ITU Presentation: mHealth - The Doctor's Side

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Presentation created for Jordi Serrano Pons who was invited to present at the ITU Experts Group Meeting held within the framework of the ITU European Regional Initiative on ICT Applications, including e-Health.

Topic of the meeting:
M-HEALTH: TOWARDS BETTER CARE, CURE AND PREVENTION IN EUROPE

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ITU Presentation: mHealth - The Doctor's Side

  1. 1. M-HEALTH: The Doctors’ SideITU Experts Group Meeting on m-Health: Towards BetterCare, Cure and Prevention in EuropeGeneva, Switzerland, 25-26 September 2012Dr. Jordi Serrano Ponsjserranopons@universaldoctor.com1Policy Health Advisor,European Institute for HealthFounder & CEO,UniversalDoctor Project
  2. 2. Introduction¤  Increasingly, medical professionals areturning to mobile devices for:¤  Mobile, text & video-based consultations¤  Patient monitoring & accessing patient data¤  Visualizing medical information for patients¤ Smartphone and tablet adoption is on therise in Germany, Spain, France, Italy, &United Kingdom.25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe2
  3. 3. m-Health for Doctors:Potential Impact vs. RealitiesPotential Impact¤  Improve patient care¤  Immediate & expandedaccess to information¤  Prevent delays indiagnosis & treatment¤  Patient engagement¤  Improve communication¤  Facilitate update ofmedical knowledge & skills¤  Better time managementReal Impacts¤  Changing the doctor-patient relationship¤  Introducinginaccuracies inpatient care¤  Patients selfmisdiagnosing¤  Recalled apps25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe3
  4. 4. Doctors’ Perspectives•  Concerns regarding security,validity, liability, limitations oftechnology.•  Resistant to disruption of theirtraditional role as well aschanges in patient role andpower.•  Hopeful that improvement ofcare via mobile health willhappen through streamlining,versus re-inventing, existingsystems.25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe4
  5. 5. DATA: Doctors’ PerspectivesSOURCEPricewaterhouseCoopers (PwC) &Economist IntelligenceUnit (EIU): Survey ofpublic, private andindependent doctorsin 10 countries,including Denmark,Germany, the UK andSpain.•  Only 27% encourage patients to usem-Health applications in order tobecome more active in managingtheir health; 13% actively discouragethis.•  42% worry that m-Health makespatients too independent•  Among younger doctors – with lessthan 5 years’ experience – 53% worryabout patient independence.•  24% actively discourage patientsusing m-Health applications25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe5
  6. 6. Mobile adoption among doctors in key global markets*EU Big 5: UK, Germany, France, Italy, SpainSource: Manhattan Research, Taking the Pulse Europe & Global, 2010, 2011 & 201225/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in EuropePhysician Smartphone OwnershipUS EU Big 5 Brazil India17%51%69%81%EU Big 57out of10doctorsownsmart-phonesin theEU Big 5
  7. 7. SOURCEManhattan Research:Online survey of 1,207practicing physicians(including PCPs,pediatricians,cardiologists,oncologists,gastroenterologistsand OB/GYNs) inGermany, France,Spain, Italy and theUK, Q4 2011•  26% owned iPads and spent overone-quarter of their professionalonline time using them.•  40% said they planned to purchasean iPad within the next 6 months.25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe72021282831UK GERMANY FRANCE ITALY SPAIN DATA: How Doctors Use m-Health% OwnershipAmong Doctors
  8. 8. SOURCEElsevier: Onlinequestionnaire of1,093 medicalspecialists acrossFrance, Italy, Spainand the UK.•  43% use smartphones, with Appledevices dominant across the board•  19% use tablets in the clinics•  During consultations doctors wereincreasingly showing patients theirtreatment information on the iPad25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe8DATA: How Doctors Use m-Health25% of doctorssurveyed usean iPad66% of thosesurveyed use asmartphoneIn their dailyprofessional life:
  9. 9. BARRIERS¤  Data security & patient privacy¤  Only 50% of doctors believe mobileinternet facilities at their workplace aresecure– PwC 2012 Emerging mHealth¤  Lack of regulation and certification¤ Conservative culture of medicalprofession¤ Perceived limitations of technology25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe9
  10. 10. BARRIERS¤ Liability of mobile-enabled care¤ Healthcare systems¤ Nationalized health systems¤ Multiple payers and providers¤ Technology¤ Interoperability & poor integration25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe10
  11. 11. European Medical App Market25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe11MedCalc MedScape Epocrates Skyscape PubMed onTapUK FR Germany Italy Spain4,019 1,347 1,407 3,496 1,843
  12. 12. APPS: By Doctors, For Doctors25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe12
  13. 13. To ConcludeDr. Jordi Serrano PonsPolicy Health AdvisorFounder & CEOWhat is needed to increaseacceptance and uptake ofmobile health within themedical profession?•  Raising awareness•  Participatory mobile healthpilot projects, involving bothdoctors & patients•  Government policy &regulation25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe13jserranopons@universaldoctor.com@UniversalDoctor

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