M-health, Mobile Apps from the Payer Perspective
HLM: Or we wait for the clinical trial system to work, which takes forever.
Tuckson: If we don't do something, all we know is next year, the obesity rate will be higher, the percentage of people who get no exercise outside of going to work will go beyond 26% to—what? 30? That the [percentage] of diabetics go from 9.5 to—what? 13?
At the end of the day, the null hypothesis doesn't work. So let's get us moving. Let's keep at it, and then let consumerism take over. Let the consumer tell us what they want and how they want it, what works for them. If we're in this era of patient-centered care, let's take it for what it means.
Let's all figure out how what we do connects into meeting the comprehensive, holistic needs of the patient, and continue to ramp up the interventions for those needs as the patient changes. As they get healthier or less healthy, as their disease challenges change, as their social environment changes, let's keep giving them what they need so they can make the choices and the behaviors that we want.
HLM: Arianna Huffington said 44 million healthcare apps will be downloaded this year. You've got to leverage that.
Tuckson: Some will survive. Some won't. Some should. Some shouldn't. Let the marketplace go forward, but let us all try to at least engage the person. ... I wrote a book called The Doctor in the Mirror. The thesis of the book is in the title. Look in the mirror, and you will see the best doctor you'll ever meet. That's you!
Who knows you better than you? Who makes more decisions every day about your health than you? Who loves you more than you? The reaction to that book has absolutely astounded me, because the people that I talk to now who have read it are almost overwhelmingly reminding me of the importance of empowering people to make choices and decisions.
Now you and I, we sort of take that for granted. [But] the majority of people still do not have the message that you can and should take charge of your health, in every area. So we've got to keep having that conversation. Then, once you have people engaged and excited, then you're saying, I've got this tool, or they will find a tool and say, This meets my needs, I've decided to take charge of my health. Now how do I do it? Oh, here is an aid. It fits into my normal lifestyle.
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