Prashant Tandon is co-founder and CEO of TATA 1mg, India’s largest digital health platform. He has been one of India’s leading entrepreneurs in Indian Digital Healthcare since 2009, having co-founded & led 1mg & HealthKart, both industry-defining companies in their space. Dr. Soumya Singh, creative editor interviews him about the transformative role of digital health platforms and e-pharmacies.
- E-pharmacy has seen significant growth in recent years. Can you share your insights on how digital health platforms are revolutionizing the way medicines are accessed and delivered to consumers?
E-pharmacies have significantly enhanced accessibility, affordability, convenience & comfort while empowering customers with useful information to manage their healthcare better. We let customers request medicines by uploading a prescription through a convenient app/ website and have them delivered to their homes. This service is especially helpful for people who live in rural places, elderly people who have mobility problems, or need to get prescription refills on a regular basis. Also, many times medicines are not easily available in one geography, while they may be available in other locations – a digital platform manages to ensure better availability of medicines as needed by consumers. Laboratory tests and Teleconsultations are also integrated into digital health systems, further empowering patients’ access to medical consultations. These developments ensure better prescription adherence and speed up obtaining medications. Digital health platforms enhance full transparency and safety in medication delivery, given everything is end to end tracked and traced. Also, they offer detailed information on drug availability, pricing, and alternatives, allowing consumers to make informed choices. Additionally, the well organized platforms incorporate stringent verification processes and quality checks to ensure that medications are genuine and safe. By analyzing patient data, these platforms can provide dosage reminders, health tips and even managed care programs, improving overall health outcomes. - How do digital health platforms leverage their platform to empower users in making informed decisions about their health, accessing healthcare services, and adopting preventive healthcare measures?
Platforms for digital health give consumers access to a multitude of information from around the world, and use that for empowering our customers with deeper knowledge. These services provide detailed information of the medicines patients are taking and many other health related information such as – symptom checks, instructional materials, and guidance from medical specialists. They let users schedule appointments, manage their health data, and get reminders for things like medicine and checkups. Users may monitor vital signs and activity levels by incorporating wearable technology, which promotes proactive health management. Educational content, including articles, videos, and webinars on various health topics, keeps users informed and engaged. Additionally, community forums and support groups allow users to share experiences, seek advice, and gain support from peers facing similar health challenges promoting preventive health. - Antimicrobial resistance (AMR) is a growing concern globally. How do you see digital health platforms playing a role in addressing AMR, particularly in ensuring responsible antibiotic use and promoting awareness among consumers?
Digital health platforms play a crucial role in combating AMR. Given that every dispensation is tracked digitally end to end, it is much easier to ensure proper Antibiotic adherence through digital platforms. Ideally, all Antibiotic dispensation should be on similar platforms only, to ensure there is no self medication and prescription abuse for antibiotics. Also, the platforms play a role towards promoting responsible antibiotic use and increasing awareness in both the patients and doctors associated with their platforms. Educational content about the dangers of AMR and the importance of completing antibiotic courses is readily available to consumers. Moreover, these platforms can be leveraged to track antibiotic prescriptions and usage patterns, providing data that can be analyzed to identify and mitigate misuse trends. Digital health platforms can integrate decision support tools for healthcare professionals to aid in antibiotic prescribing. This data-driven approach aids in developing targeted interventions to curb AMR. Platforms should use their reach and influence to advocate for policy changes and investments in AMR prevention and control. - Artificial intelligence (AI) is increasingly being integrated into e-pharmacy platforms to enhance services and improve efficiency. Can you discuss some of the AI-driven innovations implemented to enhance user experience and optimize healthcare outcomes?
AI enhances e-pharmacy services by improving accuracy, efficiency, and user experience. AI algorithms personalize medication recommendations based on individual health profiles and past behaviors. Chatbots powered by AI provide instant customer service, answering queries and guiding users through the purchasing and delivery process. AI-driven predictive analytics help manage inventory by forecasting demand, reducing the likelihood of stockouts or overstocking. Furthermore, AI applications in drug interaction checks ensure safe medication combinations, enhancing patient safety. We are also working upon data science models which can digitize typewritten and handwritten health records, which again can serve the ecosystem beyond just pharmacies. - The online sale of medicines has been subject to regulatory scrutiny in many countries, including India. What are your thoughts on potential new regulations governing the online sale of medicines, and how do you foresee these regulations impacting the e-pharma industry?
A lot of controversy around online pharmacies in many countries pertains to cross border trade of medicines, for which many countries have regulated that online pharmacies have to be domiciled within the country only. Also, today China, Europe, Latin America, USA – all have ePharmacies thriving. Especially post covid, the need for a national digital infrastructure to access medication is well recognized. In India, presently, all dispensation is governed by the Drugs & Cosmetics Act & Rules 1945, and players fully comply with those provisions. In addition, the players need to comply with IT Act and other rules governing retail and eCommerce. However, we do feel the time has come for the country to have an integrated and updated set of rules, given that today the models are governed under multiple Acts and harmonizing them will ensure much better ease of doing business. Also, the various upcoming innovative models at play may have specific requirements. The impending new Drugs and Medical Devices Act has already mentioned online sales of medicines would be specifically addressed. We will continue our engagements with the regulators to help frame comprehensive sectoral guidelines that ensure the safe and efficient operation of e-pharmacies. - What steps do online platforms typically implement to prevent the sale of counterfeit medications?
ePharmacies are fundamentally well positioned to ensure accountability in the supply chain, since all medicines are end-to-end trackable and traceable here from supplier to patient, unlike in the open market where a lot of such medicines are dispensed without a clear traceability, often involving cash transactions. Digitization of the supply chain is the largest weapon in the fight against counterfeit, and the ePharmacy model naturally has that advantage. Also, given all transactions come with an invoice, there is proper accountability of various players embedded in the system, besides better tax realization for the government. Additionally, ePharmacies implement several measures to prevent the sale of counterfeit medications. All good ePharmacies have a robust partner onboarding mechanism in place. They source products directly from reputed manufacturers and authorized distributors, which is critical towards ensuring the authenticity of stock. Advanced tracking systems and barcoding technology enable traceability from the distributor to the consumer. ePharmacies also perform regular audits and quality checks, and take consumer feedback seriously for end to end checks. - What are some of the key challenges facing the e-pharma industry, and how are digital health platforms addressing these challenges to ensure compliance, safety, and quality in the delivery of healthcare services?
