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Angelhack: cheap/free telemedicine platform, please contribute

By Jossy Onwude, MD | 23 May, 2016

Hello all,

I recently joined an angelhack hackathon in Cebu city and I had a crazy idea which my team and I worked on. I want to share the idea here to see if it's worth taking further. So basically the idea is to build an online medical consultation platform for low income people or people who can't afford to pay the fee on other platforms. And to do so, we will build a telemedicine platform like www.purplehealth.com and add a feature that enable users earn credits by taking surveys, share health campaigns/news and watching videos/ads. These credits can then be use to consult a doctor. Of course if a user is yet to earn enough credits, they can buy a credit pack, thus making their consultation way cheaper. They could also use credits earned on discounts for health equipments, lab testing etc.

Attached is a YouTube link of what we were able to do during the hackathon. Please let me know what you think and if you interested in pushing the project forward.
Target users are African and southeast Asian market.

Regards

Attached resource:

Replies

 

Vivek podder Replied at 5:40 AM, 23 May 2016

Hi Dr Jossy Onwude

Thank you for sharing this information. Its a very interesting site and many big hospitals are partnered already. However, there were no option for taking surveys or options like that where one can earn points so that one can consult doctor by redeeming those points!

Regards
Vivek podder
Medical student
Tairunnessa Memorial Medical college
Bangladesh

Vivek podder Replied at 5:43 AM, 23 May 2016

As i am from Bangladesh and i support your idea and would like to contribute. Please let me know if anything i can do to contribute!

A/Prof. Terry HANNAN Moderator Replied at 7:41 AM, 23 May 2016

Jossy, I hope this helps.
This is an excellent discussion topic so I am making some comments that may help but more importantly stimulate further input.

“So basically the idea is to build an online medical consultation platform for low income people or people who can't afford to pay the fee on other platforms”
[Response: telemedicine is or will become an essential eHealth technology so its use is encouraged. A major concern is how to make it effective as well as essential.]
“add a feature that enable users earn credits by taking surveys, share health campaigns/news and watching videos/ads. These credits can then be use to consult a doctor.
[Response: This is where I am having some conceptual problems. Linking care to credits/’earning income’ through responding to surveys. Does the performance of the survey become a credit earner or a health value measure? ][Response: In addition the sample video of the consultation has features that raise concerns about ‘how’ the interviews are conducted, the questioning format and other issues such as confidentiality and literacy. Another aspect is that the interviewing techniques must not simply reproduce what we do now when interviewing the patient. We need to make the whole care process develop new paradigms of interaction, communication and information management.]

Jossy Onwude, MD Replied at 8:58 AM, 23 May 2016

Thanks Doc Terry for the input. Here are my replies.

"telemedicine is or will become an essential eHealth technology so its use is encouraged. A major concern is how to make it effective as well as essential."

[Response: As to being essential, I think for the low earning patients, affordability is a measure issue. They would not mind using telemedicine if the amount they pay is little or if it's free. But when they have to pay almost as much as a physical consultation, they wouldn't mind going to the clinic even though telemedicine offer them convenience. As for being effective, I think as new technologies are discovered(like the A.I. That knows when someone is in pain via webcam), the more effective telemedicine becomes.

"This is where I am having some conceptual problems. Linking care to credits/’earning income’ through responding to surveys. Does the performance of the survey become a credit earner or a health value measure?"
[Response: so basically the idea to make the survey both a credit earning means and a health value measure depending on the type of survey involved. Though I hope to get surveys, ads and campaigns related to health care(health value can me measured), Am also open to those that are not but would simply help the user earn and cover their consultation fee or part of it.]

"In addition the sample video of the consultation has features that raise concerns about ‘how’ the interviews are conducted, the questioning format and other issues such as confidentiality and literacy. Another aspect is that the interviewing techniques must not simply reproduce what we do now when interviewing the patient. We need to make the whole care process develop new paradigms of interaction, communication and information management."

[Response: the sample video does not show how the real formate of consultation will be. This was put together during our 24hrs sleepless hackathon and it was only meant to give people an idea of what we did/trying to do. Platform would use all privacy protocols available on international telemedicine platforms and more. Plus I agree with you, interviewing technique should be different from real life and I hope to learn more on this as am new to telemedicine.]

Thanks for the feedback :)

Jossy Onwude, MD Replied at 9:00 AM, 23 May 2016

Hello Videk,
Thanks for the word of encouragement, would tap you if I decide to move forward with working on this. It all depends feed backs I get as I want to make sure this is something that could work.

Regards

Radha krishna Behara Replied at 10:33 PM, 23 May 2016

Dear All
In order to engage all the stakeholders such as patients, doctors , pharmaceutical companies, i provided recognition based model under the GHD forum "Designing provider incentives" which i felt is feasible in developing and underdeveloped countries. My attempt is to open up the mind of all the eminent persons on GHD for new ideas for this project and also to think seriously of what is possible to be implemented from my ideas.
Here is the link
http://www.ghdonline.org/designing-provider-incentives/idea/recognition-based...

