Embed Size (px)
Citation preview
mHealth in Russian Federation
2015: context and trends
NAMI + Portal RAMN
● Healthcare administration
● National leaders in advancing eHealth
Objectives
• Care management for the complete life-cycle of the invidividual
• Across all channels of financing
• Maximizing access to medical care (MO and beyond)
Internet users: nation-wide
• 65 mln. penetration
• 2014 > 55% - active internet users
• Yearly growth:
• 130%-300% (per region)
• Larger than a village? = over 50% use internet
Internet resources use● Yandex (search engine)
● Mail.ru (email services)
● VK.ru (vkontakte, social network)
● Odnoklassniki.ru (social network)
● Google (.ru+.com)
● Youtube
● Rambler
Buying on-line
● Russia: 1,2% of eTrade globally
● 22 mln. purchase goods online
● 2014: $658 spent online 1person/year
● Top 3: electronics (44%), clothes (13%)
Russian online sales leaders
1. rzd.ru
2. aeroflot.ru
3. ulmart.ru
4. citilink.ru
5. onetwotrip.ru
6. exist.ru
7. anydayanyway.com
8. s7.ru
9. biglion.ru
10. svyaznoy.ru
11. emex.ru
12. utkonos.ru
Specificity 1
● Desktop broadband leapfrogged to fast mobile data
● Leading the planet in social network engagement (average time spent online by user)
● 5mln users in Russian medical Internet at any time,
● over 50k medical sites, GR 30% yearly
Specificity 2● Pharma and dietary supplements 4th on the
market
● Pharma ads up 35% yearly
● > 40% e-users search treatments and prevention
● > 70% don’t seek timely care for “lack of time”
● Mobile app use growing fast (x3 in 2014)
Stage-driven Infrastructure
Nation-wide:
● Common State Information System
Within:
● Moscow Common State Information and Analysis System
● (interaction patient - MO - payor)
Russian mHealth 2015
● Inception phase, 3% of the world mHealth market by 2017 ($800mln.)*
● Health financing by state DOWN, private sector UP
● 7,5% medical professionals with Internet access
● No-go without payor interest
Demand for mHealth
General telemedicine:
● specialists, consulting, remote consulting, palliative care, encounter management
Virtual hospitals and contact centers + remote patient monitoring (RPM):
● cardiology, endocrinology, dermatology, psychiatry, OBGYN, orthopedics, gerontology
mHealth infrastructure
Insufficiencies:
● few integration platforms, slow diversification and licensing
● complicated data privacy and protection laws
● Lack of reimbursement for telecare and mhealth services
Trends:
● first sustainable mHealth pilots
● payors think-tanks on mHealth advancements
General mHealth Data Routing
Care Management Contact-Center
mHealth Payors
Governmental:
3 State Social Security Funds:● Social Medical Insurance
(potential)
Non-governmenal
NAMI + PORTAL RAMNcrystallizing the ultimate:
VIRTUAL HOSPITAL
MO
PATIENTGENERAL PRACTITIONER
existing mHealth Pilots 1
●Phase 1 – choosing a medical profile for a pilot
●Phase 2 – finding a clinic with the political will and
leaders
●Phase 3 – Detailed feedback from medics (specificity-
driven by the medical profile)
●Phase 4 – Choosing mHealth
precision/price/usability/reliability/licensing
existing mHealth Pilots 2
●Phase 5 – test implementation, select cases and staff
●Phase 6 – feedback and improvement iteration
●Phase 7 – large-scale pilot deployment
●Phase 8 – publications/reports/press/media
●Phase 9 – funding, purchasing, scaling
mHealth: RPM profile
Examples: “eClone”
•Gamified•Intuitive•Interactive•mHealth-informed•Scenario-driven (“Tamagochi”)•Engaging•Open API, modular
mHealth considerations: market entry
●Is it State-certified? (org: ROSZDRAVNADZOR)
●Is there a rep-office in Russia? Is there Russian-language
support and tech support?
●How effective is the manufacturer’s IT Dpt.?
●Are expendables expensive?
●Financing alternatives for varying POS types: direct
consumer sales, payor-facilitated (sales/lease/rent-to-
own)
Summing it up
● Market is far from saturation
● Time to stake out the land.
● Certify! Local integration platform leaders!
● Give for pilots and convert physicians!
● Work with local leaders to penetrate state healthcare via influential enthusiasts, purchasing will follow from sustainable precedents, long game.
portalramn.rupresentation and commentary
Dr. Petr Kuznetsov, CEO,
Insurance company MEDSTRAKH, PORTALRAMN
Konstantin Chebotaev, International Projects,
Insurance company MEDSTRAKH
