Vodafone claims the biggest challenge to driving adoption of mobile health technology is implementing services on a unified, global scale. “This is the virtual dilemma of mHealth," said Axel Nemetz, Head of mHealth Solutions, Vodafone Global Enterprise, during his opening keynote presentation at the 2012 GSMA-mHA Mobile Health Summit. “Mobile network operators are looking for scale, but healthcare systems are operating on a national, regional and local level. In the health world, there is no global scale. Healthcare is still in the authority of individual nations in Europe, for example, and that’s why it’s challenging taking mhealthcare to scale.”