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Medical and Health Apps: practical guidelines are needed

Medicine 2.0'13 Conference, London (UK)
by

Miguel Angel Mayer

on 9 February 2015

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Transcript of Medical and Health Apps: practical guidelines are needed

I
Current scenario...
Research Programme on Biomedical Informatics (GRIB)
IMIM- Universitat Pompeu Fabra

Designing and Using Mobile Health Applications (Medical and Health Apps): Practical Guidelines Are Needed
Features of Mobile Diabetes Applications: Review
of the Literature and Analysis of Current Applications
Compared Against Evidence-Based Guidelines
J Med Internet Res 2011
Dr. Google
Dr. Apps
Dr. Facebook
Dr. Twitter
Healthy
Lifestyle
Doctor
appointments
Chronic
Diseases
Management
Diagnosis & DD
Screening
Prevention
Biomedical DB
Therapeutic use,...
Health Apps
iPhone Apps for Smoking Cessation: a content analysis
Am J Prev Med 2011
Initiatives
"Reliance on these applications, which are not subject to regulatory oversight, in lieu of medical consultation can delay the diagnosis of melanoma and harm users."
Diagnostic Inaccuracy of Smartphone Applications for Melanoma Detection
JAMA Dermatol 2013
"Apps identified for smoking cessation were found to have low levels of adherence to key guidelines"
Apple is asking app developers to provide sources of medical information
iMedicalApps 18 Sept 2013
Any instrument, apparatus, appliance, software, material or other article, alone or in combination, intended to be used specifically for diagnosis and/or therapeutic purposes, for the purpose of diagnosis, prevention, monitoring, treatment or alleviation of disease...
Medical device
But
Are Health Apps
Medical Devices?
Apps and Health: general recommendations
Health Apps can be classified in different types according to:
- Who the target is (pacients, professionals, general public)
- What the objective or function is (information, health promotion, diagnosis)
- Use environment (clinical, general)
It is critical to assess accurately
who will use the Health Apps and where and how they should be used
Health Apps represent a great opportuniy that will
contribute to the improvement of people's health
and social welfare
At present we don't have enough knowledge
about the efficacy, suitability and risks
associated with their use
The development of health apps should be based on design standards, evidence based medicine, security and legal requirements
as well as the coordinated participation of all the interested parties
It is necessary to set up processes and criteria
to make the selection of quality health apps easier
as well as the creation of specific platforms
for accessing them
The promotion of research is critical to guarantee interoperability and their integration in the ICT health systems

as well as their use in health organizations established by protocol
Apps & Health
Users
Security
Research
Evaluation
Miguel Angel Mayer
Angela Leis
Directive 2007/47/EC
@mmayerp
Full transcript