Exhibit A: savings. We all know, and have been taught, that it’s good to save more money rather than less, but there are all sorts of reasons why we don’t. A study by four Ivy League economists—Dean Karlan of Yale, Sendhil Mullainathan and Margaret McConnell of Harvard, and Jonathan Zinman of Dartmouth—has shown that gentle text-based nagging can induce people to save more. As part of a study, they worked with banks in the emerging markets of Bolivia, Peru, and the Philippines. When people opened accounts and were encouraged to commit to saving certain amounts, the banks randomly assigned some customers to receive reminders via text. The conclusion: “Individuals who received monthly reminders saved 6 percent more than individuals who did not. They were also 3 percent more likely to reach their savings goals by the end of the savings program.” The most effective form of messaging was one that reminded people both that they needed to save in order to reach a personal goal and that there were incentives for doing so. Such nudges boosted savings by nearly 16 percent. That may not sound like much. But for financial institutions, the use of something extremely cheap—like sending text messages—to boost deposits by even a few percentage points would be an extremely effective form of marketing.

Zinman notes, we should focus as much on the recipients as we should on the message. “A key difference between the texts sent by the banks in our study and most advertising is that the texts were consistent with our subjects’ intentions.” These people had already committed to saving and wanted to do it. Simple electronic reminders encouraged people to make good on the commitments they had made.

Something similar is happening with prescription drugs. As with saving money, taking medicine is an activity that people know is good for them. And they know that the failure to take medicine is quite bad for them. But one of the mysteries—and great frustrations—of the medical-industrial complex has been patient compliance, or more accurately patient noncompliance. As this report from McKesson indicates, an alarming number of patients simply fail to take the pills they’ve purchased. In one survey, of those who don’t take pills they’re supposed to, 79 percent said they simply forgot. Aside from leading to tens of billions of dollars in lost revenue annually, patient noncompliance complicates clinical trials and leads to problems for those who have chronic conditions. For a shocking number of people, self-preservation or the admonishment from a spouse—”Did you take your Lipitor today? And since you just ate a bacon cheeseburger, shouldn’t you take two?”—simply doesn’t work.

Here, too, texting may make a difference. A Financial Times article reported that pharmaceutical giant Novartis is partnering with Proteus Biomedical, a medical technology firm. The big idea: implant receivers in people’s shoulders and then embed chips into pills, which, after ingested, send out reminders via text message to take the next one. “Joe Jimenez, head of pharmaceuticals at Novartis, said tests using the system—which broadcasts from the ‘chip in the pill’ to a receiver on the shoulder—on 20 patients using Diovan, a drug to lower blood pressure, had boosted ‘compliance’ with prescriptions from 30 per cent to 80 per cent after six months.” Plenty of companies are developing similar applications, such as MedPrompt and iReminder, which delivers “dosing reminders” by phone, text, or e-mail.

As Head of European Operations for Clinical Resource Network, Dr. Janusz Kabata oversees the company’s presence in 16 countries. Dr. Kabata’s expertise in developing central laboratory services supports his aim to enable European customers needed services. A particular challenge in Europe, that CSN’s broad presence would ease, is the mobility of the European population in general. This is because some countries’ laws require workers have five weeks of vacation. Workers who previously could not take off during an investigative sites business hours can now participate with CSN.

Dr. Kabata earned his M.B.A, M.D., and Ph.D. degrees from The Medical University of Gdańsk. This university is the largest medical academic institution in Northern Poland. The academy, aside from educational activity, focuses on scientific research.

The challenges of his work give him a sense of accomplishment. Plus, he has a fulfilling family life. He is fortunate in his wife Wanda, whom he married in 1980. Their four children, Piotr, Pawel, Tomasz, Filip, came along to brighten his life even more.

Janusz Kabata, M.D., Ph.D. can be found in the Madison Who’s Who Directory, and he his looking forward to networking with you.

www.clinicalresource.net