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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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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
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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
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
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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.
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
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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
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
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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
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
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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
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
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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
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
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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
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European Medical App Market
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
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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
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
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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
25/9/2012 ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe
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@UniversalDoctor