The key challenge for the ePharmacy industry today is around ease of doing business. All players have to comply with various laws and rules which come under various acts, and many times a single department is not aware of the other laws governing the ecosystem. For example, it is commonly seen that a local Drug Inspector is not aware of the IT Act, Consumer Protection Act or eCommerce rules, and it is a cumbersome process to respond to various issues that may come up. Also, there is a need for a level playing field, and it is well known that prescription requirements, presence of pharmacists and other regulations are often not equally imposed. As a result, a lot of customers on ePharmacy platforms are disappointed that we seek prescriptions when they easily get the same medicines without in the open market. Another challenge is around ensuring data security, and with the upcoming data privacy laws, there is a need to set up adequate systems to manage that. Digital health platforms address these challenges by investing in secure, scalable IT infrastructure and adopting comprehensive compliance protocols. They collaborate with regulatory bodies to stay updated on regulations and adapt practices accordingly. To ensure product authenticity, e-pharmacies partner with companies and their authentic vendors, leverage advanced technologies like blockchain and AI for supply chain management and verification. Continuous stakeholder engagement and user education and transparent operations build consumer trust and ensure quality service delivery. Digital health platforms prioritize data privacy and security by implementing robust encryption protocols, access controls, and data anonymization techniques to protect patient information. - With the rapid advancement of technology, what do you envision as the next digital revolution in the healthcare industry, and how do you see digital health platforms adapting to and driving this transformation?
The next digital revolution in healthcare will involve the integration of advanced AI, machine learning, and the Internet of Medical Things (IoMT). These technologies will enable more precise and faster diagnostics, personalized treatment plans taking into account health data and real time wearable data, and seamless interoperability among different healthcare systems. Digital health platforms will likely evolve to offer holistic health management ecosystems, integrating fitness, nutrition, mental health, and medical care into a single user interface. This transformation will enhance preventive care, early detection of diseases, and patient engagement. - Personalized medicine and telemedicine are emerging trends in healthcare. How do you see digital health platforms evolving to incorporate these trends into their service offerings, and what opportunities do they present for improving patient care?
Personalized medicine and telemedicine may be driven faster by and also effectively integrated into digital health platforms, providing customized healthcare solutions that consider genetic, environmental, and lifestyle aspects. Genetic data will be used by platforms to offer individualized medication recommendations and health guidance. The field of telemedicine is expected to grow, offering a wide range of virtual care solutions such as digital treatments, remote monitoring, and expert consultations. Opportunities to enhance patient outcomes, lower healthcare costs, and broaden access to high-quality treatment are presented by these trends. Resultant Chronic disease management programs, virtual care solutions, remote patient monitoring and home healthcare will lead to better health outcomes. - Data privacy and security are critical considerations in the digital health space. How do digital health platforms ensure the confidentiality and integrity of user data while leveraging data analytics to enhance their services?
To ensure data privacy and security, digital health platforms implement robust cybersecurity measures, including encryption, secure data storage, and multi-factor authentication. They adhere to regulations like national data protection laws to safeguard user data. Regular security audits, employee training on data privacy, and transparent data handling practices enhance trust. - Collaboration and partnerships are essential for the success of digital health platforms. Can you share some examples of successful collaborations undertaken to expand reach and enhance service offerings?
Partnerships with academic institutions, technology businesses, pharmaceutical companies, and healthcare providers are some of the key digital health collaborations. Partnerships with pharmaceutical firms, for instance, can increase medicine availability and optimize supply chains and improve access to patient support programs. By using cutting-edge technologies like artificial intelligence, partnerships with tech companies can improve platform capabilities. Innovation in digital health solutions is being fostered through cooperative research collaborations with academic institutions. These alliances broaden their clientele, improve the services they provide, and propel the sector forward. - Finally, what is your vision for the future of e-pharmacy and digital health, and how do you see these platforms contributing to the advancement of healthcare delivery and accessibility?
India today has an opportunity to create the new model of digital access to healthcare, which is not only a model for India but for the entire global south. Digital Health platforms hold the promise of making healthcare personalized, integrated, accessible and affordable – and in all these dimensions India is well endowed to lead the world in creating the new age model and technology. E-pharmacy and digital health will prosper in the future when state-of-the-art technology is combined with a patient-first mentality. E-pharmacies are now transforming into all-inclusive health management platforms that provide a variety of services, including telemedicine, diagnostics services, personalized health advice, and pharmaceutical delivery. E-pharmacy and digital health platforms have the potential to transform by delivering personalized and precision healthcare, empowering patients, promoting collaborative care models, expanding access and equity, and driving continuous innovation and collaboration across the healthcare ecosystem. By leveraging technology, data-driven insights, and collaborative partnerships, these platforms can contribute to a future where healthcare is accessible, equitable, and patient-centered, ultimately improving the health and well-being of individuals and communities. By increasing efficiency, personalization, and accessibility, digital health platforms will play an integral part in improving healthcare delivery.
