Swiss Re Ag · SIX:SREN
Swiss Re — PatientView — Next Generation Insurance Customer: Bringing it to Life (Swiss Re), 22-23 June 2016
36 slides from Swiss Re's conference presentation, Jun 23, 2016
Slide 1: Mobile technology and its importance to patients
Next Generation Insurance Customer: Bringing it to Life 22-23 June 2016 Mobile technology and its importance to patients Dee O’Sullivan Director myhealthapps.net/PatientView
Slide 2: About PatientView
About PatientView • UK-based research, consulting and publishing company • Collects and analyses the viewpoints of thousands of patient groups (and their members) worldwide – since 2000 • Has the capacity to reach out to 120,000 patient organisations worldwide, covering over 1,000 health specialties
Slide 3: We know why we need quality health apps
We know why we need quality health apps…. • Prevention: Health apps support self-care of health and wellbeing generally and encourage healthier lifestyles and behaviours • Disease management: By allowing patients to regularly monitor and track their vital signs, symptoms and feelings health apps can
Slide 4: Many issues to address before health apps become mainstream
But there are still many issues to address before heath apps become mainstream in healthcare…. oQuality, accuracy, reliability and relevance – who should certify this? oTrust and transparency - who’s behind the app? oData protection and privacy – (mis)informed consent oData security – what happens i
Slide 5: Where we are today: myhealthapps.net
Where we are today… www.myhealthapps.net • Over 450 apps • Covering 150+ health specialties • Apps in 50 languages • Reviews by over 650 patient organisations worldwide • Transparency: info on and links to app developer, who funded the app, whether it was developed with a medical adviser, if it has
Slide 6: myhealthapps.net app categories
myhealthapps.net … out of 450 apps (does not add up to 100% - some overlap between categories) 24% Health, Wellness and Care in the Community Disability 17% 64% Medical 6
Slide 7: mySugr Diabetes Logbook
mySugr Diabetes Logbook mySugr Logbook is a registered risk class 1 medical device in the US and EU, and mySugr (the company) is ISO 13485 certified. Languages: Dutch / English / French / German / Italian / Polish / Spanish / Reviewers: Swedish Talley Henning Brown, Juvenile Diabetes Cost: Free, Pro
Slide 8: Patients building a repertoire of apps
Patients are increasingly building a repertoire of apps to support their needs
Slide 9: Asthma Mobile Health Study
Apps now being used for large-scale recruitment for medical research Asthma Mobile Health Study Developed by: Icahn School of Medicine at Mount Sinai, New York, USA and LifeMap Solutions, a subsidiary of biotech company BioTime Platform: built using Apple’s new ResearchKit (launched March 2015) Part
Slide 10: Patient groups working with healthcare systems and providers
Patient groups working with healthcare systems and providers Epilepsy Action and Epilepsy Society in the UK have worked with nine Clinical Commissioning Groups (CCGs) [NHS England] to create a single access point of resources to support effective commissioning for children and adults with epilepsy.
Slide 11: Good intentions can lead to bad practice
But, good intentions can lead unwittingly to bad practice….. The UK-based charity Samaritans had to pull its ‘suicide watch’ Radar app over privacy concerns – just one week after launch The Twitter app had enabled users to monitor the accounts of their friends for distressing messages, sending an al
Slide 12: What do patients and carers want from health apps?
What do patients and carers want from health apps? A June-Oct 2014 global survey conducted by PatientView, myhealthapps.net, and Health 2.0 1,130 respondents • with either a long-lasting illness, or caring • 10% with diabetes for someone who has one • 9.6% with cancer • 7.6% with arthritis From
Slide 13: What patients want most from health apps
HAVE YOU USED ELECTRONIC TECHNOLOGIES (VIA YOUR COMPUTER OR SMARTPHONE) But patients aspire to Irrespective of what health apps you are currently FOR ANY OF THE FOLLOWING HEALTHCARE PURPOSES? using, what more than do you want most from health apps? information
Slide 14: What would convince patients to use health apps regularly
HAVE YOU USED ELECTRONIC TECHNOLOGIES (VIA YOUR COMPUTER OR SMARTPHONE) Patients/carers also need FOR ANY OF THE FOLLOWING HEALTHCARE PURPOSES? Which of the following would convince you to guidance on which apps use health apps regularly? to trust
Slide 15: Barriers to downloading and using health apps
HAVE YOU USED ELECTRONIC TECHNOLOGIES (VIA YOUR COMPUTER OR SMARTPHONE)Not just about the DoFOR anyANY of the following OF THE prevent FOLLOWING you from HEALTHCARE downloading some PURPOSES? monetary cost of the health apps, or using them regularly? health apps … patients want support on which ones
Slide 16: What do respondents involved with cancer want from apps?
