Experiences of Integration of mHealth into health systems

The European mHealth Hub collects experiences on mHealth initiatives that involve a real integration of these technologies into national or regional health systems. A selection of  these experiences is publicly disclosed as case studies in this section.

 

If you want to share a relevant initiative on this topic, please write to info@mhealth-hub.org describing briefly the initiative and indicating an email address to send the form to.

 

Let’s boost #mHealth!

aces-rwm

aces-rwm™ is a health ecosystem created collaboratively by all the public eye clinics of the university hospitals in Finland. At its core there is real-world monitoring and a holistic care delivery model for ...
Web_33_MEGI_image

MEGI app – hypertension chatbot

MEGI is an app (chatbot) developed for the tracking of blood pressure. The app was developed in collaboration between the start-up company Mindsmiths and the Magdalena Clinic, specialized for heart conditions. ...
Web_32_image_Staffordshire

ORCHA and Staffordshire County Council

Staffordshire County Council is the top-tier local authority for the non-metropolitan county of Staffordshire, England. Part of the Council’s work includes offering advice, support and care for health and ...
Web_31_Our_Dorset_IMAGE

ORCHA and Our Dorset Digital

Our Dorset is a partnership of health and social care organisations working together to deliver Integrated Care Systems. To address its ambitions and challenges, the Integrated Care System has identified a ...
Web_27_image_MaccabiOnline

Maccabi online

MACCABI ON LINE is an internal mobile app developed by Maccabi hospitals in Israel, it is used for both private and public health system. The app allows both doctors and patients to have full access to all ...
Web_24_image_eNabiz

e-Nabiz

e-Nabız gives an opportunity to exchange data among all levels of health care system to empower citizens to have a say in their health. App was developed by the Ministry of Health (Turkey) and it has been fully ...
Web_14_image_United4Health

United4Health- Southern Norway

Aim: to reduce hospital re-admissions from COPD exacerbations over the following year and pathway is more cost-effective compared to usual care. ...
Web_10_image_ProEmpower

ProEmpower

PROEMPOWER is a Pre Commercial Procurement co-financed by Horizon 2020 programme, aimed to procure a disease self-management mHealth solution to help meet the imminent threat of type 2 diabetes mellitus. 4 ...
Web_23_image_AssutaDoctors

Assuta Doctors

Objectives of the Assuta-doc app: fully operational app that enables doctors to monitor patients but also enables patients to be prepared for all procedures in the medical centre; to leverage doctor/patient ...
Web_09_image_Medication

Comprehensive medication management services

Objectives: To implement a new practice management system of Comprehensive Medication Management (CMM) services at the county health centre in Croatia. To evaluate the clinical impact of CMM services in ...
Web_08_image_eConsultations

e-Consultations in screening for familial hypercholesterolemia in City of Zagreb

Objectives of the app: eConsulations is primarily used by public health institutions such as University Hospital Center Zagreb and Health Center Zagreb Centar, but will also include general practitioners ...

MyNHS Wallet

App that functions as platform to help patients to manage and access their health information.​ Overview of the most used functionalities by end-users (e.g. appointment scheduling, request for chronic ...
PEM_Mobile_Web_30_image

Mobile Medical Electronic Prescription (PEM Mobile)

The Mobile Medical Electronic Prescription (PEM Mobile) is a mobile application developed by the Shared Services of the Ministry of Health (SPMS) -Portugal- used by physicians for drug prescription. It was ...
Web_28_image_QuironSalud

e-Res Salud

This program arises from the end-results oriented healthcare model of Quironsalud, and it comes to incorporate the international innovation initiatives already implemented with the aim of giving voice to ...
mSaude_web_26_image

mSaúde platform

Flexibility as a main feature to allow adapting the tool to assessment process evolutions. Integration of the platform (mSaúde) with eHR. Involvement of interested and highly specialized health professionals in ...
Mugitzen_Web_19_image

Mugitzen

Mobility strategy for nurses.​ It combines patient safety, nursing care, mobility, collection and recording of information.​  Based on the identification of the patient by reading their wristband.​ ...
Image_Web_13_ImagineCare

Remote monitoring and self-care for people suffering from chronic illness

The solution aims to identify deviations in people’s health conditions to make sure that they do not end up with acute events at the emergency rooms and subsequent hospital visits. The solution promotes ...
Web_07_ReportsOnline

Early Detection of Diabetic Retinopathy (EDDR)

Objectives of the app: A referral route for the assessment of patients eye condition-GP informing general ophthalmologist about patients suffering from diabetes, which need regular eye checkup. General ...

