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The four dimensions of effective mobile health: people, places, payment, and purpose

by Harry Greenspun, MD, Senior Advisor, Health Care Transformation and Technology, Deloitte Center for Health Solutions, Deloitte LLP

The promise of mobile health (mHealth), the use of mobile devices to support the practice of medicine and public health, is profound but as yet, unrealized. Mobile transformation of the health care industry depends on factors such as user-friendly devices, reliable and affordable connectivity, increasing consumer demand, and business analytics.

In the near future, mHealth is expected to be a valuable partner in health care’s shift towards a patient-centered, value-based delivery model. mHealth strategies, however, are not “one-size-fits-all.” To leverage mHealth technologies’ full potential as a health care disruptor, health care organizations will likely need to consider four dimensions. 


  • Demographics: The demographics and technology preferences of consumers and health professionals may be among the first considerations when planning a mHealth program so that technology platforms can be strategically tailored to users.
  • Reimbursement and policy framework: Early mHealth models were primarily unsuccessful due to reimbursement issues rather than technological ones.1 Value-based reforms that bundle payment with quality outcomes based on evidence-based standards could help advance the business case for mHealth. Additionally, organizations’ risk management policies should address privacy and security, Health Insurance Portability and Accountability Act (HIPAA) regulations, and consumer concerns regarding the safety of patient information.
  • Local infrastructure: The availability, accessibility, and reliability of local networks – cellular, broadband, and wireless – impact when and how mHealth is used. As download speeds and bandwidth capacity increase, mHealth programs could leverage more advanced mobile functions. In addition, health care systems’ current readiness to manage and respond to incoming clinical data may hinder mHealth’s potential.
  • Disease dynamics: mHealth strategies that align with case management complexities and clinical objectives, as determined by differing disease states, are more likely to be effective. 

Many health care stakeholders’ forward-looking plans are likely to include an integrated, enterprise-wide mobile strategy. As organizations face new business models and increasingly need to maximize resources, a program that leverages the four dimensions of mHealth has the potential to improve workplace efficiencies, increase patient safety, better coordinate care, facilitate payments, and engage patients. 

More to come: A full-length report further detailing the four dimensions of mHealth and the possible implications for stakeholders is forthcoming. For more on mHealth, check out our infographic “A check-up on consumers' use of mHealth.”


Harry Greenspun, MD, Senior Advisor, Health Care Transformation and Technology, Deloitte Center for Health Solutions, Deloitte LLP

Harry Greenspun, MD is the senior advisor for health care technology and transformation at the Deloitte Center for Health Solutions. He has held a diverse range of clinical and executive roles across the health care industry, giving him a unique perspective on current and future challenges.You can follow him on Twitter via @HarryGreenspun.



1 Ann Intern Med. 1998;129(2):123-127. doi:10.7326/0003-4819-129-2-199807150-00012.


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