mhealth Grand Tour
IDF Europe & GSMA launched
the mHealth Grand Tour.
Powered by Orange.
5-18 September, 2013
2,100km total
22,000m of climbs
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4. 1 | (m)-health realities
business model and
mhealth services
How can consumers be educated about and
persuaded to use such a service?
Who will fund these
services?
B2G or
B2B2C or
B2C?
Can pharmas
finance
services?
Why?
Does a government need to constrain the
installation of a service ?
What other kinds of
similar services
could be developed?
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Who is responsible for falsepositive consequences?
How can pharmacists
be incentivized
to positively promote
such a service?
5. 1 | (m)-health realities
mobile Internet for health:
a tsunami of services
14,000 apps in the Apple iTunes
store related to health care
40,000
estimated mobile
health apps across
multiple platforms
247 million
people have
downloaded a
health app
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6. 1 | (m)-health realities
health reality
3x
2x
2050
spending on long-term
care could triple by 2050
2030
doubling of the proportion
of people over 80
66
%
of seniors have at least two
chronic conditions
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75
%
of healthcare costs are due
to chronic conditions
7. 1 | (m)-health realities
health reality
chronic conditions
85%
account for
of premature deaths
in Europe
US: growing deficit of Primary Care
5% compared to the 525,600min a year
with his illness but only
expected staff in 2015 and 9%
physicians:
240min a year with
in 2025.
4.5 below
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a patient spends
India: density of MD is
the US Density
his health professionals
8. 1 | (m)-health realities
central question
« finding a sound business
model for mHealth amidst
countless innovations ? »
»
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9. 2 |what works today
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from http://popstrip.com/cure-for-everything
10. 2 |what works today
what works today
Health
Professional
Services
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remote
management
Prevention
11. 2 |what works today
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incremental innovation
for health professional services
12. 2 |what works today
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incremental innovation
for remote management
13. 2 |what works today
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incremental innovation
for prevention
14. 3 | what is game changing
central question
« finding a sound business
model for mHealth amidst
countless innovations ? »
»
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15. 3 | what is game changing
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new usage for payers
and device manufacturers
16. 3 | what is game changing
new usage for health pros
following patient
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17. 3 | what is game changing
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new usage for pros
pharmacies
18. 3 | what is game changing
Prevention &
Information
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new usage in Africa
mobile based healthcare
Claim
Management
Data collection &
Administration
Prevention &
Information
19. 4| challenges and opportunities
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challenges and
opportunities
20. 4| challenges and opportunities
1/
challenges and
opportunities
interoperability and scalability
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2/
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data overflow for health
professionals
21. 4 | challenges and opportunities
3/
challenges and
opportunities
4/
reimbursement case
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regulation
one could compare availability of medical care in India to that in the United States. By the most recent data, the United States has 2.672 doctors per 1,000 people, and 3.1 hospital beds per 1,000 people. India, on the other hand, has a mere 0.599 doctors and 0.9 hospital beds per 1,000 people. (source: CIA World Factbook,” Central Intelligence Agency, Accessed 1/25/2012)
les prévisions toujours optimistes nous ramènent à la réalité.
in this reality, m/e-health has probably a key role to play. but, we can have some doubt… and it could be very true when you are talking about m/e-health
mHealth is not a new topic. But for year it has been driven by the (main) idea of cost reduction. Money was the main concern.
Some examples can be taken from the three component of digital health
HPS : access to PHR (rise of efficiency, increase of productivity…)
Remote management: mainly call centers used by payers too manage a disease.
Prevention: web sites.
Globally, more people have access to a mobile device than have access to drinking water, electricity or a toothbrush.
80% of the world’s population has access to safe drinking water (BBC News, 2011)
81% of the world’s population has access to electricity (WEO, 2011)
“Right now there are more mobile phones than toothbrushes”. Just under just under 6 billion mobile devices being used worldwide. (Institution of Engineering and Technology, 2011; Dr. Mike Short
example : epidemilogical survey.
les prévisions toujours optimistes nous ramènent à la réalité.
French example
Connected devices: you look after your patient on a day to day basis, it’s a new service.
If you interact with him, studies tends to demonstrate compliance and good behaviour last at least 3 times more.
Prevention & Information: Duty CHemist & Healthlines
Claim Management: carteO
Data Collection & Administration: birth declaration, Djobi, Voices
Tele expertise: mobile baby, tele dermato, etc