Mobile phone ‘nurses’ track health of patients

“Mobile phones are being used to track the health of patients under a new scheme that could improve the lives of thousands of chronically ill Britons.”
Article
Matthew Moore, The Telegraph, 20 November 2008

First Gaming, Next Healthcare?

“Just came across this Business Week article that looks at the rapidly growing popularity of the iPhone as a gaming platform and how it may already be threating the traditional players in this market.
First thought that crosses the mind: Why not healthcare as well?
With some 16 pages of health & wellness apps (21 apps/pg) now available for the iPhone, clearly the AppStore is becoming a force in the industry and has the potential to rock the apple-cart.”
Article
John Moore, Chilmark Research, 4 November 2008

Spanish hospital drives efficiency, profit with SMS communication IT

“A recently-built hospital in Valencia, Spain attributes its profit margin and efficient care management to a communications platform its doctors and nurses can access from their mobile phones.
Hospital de Torrevieja uses a remote care managing tool that facilitates SMS-based communication and reporting, allowing doctors and managers to receive updates on patient care and business activity.”
Article
Chip Means, Healthcare IT News.eu, 5 November 2008

WebMD on the iPhone

“Last Thursday, WebMD released an iPhone app that is now the third most popular app in the health & wellness section. Pretty impressive popularity considering a modest user rating of three stars. Looking at the comments it is clear that WebMD rushed this product to market.”
Article
John Moore, Chilmark Research, 4 November 2008

Improving Medication Adherence with a Cell Phone

““Drugs don’t work in patients who don’t take them.” This quote, by the former Surgeon General, C. Everett Koop, M.D, appeared in a New England Journal of Medicine article on drug therapy and adherence.
There are many reasons (cost, inconvenience, forgetfulness, unpleasant side effects) why patients don’t take their medicine. Medication adherence has become an issue of great concern within the health community, especially as we get older as a nation. So in this spirit, Verizon recently launched what it refers to as the Pill Phone — a new technology that allows people to make sure they keep to their medication regimens and help family members keep to theirs.”
Article
Kathryn Brown, Disruptive Women in Healthcare, 30 October 2008

The real health care change we need

“Simple stuff like e-mail. Whether from a fear of lawsuits, privacy concerns, or mere Luddism the medical profession’s use of basic technology tools still lags badly.
This is not just an American problem. The King’s Fund, a UK think tank,  is out today with a report saying that country’s National Health Service can dramatically improve service through the use of day-to-day technology.”
Article
Dana Blankenhorn, ZDNet Healthcare, 29 October 2008

Backstory on iPhone PHR: Interview with My Life Record CTO

“Late last week I had the chance to speak with the creators of the only true PHR (no, I do not consider simple ICE-type apps a PHR) that I know of which was purposely designed for the iPhone, My Life Record.”
Article
John Moore, Chilmark Research, 13 October 2008

Live Chat with Dr. Jason Hwang on Disruptive Innovation

“At a Live Chat today with Dr. Jason Hwang co-author of The Innovator�s Prescription: A Disruptive Solution for Health Care, (Sponsored by the World Healthcare innovation and Technology Congress) I asked him how he saw the recent and fast paced developments in mobile phone applications and technology having an impact on health care.”
Article
Fred Fortin, AJFortin.com, 23 September 2008

Cell Phone App to Link to HealthVault

“Wilkes-Barre, Pa.-based AllOne Health Group Inc. will integrate its AllOne Mobile software with the HealthVault initiative of Redmond, Wash.-based Microsoft Corp. This will enable consumers to access and transmit their personal health information using cell phones and smart phones.”
Article
Health Data Management, 22 September 2008

Army will test cell phones to prompt trauma victims

“The Army wants to develop a text-messaging system to communicate with service members suffering from traumatic brain injury. The system would help health care providers monitor TBI patients as well as prompt them to take treatment actions.”
Article
Peter Buxbaum, Government Health IT, 17 September 2008

Medical info on your cellphone might be hard to call up

“It may be hard to find your ‘medical bracelet’ if it’s programmed into your cellphone.”
Article
David Colker, Los Angeles Times, 7 September 2008

New organization studies role of healthcare applications on cell phones

“The Medical Records Institute has introduced a membership-based organization, called the Center for Cell Phone Applications in Healthcare (C-PAHC) that will study and advocate the advancement of cell phone applications in the industry.
C-PAHC will act as a clearinghouse and collaboration center in regard to cell phone technologies in healthcare.
Article
Molly Merrill, Healthcare IT News, 26 August 2008

