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"The next ˜big thing" in healthcare . . . . is IT, which will dramatically change the way health professionals interact with patients. Every step of a patient's care will be determined by protocols on a hand-held device. This will make healthcare safer and shift many hospital activities into the home," says Dr Devi Shetty, world-renowned heart surgeon, founder and chairman of Narayana Health, India's largest multi-purpose hospital group and the person said to have, "the biggest impact on healthcare on the 21st century".

Shetty also warns that, "Despite the advantages of such technologies, the medical community is reluctant to accept them."

Although doctors and patients have iPads and smartphones and use social networks, the healthcare community, "fights like mad to resist change", and fails to embrace life-saving technologies, which would improve patient care and reduce costs. ld improve patient care and reduce costs.
 
Open systems
In 2012 UK Health Secretary Jeremy Hunt issued a Mandate that by 2015, modern communications technology would play a substantially bigger role in the UK's healthcare system. The NHS remains a near bankrupt, inward looking public monopoly driven by proprietary systems rather than customer needs.

 

Saving lives didn't invoke change
Healthcare professionals invariably refer to privacy and security issues to protect the status quo, but these are equally applicable to other sectors, such financial services, which have embraced change and open standards.
 
An explanation why healthcare systems resist change is in a 1970 BBC Reith Lecture by Donald Schon, formerly Professor of Philosophy, University of California.
 
Schon borrowed a story from Elting Morison's 1968 book, Men, Machines and Modern Times, to describe entrenched social systems' resistance to change. 
 
During wartime, a young Naval officer named Sims invented a device that improved the accuracy of guns on ships by 300%, but the US Navy rejected it.
 
The device, "continuous-aim firing" used a simplified gearing mechanism that took advantage of the inertial movement of a ship. What previously a whole troupe of well-trained men had done, now one person, keeping his eye on the sight and his hands on the gears - could do.
 
To survive and grow, every major industry in today's network-centric world, except healthcare, has abandoned proprietary systems, embraced open standards and actively licensed technologies.  

 

 
Rejected on scientific grounds
Despite it's obvious advantages especially in a time of war, Sims found it extremely difficult to get his device adopted by the US Department of Navy. When finally the Navy did agree to test his system, they did so by taking it off the moving ship and strapping it onto a solid block on land. Since the device depended on the inertial movement of the ship, it didn't work and the Navy rejected the device on "scientific" grounds.
 
Eventually, Sims attracted the attention of Theodore Roosevelt, who saw the advantages of the device and immediately insisted that it be adopted in the Atlantic and Pacific war theatres where it achieved a 300% increase in accuracy.
 
The American Navy's rejection to Sims's lifesaving technology is similar to Healthcare systems' reluctance to embrace technologies, which improve patient care and lower costs.
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Patients want health information in ways that doctors are not providing.
 
Patients want reliable answers to simple questions about the presentation, diagnosis, treatment options, side effects, and aftercare of their conditions. They want answers at speed, and increasingly delivered to their smartphones in video formats.
 
With difficulties gaining face-time with doctors, patients turn to the Internet. Worldwide, some three billion health-related Internet searches are made each year.
 
Patients experience difficulty finding reliable answers to their basic questions among more than two billion health websites. According to research published by the American National Institute of Health, 33% of adults who search the Internet for health information become confused by what they find. This frustrates their therapeutic journeys and makes for fraught doctor-patient relations.
 
Things are changing, however, and now patients have a new free-and-easy-to-use online platform, www.healthpad.net. This provides patients with video answers to their FAQs that can be accessed at speed at anytime, from anywhere on any hand held device.
HealthPad
HealthPad was started by doctors and launched in June 2013. It has accrued a growing exclusive healthcare content library of over 4,000 videos that provide patients with premium, reliable answers to their FAQs across 32 therapeutic pathways. 

This unique health content library with embedded search facilities, has been contributed by leading health providers from premier North American, European and South Asian medical institutions. 
 
HealthPad does more than reformat print content into digital words and substitute a website for books and journals. The platform leverages the online communications potential, and is an interactive, multimedia utility, which meets the needs, health status and personal backgrounds of patients and patient groups.   
 
Enhanced communications
HealthPad serves the needs of patients by enabling doctors to capture, organize and distribute their medical knowledge more effectively. Doctors can drag-and-drop any type of content into a publishing template: scans, pdf files, ppt. presentations, videos, diagrams, photos, commentaries etc. These data are instantly and automatically re-formatted into attractive rich-media publications. By a click of a mouse, doctors then can choose how they wish to share their publications, ranging from private and secure to public and open.
 
In addition to publishing health knowledge, doctors can use HealthPad to create, develop and manage any number of bespoke online patient groups. 
 
What doctors say about HealthPad
"My HealthPad videos personalize medicine and have positive psycho-social effects. Because of HealthPad patients feel that they know me before we have even met and are less inclined to be swayed by discordant and often incorrect medical information they encounter on the internet that can create misperceptions and fear". Dr. Whitfield Growdon, Onco-surgeon, Harvard University Medical School and the Massachusetts General Hospital.
 
"My patients now don't always have to attend a hospital for reliable information to help them manage their conditions. HealthPad allows me to reduce valuable face-time with my patients while improving doctor-patient relationships and patient compliance by helping them understand their conditions and treatments better". Dr Sufyan Hussain, an endocrinologist specializing in diabetes at Imperial College, London.
 
Drivers of change
The overwhelming majority of UK doctors provide medical information in pamphlet form, while the overwhelming majority of their patients have smartphones and broadband connections and use online services to find jobs, receive their salaries, pay bills and taxes, learn, conduct business and interact socially.
 
Technological change combined with the escalation of chronic non-communicable diseases, especially among the over 55s, is expected to increase Internet searches for premium and reliable medical knowledge and this will force health providers to change the way they communicate with patients.  
According to a recent Deloitte's report, in 2014 UK citizens over 55 will experience the fastest year-on-year rises in smartphone penetration. By the end of 2014, UK smartphone ownership is expected to surpass 50%, and the difference in smartphone penetration by age will disappear.     
This mirrors the rest of the world.
 
Takeaways
If you're a health provider, HealthPad can significantly improve your online communications, enhance the quality of your services and save you money.
 
If you're a patient, HealthPad provides you with free and easy access to exclusive, premium and reliable healthcare knowledge in video formats you prefer, at anytime, anywhere, anyhow. 
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