mHealth: a Global Perspective - OECD - Joan Dzenowagis.pdf · mHealth: a Global Perspective OECD...
Transcript of mHealth: a Global Perspective - OECD - Joan Dzenowagis.pdf · mHealth: a Global Perspective OECD...
mHealth: a Global Perspective
OECD Expert Consultation on Mobile
Technology-Based Services for Global Health
& Wellness
Harvard Global Health Institute, Boston, 5-6 Oct. 2016
Dr Joan Dzenowagis
eHealth Unit, WHO Geneva
Strengthening WHO
• Capacity
• Coordination
• Quality
Global networks
• NGOs and CCs
• Professional associations
• Industry associations
• Academia
Technical expertise
• Global situation, trends and evidence
• Tools and services
• Norms and standards
• Governance, strategies, ethics
Global advocacy and leadership
• Interagency partnerships
• Intersectoral collaboration
• Agenda setting
eHealth Unit
eHealth @ WHO
National context for eHealth development
Experimentation
Early adoption
Developing and
Building up Scaling up
Mainstreaming
Strengthening
eHealth enabling
environment, create
foundations
Strengthening
infrastructure,
make the case for
eHealth
Scaling-up and
integration, cost-
effectiveness,
policies for
privacy, security
and innovation
Source: http://www.who.int/ehealth/en
Established ICT
environment
Emerging ICT
environment
Overall market and penetration of infrastructure
Established
enabling
environment
for eHealth
Emerging
enabling
environment
for eHealth
Governance, policy, standards and human resources
WHO/ITU National eHealth Strategy Toolkit
Performance
National eHealth components
WHO/ITU National eHealth Strategy Toolkit
eHealth components are introduced or strengthened through a strategy. All components are considered, even if not addressed in the final strategy.
Source: http://www.who.int/ehealth/en
GOe Survey 2015: Areas covered
eHealth applications: public services,
knowledge services, provider services
Enabling policies and strategies: citizen
protection, equity, diversity, interoperability,
capacity development
Foundations: governance, policy, funding,
infrastructure
mHealth: Selected findings, 2015
Over 80% of 125 responding countries have
government-sponsored mHealth programmes
mHealth is primarily guided by eHealth and
telehealth policies (60%), but no specific policy
guidance in 30% of countries
Over half of Member States are actively
promoting mHealth and providing guidance in
standards, privacy and security
Selected findings (2)
Gaps include policies on data ownership,
regulation of devices, oversight of mobile health
apps and evaluation
mHealth primarily extends current health
programmes & services, at national or local level
(vs international)
Countries have a mix of pilots and established
programmes, the latter are growing
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0102030405060708090
100110120
Pe
rce
nt
of
cou
ntr
ies
Nu
mb
er
of
cou
ntr
ies
Number Percent
Source: WHO Global Observatory for eHealth, 2016
Adoption of mHealth
programmes by type, 2015
mHealth programmes in
countries reporting in 2010 & 2015
Source: WHO Global Observatory for eHealth, 2016
mHealth programmes support health
services in all income groups
Source: WHO Global Observatory for eHealth, 2016
Role of national health authorities in
mHealth, globally, 2015
Source: WHO Global Observatory for eHealth, 2016
The evaluation gap is significant
(2015, n=122)
Source: WHO Global Observatory for eHealth, 2016
Indicators used by countries evaluating
government mHealth programmes
0% 50% 100%
Programme acceptance…
Programme acceptance (target…
Access
Quality
Cost-effectiveness (providers)
Health Outcome
Sustainability
Cost-effectiveness (target groups)
Percent of countries evaluating mHealth, n=14
Source: WHO Global Observatory for eHealth, 2016
Barriers to mHealth implementation,
globally (n=116)
Source: WHO Global Observatory for eHealth, 2016
National context: remarks
Across the survey, there is notable regional
variation in the e/mHealth enabling environment
Sharing of data between countries is an important
area for further work
Legal frameworks must evolve to accommodate
transfer of information between patients, providers
and devices
The growth in adoption of legal frameworks is a
strong and positive indicator for eHealth
development.