Mobile Medicine for the Developing World

“Mention telemedicine and mobile health care in the United States or Europe and thoughts turn to multimillion-dollar suites of high-tech equipment or personal digital assistants (PDAs) with hefty monthly data charges.
In the developing world, however, the concept is as simple as a cell phone.”
Article
Neil Versel, Digital Healthcare & Productivity, 29 July 2008

iPhone health applications have just about everything but the cold stethoscope

“Cell phones can’t actually get hot enough to pop popcorn, regardless of what you may have seen on YouTube. But some do have other unexpected abilities that just might help improve your quality of life.
Dozens of new health and fitness Web applications are now available for use with the Apple iPhone, which combines a mobile phone, a widescreen iPod and an Internet browser into one gadget. The apps, which likely will eventually be available on other phones that will run on a Google-based operating system, enable third-party software developers to create a new breed of health services.”
Article
Julie Deardorff, Chicage Tribune, 27 July 2008

Mobile Health and the iPhone

“There has been a tremendous amount of buzz regarding the latest iPhone release with most of the attention focusing on the 3G and GPS capabilities of the new iPhone. But one of the biggest features may turn out to be the AppStore, providing you health specific apps to take with you on your iPhone.”
Article
John Moore, Chilmark Research, 23 July 2008

Journal of Telemedicine and Telecare, TOC, July 2008

Telerehabilitation for service delivery in speech-language pathology
“Communication disorders in adults and children can have a significant effect on their quality of life and on that of their families. Speech-language pathologists face several challenges in providing assessment and treatment services to such people. Challenges include facilitating equitable access to services and providing appropriate management within a changing social and economic context. Telerehabilitation has the potential to deliver services in the home or local community via videoconferencing and through interactive computer-based therapy activities. This form of service delivery has the capacity to optimize functional outcomes by facilitating generalization of treatment effects within the person’s everyday environment, and enable monitoring of communication and swallowing behaviours on a long-term basis. A number of image-based telerehabilitation applications have been used in the management of adult neurogenic speech and language disorders, stuttering, voice disorders, speech and language disorders in children, laryngectomy and swallowing dysfunction. Further development of such applications and other computer-based therapies, cost-benefit and cost-effectiveness analyses, and professional education are needed if telerehabilitation is to become an integral part of speech-language pathology practice.”
Abstract
Deborah G Theodoros, J Telemed Telecare 2008;14 221-224, doi:10.1258/jtt.2007.007044

Telehealth: a child and family-friendly approach to mental health-care reform
“Limited access to paediatric mental health services and high drop-out rates from treatment result in poor health outcomes for families with children with mental health problems. New ways of delivering care are required. Telehealth is a promising approach. The Family Help programme employs manualized, distance treatment by telephone. Participants in the Family Help programme (both adults and children) have reported a strong therapeutic alliance with their telephone coach. Participants also described how during treatment sessions they felt comfortable and safe in their own home; they did not feel stigmatized or judged; they had little apprehension about self-disclosure and they felt that treatment was delivered at their convenience. Treatment calls were often scheduled after typical working hours. Attrition rates were found to be very low and children actively engaged in the structured, distance treatment. Evidence-based, distance delivery using non-professionals is a promising approach to the delivery of paediatric mental health care.”
Abstract
Patricia Lingley-Pottie and Patrick J McGrath, J Telemed Telecare 2008;14 225-226, doi:10.1258/jtt.2008.008001

Effect of a behavioural health and specialty care telemedicine programme on goal attainment for youths in juvenile detention
“We conducted a pre-post study of the effect of a telepsychiatry counselling service on youths housed in three juvenile detention facilities. In the first year of the telemedicine programme, 321 psychiatry consultations were conducted via telemedicine; in the second year of the programme, 573 psychiatry consultations were conducted. Records for 190 students were then examined by two raters. The total number of behavioural goals for each adolescent increased from 8.2 in the pre-telemedicine year to 8.7 in the first year of telemedicine and then to 10.0 in the second year (P < 0.05). In Year 2 of the study, subjects also had a significantly higher number of goals in four of the five categories: education, family, health and social skills (P < 0.05). Although other changes at the youth detention facilities or in the juvenile justice system may have been partly responsible for the effects observed, the study suggests that telemedicine may be useful for improving the rate of attainment of goals associated with family relations and personality/behaviour."
Abstract
Karen C Fox, Pamela Connor, Elizabeth McCullers, and Teresa Waters, J Telemed Telecare 2008;14 227-230, doi:10.1258/jtt.2008.071102

