mHealth, ¿presente o futuro?

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CLAVES:

  • Mientras dos tercios de los hospitales más grandes de Estados Unidos están desarrollando sus propias aplicaciones, sólo el 2% las encuentran útiles.
  • Una de las principales promesas de las aplicaciones mHealth es el cambio de comportamiento del usuario, para que suceda hay que proveer de interacción con los profesionales sanitarios.
  • Hospitales, compañías farmacéuticas y empresas Med Tech están activas en el mercado de las aplicaciones de mHealth, pero representan una minoría.
  • El desarrollo y la demanda de aplicaciones mHealth es constante y su uso se duplicará en un plazo de dos años.
  • Las aplicaciones de diagnóstico son vistas por los médicos como las que más potencial de negocio van a tener durante los próximos cinco años.
  • Tiendas como Apple App Store y Google Play serán la mejor fuente de aplicaciones de salud móvil en los próximos cinco años.

De acuerdo con Research2guidance, más de la mitad de los encuestados en su informe “mHealth App Developer Economics 2015” afirmaron que las tiendas como Apple App Store y Google Play son y serán la mejor fuente de aplicaciones de salud móvil en los próximos cinco años, en lugar de las recomendaciones de los médicos, los sistemas de salud o las farmacias.

imag1
Fuente: Research2guidance

Esto marca un cambio de la encuesta que la empresa realizó en 2010, cuando más del 65% de los profesionales de la salud dijo que serían ellos quienes recomendarían las aplicaciones de salud móvil a sus pacientes. Cinco años más tarde, ese porcentaje se ha reducido al 48% de los médicos y el 46% de los hospitales.

En los últimos años, un optimismo primordial acerca de que las aplicaciones de mHealth se desarrollarían para convertirse en una parte integral de la salud llevó a la suposición de que médicos y hospitales comenzarían a incluir aplicaciones de mHealth en sus tratamientos, convirtiéndose así en el principal canal de distribución de aplicaciones de mHealth, escribió recientemente Sean Phillips de R2G. “A finales de 2015, sin embargo, este escenario parece todavía lejano, lo que lleva a un juicio más realista del impacto que estos canales tendrán en la distribución de aplicaciones mHealth para el año 2020.”

imag2
Fuente: Research2guidance

[section label=”No se proporciona lo que buscan los pacientes” anchor=”No se proporciona lo que buscan los pacientes”]

No se proporciona lo que buscan los pacientes

La noticia no es del todo nueva. Apenas el mes pasado, un informe de Accenture señaló que mientras dos tercios de los hospitales más grandes de Estados Unidos están desarrollando sus propias aplicaciones, sólo el 2% de sus pacientes están encontrándolas útiles. Según los investigadores, los profesionales del sector salud no están dando a sus pacientes lo que quieren en una aplicación.

imag3
Fuente: Accenture
ACCENTURE. Losing Patience: Why Healthcare Providers Need to Up Their Mobile Game. 2015 [consultado 28-03-2016]. Disponible en: https://www.accenture.com/t20151112T042615__w__/us-en/_acnmedia/Accenture/Conversion-Assets/DotCom/Documents/Global/PDF/Dualpub_24/Accenture-Losing-Patience.pdf#zoom=50

Los consumidores de hoy tienen más expectativas en que los proveedores interactúen digitalmente, impulsados por las experiencias que han tenido con los servicios de otras industrias, y la mayoría de profesionales médicos están fallando“, indica el informe. “Así, en un mercado de salud cada vez más competitivo, los proveedores que ignoran las necesidades de movilidad de los pacientes always-on de hoy podrían perderlos a favor de sus competidores.”

A pesar de ello, una de las principales promesas de las aplicaciones mHealth es el cambio de comportamiento del usuario. Por tanto, las opciones para que suceda este cambio de comportamiento en el paciente parece que están muy relacionadas con proveer de interacción con los profesionales sanitarios, y con el correcto uso de elementos de gamificación que les ayude a realizar sus actividades.

