10. 기술동향2
□모바일헬스케어플랫폼& 데이터허브, Apple Healthkit
Apple의헬스데이터통합및채널관리를통한사용자경험의지속유지확보전략
mHealth 개방형플랫폼공유지향, 다양한3rd개발유도
강력한파트너쉽구축: Mayo Clinic (의료기관), Epic (EHR IT회사), Nike 등연계
헬스데이터수집∙확보계획: iWatch 액티비티앱(Activity App), 워크아웃앱(Workout App)
• Mayo Clinic, 15,000Mobile Device
-Synthesis Mobile : 의료진Full EMR Access
-Mayo Clinic Quarterly : 내부연락
-Patient: 환자자신의의료정보Access
-Ask Mayo Expert : 병원내질병전문가검색
Activity (움직이기, 운동하기, 일어나기)
• EPIC, 의료IT밴더1위(KLAS Research, 2010)
-Healthkit 통합MyChart personal health record
-단말기수요증대요소인EHR 사업에비중
• iWatch Wearable Device
Workout (묙표설정, 미리알림, 달성)
11. 표준동향
□ISO/TR : Technical Report
19231 「개발도상국을위한모바일헬스표준안」출판예정(2015)
17522,「Provisions for Health Applications on Mobile/Smart Devices」출판예정(2015)
□ISO/NP : New Work Item Proposal
20055, 「Person-owned Document Repository for PHR Applications and Health Information Exchange」
-Survey of mHealth Projects in Low and Middle Income Countries (LMIC): 프로젝트리더, 김일곤교수
-후진국가모바일헬스서비스의다양한사례를분석하고,
-후진국가들이추구해야할모바일헬스기술표준프레임워크를생성할수있는표준기술들을제시
-모바일환경에서환자·의사모두가필요한요구사항을교환할수있도록하는모바일헬스표준
-모바일헬스기술표준프레임워크, 환자와의사의쉬운의료정보접근, 활용, 의료전달체계의효율성향상
-병원중심의진료정보교류교착상황을심층분석: 이해당사자간의충돌, 적절한보상체계미비등문제점
-고객/환자주도로쉽게해결할수있는환자중심의진료정보교류체계에관한기술표준안제안
-현실적인진료정보교류뿐아니라, 모바일·클라우드등최신서비스플랫폼기반의다양한PHR 응용가능
-프로젝트리더, 삼성서울병원이병기수석연구원
15. 성공사례1
□HealthTap, 맞춤형질의응답의료서비스
2011년오픈, 이용자가의사에게질문을올리면실시간으로답변을받아보는서비스, 62,000명의사참여
커뮤니티기반의플랫폼을미리구축, 충분한이용확보(1억명이상이용)인프라위에Tele-health로진화
핵심통합Service
-Learn Service : 의료소식, 추천의료App
-Get Help Service : 의사상담, 처방
-Take Action: 맞춤형건강체크제공
Service 비용
-월99$, 가족1명추가마다10$
-정기가입자만이용가능
의의
-단계적의료서비스의진화(상담진료)
-가족단위개인맞춤형건강관리
-Activity Tracker 차별화된사용
http://www.fastcoexist.com/3033649/healthtap-wants-to-be-your-new-on-call-doctor#1
16. 성공사례2
□WellDoc의BlueStar, 당뇨병관리서비스
2형당뇨병, 미FDA 최초승인, 민간의료보험적용
의사처방받은사람만사용
-Patient Coach : Personalized guidance
-Clinical Decision Support : Analysis, Easy tracking
-Social Engagement : Easy sharing
미국Allscripts EHR과결합
-의사에게CDSS 지원, 더좋은진료를제공하도록도움
-George Washington University Medical Center
대규모외부투자지원($3,500만)
-Merck Global Health innovation Fund 등$2,000
의의
-서비스개발기간은오래걸리지않았으나,
-EMR/HER 연동, FDA승인, 보험회사적용많은소요
17. □웨어러블기기이용패턴(「Inside Wearables」Endeavour Partners, 2014.1)
미국18세이상의성인의약10%, Jawbone, Fitbit, Nike, Misfit 등다양한웨어러블기기보유(’13.9)
연령별이용률25~34세는25%, 35~44세는19%로해당연령층의사용자가가장많음
웨어러블기기사용하는기간은6개월이후, 약30%가사용중단, 1년이상사용하는경우50% 미만
-행동추적(Activity Tracker)의단기적이고한시적이용으로는이용자의행동과습관을형성하는것을실패,
-장기적인이용패턴을형성하도록유도해야해야함, (건강한사람들이굳이살필요가없는센서들의이슈극복)
-순환적인모바일생태계를구축의핵심은「데이터」, 활성화유도전략고민필요
실패사례
※ Percent of Activity Tracker Owners vs. Percent of U.S. Population
By Age
※ Declining Rate of Sustained Activity Tracker Use Over Ownership
(Endeavour Partners, 2013.9)