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The App Gap: Why Baby Boomers Won’t Use Most Smart Phone Apps

Along with the invention of smart phones, an entire medical mobile application (app) industry has cropped up, promising patients enhanced connectivity, health data collection, and overall care quality at lower costs. Last year the FDA put a damper on the app industry’s quick-profit hopes by announcing that it intends to regulate certain medical apps as medical devices. In other words, if the app is used to connect with a medical device or to turn a smart phone into such a device (whether it can check your blood sugar, blood pressure, heart rhythm, etc. or suggest diagnoses), it must undergo safety and efficacy checks by the FDA before it can be brought to market. That process is likely to inflate app development costs exponentially, thus creating a chilling effect on the industry.

I actually think that FDA oversight is a good thing in this case, since it could protect patients from potentially misleading health information that they might use to make treatment or care decisions. But more importantly, I wonder if a lot of this fuss is moot for the largest, sickest, segment of the U.S. population?

For all the hype about robo-grannies, aging in place technologies, and how high tech solutions will reduce healthcare costs, the reality is that these hopes are unlikely to be achieved with the baby boomer generation. I believe that the generation that follows will be fully wired and interested in maximizing all that mobile health has to offer, but they’re not sick (yet) and they’re also not the proverbial “pig in the python” of today’s healthcare consumption.

I’m not saying that mobile health apps have no role in caring for America’s seniors – their physicians and care teams use tablets and smart phones, their kids do too, and a small percent of seniors may adopt these technologies, but I’m a realist when it comes to massive adoption by boomers themselves. Wireless connectivity, texting, personal digital health records, and asynchronous communication is just not in their DNA. Take away a teenager’s smart phone and he or she is likely to be completely flummoxed by reality. Now give that phone to a baby boomer and the flummoxing will be roughly equivalent, but centered upon the device. The teen can’t live without the constant phone/internet connection, and the senior is overwhelmed by the lack of human interface and unfamiliar menus.

What makes me so sure of my pronouncements? I just spent a month making house calls to almost 70 different Medicare Advantage members in rural parts of this country. And I can tell you that almost none of them used any sort of smart phone app to manage their health. These “odd creatures” actually enjoyed face-to-face human contact, they used their phones almost exclusively to talk to people (not surf the Internet), and they took hand-written notes when it was important for them to remember something. They even had paper calendars that they used to schedule their physician appointments and keep records of their medications and procedures. How “weird” is that?!

When I asked one of the seniors if she’d be interested in using a cell phone to check her blood pressure and have that automatically uploaded to her doctor’s office she replied,

“I’m too old to learn that stuff, dear. I’m lucky if I can find my slippers in the morning.”

The reality is that the average app user isn’t sick, and sick people don’t see a need for apps… yet.  So our challenge is to meet seniors where they are instead of trying to change their habits. House calls are the best way I know of to get a full appreciation for individual quirks, compliance challenges, and health practices. If we are really serious about reducing healthcare costs in our aging population, it may take some low-tech solutions. As un-sexy as that may be, it’s time that we put down the iPhone and practiced some good old-fashioned medicine.

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7 Responses to “The App Gap: Why Baby Boomers Won’t Use Most Smart Phone Apps”

  1. Gregory Judd says:

    Seniors are unlikely to use apps – frankly most people are – but they are MUCH less reserved about engaging telephonically-supported condition monitoring, especially of course when their doctor advises it.

    there are numerous problems with the “app” format, problems that have been around since the whole Apple ‘closed system’ habit irritated so many programmers a generation or more ago. People (especially seniors?) mostly like to be people, rather than cult members; and they like computers when they do stuff FOR you, without a lot of thinking & doing.

    Call it the wisdom of age… 😉

  2. I agree, Greg. Seniors are much more likely to communicate via phone – and they appreciate practicality (computer software should be EASY). There is much we can learn from them!

  3. Donna Hull says:

    As a 62-year-old baby boomer, I can’t begin to tell you how off target this article is.

    #1 We are not the sickest generation yet. Our ages range from 65 to 48. Most of us are vital and still employed.

    #2 We do use smart phone apps and are adopting their use at a record rate.

    #3 Your headline says, “Why Baby Boomers Won’t Use Smart Phones” but the photo accompanying this article is of a very elderly woman who is clearly NOT a baby boomer.

    #4 Most of us are not seniors, yet.

    While I think your article makes valuable points about the use of smart phone health apps with the elderly population, you missed your demographic by focusing on baby boomers.

  4. Barbara says:

    Wow…as a 50-something baby boomer, I find this article and the photograph of the nearly-dead lady pretty insulting. Not only am I not “elderly” or on Medicare, I can find my slippers every morning, as well as an unbelievable array of technology that I use every day to plug into the cyber-world where I do my business.

    Please get your definition of “baby boomers” straight. The lady in your photo is at least 80, probably closer to 90. She was likely born in the 1920s, long before the baby boom began (remember, it was a post-war thing?).

  5. It’s true that the woman in the photo is likely to be older than 65. Hard to find just the right image (without copyright infringement). If you have a better photo – please send it along. Thanks.

  6. Serenity Kapy says:

    I came across your blog and enjoyed the content posted by your team of physicians. The articles posted by the variety of medical backgrounds provide quality information on many relevant health related topics. I believe that would be a useful complement to the blog and its contributors because our goal is to provide personalized and reliable information to patients. The app is easy for senior to use. And it does help a lot of patients all over the country.

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