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E-health Services in Low-Resource Settings: Requirements and ITU Role

This workshop discusses the implementation of e-health services in low-resource settings, with a focus on mHealth services in Japan. Topics include personalized health records, emergency medical services with digital pens, and mobile healthcare for post-disaster situations. The workshop also highlights the increasing trend of non-communicable diseases and the importance of prevention in low-middle income countries.

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E-health Services in Low-Resource Settings: Requirements and ITU Role

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  1. ITU Workshop on “E-health services in low-resource settings: Requirements and ITU role” (Tokyo, Japan, 4-5 February 2013) Session 1: Setting the context: e-health implementation in low-resource settings mHealthservicesin Japan- Services provided by NTTDATA - ShigeruTomita, Head of Strategy Planning Office NTTDATA CORPORATIONtomitasg@nttdata.co.jp

  2. Contents • Introduction • mHealth Services • PHR: Creative Health Next • Emergency Medical Service with Digital Pen • Mobile Healthcare for post disaster • Conclusions and Recommendations

  3. The Change of Disease Trend- Increasing NCDs Introduction Diabetes： ・3.4 million people died. ・More than 80% of deaths occur in LMIC CVD ・17.3 million people died. ・Over 80% of CVD deaths occur in LMIC COPD ・3 million people died ・90% of COPD deaths occur in LMIC CANCER： ・7.6 million people died. LMIC: Low-middle income countries The number of patients with NCDs is increasing Prevention is more important in LMIC WHOFactsheets http://www.who.int/mediacentre/factsheets/fs297/en/index.html

  4. The change of Communication Infrastructure Introduction Global ICT developments, 2001-2011 The number of Mobile-Cellular telephone subscriptions is growing. Active mobile-broadband subscriptions is also increasing, expecting the growth in the future http://www.itu.int/dms_pub/itu-d/opb/ind/D-IND-ICTOI-2012-SUM-PDF-E.pdf

  5. The Growing of Mobile cellular subscriptions Introduction Mobile-cellular subscriptions, 2001-2011, world and by level of development • The number of Mobile cellular subscriptions is increasing in developing countries as well as in developed countries. http://www.itu.int/dms_pub/itu-d/opb/ind/D-IND-ICTOI-2012-SUM-PDF-E.pdf

  6. mHealth service implementation is spreading Introduction • mHealthinitiativesarereportedworld-wide mHealthisa range of healthcareservicesprovidedbyusingmobileterminals、suchasmobilecellulerphones, smart phonesandtablet terminals http://www.who.int/goe/publications/goe_mhealth_web.pdf

  7. Introduction • mHealth Services • PHR: Creative Health Next • Emergency Medical Service with Digital Pen • Mobile Healthcare for post disaster • Conclusions and Recommendations

  8. PHR: Creative Health NEXT mHealth Services • Purpose • PHR：Personal Health Recordmanagement • Provide individuals with Personalized Healthcare Program • Service • Data Management; Personal Health Data, Medical History • Data Referal; Health check-up data, Medical Fee,Drug intake • Technology • Near Field Communication • M2M

  9. mHealth Services PHR: Creative Health NEXT 予防　 Prevention Hospital Healthcare Insurer PHR Cloud Service Health check-up

  10. mHealth Services PHR:Creative Health NEXT- Self management Life style Memo Immunization Shots Drug Intake Medical History Allergies

  11. PHR:Creative Health NEXT- Health check-up Data Information mHealth Services Date, Age, Name of Healthcare center Health check-up result ・General comments ・Health Risks ・Health Level ・Metabolic syndromeassessment ・eye sight test ・audiometry ・Height、Weight, ・Blood Pressure ・Blood test

  12. PHR: Creative Health NEXT- Personal Health Data Management mHealth Services • Weight • Blood Pressure • BMI • Calories burned per day • Sleeping hours ※画面デザインは変更されます。 Chart

  13. PHR: Creative Health NEXT- Medical Fee Information mHealth Services Total Medical Fee per month Detailed Medical fee ・Hospital Name ・Date ・Treatment term ・Total Fee ・Feepaid by Insurer ・Fee paid by Insured

  14. mHealth Services PHR: Creative Health NEXT- Walking Program Achievment per day Weekly Chart Walking route

  15. Introduction • mHealth Services • PHR: Creative Health Next • Emergency Medical Service with Digital Pen • Mobile Healthcare for post disaster • Conclusions and Recommendations

  16. Emergency Medical Service with Digital Pen mHealth Services • Purpose • Patients data sharing betweenan ambulance and a hospital for better and seamless emergency medical service • Service • Patients observation data sharing • written with a digital pen • Measured by vital sensors • Data sharing between ambulance and hospitals • Technology • Digital Pen, Tablet terminal, Vital sensors • M2M

  17. Emergency Medical Service with Digital Pen Emergency Medical System at Kagawa Prefecture 香川県高松市番町4-1-10 さぬき　たろう 讃 岐　太 郎 12 12 12 087111-1111 mHealth Services Patient observation data written with a digital pen Then shared with the hospital Emergency staffs at hospital receive the data and prepare for the arrival Patient observation sheet

  18. Introduction • mHealth Services • PHR: Creative Health Next • Emergency Medical Service with Digital Pen • Mobile Healthcare for post disaster • Conclusion

  19. Mobile Healthcare for post disaster mHealth Services • Purpose • Provide better healthcare service at the shelters after the earthquake • Service • Sharing medical records with doctors in some Medical Service Teams • Technology • OnDemand VPM、IPSec+IKE、HL7

  20. Mobile Healthcare for post disaster -System Image mHealth Services Fukushima Pref. Med Univ. Hospital Shelters in Fukushima Clinical Recored (Paper Documents) Shelters Upload Inernet （IＰSec+IKE) Commercial Closed Network reffer Tablet terminal PC Doctor Patients ODVPN Rooter Scanner Clinical Record Database Mobile Medical Service Support System Shelters Healthcare information exchange Platform Doctors refer to patients’ medical recordby using Tablet terminals Geneva, Switzerland, 26-27 April 2012

  21. Introduction • mHealth Services • PHR: Creative Health Next • Emergency Medical Service with Digital Pen • Mobile Healthcare for post disaster • Conclusions and Recommendations

  22. Conclusions and Recommendations-Positive Impact of mHealth • mHealth enable doctors and patients to interact whereverandwhenever • “m” in mHealth shouldn’t stand for “mobile”, but for “me” 2012 mHealth Summit Insider December 2012

  23. Conclusions and Recommendations-Issues to be solved • Adapt to the regulations and lawsof each country • Security and Privacy to protect the personal information • Technical solutions are needed • To prevent data from leaking and spreading over the Internet • To delete leaked and spread data • Rules, system and technical solutions for long term data storage

  24. Thank you for Listening! Skytree @Pink Ribbon Campaign

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