The eContinence project

The overall aim is to develop, evaluate and implement an mHealth solution for urinary incontinence. The app Tät®, an internet programme and a booklet with focus on pelvic floor exercises have shown effect in ...

TreC Diabetes

TreC Diabetes aims at implementing a new organizational asset to manage patients with diabetes type 1 and type 2, supported by new technologies The core target is mainly pregnant women affected by diabetes, ...

Heilsuvera.is

National health portal integrated with national EHR One point of access for all citizens 100% of primary health care providers connected to the portal Some private doctors also connected to the portal ...

The Mangols Journey

Treatment for overweight and obesity in 7-14 years patients. Totally integrated with the EHR of Osakidetza-Basque Health Service. It brings together technology and health care professionals. Main pillars: ...

Implementation factors affecting the large-scale deployment of digital health and well-being technologies

Little is known about the factors which facilitate or impede the large-scale deployment of health and well-being consumer technologies. The Living-It-Up project is a large-scale digital intervention led by NHS ...

Engaging across dimensions of diversity: A cross-national perspective on mHealth tools

Highlights Mobile technologies offer opportunities for real-time assessment of symptoms of MS. Acceptability of these tools for patients needs careful consideration. We report on the views of people with MS on ...

Delivering digital health and well-being at scale: lessons learned during the implementation of the dallas program in the United Kingdom

Objective: to identify implementation lessons from the United Kingdom Delivering Assisted Living Lifestyles at Scale (dallas) program—a large-scale, national technology program that aims to deliver a broad ...

Readiness for Delivering Digital Health at Scale

Background:Digital health has the potential to support care delivery for chronic illness. Despite positive evidence from localized implementations, new technologies have proven slow to become accepted, ...

An API for Wearable Environments Development and Its Application to mHealth Field

Wearable technologies are transforming research in traditional paradigms of software and knowledge engineering. Among them, expert systems have the opportunity to deal with knowledge bases dynamically varying ...

Using HL7 FHIR to achieve interoperability in patient health record

The rapid growth and acceptance of Electronic Health Records (EHRs) and standards to exchange EHRs have improved various aspects of health practices and patient care. However, the data captured in an EHR is ...

Towards Flexible Mobile Data Collection in Healthcare

The widespread dissemination of smart mobile devices offers promising perspectives for a variety of healthcare data collection scenarios. Usually, the implementation of mobile healthcare applications for ...

Practical Considerations for Data Collection and Management in Mobile Health Micro-randomized Trials

There is a growing interest in leveraging the prevalence of mobile technology to improve health by delivering momentary, contextualized interventions to individuals' smartphones. A just-in-time adaptive ...

On the Integration of Wearable Sensors in IoT Enabled mHealth and Quantified-self Apps

The regular use of activity trackers and biosignal sensors from non-professional users is constantly increasing, while for patients with chronic diseases has already become part of their daily routine for a ...

Mobile Health Provider Training

This article describes the results of the delivery of the fourth year of the delivery of a competency-based training program to train providers on best practices for mobile health in clinical care. During a ...

Making Sense of Mobile Health Data: An Open Architecture

Mobile phones and devices, with their constant presence, data connectivity, and multiple intrinsic sensors, can support around-the-clock chronic disease prevention and management that is integrated with daily ...

