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Cited by 467Mobile Health and mHealth ApplicationsICT in Developing CommunitiesTelemedicine and Telehealth Implementation

Can the ubiquitous power of mobile phones be used to improve health outcomes in developing countries?

Open access
Warren Allan Kaplan·2006·Globalization and Health
DOI 10.1186/1744-8603-2-9PMC PMC1524730
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Abstract

BACKGROUND: The ongoing policy debate about the value of communications technology in promoting development objectives is diverse. Some view computer/web/phone communications technology as insufficient to solve development problems while others view communications technology as assisting all sections of the population. This paper looks at evidence to support or refute the idea that fixed and mobile telephones is, or could be, an effective healthcare intervention in developing countries. METHODS: A Web-based and library database search was undertaken including the following databases: MEDLINE, CINAHL, (nursing & allied health), Evidence Based Medicine (EBM), POPLINE, BIOSIS, and Web of Science, AIDSearch (MEDLINE AIDS/HIV Subset, AIDSTRIALS & AIDSDRUGS) databases. RESULTS: Evidence can be found to both support and refute the proposition that fixed and mobile telephones is, or could be, an effective healthcare intervention in developing countries. It is difficult to generalize because of the different outcome measurements and the small number of controlled studies. There is almost no literature on using mobile telephones as a healthcare intervention for HIV, TB, malaria, and chronic conditions in developing countries. Clinical outcomes are rarely measured. Convincing evidence regarding the overall cost-effectiveness of mobile phone " telemedicine" is still limited and good-quality studies are rare. Evidence of the cost effectiveness of such interventions to improve adherence to medicines is also quite weak. CONCLUSION: The developed world model of personal ownership of a phone may not be appropriate to the developing world in which shared mobile telephone use is important. Sharing may be a serious drawback to use of mobile telephones as a healthcare intervention in terms of stigma and privacy, but its magnitude is unknown. One advantage, however, of telephones with respect to adherence to medicine in chronic care models is its ability to create a multi-way interaction between patient and provider(s) and thus facilitate the dynamic nature of this relationship. Regulatory reforms required for proper operation of basic and value-added telecommunications services are a priority if mobile telecommunications are to be used for healthcare initiatives.

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  • Pilot sample size was based on pragmatics of recruitment and requisites for examining feasibility.

    “As indicated by Kraemer and colleagues, 33 our pilot sample size was based on the pragmatics of recruitment and the requisites for examining feasibility.”

    From A Pilot Randomized Controlled Trial to Assess the Impact of Motivational Interviewing on Initiating Behavioral Therapy for Migraine (2020) · cites this paper as [33]

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Cited by

Sorted by citations

Authors
Kaplan, W. A.
Affiliations
Boston University (US)
Corresponding author
Warren Allan Kaplan
ORCID
Warren Allan Kaplan
Venue
Globalization and Health
Publisher
Springer Science and Business Media LLC
Published
2006
Volume
2
Issue
1
Pages
9
ISSN
1744-8603 (ISSN-L)
DOI
10.1186/1744-8603-2-9
PMC
PMC1524730
OpenAlex
W2105712668
Cited by
467
References
8
Citations by year
2025: 6 · 2024: 7 · 2023: 5 · 2022: 12 · 2021: 24 · 2020: 23 · 2019: 19 · 2018: 32 · 2017: 31 · 2016: 32 · 2015: 45 · 2014: 48 · 2013: 43 · 2012: 42
FWCI
19.95
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Globalization and Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • OpenBU (Boston University) (submittedVersion, cc-by)
  • OpenBU (Boston University) (submittedVersion, other-oa)
Funders
Center for International Health
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
mobile devices, telemedicine, mobile health, health interventions, developing countries, cost-effectiveness, medication adherence, HIV, tuberculosis, malaria, chronic disease management, patient-provider communication, telecommunications regulation

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