El informe de R2G también muestra que el mercado de las aplicaciones de mHealth todavía está impulsado por el hype, con nuevos participantes e inversiones en el ámbito. De hecho, de los más de 45.000 desarrolladores, que van desde emprendedores y compañías de mHealth a la industria farmacéutica, sistemas de salud e incluso médicos independientes, que han comercializado al menos una aplicación, el 13% de ellos son nuevos, un aumento del 3% desde el primer trimestre de 2014.

imag4
Fuente: Research2guidance

[section label=”Los nuevos entrantes no son del sector salud” anchor=”Los nuevos entrantes no son del sector salud”]

Los nuevos entrantes no son del sector salud

La mayoría de los editores de aplicaciones de salud móvil son principalmente técnicos y no médicos. El 48% son de empresas TI o desarrolladores de aplicaciones clásicas. Han enriquecido su equipo con competencias médicas, pero no son procedentes de la industria de salud tradicional. Los hospitales (5%), compañías farmacéuticas (5%) y empresas Med Tech (6%) están activas en el mercado de las aplicaciones de mHealth, pero representan una minoría.

imag5
Fuente: Research2guidance

Por otro lado, las condiciones generales del mercado no han cambiado desde 2013“, indica el informe. “Los players tradicionales de salud, gobiernos y organismos reguladores todavía están luchando por entrar con éxito en el mercado o proporcionar directrices y condiciones que soporten la entrada de las empresas de salud móvil.”

imag6
Fuente: Research2guidance

El incremento en el desarrollo de aplicaciones de mHealth ha sido constante y la demanda también. Aproximadamente 3 billones de descargas de apps mHealth se realizaron en 2105, frente a los 1,7 billones de 2013 y 2,3 billones en 2014.

imag7
Fuente: Research2guidance

También queda confirmado por la consultora PwC, quien publicó días antes de finalizar 2015 su informe anual “Top health industry issues of 2016”, en el que analiza las principales tendencias en el sector de la salud para el año que empieza.  Entre las conclusiones interesantes que se extraen de dicho informe, una de las principales destaca que la utilización de apps sanitarias se duplicará en un plazo de dos años.

Así, el porcentaje de consumidores con, al menos, una app médica o de fitness en sus móviles pasará del 16% de 2015 a un 32% en 2016. La adopción de este tipo de dispositivos para controlar la tensión arterial, ayudar en el cumplimiento de la medicación, realizar seguimiento de enfermedades crónicas o hacer ejercicio, por citar algunas de sus aplicaciones más numerosas, es cada vez mayor y seguirá creciendo en los próximos años.

imag8
Fuente: PWC

Documento relacionado en Thinknowa:

Sin embargo, a pesar del incremento de aplicaciones y demanda, el 58% de esas aplicaciones decepcionan en su rendimiento. De hecho, de acuerdo con R2G, el 62% de los “editores” de aplicaciones genera menos de 5.000 descargas en toda su cartera de aplicaciones.

imag9
Fuente: Research2guidance

Los profesionales de asistencia sanitaria y farmacéutica continúan luchando por el desarrollo de aplicaciones, mientras que emprendedores y compañías de mHealth refinan sus plataformas y productos, a menudo mediante otros proveedores, como consultores o incluso socios de marca. Eso, a su vez, les dará más valor a los consumidores.

imag10
Fuente: Research2guidance

Por otro lado, las aplicaciones de diagnóstico son vistas por los médicos como las que más potencial de negocio tienen durante los próximos cinco años, mientras que las aplicaciones de seguimiento remoto (incluyendo apps de consulta y recordatorios) han reducido drásticamente su potencial desde el año pasado. Los investigadores de R2G dicen que esto puede ir mano a mano con la creencia en los círculos de salud de que las apps de mHealth están amenazando el modelo de negocio tradicional para los médicos.

imag11
Fuente: Research2guidance

Creo que con la popularidad de los dispositivos wearables los pacientes llevarán su salud en sus propias manos y se puede prever que en los próximos cinco años se van a realizar una gran cantidad de auto-diagnósticos“, dijo uno de los encuestados.

Por último, de acuerdo con el informe, los desarrolladores de aplicaciones mHealth están centrando más sus esfuerzos en el mercado de consumo, especialmente aquellos con enfermedades crónicas y los interesados en fitness, y poniendo menos interés en los médicos.