A mobile health monitoring-and-treatment system based on integration of the SSN sensor ontology and the HL7 FHIR standard

Background: Mobile health (MH) technologies including clinical decision support systems (CDSS) provide an efficient method for patient monitoring and treatment. A mobile CDSS is based on real-time sensor data ...

Web-Based and mHealth Technologies to Support Self-Management in People Living With Type 2 Diabetes:

Background:A growing number of web-based and mobile health (mHealth) technologies have been developed to support type 2 diabetes self-management. Little is known about individuals’ experiences with these ...

Mobilizing mHealth Data Collection in Older Adults: Challenges and Opportunities

Worldwide, there is an unprecedented and ongoing expansion of both the proportion of older adults in society and innovations in digital technology. This rapidly increasing number of older adults is placing ...

Clinician Perspectives and Design Implications in Using Patient-Generated Health Data

Objective: A mixed methods study was conducted to understand clinicians’ perspectives on PGHD (Patient-generated health data) and current mental health apps. This approach uses information gathered from ...

A standards-based architecture proposal for integrating patient mHealth apps to electronic health record systems

Objective: Although much work has been done on patient’s access to EHRs, transfer of information from mHealth Apps to EHR systems is still low. This study proposes a standards-based architecture that can be ...

Interoperability frameworks linking mHealth applications to electronic record systems

Background: mHealth presents innovative approaches to enhance primary healthcare delivery in developing countries like Botswana. The impact of mHealth solutions can be improved if they are interoperable with ...

Business model canvas for adoption of International Patient Summary standards in mHealth industry

Purpose This article intends to present and discuss two promising business models for deploying international patient summary standards in mobile health (mHealth) apps, enhancing the value brought by standards, ...

What is the clinical value of mHealth for patients?

Despite growing interest from both patients and healthcare providers, there is little clinical guidance on how mobile apps should be utilized to add value to patient care. We categorize apps according to their ...

Engaging in large-scale digital health technologies and services. What factors hinder recruitment?

Implementing consumer oriented digital health products and services at scale is challenging and a range of barriers to reaching and recruiting users to these types of solutions can be encountered. This paper ...

Valuing Mobile Health: An Open-Ended Contingent Valuation Survey of a National Digital Health Program

This study explored consumers’ perspectives on the potential value of digital health technologies, particularly mobile health (mHealth), to promote well-being by examining their willingness-to-pay (WTP) for ...

Patient portals and health apps: Pitfalls, promises, and what one might learn from the other

Background Smart Health is known as a concept that enhances networking, intelligent data processing and combining patient data with other parameters. Open data models can play an important role in creating a ...

Mobile Health in the Developing World: Review from a Case Study

The mHealth trend, which uses mobile devices and associated technology for health interventions, offers unprecedented opportunity to transform the health services available to people across the globe. In ...

Principles for Selecting, Developing, Modifying, and Adapting PatientReported Outcome Instruments for Use in Medical Device Evaluation

Principles for Selecting, Developing, Modifying, and Adapting Patient-Reported Outcome Instruments for Use in Medical Device Evaluation Draft Guidance for Industry and Food and Drug Administration Staff, And ...

Patient-reported outcomes: A new era in clinical research

Now-a-days there is significant discussion about patient-reported outcomes (PRO) in medical world. The following article covers almost all the areas of PRO including-their importance, important concepts for ...

mHealth Subgroup Suggestions for Future Work

The current report outlines a comprehensive set of actions that the mHealth subgroup considered necessary to support mHealth as an engine for health system transformation through empowered citizens. eHealth ...

mHealth and patient generated health data: stakeholder perspectives on opportunities and barriers

Background Wearable devices, mobile health apps, and geolocation technologies place the ability to track, monitor and report data in the individuals’ hands – or on their bodies. These innovations create an ...

Fammeal: A Gamified Mobile Application to Help Healthcare Centers Treat Childhood Obesity

Healthcare centers are ideal settings to identify and motivate parents to adhere to healthier lifestyles in order to reverse their child's excessive weight. However, such promotions are time- and ...

