JSP Presentation for ITU_FINAL-1

7/29/2019 JSP Presentation for ITU_FINAL-1

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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

[email protected]

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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.

25/9/2012ITU 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! 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


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 &regulation

Industry initiatives involvingdoctors, such as pilots, toclearly demonstrate

efficacy and benefits of

mobile health


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[email protected]

@UniversalDoctor

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JSP Presentation for ITU_FINAL-1