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The Case for Urban Telehealth

The Case for Urban Telehealth. HII 99 Improving Health in a Digital World Washington, D.C. April 27, 1999. Moderator: Michael J. Rozen, MD. Supposition. Urban Inner City Populations are underserved and will benefit from Telehealth Many illnesses require specialist

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The Case for Urban Telehealth

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  1. The Case for Urban Telehealth HII 99 Improving Health in a Digital World Washington, D.C. April 27, 1999 Moderator: Michael J. Rozen, MD

  2. Supposition • Urban Inner City Populations are underserved and will benefit from Telehealth • Many illnesses require specialist • or tertiary care center support

  3. Inner City Underserved • Access Issues • Welfare Reform • Aging Population • Proximity Issues • Hospital Consolidation • Physician Location • Specialty Coverage • Tertiary Care • Home Health Care

  4. Cincinnati ExperienceModel-Based Income/Poverty Estimates 1995 Poverty all ages 100,358 11.7 % Under age 18 42,760 18.9 % Related children 5-17 26,456 16.7 % National Average 1997 16.1 % Median Household Income $34,023 Source: US Census Bureau

  5. Cincinnati Experience Medicaid: 1994 80,000 Eligible 1999 30,000 Eligible max 20,000 Mandatory Medicaid Managed Care County 1996 6 HMO’s 1999 1 HMO Cincinnati Health Department Clinics Uninsured mix 1994 46 % 1998 70% University Hospital Uninsured Mix 1994 13 % 1999 18 % Two Urban Hospitals have closed routine services

  6. Helga Rippen, MD, PhD, MPHDirector, Health Information Technology Institute Demographics and Policy Issues

  7. Johnathan D. LinkousExecutive DirectorAmerican Telemedicine Association The Need for Urban Telehealth

  8. Diane C. LewisExecutive Vice PresidentALTA Consulting Group Montana Terrace Smart Home Community Urban Telehealth

  9. Curtis T. White, Esq.PresidentAllied Communications, Inc. The Smart Home Community

  10. Frank E. FerranteSenior Manager, Network Systems EngineeringMitretek Systems Trends, Technology and Band Width

  11. Thank You

  12. Consumer Health Information: the Government the Private Market HII 99 April 27, 1999 Moderator: Michael J. Rozen, MD

  13. Healthcare Market US Healthcare Spending $2.1 Tril $1.1 Tril % of Total GNP 16.6% 13.4% Source: Healthcare Financing Admin.

  14. Internet Access Over 12.9 Million Canadian adults have net access 65 % spend at least one hour online Source: Angus Reid • 83 Million Americans • over age 16 have net • access (40%) • 1998 - 66 Million • next 12 months - 17.2m • Source: Intelliquest • 35 Million Households • (34 %) of total • 43 % increase over 98 • Source: Nielsen/NetRatings • 1999

  15. Women and the Net 1997 43 % 1998 48 % 1999 50 % EST Source: International Data Group 1999 30 Million Adult Women-30% have children online Source: Cyberdialogue/findsvp • 71 % of women search • for health content on Net • compared to 56 % of men • Women in US, make 80 % • of health decisions and 60 % • of health related purchases • Source: Jupiter • 1999

  16. Teens on the Net Home PC’s 1995 27 % 1997 43 % 1998 50 % Source: Dataquest 1999 • 19.3 Million US Teens • 35 % wired today • 44 % by end of year • Source: eStats Research • 1999

  17. Consumers & Providers Consumer Opinions of Doctors Which best describes pt/doc interaction? Source: Yankelovich Monitor 43% 47% 65% 77%

  18. Consumers seeking Health Information on the Net 6 out of 10 online seek personal health information Source: Cyber Dialogue 1998 64.4 % have searched for health-related content Source: Jupiter 1999 • 43 % of Net users go • online for health • information • 81% Found Information • useful • Source: Deloitte & Touche • 1999 • 91% Found what they • wanted • Source: Harris Survey • Jan 8-11, 1999

  19. Internet and Health Over one half of US adults online are parents 27% of adults with children go online for children’s health content Source: Cyber Dialogue 1999 • 3 out of 10 seek • information for a • family member • Source: Cyber Dialogue • 1998

  20. Disease-Web Information Disease: Depression 19% Allergy/sinus 16% Cancer 15% Arthritis 10% Hypertension 10% Migraine 9% Anxiety 9% Heart Disease 8% • Most helpful Reference sites • Medical Societies 40% • Support Groups 32% • Pharmaceutical 20% • Hospitals 16% Source: Harris Poll Source: Harris Poll

  21. Health ECommerce • E-Commerce 1998 2002 • B2B 43B 843B • Consumer 8B 76B • Health Spending Second Offline (120B), but only seventh (509M) online 1999 • Pharmaceutical and medical • EST. 44B in 2002 • Source: Forrester Research • 1998 Online Shoppers 49% male hh 68% over age 40 94% college 46% $50,000 + Source: Ernst & Young 1998

  22. Web Ad Spending • 1997 $650M .34% • 1998 $ 1.5B .74% • 2002 $ 8.9B 3.4 % • Source: eAdvertising Report • 1999 • Offline Ads - influence • 33 % of purchases • Source: BizRate.com 38 % increase in number of sites seeking online ads Source: Adknowledge.com Banner Ads 1998 - 50 % 2001 - 26% Sponsorship Model 2001 - 58% Source: eMarketer

  23. HealthConsumers Concerns: Privacy Authentication Relevance Credibility Fraud Semantics Requirements: Immediacy Unfiltered Personalization Quality Individualized Interactive Communities Training

  24. The Consumer Health Record Phillip Marshal, MD, MPH Director, HealthNow Medical Record WellMed, Inc.

  25. Consumer Health Content/Delivery Joel Kahn, MD Chief Medical Officer Intellihealth

  26. Delivering Consumer Telehealth Scott M. Rifkin, MD Chief Executive Officer AmericasDoctor.Com

  27. The Federal Government and Consumer Health Information J. Michael Fitzmaurice, Ph.D. Senior Science Advisor for Information Technology Agency for Health Care Policy Research

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