Education for eHealth – A Status Analysis

eHealth is not only a growing market, but also an important factor for new healthcare systems. National and European initiatives implicitly demand a higher level of knowledge in the areas of healthcare, ...

Development of a multidisciplinary and telemedicine focused system database

Background: Tele-rehabilitation at home is one of the promising approaches in increasing rehabilitative success and simultaneously decreasing the financial burden on the healthcare system. Objectives: Novel and ...

Certification programs for ehealth-status quo

The skills of the workforce are a core factor for the quality of healthcare systems. On top of the basic education, postgraduate training is an important factor for continuously maintaining as well as improving ...

Biosignals, standards and FHIR -The way to go

Background: Standards have become available to share semantically encoded vital parameters from medical devices, as required for example by personal healthcare records. Standardised sharing of biosignal data ...

Use of Mobile Health and Patient-Generated Data-Making Health Care Better

An increasing array of mobile health (mHealth) tools are designed to capture patient-generated data, including more than 250 000 mobile health applications available for download and more than 300 million ...

The impact of mHealth interventions on health systems: a systematic review protocol

Background Mobile health (mHealth) has been described as a health enabling tool that impacts positively on the health system in terms of improved access, quality and cost of health care. The proposed systematic ...

Preservation of Individuals’ Privacy in Shared COVID-19 Related Data

This paper provides insight into how restricted data can be incorporated in an open-be-default-by-design digital infrastructure for scientific data. We focus, in particular, on the ethical component of FAIRER ...

Open data models for smart health interconnected applications

Background Smart Health is known as a concept that enhances networking, intelligent data processing and combining patient data with other parameters. Open data models can play an important role in creating a ...

OP144 mHealth App Evaluation Framework For Reimbursement Decision-making

Introduction. Australians are adjusting to mobile health (mHealth) applications (apps) being used in clinical care. The nature of apps presents unique challenges (e.g. rapid lifecycle) to mHealth regulation. ...

Mobile health interventions: Exploring the use of common relationship factors

The use of mobile health (mHealth) interventions has risen dramatically over the past two decades. It is important to consider mHealth intervention research within the broader therapy outcome literature. Among ...

mHealth: Don’t Forget All the Stakeholders in the Business Case

Mobile health (mHealth) facilitates linking patient-generated data with electronic health records with clinical decision support systems. mHealth can transform health care, but to realize this potential it is ...

Introduction to Focused Issue on mHealth Infrastructure: issues and solutions

In 2013, when we began researching mHealth as a disruptive innovation in healthcare (1), we traced the origin of the term back more than two decades to a data communications professor, Dr. Robert Istepanian, ...

Information and Communication Technologies and Global Health Challenges

Healthcare is an information-based field with increasing use of information and communication technologies (ICTs). Current ICT tools are in development, but with brighter future to support healthcare. In this ...

Health Data for Research Through a Nationwide Privacy-Proof System in Belgium: Design and Implementation

Background: Health data collected during routine care have important potential for reuse for other purposes, especially as part of a learning health system to advance the quality of care. Many sources of bias ...

Evaluation of treatment descriptions and alignment with clinical guidance of apps for depression on app stores

Background: The use of apps for the treatment of depression shows great promise. However, there is uncertainty regarding the alignment of publicly available apps for depression with clinical guidance, their ...

Evaluating the feasibility of a decision aid to promote shared decision making among young adults with first-episode psychosis

Background: Young adults ages 18 to 25 with first episode psychosis (FEP) have an increased risk of discontinuation antipsychotic medications and psychiatric service disengagement that lead to symptom ...

Development of Knowledge Profiles for International eHealth eLearning Courses

Professionals working in the multidisciplinary field of eHealth vary in their educational background. However, knowledge in the areas of medicine, engineering and management is required to fulfil the tasks ...

Determinants of informal care‐giving in various social relationships in the Netherlands

This study investigates determinants for offering help to family members, neighbours and friends, based on the Informal Care Model. We do so in pooled representative data for the Netherlands collected in 2014 ...

