1/ Agree that Apple is closest thing out there to being a model citizen re: privacy. But...not a comprehensive solution. Quoting from memory: * Apple iOS market share is about 15% worldwide * iOS market share in the U.S. about 35%https://twitter.com/amalec/status/1223746554613231616 …
2/ * Interesting footnote: iOS market share among MDs is about 75% Implication is that huge portion of the market is on Android.
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3/ Switching costs of going from Android to iOS are HUGE: * hardware costs of expensive Apple devices * repurchase of apps * learning new UIs * etc. I've personally thought about it bc I like Apple's stance on privacy...but huge inertia to overcome.
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4/ Apple's lack of market share limits potential for gaining critical mass & network effects. Apple model is to maximize profit on hardware, not maximize market share w/ lower prices. That's fine, but limits potential to be a universal healthcare platform.
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5/ Many platform markets have strong winner(s)-take-all (WTA) dynamics, e.g., FB near monopoly in social media. Network effect -- you can leave FB but you can't take your network with you. iOS/Android duopoly in smartphone OS -- near 100% market share.
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6/ So, with only 35% U.S. OS market share >> zero potential for Apple WTA healthcare platform. BUT...potential for DUOPOLY with Android healthcare platform in the works at UCSF/Cornell http://bit.ly/2Uk6m0U Awaiting further details on this...and FHIR promises good interop.
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7/ Will be interesting to watch how much cooperation is possible between Apple health & Android CommonHealth. Potential to create duopoly is a big incentive to work together. Data privacy? Not so much. Apple: "Your data is YOUR data" Android: "Your data is OUR data"
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8/ While Apple health doesn't have the critical mass to become a DOMINANT HC platform... Android has 85% share of worldwide smartphone OS market. Android CommonHealth DOES have potential to become a dominant (WTA ?) HC platform. More likely to focus outside the U.S.?
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