m-Health: The Doctor's Side

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This presentation shows that doctors are increasingly using mobile health for:
•Mobile, text and video-based consultations
•Patient monitoring
•Accessing patient data
•Explaining to patients their conditions and medical information
•Increased efficiency, for example saving time in receiving test results or consulting with colleagues or administration.

However for many m-Health is changing the doctor-patient relationship. The doctors’ traditional role is being disrupted while patients are becoming more independent and more active in managing their own healthcare.

Published in: Health & Medicine

m-Health: The Doctor's Side

  1. 1. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure and Prevention in Europe Geneva, Switzerland, 25-26 September 2012 M-HEALTH: The Doctors’ Side Dr. Jordi Serrano Pons jserranopons@universaldoctor.com Policy Health Advisor, Founder & CEO, European Institute for Health UniversalDoctor Project 1
  2. 2. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 Introduction ¤  Increasingly, medical professionals are turning 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 the rise in Germany, Spain, France, Italy, & United Kingdom. 2
  3. 3. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 m-Health for Doctors: Potential Impact vs. Realities Potential Impact Real Impacts ¤  Improve patient care ¤  Changing the doctor- ¤  Immediate & expanded patient relationship access to information ¤  Prevent delays in ¤  Introducing diagnosis & treatment inaccuracies in ¤  Patient engagement patient care ¤  Improve communication ¤  Patients self ¤  Facilitate update of misdiagnosing medical knowledge & skills ¤  Better time management ¤  Recalled apps 3
  4. 4. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 Doctors’ Perspectives •  Concerns regarding security, validity, liability, limitations of technology. •  Resistant to disruption of their traditional role as well as changes in patient role and power. •  Hopeful that improvement of care via mobile health will happen through streamlining, versus re-inventing, existing systems. 4
  5. 5. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 DATA: Doctors’ Perspectives •  Only 27% encourage patients to use m-Health applications in order to become more active in managing their health; 13% actively discourage this. SOURCE Pricewaterhouse •  42% worry that m-Health makes Coopers (PwC) & patients too independent Economist Intelligence •  Among younger doctors – with less Unit (EIU): Survey of than 5 years’ experience – 53% worry public, private and independent doctors about patient independence. in 10 countries, •  24% actively discourage patients including Denmark, using m-Health applications Germany, the UK and Spain. 5
  6. 6. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 81% 7 out of 69% 51% 10 doctors own smart- 17% phones in the US EU Big 5 EU Big 5 Brazil India EU Big 5 Physician Smartphone Ownership Mobile adoption among doctors in key global markets *EU Big 5: UK, Germany, France, Italy, Spain Source: Manhattan Research, Taking the Pulse Europe & Global, 2010, 2011 & 2012
  7. 7. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 DATA: How Doctors Use m-Health •  26% owned iPads and spent over one-quarter of their professional SOURCE online time using them. Manhattan Research: Online survey of 1,207 UK 31 practicing physicians GERMANY 28 (including PCPs, pediatricians, FRANCE 28 cardiologists, oncologists, ITALY 21 % Ownership gastroenterologists SPAIN 20 Among Doctors and OB/GYNs) in Germany, France, Spain, Italy and the •  40% said they planned to purchase UK, Q4 2011 an iPad within the next 6 months. 7
  8. 8. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 DATA: How Doctors Use m-Health •  43% use smartphones, with Apple devices dominant across the board •  19% use tablets in the clinics •  During consultations doctors were increasingly showing patients their treatment information on the iPad SOURCE 25% of doctors Elsevier: Online surveyed use questionnaire of In their daily an iPad 1,093 medical professional life: specialists across 66% of those France, Italy, Spain surveyed use a and the UK. smartphone 8
  9. 9. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 BARRIERS ¤  Data security & patient privacy ¤  Only 50% of doctors believe mobile internet facilities at their workplace are secure – PwC 2012 Emerging mHealth ¤  Lack of regulation and certification ¤ Conservative culture of medical profession ¤ Perceived limitations of technology 9
  10. 10. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 BARRIERS ¤ Liability of mobile-enabled care ¤ Healthcare systems ¤  Nationalized health systems ¤  Multiple payers and providers ¤ Technology ¤  Interoperability & poor integration 10
  11. 11. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 European Medical App Market UK FR Germany Italy Spain 4,019 3,496 1,843 1,407 1,347 MedCalc MedScape Epocrates Skyscape PubMed on Tap 11
  12. 12. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 APPS: By Doctors, For Doctors 12
  13. 13. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012 To Conclude What is needed to increase Dr. Jordi Serrano Pons acceptance and uptake of mobile health within the medical profession? •  Raising awareness Policy Health Advisor •  Participatory mobile health pilot projects, involving both doctors & patients Founder & CEO •  Government policy & regulation jserranopons@universaldoctor.com @UniversalDoctor 13

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