Design and governance of mhealth data sharing

The proliferation of mobile health (mHealth)—namely, mobile applications along with wearable and digital health devices—has helped to generate a growing amount of heterogeneous data. To increase devices’ and ...

Crowdsourcing Health Policy with the Provider Community during a Crisis

The COVID-19 pandemic presented the healthcare system with numerous challenges requiring an expedited process to address issues and identify necessary innovations. Crowdsourcing is a rapid, flexible and ...

Checking the quality of detailed clinical models: Instrument application

Background: The exchange of clinical data between electronic health records is a challenge and need flexible models that adapt to clinical needs. Detailed Clinical Models (DCM) are used for this purpose, ...

Can care coordination across levels be improved through the implementation of participatory action research interventions?

Background: Finding new strategies for care integration has become a policy priority for many fragmented health systems in Latin America. Although the implementation of interventions through a participatory ...

Building a semantic web-based metadata repository for facilitating detailed clinical modeling in cancer genome studies

Background: Detailed Clinical Models (DCMs) have been regarded as the basis for retaining computable meaning when data are exchanged between heterogeneous computer systems. To better support clinical cancer ...

Addressing Organizational Barriers to Adolescent Access to High-Quality Sexual and Reproductive Health Services

Adolescents face a number of barriers to accessing high-quality, confidential sexual and reproductive health (SRH) services. Although federally qualified health centers (FQHCs), a type of community health ...

Beyond acceptability and feasibility: moving mHealth into impact

In this issue of Mhealth, Jenkins et al. (1) offer a summary describing attitudes of 60 stroke patients towards the use of mobile phone tools -specifically smart phones- to monitor blood pressure and facilitate ...

Authentication and usability in mHealth apps

Mobile health (mHealth) apps have been adopted in healthcare areas such as the management of diabetes, the monitoring of physical activities and the treatment of HIV. The users of mHealth may be patients with ...

Aligning Concerns in Telecare: Three Concepts to Guide the Design of Patient-Centred E-Health

The design of patient-centred e-health services embodies an inherent tension between the concerns of clinicians and those of patients. Clinicians’ concerns are related to professional issues to do with ...

Acceptability and feasibility of the mHealth intervention ‘MyDayPlan’ to increase physical activity in a general adult population

Background Electronic health (eHealth) and mobile health (mHealth) interventions have the potential to tackle the worldwide problem of physical inactivity. However, they often suffer from large attrition rates. ...

A path to better-quality mHealth apps

The rapid growth of mobile health (mHealth) apps has resulted in confusion among health care providers and the public about which products rely on evidence-based medicine. Only a small subset of mHealth apps ...

Open data models for smart health interconnected applications: the example of openEHR

Smart Health is known as a concept that enhances networking, intelligent data processing and combining patient data with other parameters. Open data models can play an important role in creating a framework for ...

Data Modeling Challenges of Advanced Interoperability

Progressive health paradigms, involving many different disciplines and combining multiple policy domains, requires advanced interoperability solutions. This results in special challenges for modeling health ...

No post found

aces-rwm

aces-rwm™ is a health ecosystem created collaboratively by all the public eye clinics of the university hospitals in Finland. At its core there is real-world monitoring and a holistic care delivery model for ...
Web_33_MEGI_image

MEGI app – hypertension chatbot

MEGI is an app (chatbot) developed for the tracking of blood pressure. The app was developed in collaboration between the start-up company Mindsmiths and the Magdalena Clinic, specialized for heart conditions. ...
Web_32_image_Staffordshire

ORCHA and Staffordshire County Council

Staffordshire County Council is the top-tier local authority for the non-metropolitan county of Staffordshire, England. Part of the Council’s work includes offering advice, support and care for health and ...
Web_31_Our_Dorset_IMAGE

ORCHA and Our Dorset Digital

Our Dorset is a partnership of health and social care organisations working together to deliver Integrated Care Systems. To address its ambitions and challenges, the Integrated Care System has identified a ...
Web_27_image_MaccabiOnline