Non-invasive monitoring of the activities of daily living of elderly people at home � a pilot study of the usage of domestic appliances
“We conducted a feasibility study of a system for non-invasive monitoring of subjects at home. Electrical activity was recorded from room lights and from electrical domestic appliances; this was translated into the probability of physical activity or a particular Activity of Daily Living (ADL). Thirteen volunteer subjects were monitored for a period of 6.4 months (range 3�8). The mean age of the subjects was 80 years and they all lived alone at home; one had moderate Alzheimer’s disease. A one-week validation was carried out to ascertain whether the recorded activity actually occurred. The results showed that daily and nocturnal activity could be well differentiated. The probability of having eaten, taken a bath and going to the toilet could be calculated each day. Eating was the most accurately measured ADL; toileting and bathing results were less accurate. The system appears to be a promising component of home telecare.”
Abstract
Georgina Corte Franco, Floriane Gallay, Marc Berenguer, Christine Mourrain, and Pascal Couturier, J Telemed Telecare 2008;14 231-235, doi:10.1258/jtt.2008.071207

A paediatric therapeutic alliance occurs with distance intervention
“We investigated whether a distance therapeutic alliance occurs when children receive manualized, cognitive-behavioural treatment via telephone, in the absence of face-to-face contact. The therapeutic alliance scores were measured in 55 child�parent pairs. The mean total Working Alliance Inventory child scores were 236 (95% confidence interval [CI]: 232, 240) and the mean parent scores were 245 (95% CI: 242, 247). Parent scores were significantly higher than child scores, although the difference may not be clinically meaningful. This study provides evidence that a strong therapeutic alliance does occur between child�coach and parent�coach pairs when treatment is delivered from a distance by non-professionals. The term �child� encompasses both children and adolescents.”
Abstract
Patricia Lingley-Pottie and Patrick J McGrath, J Telemed Telecare 2008;14 236-240, doi:10.1258/jtt.2008.080101

International telepsychiatry: a study of patient acceptability
“An international telepsychiatry service was established between Denmark and Sweden for cross-cultural patient groups, such as asylum seekers, refugees and migrants. Over an 18-month period starting in mid 2006, 30 patients were treated by telepsychiatry (21 men and 9 women). The patients received mental health care by videoconferencing from providers who spoke the patients’ own language, i.e. without the assistance of interpreters. The total number of telepsychiatry sessions was 203 (range 1�22; average 6.8 sessions per patient). Patients completed a satisfaction questionnaire at the end of treatment. Seven patients (23%) were not able to complete a questionnaire, due to illiteracy and/or a psychotic condition. The rest of the patients (n=23) reported a high level of acceptance and satisfaction with telepsychiatry, as well as a willingness to use it again or recommend it to others. Any disadvantages of telemedicine were compensated by the fact that the doctor and patient spoke the same language and had similar cultural and/or national references. Mentally ill asylum seekers, refugees and migrants are under-served in their mother tongue and telepsychiatry can improve access to scarce health-care resources.”
Abstract
Davor Mucic , J Telemed Telecare 2008;14 241-243, doi:10.1258/jtt.2008.080301

The availability of telecardiology consultations and transfer patterns from a remote neonatal intensive care unit
“We examined records of all admissions to an isolated community neonatal intensive care unit (NICU) in California between 2001 and 2006. We also reviewed the echocardiograms for diagnosis, disposition of patient and necessity for transport. In 2004, a telemedicine link (mainly store-and-forward) was established to a university children’s hospital (UCH) 290 km away. The number of NICU patients having an echocardiogram increased from 280 (27% of 1029 admissions) to 385 (40% of 963, P = <0.001) after telemedicine became available. There was an increase in the proportion of normal studies, from 31% to 37% (P = 0.03), and an increase in the number of patients diagnosed with cardiac pathology from 192 (19% of all admissions) to 241 (25%, P < 0.001). Twenty-four patients were transferred for cardiac reasons during each three-year period; however seven pre-telemedicine transfers were avoidable, compared with two post-telemedicine transfers (P = 0.06). There was a change in referral pattern (65% to the UCH pre-telemedicine, compared with 78% post-telemedicine) although it was not significant (P = 0.10). Thus the availability of the telecardiology link was associated with increases in the utilization of echocardiography, in the proportion of normal studies, and in the percentage of neonates diagnosed with cardiac pathology without an increase in the number transferred for cardiac reasons. There was a reduction in unnecessary transfers and a strengthened relationship with the centre providing the telecardiology service."
Abstract
Tannie Huang, Anita J Moon-Grady, Craig Traugott, and James Marcin, J Telemed Telecare 2008;14 244-248, doi:10.1258/jtt.2008.080102

