This document proposes a system called "Mobile Microwork-Medical Diagnostics" to provide low-cost, high-quality healthcare diagnostics in developing countries. It would work by having patients undergo medical exams which produce digital outputs like x-rays. These exams would then be transmitted to an intermediary who outsources the diagnostic analysis to microworkers using mobile phones. Microworkers, who are either para-skilled workers trained by the intermediary or certified medical professionals, would use their phones to evaluate exams and input diagnostic codes. The intermediary would quality check results and send accurate diagnoses back to the original country. This system could provide benefits like sustainable work for microworkers and Nokia, while addressing
3. Description
Patient undergoes medical exam in Country X eg x-ray captured in digital form
This is transmitted to an Intermediary
Intermediary outsources work to microworkers via mobile technology
Micro workers are of two types
Para-skilled workers who are trained by the intermediary: Para skilling is the practice of
breaking down skilled services such as education and health care into simplified
narrowly defined tasks that can easily be completed by unskilled workers
Already trained professionals who have been certified by the intermediary and have a
broader range of skills
Micro workers use their mobiles to access jobs.
They choose 1 job and then evaluate the electronic scan on their mobile phone
Micro workers then input results via a series of binary codes e.g. white spot on left can be
coded as 1, on right = 2, no spot =o .just as an arbitrary example.
This information is sent via the mobile to the intermediary and the binary responses are
automatically converted to a normal word report
Then quality control is undertaken ( possibly 30% of the reports are checked as an example).
If errors are beyond a certain tolerance, this informs the intermediary that it needs to do
retraining or reject the batch of results for a group of cases and start over, it may even
identify workers who are error prone so that corrective action can be taken.
Results which are certified correct are then returned to Country X
4. Benefits
All the benefits of micro work
Para skilling is already a successful business model in the medical field in India
(http://www.aravind.org/) but it is done without the use of mobile technology
A sustainable business model for Nokia- It may require microworkers to upgrade
their mobiles in order to achieve the quality resolution required to complete a
diagnosis. A financing scheme can be organised through a micro financing loan
OR a trade-in and pay-as-you-go system ie trade-in your old Nokia and for your
first 100 jobs; 25% of the microworkers pay goes to Nokia and 75% goes to the
microworker, once you hit 100 jobs the new phone belongs to the micro
worker.....just as an example). This will generate new sources of income for
Nokia and further entrench its brand.
Quality concerns addressed- Several levels of quality assurance can be built into
the model. In addition, para skilled workers become experts in assessing the
small range of symptoms (Initial reports on Aravind eye care show that the para
skilled workers are more precise in their assessment than semi skilled workers
who are trained to assess the full range of eye conditions)
5. Novelty
Integrates several successful business models -microwork, para
skilling (possibly micro finance) and open innovation
(intermediaries and crowdsourcing) into one business model with
both pro poor and commercial benefit.
Still to be defined
The type of medical diagnostics that can be outsourced in this
way (Evidence that eye-care diagnostics is a good start).
The minimum quality level of phone required
Adequate Bandwidth to transfer high quality images???
Legal issues medial malpractice ????????
Any suggestions will be much appreciated.