Maccabi online

MACCABI ON LINE is an internal mobile app developed by Maccabi hospitals in Israel, it is used for both private and public health system. The app allows both doctors and patients to have full access to all ...
Web_24_image_eNabiz

e-Nabiz

e-Nabız gives an opportunity to exchange data among all levels of health care system to empower citizens to have a say in their health. App was developed by the Ministry of Health (Turkey) and it has been fully ...
Web_14_image_United4Health

United4Health- Southern Norway

Aim: to reduce hospital re-admissions from COPD exacerbations over the following year and pathway is more cost-effective compared to usual care. ...
Web_10_image_ProEmpower

ProEmpower

PROEMPOWER is a Pre Commercial Procurement co-financed by Horizon 2020 programme, aimed to procure a disease self-management mHealth solution to help meet the imminent threat of type 2 diabetes mellitus. 4 ...
Web_23_image_AssutaDoctors

Assuta Doctors

Objectives of the Assuta-doc app: fully operational app that enables doctors to monitor patients but also enables patients to be prepared for all procedures in the medical centre; to leverage doctor/patient ...
Web_09_image_Medication

Comprehensive medication management services

Objectives: To implement a new practice management system of Comprehensive Medication Management (CMM) services at the county health centre in Croatia. To evaluate the clinical impact of CMM services in ...
Web_08_image_eConsultations

e-Consultations in screening for familial hypercholesterolemia in City of Zagreb

Objectives of the app: eConsulations is primarily used by public health institutions such as University Hospital Center Zagreb and Health Center Zagreb Centar, but will also include general practitioners ...

MyNHS Wallet

App that functions as platform to help patients to manage and access their health information.​ Overview of the most used functionalities by end-users (e.g. appointment scheduling, request for chronic ...
PEM_Mobile_Web_30_image

Mobile Medical Electronic Prescription (PEM Mobile)

The Mobile Medical Electronic Prescription (PEM Mobile) is a mobile application developed by the Shared Services of the Ministry of Health (SPMS) -Portugal- used by physicians for drug prescription. It was ...
Web_28_image_QuironSalud

e-Res Salud

This program arises from the end-results oriented healthcare model of Quironsalud, and it comes to incorporate the international innovation initiatives already implemented with the aim of giving voice to ...
mSaude_web_26_image

mSaúde platform

Flexibility as a main feature to allow adapting the tool to assessment process evolutions. Integration of the platform (mSaúde) with eHR. Involvement of interested and highly specialized health professionals in ...
Mugitzen_Web_19_image

Mugitzen

Mobility strategy for nurses.​ It combines patient safety, nursing care, mobility, collection and recording of information.​  Based on the identification of the patient by reading their wristband.​ ...
Image_Web_13_ImagineCare

Remote monitoring and self-care for people suffering from chronic illness

The solution aims to identify deviations in people’s health conditions to make sure that they do not end up with acute events at the emergency rooms and subsequent hospital visits. The solution promotes ...
Web_07_ReportsOnline

Early Detection of Diabetic Retinopathy (EDDR)

Objectives of the app: A referral route for the assessment of patients eye condition-GP informing general ophthalmologist about patients suffering from diabetes, which need regular eye checkup. General ...

The eContinence project

The overall aim is to develop, evaluate and implement an mHealth solution for urinary incontinence. The app Tät®, an internet programme and a booklet with focus on pelvic floor exercises have shown effect in ...

TreC Diabetes

TreC Diabetes aims at implementing a new organizational asset to manage patients with diabetes type 1 and type 2, supported by new technologies The core target is mainly pregnant women affected by diabetes, ...

The Mangols Journey

Treatment for overweight and obesity in 7-14 years patients. Totally integrated with the EHR of Osakidetza-Basque Health Service. It brings together technology and health care professionals. Main pillars: ...

Rakning C-19

Official app from the Icelandic Government to help mitigate the Covid-19 pandemic in Iceland. This contact tracing app, open to all, helps to analyse individuals’ travel and trace their movements against those ...

No post found