Feasibility of a home-based telerehabilitation system compared to usual care: arm/hand function in patients with stroke, traumatic brain injury and multiple sclerosis
“We conducted a randomized controlled multicentre trial to investigate the feasibility of a telerehabilitation intervention for arm/hand function (the Home Care Activity Desk [HCAD] training) in a home setting. Usual care was compared to HCAD training. The hypothesis was that the clinical outcomes of the HCAD intervention would be at least the same as those measured after a period of usual care for patients with stroke, traumatic brain injury (TBI) and multiple sclerosis (MS) with respect to their arm/hand function. Eighty-one patients with affected arm/hand function resulting from either stroke, MS or TBI were recruited in Italy, Spain and Belgium; 11 were lost during follow-up (14%). The outcome measures were the Action Research Arm Test (ARAT) and the Nine Hole Peg Test (NHPT). There were no significant differences between the two groups on the outcome measures (ARAT and NHPT); in both groups, patients maintained or even improved their arm/hand function. The HCAD training was found to be as feasible as usual care in terms of clinical outcomes, and both therapists and patients were satisfied with the HCAD intervention. A telerehabilitation intervention using HCAD may increase the efficiency of care.”
Abstract
Barbara CH Huijgen, Miriam MR Vollenbroek-Hutten, Mauro Zampolini, Eloy Opisso, Montse Bernabeu, Johan Van Nieuwenhoven, Stephan Ilsbroukx, Riccardo Magni, Claudia Giacomozzi, Velio Marcellari, Sandro Scattareggia Marchese, and Hermie J Hermens, J Telemed Telecare 2008;14 249-256, doi:10.1258/jtt.2008.080104

Satisfaction with care in post-stroke patients undergoing a telerehabilitation programme at home
“We conducted a pilot telerehabilitation study with post-stroke patients with arm motor impairment. We compared the degree of satisfaction of patients undergoing a virtual reality (VR) therapy programme at home (Tele-VR group) to satisfaction experienced by those undergoing the same VR therapy in a hospital setting (VR-group). The rehabilitation equipment used a 3D motion tracking system to create a virtual environment in which the patient’s movement was represented. In tele-therapy, the patient equipment was installed in their homes, connected to the hospital by four ISDN lines at a total bandwidth of 512 kbit/s. Rehabilitation data were transmitted via one line and videoconferencing via the other three. Ten patients with mild to intermediate arm motor impairment due to an ischaemic stroke, were randomized into VR or Tele-VR groups. A questionnaire was used at the end of treatment to measure each patient’s degree of satisfaction. Tele-VR treated patients showed median values equal to or higher than the VR group patients in all 12 items investigated, except one. In motor performance, the Tele-VR group improved significantly (P ? 0.05), while the VR group showed no significant change. Patients assigned to the Tele-VR group were able to engage in therapy at home and the videoconferencing system ensured a good relationship between the patient and the physical therapist whose physical proximity was not required.”
Abstract
Lamberto Piron, Andrea Turolla, Paolo Tonin, Francesco Piccione, Lisa Lain, and Mauro Dam, J Telemed Telecare 2008;14 257-260, doi:10.1258/jtt.2008.080304

