ITU Experts Group Meeting on m-Health: Towards Better Care, Cure and Prevention in Europe

Geneva, Switzerland, 25-26 September 2012

M-HEALTH: The Doctors Side

Dr. Jordi Serrano Pons jserranopons@universaldoctor.com
Policy Health Advisor, Founder & CEO, European Institute for Health UniversalDoctor Project

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

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 ! Increased efficiency

! Smartphone and tablet adoption is on the

rise in Germany, Spain, France, Italy, & United Kingdom.

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

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 doctorpatient relationship ! Introducing inaccuracies in patient care ! Patients self misdiagnosing ! Recalled apps
3

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

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.

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

DATA: Doctors Perspectives

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

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.
5

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

81% 69% 51%

out of

10
17%
India

US

EU Big 5 EU Big 5

Brazil

EU Big 5

doctors use mobile phones in the

Physician Smartphone Ownership

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

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

DATA: How Doctors Use m-Health

26% owned iPads and spent over
one-quarter of their professional online time using them. 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
7

UK! GERMANY! FRANCE! 21 ITALY! 20 SPAIN!

31 28 28
% Ownership Among Doctors

40% said they planned to purchase

an iPad within the next 6 months.

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

DATA: How Doctors Use m-Health

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 Notable variation between countries In their daily professional life:

25% of doctors
surveyed use an iPad

66% of those

surveyed use a smartphone

SOURCE Elsevier: Online questionnaire of 1,093 medical specialists across France, Italy, Spain and the UK.
8

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

BARRIERS
! Data
!

security & patient privacy

Only 50% of doctors believe believe mobile internet facilities at their workplace are secure
PwC 2012 Emerging mHealth

! Lack

of regulation and certification

!Conservative culture of medical

profession

! Limitations of the technology

9

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

BARRIERS
!Liability of mobile-enabled care !Healthcare systems ! Nationalized health systems ! Multiple payers and providers !Technology ! Interoperability & poor integration issue

10

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

European Medical App Market UK FR Germany Italy Spain

4,019! 3,496!

1,843! 1,407! 1,347!

MedCalc

MedScape

Epocrates

Skyscape PubMed on Tap

11

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

APPS: By Doctors, For Doctors

12

ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe

25/9/2012

To Conclude
What is needed to increase uptake and physician acceptance of mobile health within the medical profession? Government policy & regulation Industry initiatives involving doctors, such as pilots, to clearly demonstrate efficacy and benefits of mobile health

Dr. Jordi Serrano Pons

Policy Health Advisor

Founder & CEO

jserranopons@universaldoctor.com @UniversalDoctor
13