A pesar de todo, R2G dice que la asistencia sanitaria sólo tiene que esperar a que termine el hype cicle, y tal vez mirar hacia la salud móvil como algo positivo, en lugar de una amenaza. “Los médicos todavía son clave en el éxito global del mercado. Las aplicaciones son más propensas a ser adoptadas y gozar de mayor credibilidad si los consumidores son alentados por los profesionales de la salud“, concluye el informe.

[section label=”Entonces, ¿se debería continuar invirtiendo en mHealth?” anchor=”Entonces, ¿se debería continuar invirtiendo en mHealth?”]

Entonces, ¿se debería continuar invirtiendo en mHealth?

En la era digital, la tecnología es el cambiador de juego, las nuevas innovaciones médicas, los centros de datos virtuales, las redes de salud y los wearables comprenden una gran variedad de posibilidades digitales que ahora son accesibles en toda Europa. Las tecnologías mejoran las posibilidades de personalizar los servicios médicos y aumentan el enfoque en las necesidades del paciente. Lo digital crea una disrupción en los modelos sanitarios existentes y también crea nuevos vínculos entre los pacientes, compañías de tecnología y del sector público.

Aun así, con tantas aplicaciones de salud disponibles en el mercado, se podría cuestionar la demanda para el desarrollo de este tipo de servicios. La cantidad de personas que utilizan aplicaciones de salud se duplicará cada dos años.“, escribe Michal Boni, MEP y eSkills Ambassador, en la edición de febrero de la revista The Parliament. “En 2013, sólo el 16% utilizaban este tipo de aplicaciones. En 2015, esta proporción aumentó al 32% y se espera que llegue a 50% en 2017” y concluye: “Es una clara señal de que hay que invertir en innovación. El 83% de las personas están dispuestas a compartir sus datos médicos si se utilizan para investigación y mejora de su salud“.

La mHealth contribuye al bienestar de todos, y se relaciona con las nuevas necesidades y demandas del estilo de vida de hoy“, según Boni. Si bien es importante para dar a tantas personas como sea posible el acceso a dichas aplicaciones móviles, también es importante fomentar el desarrollo de nuevos hábitos digitales y la comprensión de las tecnologías. Ser capaz manejar los dispositivos tecnológicos y las aplicaciones es una habilidad crucial para todas las personas del siglo XXI.

THE PARLIAMENT MAGAZINE. mHealth: New challenges as well as new opportunities. 8 de febrero de 2016 [consultado 28-03-2016]. Disponible en: https://www.theparliamentmagazine.eu/articles/opinion/mhealth-new-challenges-well-new-opportunities

[section label=”¿Cuál es la situación de la mHealth en España?” anchor=”¿Cuál es la situación de la mHealth en España?”]

¿Cuál es la situación de la mHealth en España?

Jaime del Barrio, director general del Instituto Roche, fue entrevistado por la compañía Wake App Health, donde afirmó que la mHealth es algo fundamental en el sistema sanitario español. No solamente porque va a permitir optimizar los recursos de los que se dispone, también porque va a significar un beneficio para el paciente: va a estar mejor conectado con el médico, va a ahorrar costes de desplazamientos etc., y sobre todo va a tener un control permanente tanto de su salud como de su enfermedad.

Actualmente se estima que el 1.1% de las inversiones de la Sanidad en España están destinadas a las TIC, aunque lo deseable sería que esa cifra se acercara al 3%, tal y como sucede en diferentes países europeos. Según Jaime del Barrio, el reto ahora reside en demostrar que esta inversión realmente merece la pena.

La colaboración entre la sanidad pública y privada para implantar la salud digital en España todavía es muy deficiente si la comparamos con sus vecinos europeos. Por otra parte, a pesar de ser uno de los primeros países en los rankings de conectividad a través de smartphones, están lejos de la media en lo que se refiere a la Salud Digital.

RESEARCH2GUIDANCE. mHealth App Developer Economics 2015. Enero de 2016 [consultado 28-03-2016]. Disponible en: http://research2guidance.com/r2g/r2g-mHealth-App-Developer-Economics-2015.pdf

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