Caregivers’ acceptance of electronic documentation in nursing homes
“A comparative study was conducted in two Australian nursing homes operated by the same organization. One home had implemented an electronic documentation system and the other remained paper-based. Survey questionnaires were answered by 14 of the 17 caregivers at the electronic documentation site (82%) and 10 of the 23 caregivers at the paper documentation site (43%). They provided opinions about satisfaction with their home’s documentation system, and the training and support provided. Information was also obtained on the caregivers’ attitudes towards using electronic documentation. The caregivers at the electronic documentation site quickly adapted to the use of the new technology after receiving effective training and support. Caregivers at both homes were satisfied with their homes’ documentation system, and had positive attitudes towards using electronic documentation systems. As an important communication tool, electronic nursing documentation may lead to improved efficacy of telemedicine in nursing home settings.”
Abstract
Ping Yu, David Hailey, and Haocheng Li, J Telemed Telecare 2008;14 261-265, doi:10.1258/jtt.2008.080310

The use of videoconferencing for mental health services in Finland
“The utilization of telemental health (TMH) services in Finland was surveyed in 2006. In total, 135 health-care units provided responses. Eighty-four responses were received from primary care units (health-care centres and clinics) and eight from other clinics, in all hospital districts. The overall rate of TMH consultations was 4 per 100,000 population. The highest TMH consultation per population ratio, 22 per 100,000, was in northern Finland. Most of the sites used telepsychiatry services for less than 10% of clinical outpatient services. The sites with over 20% utilization of clinical TMH services from all psychiatric consultations were all rural health centres. Compared with Finland, the utilization rates of TMH were higher in Canada; that might be due to differences between the countries in the organization of mental health services in primary and specialized care. In Finland TMH consultations made up only a very small proportion of all mental health services. The use of TMH was particularly common in remote areas; however, there were many rural centres that did not utilize clinical TMH. TMH was widely utilized for continuing and medical education.”
Abstract
Arto Ohinmaa, Risto Roine, David Hailey, Marja-Leena Kuusim�ki, and Ilkka Winblad, J Telemed Telecare 2008;14 266-270, doi:10.1258/jtt.2008.071212

Use of mobile phone cameras for after-hours triage in primary care
“Mobile phone images might be useful in after-hours triage of primary care. We conducted a study to identify population access to mobile phone cameras and to assess the clinical usefulness of mobile phone cameras. The survey was conducted among 480 patients attending two rural New Zealand practices. There were significantly more Maori owners compared to non-Maori (P = 0.002). Age was a significant factor influencing the ownership of mobile phones. We also conducted a clinical quiz among health professionals to assess how the provision of images on a mobile phone and on CD-ROM (to simulate the image that would be seen if email was used to transmit the images) influenced diagnostic confidence. Ten photographable clinical conditions were used to quiz 30 health professionals who were randomized into three groups of 10 each on diagnostic confidence. Images were found to significantly increase diagnostic confidence in all cases except one. It appears that mobile phone cameras are generally acceptable to patients and likely to be of practical use to rural practitioners in a range of clinical scenarios.”
Abstract
Chandra Jayaraman, Paul Kennedy, Gaelle Dutu, and Ross Lawrenson, J Telemed Telecare 2008;14 271-274, doi:10.1258/jtt.2008.080303

How PDAs & Smartphones will Change Emergency Medicine

“Interview with John Pringle
Program manager for electronic documentation for the City of San Diego Fire and Rescue department, John Pringle has played an integral role in the development of TapChart, San Diego�s PDA-based information capture system, which has been used by EMS responders in the city for the past decade. John spoke on this topic at TEPR 2008 and will be doing an update at TEPR+ 2009 as well as organizing presentations there on other EMS implementations of electronic patient documentation.”
Article
MRI Newsletter, July 2008

Military mulls using cell phones to spread health info

“The Defense Department�s Military Health System is pondering how to incorporate cell phones into its health promotion activities.
MHS is considering the use of cell phones to disseminate health information and alerts via text messages, facilitate clinical consultations, and track medications and symptoms, said Dr. S. Ward Casscells, assistant Defense secretary of health affairs.”
Article
Government Health IT, 27 June 2008

Insurer offers mobile health records

“Today, you can use your cell phone to make voice calls, send e-mail, browse the Web, make video recordings and even conduct wireless bank transactions.
But would you use your cell phone to carry your health records?
Blue Cross of Northeast Pennsylvania is betting that its customers will want to keep complex personal health records on their phones, especially when they have several doctors and medications to keep track of.”
Article
Computerworld, 25 June 2008

Apple iPhone gives docs online access to drug information

“Physicians using the Apple iPhone as their mobile device of choice now have another clinical resource at their disposal.
Drugs. com, an online compendium of clinical drug and related health information, has launched a professional edition for the iPhone.
Article
Richard Pizzi, Healthcare IT News, 4 June 2008

