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TRANSCRIPT
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M-HEALTH: The Doctors Side
ITU Experts Group Meeting on m-Health: Towards BetterCare, 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
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Introduction
! Increasingly, medical professionals areturning to mobile devices for:
! Mobile, text & video-based consultations! Patient monitoring & accessing patient data! Visualizing medical information for patients! Increased efficiency
!Smartphone and tablet adoption is on therise in Germany, Spain, France, Italy, &United Kingdom.
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m-Health for Doctors:Potential Impact vs. Realities
Potential Impact
! Improve patient care! Immediate & expanded
access to information
! Prevent delays! Patient engagement
! Improve communication! Facilitate updating of
medical knowledge & skills
! Better time management
Real Impacts
! Changing the doctor-patient relationship
! Introducinginaccuracies in
patient care
! Patients selfmisdiagnosing
! Recalled apps
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Doctors Perspectives
Concerns regarding security,validity, liability, limitations oftechnology.
Resistant to disruption of theirtraditional role as well aschanges in patient role andpower.
Hopeful that improvement ofcare via mobile health willhappen through streamlining,versus re-inventing, existingsystems.
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DATA: Doctors Perspectives
SOURCE
PricewaterhouseCoopers (PwC) &Economist IntelligenceUnit (EIU): Survey of
public, private andindependent doctorsin 10 countries,including Denmark,Germany, the UK andSpain.
Only 27% encourage patients to usem-Health applications in order to
become more active in managing
their health; 13% actively discouragethis.
42% worry that m-Health makespatients too independent
Among younger doctors with lessthan 5 years experience 53% worryabout patient independence.
24% actively discourage patientsusing 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, 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
7
out of
10doctors
usemobilephones
in the
EU Big 5
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SOURCE
Manhattan Research:
Online survey of 1,207practicing 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 overone-quarter of their professionalonline time using them.
40% said they planned to purchasean 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
% OwnershipAmong Doctors
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SOURCE
Elsevier: Onlinequestionnaire of1,093 medical
specialists acrossFrance, Italy, Spain
and the UK.
43% use smartphones, with Appledevices dominant across the board
19% use tablets in the clinics
During consultations doctors wereincreasingly showing patients theirtreatment information on the iPad
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DATA: How Doctors Use m-Health
25%of doctorssurveyed usean iPad
66%of thosesurveyed use a
smartphone
Notable variationbetween
countries
In their daily
professional life:
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BARRIERS
!Data security & patient privacy! Only 50% of doctors believe believe
mobile internet facilities at theirworkplace are secure
PwC 2012 Emerging mHealth
!Lack of regulation and certification!Conservative culture of medical
profession!Limitations of the technology
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BARRIERS
!Liability of mobile-enabled care!Healthcare systems!Nationalized health systems!Multiple payers and providers
!Technology!Interoperability & poor integration issue
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European Medical App Market
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MedCalc MedScape Epocrates Skyscape PubMed on Tap
4,019!
1,347!1,407!
3,496!
1,843!
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APPS: By Doctors, For Doctors
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To ConcludeDr. Jordi Serrano Pons
Policy Health Advisor
Founder & CEO
What is needed to increaseuptake and physician
acceptance of mobile health
within the medical profession?
Government policy ®ulation
Industry initiatives involvingdoctors, such as pilots, toclearly demonstrate
efficacy and benefits of
mobile health
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@UniversalDoctor