This presentation shows that doctors are increasingly using mobile health for: •Mobile, text and video-based consultations •Patient monitoring •Accessing patient data •Explaining to patients their conditions and medical information •Increased efficiency, for example saving time in receiving test results or consulting with colleagues or administration. However for many m-Health is changing the doctor-patient relationship. The doctors’ traditional role is being disrupted while patients are becoming more independent and more active in managing their own healthcare.

1. 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
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2. 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
¤ Smartphone and tablet adoption is on the
rise in Germany, Spain, France, Italy, &
United Kingdom.
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3. 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 Real Impacts
¤ Improve patient care ¤ Changing the doctor-
¤ Immediate & expanded patient relationship
access to information
¤ Prevent delays in ¤ Introducing
diagnosis & treatment inaccuracies in
¤ Patient engagement patient care
¤ Improve communication ¤ Patients self
¤ Facilitate update of misdiagnosing
medical knowledge & skills
¤ Better time management
¤ Recalled apps
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4. 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.
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5. 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. SOURCE
Pricewaterhouse
• 42% worry that m-Health makes Coopers (PwC) &
patients too independent Economist Intelligence
• Among younger doctors – with less Unit (EIU): Survey of
than 5 years’ experience – 53% worry public, private and
independent doctors
about patient independence.
in 10 countries,
• 24% actively discourage patients including Denmark,
using m-Health applications Germany, the UK and
Spain.
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6. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012
81%
7
out of
69%
51% 10
doctors
own
smart-
17% phones
in the
US
EU Big 5
EU Big 5 Brazil India
EU Big 5
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, 2010, 2011 & 2012

7. 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
SOURCE
online time using them.
Manhattan Research:
Online survey of 1,207
UK
31 practicing physicians
GERMANY
28 (including PCPs,
pediatricians,
FRANCE
28 cardiologists,
oncologists,
ITALY
21
% Ownership gastroenterologists
SPAIN
20 Among Doctors and OB/GYNs) in
Germany, France,
Spain, Italy and the
• 40% said they planned to purchase UK, Q4 2011
an iPad within the next 6 months.
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8. 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
SOURCE
25% of doctors Elsevier: Online
surveyed use questionnaire of
In their daily an iPad 1,093 medical
professional life: specialists across
66% of those
France, Italy, Spain
surveyed use a
and the UK.
smartphone
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9. 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 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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10. 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
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11. 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
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12. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012
APPS: By Doctors, For Doctors
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13. ITU Experts Group Meeting on m-Health: Towards Better Care, Cure & Prevention in Europe 25/9/2012
To Conclude
What is needed to increase
Dr. Jordi Serrano Pons
acceptance and uptake of
mobile health within the
medical profession?
• Raising awareness Policy Health Advisor
• Participatory mobile health
pilot projects, involving both
doctors & patients Founder & CEO
• Government policy &
regulation
jserranopons@universaldoctor.com
@UniversalDoctor
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