TEPR Predicts Cell Phone PHRs

“Could the cell phone succeed where grand plans for regional health information organizations (RHIOs) so far have failed? Could it be the format that convinces millions of consumers to adopt and maintain personal health records (PHRs) after smart cards, USB drives, and Web sites have elicited a profound yawn from the public?”
Article
Neil Versel, Digital HealthCare & Productivity, 20 May 2008

EMIS enables digital TV repeat prescriptions

“Patients at around 1,400 surgeries using EMIS Access software across England will soon be able to request repeat prescriptions using digital TV, following an extension of the firm�s partnership with DigiTV.
The primary care IT supplier has extended its digital TV service so that as well as being able to book GP surgery appointments via digital television, or by using their mobile phone, they will also be able to request repeat prescriptions.”
Article
e-Health Insider Primary Care, 20 May 2008

Researchers develop mobile diagnosis system

“A new system to transmit medical images via mobile phones has been developed by researchers at the Hebrew University of Jerusalem.
Developed by Yissum, the Hebrew University�s technology transfer company, the system provides an independent data acquisition device (DAD) at a remote patient site where users have no image display capabilities. The device is then connected to a hardware control multiserver unit at a central site via mobile phone technology with an advanced image reconstruction capabilities, with the processed data then returned to the DAD site.”
Article
eHealth Europe, 15 May 2008

PHR vendor launches “In Case of Emergency” program for mobile phones

“A provider of online Personal Health Records, or PHRs, will allow its customers to access their online health records using an Internet-connected mobile phone.”
Article
Richard Pizzi, Healthcare IT News, 14 May 2008

Africa: Toll-Free Mobile Service to Give Rural Africa Access to Medics

“A toll-free mobile service being launched in selected remote areas in Africa promises to save lives by connecting people with emergency medical cases to health personnel.
Under the initiative launched in Nairobi on Wednesday, health workers will also be trained through mobile phone sessions on day to day skills like collecting and sharing basic household health information.”
Article
Okuttah Mark, Business Daily Nairobi, 8 May 2008

New electronic handover device launched

“A new Windows Mobile application called MedicMate, designed to provide doctors and consultants with handover electronic copies of patient notes, has been developed by CMO Global.
Based on US style �track and bill� systems, the software allows users to securely log onto a web application and electronically enter patient notes on PDA or smartphone devices, which can then be read by the next user, once they securely log on.”
Article
e-Health Insider, 9 May 2008

Africans tie mobile data to health care improvements

“Bridging the digital divide is the key to improving Africa�s health, according to organizers of a conference in Namibia this week.
And the fastest way to do it is through mobile links.”
Article
Dana Blankenhorn, ZDNet Healthcare, 9 May 2008

See also:
Is Microsoft the answer to Africa�s health woes?

New Hampshire Blue gives doctors access to EHRs via mobile phones

“Anthem Blue Cross Blue Shield of New Hampshire announced Wednesday it will provide doctors with access to patients’ electronic health records via mobile phones.
The new access is part of Anthem’s expansion of its e-prescribing program, which also allows doctors access to electronic medical records from their office or home computers.”
Article
Diana Manos, Healthcare IT News, 8 May 2008

Talking Up A New Role For Cell Phones In Telemedicine

“After launching a communications revolution, cell phones are talking up a potentially life-saving new role in telemedicine — the use of telecommunications technology to provide medical diagnosis and patient care when doctors and patients are hundreds or thousands of miles apart. Researchers in the United States and Brazil describe development of a simple, inexpensive telemedicine system that uses ordinary cell phone cameras to collect medical data from patients and transmit the data to experts located offsite for analysis and diagnosis.”
Article
Science Daily, 5 May 2008

Cell Phone Users Gain Mobile Access To Health Data

“If you�re on a family ski vacation and your kid breaks a leg, wouldn�t it be nice to have instant access to information about your child�s antibiotic allergies for that out-of-state emergency worker who�s about to write a prescription?That�s the sort of functionality that AllOne Health Group has begun making available through AllOne Mobile, an application that can allow consumers to securely access their � and their dependents� � personal health record data through their cell phones and PDAs.”
Article
WebmastersClub, 30 April 2008