“Personal mobile terminal devices, with their gradually expanding capabilities, are the primary factors that will shape the future trends of mobile healthcare.”
What Is BYOD?
BYOD (Bring Your Own Device) refers to the practice of using personal devices for work, including personal computers, smartphones, and tablets. Currently, it more commonly refers to mobile smart terminal devices such as smartphones and tablets.
The term BYOD first emerged in 2009, originating from Intel’s observation that a growing number of employees were bringing their personal devices to work and connecting them to the corporate intranet. In most cases, companies have found it difficult to curb this trend. Some argue that Bring Your Own Device (BYOD) boosts employee productivity, while others believe that allowing the use of personal devices fosters a more relaxed and convenient atmosphere, thereby enhancing the company’s image as flexible and attractive.
In any case, BYOD represents a rare employee-driven revolution in corporate change, while simultaneously aligning with the economic principle that productivity gains drive transformations in modes of production.
Can BYOD Strategies Shape the Future of Mobile Health?
The healthcare industry is increasingly adopting mobile devices and Bring Your Own Device (BYOD) strategies as a means to enhance communication between patients and physicians, reduce costs, and enable doctors to conveniently access patients’ personal health information through their own devices or other mobile applications.
For example, hospitals and clinics are now beginning to adopt BYOD strategies to reduce the cost of providing each physician with a mobile device, such as a tablet or smartphone.
However, by adopting a BYOD strategy, hospitals and healthcare systems may expose patient data to the risk of breaches. Mobile security has become a critical issue in implementing BYOD policies. Gerard Nussbaum, Director of Technical Services at Kurt Salmon, is an expert in BYOD mobile security and mobile health. What are his views on this matter?
Reporter: Have you noticed the significant potential of BYOD strategies in healthcare? Do you support this trend?
Gerard Nussbaum: I believe that the BYOD (Bring Your Own Device) strategy is highly beneficial to the healthcare sector, as evidenced in multiple aspects. First, devices that facilitate personal life are increasingly being integrated into daily professional workflows. Second, since healthcare providers cannot guarantee providing a device to every physician, doctors and staff at medical institutions use their own devices for work, which ultimately benefits patients. Additionally, I have observed that the BYOD strategy has been adopted across hospitals, health systems, outpatient centers, and clinics, with patients also using their own devices to access mobile apps and other tools.
Reporter: Do you consider it safe for hospitals and healthcare providers to use personal devices and mobile apps? How can cyberattacks be prevented?
Gerard Nussbaum: First, you cannot truly prevent cyberattacks; they are inevitable. What can be done now is to minimize the risk of data breaches resulting from such attacks. As patients, it is essential to clearly understand the types of information and access privileges authorized for healthcare institutions, and to establish appropriate security measures for these categories. There is a tool that creates an independent, secure environment on mobile phones. Within this environment, security is robust. It allows work-related applications to be sandboxed, isolating them from personal life information, and even enables the addition of extra security layers for these applications.
It is common to see people attempting virus scans. Fundamentally, I believe that no application should store data on the device. In other words, if all data remains in backend data centers, it would be significantly more secure than downloading the data to the device for viewing.
Reporter: Have you found that the use of remote monitoring tools and mobile health devices can reduce readmission rates? Do you believe they contribute to improved health outcomes?
Gerard Nussbaum: In most cases, the answer is yes. A health system designed to help patients manage their health, such as by providing tools for caregivers, also assists nurses. This approach facilitates faster information flow, enabling early detection of patient conditions and timely interventions. We have already equipped outpatient physicians with functionalities for data collection and retrieval.
Clearly, the use of tablet or iPhone/iPad applications can enhance the flow and utilization of information. Access via mobile devices is another advantage that expands the operability of electronic health records (EHRs). For patients, this represents an emerging tool that empowers them to manage their medical conditions. The benefits include facilitating patient health management through smart devices, assisting in data collection, enabling physicians to review patient data from monitoring devices such as blood pressure monitors, and allowing the use of mobile tools to assess patients’ mental status.
As a medium, mobile phones can deliver information to patients with chronic diseases, enabling them to engage in real-time self-management of their health, which is crucial for effective patient health management. Real-time information and feedback can help prevent the deterioration of conditions; in critical situations, patients should proceed to the emergency room or seek hospitalization.
Reporter: Why do you believe that the development of mobile health is an inevitable trend? What trends are shaping the future of mobile health?
Gerard Nussbaum: Among the trends shaping the future of mobile health, the most significant is the increased availability of personal portable devices, with a growing number of people using smartphones such as iPhones and Android devices. This enables more patients to collaboratively manage their health with their physicians through this technology.
Similar to Apple’s HealthKit development kit, which facilitates the creation of more patient-centric or physician-centric applications, other systems can be integrated with smartphones—for instance, to collect exercise data and connect mobile devices to real-time monitoring equipment. Additionally, ResearchKit assists researchers in developing applications that engage large numbers of participants in clinical trials.
The integration of direct physiological data and socio-emotional data will help improve patient outcomes, while physician intervention remains essential. For example, Ginger.io offers a compelling suite of applications deployed in various settings that monitor individuals’ interaction patterns to detect behavioral changes—such as those indicative of depression or other conditions—that may lead to declining health. These data, combined with sensor inputs, will ultimately yield a comprehensive data blueprint of the patient’s condition.
The benefits of these features far exceed those of patients manually logging their activities, such as “walking for 15 minutes.” Devices like Fitbit, Jawbone, and Apple Watch can now be used to monitor physiological data, while also capturing GPS location, walking duration, and external environmental data such as temperature, pollution levels, and allergen concentrations. This richer, more granular dataset enables a better understanding of the underlying causes of changes in patients’ health. For example, knowing that both ambient pollen counts and ozone levels are high can help assess how outdoor activities affect pulmonary responses in asthma patients.
The continuous evolution of cloud solutions has created numerous opportunities for data integration and development in systems such as mobile platforms and electronic health records (EHRs). Driven by ongoing advancements in technology, processing power, storage, rapid-cycle application development, and analytics, it is anticipated that significantly enhanced functionalities will emerge in the near future.
Translation: Li Yingying
Responsible Editor: Zhang Nan