The evolution of mobile healthcare: soft and hard combined with cross-border integration

Mobile medicine is the source of the United States. Under the dual drive of medical reform policy and modern technology, mobile medical technology has shown a clear evolution trend. App applications on smartphones show two distinct trends of “softening” and “hardening”.

“Softening” – the era of relying on a separate app to fight the world has passed. Epocrates (the world's first listed mobile medical company, provides doctors with a reference on clinical information on mobile phones, whose main product is the drug and clinical treatment database. The successful listing only leaves a reminiscent of the posterity. Since Epocrates was acquired by Athenahealth, the medical information service company of EHR, the income has fallen, and the headquarters has been laid off. In just a few years, a dazzling star has become a bright future. This is not the fault of Epocrates, but the situation is changing so fast that it is beyond the control of a company.

At the end of 2013, the mHealthSummit conference in Washington, DC, did not have a separate app introduction or discussion. In the previous conference, all kinds of App were undoubtedly one of the most shining topics. Where have the apps gone? The answer is - the app is married to HIS. “Softening” refers to the deep integration of App and traditional medical information systems.

The US medical insurance system is known as the world's most generous and expensive medical expense payment system. This system is based on medical informationization. In order to get subsidies from this system, you must prove the effect, either to reduce medical expenses, or to improve the quality of medical care, or both. In order to get the government's generous financial support, the App is no longer alone, but is forced to marry a variety of HIS, EHR, EMR systems, trying to get a slice of the Affordable Care Act (Obamacare).

And traditional medical informatization service providers either acquire App companies (such as Athenahealth to acquire Epocrates), or develop their own apps as an extension of system services, and more information acquisition and data analysis services are “mobilized”. Elements, strengthen their competitive advantage, in order to get more government subsidies. So the App has softened and they are completely integrated into the US medical information system, such as smoke and fog, and disappeared into various HIS systems.

"Hardening" - Driven by the US health care reform policy, the App has softened and become an accessory to the HIS system. But the latest technology has revived the app and hardened it. At the beginning of this year, the 2014 CES conference was held in Las Vegas. The CES conference is the world's largest and most influential consumer electronics exhibition and the world's largest consumer technology industry event. At this conference, people were surprised to find that nearly half of CES exhibits are related to mobile medical and mobile health related electronic products.

Various bracelets, foot rings, arm rings, headbands, watches, etc., and even equipment for implanting the human body. Then Internet giant Google said that it is entering the field of diabetes, preparing to develop contact lenses that can detect blood sugar; and the communication giant Apple is not willing to show weakness, and quickly recruits senior researchers with backgrounds in health sensor development, ready to add a module to detect blood pressure heart rate in iWatch...

In fact, the hardware itself is not unusual, nothing more than a sensor, but before the App, people do not like the sensor, nothing more than a boring reading. But with the mobile app, people can easily access, store, and manage their various health or disease data, even add social elements, and PK with their friends.

App and hardware products have been deeply integrated, it seems to be the god of the pen, helping the hardware from the original stupid sensor to change, a second into a stylish high-end wearable device. Fitbit is the largest wearable product in the United States last year. Young Korean CEO JamesPark is ambitious. Collecting more data to convince the government to include Fitbit in the medical insurance system and get medical insurance support can be described as both hard and soft.

Behind the app changes, the core reason is - "data." App softening is to make full use of the convenient data display capability of the App and the in-depth data analysis capability of the HIS system; when the App becomes hard, it is to make full use of the convenient data management capability of the App and the real-time data collection capability of the sensor. Regardless of whether it is hard or soft, data is the shackle behind the changes.

Master the data, medical insurance can only pay, doctors dare to make decisions, patients dare to treat.

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