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

1. M-HEALTH: The Doctors’ Side
ITU Experts Group Meeting on m-Health: Towards Better
Care, Cure and Prevention in Europe
Geneva, Switzerland, 25-26 September 2012
Dr. Jordi Serrano Pons
jserranopons@universaldoctor.com
1
Policy Health Advisor,
European Institute for Health
Founder & CEO,
UniversalDoctor Project

2. 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.
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
2

3. m-Health for Doctors:
Potential Impact vs. Realities
Potential Impact
¤ Improve patient care
¤ Immediate & expanded
access to information
¤ Prevent delays in
diagnosis & treatment
¤ Patient engagement
¤ Improve communication
¤ Facilitate update of
medical knowledge & skills
¤ Better time management
Real Impacts
¤ Changing the doctor-
patient relationship
¤ Introducing
inaccuracies in
patient care
¤ Patients self
misdiagnosing
¤ Recalled apps
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
3

4. 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.
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
4

5. DATA: Doctors’ Perspectives
SOURCE
Pricewaterhouse
Coopers (PwC) &
Economist Intelligence
Unit (EIU): Survey of
public, private and
independent doctors
in 10 countries,
including Denmark,
Germany, the UK and
Spain.
• Only 27% encourage patients to use
m-Health applications in order to
become more active in managing
their health; 13% actively discourage
this.
• 42% worry that m-Health makes
patients too independent
• Among younger doctors – with less
than 5 years’ experience – 53% worry
about patient independence.
• 24% actively discourage patients
using m-Health applications
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
5

6. 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
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
Physician Smartphone Ownership
US EU Big 5 Brazil India
17%
51%
69%
81%
EU Big 5
7out of
10
doctors
own
smart-
phones
in the
EU Big 5

7. SOURCE
Manhattan Research:
Online survey of 1,207
practicing physicians
(including PCPs,
pediatricians,
cardiologists,
oncologists,
gastroenterologists
and OB/GYNs) in
Germany, France,
Spain, Italy and the
UK, Q4 2011
• 26% owned iPads and spent over
one-quarter of their professional
online time using them.
• 40% said they planned to purchase
an iPad within the next 6 months.
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
7
20
21
28
28
31UK
GERMANY
FRANCE
ITALY
SPAIN
DATA: How Doctors Use m-Health
% Ownership
Among Doctors

8. SOURCE
Elsevier: Online
questionnaire of
1,093 medical
specialists across
France, Italy, Spain
and the UK.
• 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
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
8
DATA: How Doctors Use m-Health
25% of doctors
surveyed use
an iPad
66% of those
surveyed use a
smartphone
In their daily
professional life:

9. 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
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
9

10. BARRIERS
¤ Liability of mobile-enabled care
¤ Healthcare systems
¤ Nationalized health systems
¤ Multiple payers and providers
¤ Technology
¤ Interoperability & poor integration
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
10

11. European Medical App Market
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
11
MedCalc MedScape Epocrates Skyscape PubMed onTap
UK FR Germany Italy Spain
4,019
1,347
1,407
3,496
1,843

12. APPS: By Doctors, For Doctors
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
12

13. To Conclude
Dr. Jordi Serrano Pons
Policy Health Advisor
Founder & CEO
What is needed to increase
acceptance and uptake of
mobile health within the
medical profession?
• Raising awareness
• Participatory mobile health
pilot projects, involving both
doctors & patients
• Government policy &
regulation
25/9/2012ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
13
jserranopons@universaldoctor.com
@UniversalDoctor