Download pdf - ITU Presentation: mHealth - The Doctor's Side

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

[email protected]

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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

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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


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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.


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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


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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


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.


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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


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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


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BARRIERS

¤ Liability of mobile-enabled care

¤ Healthcare systems ¤ Nationalized health systems ¤ Multiple payers and providers

¤ Technology ¤  Interoperability & poor integration


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European Medical App Market


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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


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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


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[email protected]

@UniversalDoctor