Date post: | 29-Nov-2014 |
Category: |
Health & Medicine |
Upload: | jeannine-lemaire |
View: | 425 times |
Download: | 0 times |
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
1
Policy Health Advisor, European Institute for Health
Founder & CEO, UniversalDoctor Project
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.
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
2
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
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
3
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.
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
4
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
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
5
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
25/9/2012 ITU 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
7
out of
10 doctors
own smart-
phones in the
EU Big 5
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.
25/9/2012 ITU 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
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
25/9/2012 ITU 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:
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
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
9
BARRIERS
¤ Liability of mobile-enabled care
¤ Healthcare systems ¤ Nationalized health systems ¤ Multiple payers and providers
¤ Technology ¤ Interoperability & poor integration
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
10
European Medical App Market
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
11
MedCalc MedScape Epocrates Skyscape PubMed on Tap
UK FR Germany Italy Spain
4,019
1,347 1,407
3,496
1,843
APPS: By Doctors, For Doctors
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
12
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
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
13
@UniversalDoctor