Attached resource:

sameh morgan Replied at 10:47 PM, 23 May 2016

TO improve general health service in any country need  well trained and updated doctors and also good supervisor or mentor ,If there is a way of online connection between the eminent consultants and junior doctors this off course will help them so much

Joaquin Blaya, PhD Moderator Replied at 3:23 PM, 24 May 2016

This sounds like a very interesting idea.

Who do you think would be interesting in doing this advertisement? Because
I think that will be the key to seeing if this works.

As far as the platform, perhaps you could partner with purplehealth or if
not perhaps with one of the organizations who have presented on GHDonline
before, for example in our Telemedicine Panel
http://www.ghdonline.org/tech/discussion/creating-working-in-and-evaluating-t...


Joaquín

Jossy Onwude, MD Replied at 4:36 AM, 27 May 2016

Hello Joaquin,
Am thinking of organizations like Unilever et al, pharmaceutical companies, hospitals, companies selling health equipments can also advertise too, NGOs and government agencies that wants to conduct surveys can do so via the platform and we could also get adverts from the non medical world too provided they are not too extreme.

I went through the panel discussion you shared and am interested in the medical education bit. Is there any platform now that covers a global medical education market? I know of figure1 but I still feel it's lacking.
When I was a medical intern, there are questions I would have loved answered from a senior doctor that such a platform would be of help. So is it possible to have a platform that covers medical students, medical interns and medical doctors? Are there any out there?
Because with modern language like JavaScript, I think a realtime platform that covers all area of medical education can be built.

While on these case, I want to ask:
What would it take for doximity to go international? What are the factors to consider when building an international social network for doctors?

Regards

T. Liale Honore Replied at 10:11 AM, 6 Jun 2016

Good ideas friends.

Usman Raza Moderator Emeritus Replied at 1:21 PM, 6 Jun 2016

Interesting ideas Jossy!

I would say the "earning credits" part of the model should be open to much
wider experimentation. We truly will only find out the success of ad
videos, surveys etc. once a prototype is thrown into the intended market.
May be you can try these and more options (e.g. credits for buying grocery
from certain place) and over time only keep those that are successful. The
successful credit earning methods may also vary in different regions.

The other two things I was wondering about were a) patient literacy, as
those who cannot afford expensive care may also be the ones less educated,
and b) the urgency of getting medical opinion (people worrying about
earning credits when they need medical advice).

These are just some questions that might be useful in refining the model.

A/Prof. Terry HANNAN Moderator Replied at 5:38 PM, 6 Jun 2016

Usman and others here is one of the most inspiring examples of overcoming "literacy".
https://www.ted.com/talks/sugata_mitra_shows_how_kids_teach_themselves?langua...

Mohannad Altabban Replied at 6:41 AM, 7 Jun 2016

Very interesting ideas.

Some concerns:
The treatment for any disease is diagnosis-dependent, when you have a correct diagnosis, the correct treatment will come as collateral consequence, given that you have a hard working physician in hand and an up-to-date treatment options. Now, the diagnosis is VERY dependent on taking a proper history and physical examination. With the current technologies "those that I am aware of I guess", one can take a proper history, but the physical examination is still a challenging topic in the e-medicine. So any ideas about that?

I am interested in your project. Tell me please how can I be of help.

Joaquin Blaya, PhD Moderator Replied at 12:11 AM, 9 Jun 2016

As far as the medical education market, I have to admit that I don't know
that much about it, I've emailed a few people I know to see, but hopefully
there's others in the community that know.

What I did find was http://www.sermo.com/ which is a large online community
for clinicians, and if you look up online medical education there's quite a
bit there.

I also know a person from Medical JoyWorks, a Sri Lanka based company that
has created several medical education apps http://www.medicaljoyworks.com/
that might be of interest to you.

For taking doximity internationally, I think you're in the position of
almost every startup, that first you need to make it succeed in one
market/area before thinking much larger. So if you have connections in your
country, then try to make it work there with the potential clients you
mentioned.



Joaquín

Jossy Onwude, MD Replied at 11:14 AM, 10 Jun 2016

Hello Usman,
Thank you very much for the input. Am currently planning to throw a prototype out there and already formed a team and started Dev on the said platform. So am also considering earning credits to buy internet subscription needed for the consultation/s.?Will test this theories out and see how it goes. As for literacy, I think the TED talk video Terry shared has tackled that while as for urgency, I would say that for now telemedicine is not meant for urgent care except when there is no other way out. So we are hoping that's someone with an already know chronic condition like hypertension and diabetes can wait abit to earn credit so as to see a doctor for a cheaper rate.

Mohannad,
thanks for the input.
You are very right about PE being one of the down side of telemedicine. And I hope in the future I can work on solutions addressing that. Maybe some IOT that does the PE will be available some day. But for now, I see use case of telemedicine for patients who conditions are already known or who are suffering from mild medical conditions plus those recovering from surgeries and need follow up. But in rare cases, it would be used for a new diagnosis in a situation where a patient cannot have physical access to a doctor any sooner.

Joaquin, thanks for the input.

Jossy Onwude, MD Replied at 8:23 AM, 29 Jun 2016

Hello all,
So part of the project involves building an actual platform. So would like to ask, what would you like to see on a doctors profile? Attached is a wireframe of what we are thinking.

Regards

Attached resource:

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