Cancer What do respondents involved with cancer want from apps? (Respondents were asked open-ended questions so they could freely describe their own particular needs and preferences) An app that •Tracks my symptoms and informs me of tests needed, even books them for me provides •Tracks tests, includ
Slide 17: Half of UK adults happy to be diagnosed through digital health technology
Half of UK adults happy to be diagnosed through digital health technology Source: Aviva Health Check UK, 15 Dec 2015 •47% are willing to be diagnosed digitally instead of face-to-face with their GP •67% would use wearable technology to monitor long-term medical conditions •The majority already using
Slide 18: Babylon app
Babylon – the app securely stores medical data, notes and any video consultations and customers can access these records at all times or opt to share them with their GP. Through the babylon app, GPs are available for video or phone consultations between the hours of 8am and 8pm, Monday to Saturday,
Slide 19: Vitality Health
Vitality Health, owned by Discovery Holdings, the leading South African private medical insurance company that pioneered rewarding people for healthy living. Health insurance that rewards you for getting healthier -encourages members to become healthier and enhance and protect their lives. Our healt
Slide 20: The challenges of keeping up
The challenges of keeping up….. A review of the myhealthapps database of 450 health apps found that since the launch of the site at the end of 2013 to mid-2015: • 20 had changed their name • 58 had been removed from the market • 120 had changed their price, of which 37 are now being offered for free
Slide 21: What guidance do mHealth app developers need from users and partners?
What guidance and advice do mHealth app developers need from target users and partners in order to develop better products and services? A qualitative survey of 50 health app developers from Europe and North America. Conducted in 2015 in collaboration with the App Quality Alliance and Research2Guida
Slide 22: Size of development team
Q: What is the size of your development team?
Slide 23: How developers determine which health area to develop for
Q: As a developer, how do you determine which area of health, wellness or medicine you will develop apps for? •The majority of developers try to maintain relationships with medical professionals or patient groups as a way of identifying needs in the health and wellness communities. Independent resea
Slide 24: What health app developers want to know from users
What health app developers want to know from users… User Motivation - What are users and patients looking to achieve? - How do users integrate apps into their daily routines? - What are users willing to pay for good solutions (if anything)? - Willingness of users to link mobile data with electronic
Slide 25: How users and partners can help developers provide valuable services
Q: How can users and partners help you ensure that the apps you develop provide valuable services? Developers addressed the next thirteen questions via a series of survey boxes in which they could write 200-word responses to the questions asked. There was a lot of response overlap in each section, s
Slide 26: Gaining user trust
Gaining user trust… Resolving credibility issues: 75% •What do patients expect from app developers? •Do apps need official approval, such as NHS approval or distribution via a health service? Or do they need to be recommended by a healthcare professional? •Are there quality criteria/professional qua
Slide 27: Increasing chances of apps being recommended by healthcare professionals
Q: What would help increase the chances of your apps being recommended by healthcare professionals? 75% want better access to clinicians, medical and patient organisations in order to understand their requirements and gain endorsement for their app 50% would be willing to submit to a certification
Slide 28: Developers are also aware of
Developers are also aware of… o the dangers of apps funded via advertising/monetisation models – the disconnect between what users will accept as the price to pay for ‘consumer’ app products and cultural notions of solidarity and altruism that underpin their perceptions of healthcare and health apps
Slide 29: What developers want to know from insurers, payers and regulators
What health app developers want to know from insurers/payers…. Reimbursement Requirements - Are health insurers willing to reimburse paid app downloads? - What criteria will insurers require to approve reimbursement? -Data ownership from reimbursed apps (will insurers or corporate channels like Appl
Slide 30: EU initiatives on mHealth
EU initiatives on mHealth https://ec.europa.eu/digital-single-market/en/mhealth April 2014: Green Paper on mHealth published https://ec.europa.eu/digital-single-market/news/green-paper-mobile-health-mhealth July 2014: Public consultation on the green paper closes January 2015: Submissions to the pub
Slide 31: Member organisations of the Working Group on Assessment Guidelines for Health Apps
Member organisations of the Working Group on Assessment Guidelines for Health Apps https://ec.europa.eu/digital-single-market/en/news/new-eu-working-group-aims-draft-guidelines-improve-mhealth- apps-data-quality COCIR DIGITALEUROPE Digital Health & Care Alliance Eucomed European Association of Hospi
Slide 32: Assessment guidelines: broad scope, transparent, quality
Broad scope: Covering the so-called ‘grey zone’ of those apps that just fall below the lowest category (Class 1) medical devices, such as clinical decision support tools for diagnosis/treatment recommendation; access & editing of EHRs, patient/carer decision aids & self-management tools, simple calc
Slide 33: Sustainable healthcare app
Sustainable healthcare app FINANCIAL TECHNOLOGICAL CLINICAL INTEGRATED ‘FOR LIFE’ • Sustainable • Works • Accepted by • Accepted as • Able to adapt business model, seamlessly over HCPs and part of the local and target for example multiple patients healthcare personalised subscription, platforms beca
Slide 34: myhealthapps.net partners and research collaborators
myhealthapps.net partners and research collaborators
Slide 35: We welcome your input and involvement!
We welcome your input and involvement! PatientView myhealthapps.net Dr Alex Wyke Dee O’Sullivan T: +44 1547 520965 M: +44 7497 024897 M: +32 495 893925 [email protected] [email protected]
Slide 36: Basic Copyright Notice & Disclaimer
Basic Copyright Notice & Disclaimer ©2016 This presentation is copyright protected. All rights reserved. You may download or print out a hard copy for your private or internal use. You are not permitted to create any modifications or derivatives of this presentation without the prior written permiss