Abstract
Medical science has made revolutionary changes in the past decades. Contemporaneously, however, healthcare has made incremental changes at best. The growing discrepancy between the revolutionary changes in medicine and the minimal changes in healthcare processes is leading to inefficient and ineffective healthcare delivery and one if not the significant contributor to the exponentially increasing costs plaguing healthcare globally. Healthcare organizations can respond to these challenges by focusing on three key solution strategies; namely: (1) access—caring for anyone, anytime, anywhere; (2) quality—offering world-class care and establishing integrated information repositories; and (3) value—providing effective and efficient healthcare delivery. These three components are interconnected such that they continually impact on the other and all are necessary to meet the key challenges facing healthcare organizations today.
The application of mobile commerce to healthcare; namely, m-health appears to offer a way for healthcare delivery to revolutionize itself and simultaneously address the critical areas of access, quality and value. Integral to such an approach is the need for a robust wireless model. We propose the Wi-INET (wireless internet, intranet, extranet) model as the way to deliver m-health excellence.
Some of the material in this chapter has been presented previously in earlier versions of various aspects of this ongoing project:
Wickramasinghe, N, S. Misra & S. Goldberg 2004 “Security Challenge in a Mobile Healthcare Setting,” The 5th Annual Conference of the National Business and Economics Society, Hawaii, March 10–13, 2004.
Wickramasinghe, N., and S. Goldberg 2005 “Delivering M-health Excellence: The Wi-INET Model” in Ed Encyclopaedia on wireless and Mobile Commerce Idea Group, Hershey.
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Notes
- 1.
Fourteen percent to 21 % of patients never fill their original prescription and 30 to 50 % of patients ignore or otherwise compromise their medication instructions (Source: http://www.managedhealthcareexecutive.com/mhe/article/articleDetail.jsp?id=105388).
- 2.
Wireless Diabetes Management Protocol © Dr. Sheldon Silver, MD 2005.
- 3.
In Ontario, this may save $1 billion over 3 years: INET Talk “Enhance Therapeutic Compliance Using Wireless Technology,” WNY Technology & Biomedical Informatics Forum Oct 14, 2004. Niagara Falls Conference, NY.
- 4.
Security of Computerized Health Information, Canadian College of Health Record Administrators (CHRA), Don Mills, Ontario, Canada, CHRA 1989, Reprinted June 1990.
- 5.
Electronic Authentication, Canadian College of Health Record Administrators (CHRA), Don Mills, Ontario, Canada, CHRA 1990, Revised 1997.
- 6.
Imaging and Therapeutic Services (ITS), Electronic Signature, User Guide, Meditech Client Server, Hamilton Health Sciences, March 3, 2002.
- 7.
Security Plans Guidelines, IT Security Policy, Human Services I&IT Cluster, Ontario Management Board Cabinet, Ontario Government of Canada, March 27, 2001.
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Wickramasinghe, N., Goldberg, S. (2013). Achieving m-health Excellence. In: Bali, R., Troshani, I., Goldberg, S., Wickramasinghe, N. (eds) Pervasive Health Knowledge Management. Healthcare Delivery in the Information Age. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4514-2_14
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