Do smartphone applications in healthcare require a governance and legal framework? It depends on the application!

BMC Medicine

Alison Holmes¹  Luke SP Moore¹  Enrique Castro-Sánchez¹  Esmita Charani¹ 

[1] Centre for Infection Prevention and Management, Imperial College London, Du Cane Road, London W12 0NN, UK

关键词: Technology adoption;    Smartphone;    Mhealth;    Ehealth;    Apps;   

Others  :  854978
DOI  :  10.1186/1741-7015-12-29

 received in 2013-10-08, accepted in 2014-01-14,  发布年份 2014

【 摘 要 】

The fast pace of technological improvement and the rapid development and adoption of healthcare applications present crucial challenges for clinicians, users and policy makers. Some of the most pressing dilemmas include the need to ensure the safety of applications and establish their cost-effectiveness while engaging patients and users to optimize their integration into health decision-making. Healthcare organizations need to consider the risk of fragmenting clinical practice within the organization as a result of too many apps being developed or used, as well as mechanisms for app integration into the wider electronic health records through development of governance framework for their use. The impact of app use on the interactions between clinicians and patients needs to be explored, together with the skills required for both groups to benefit from the use of apps. Although healthcare and academic institutions should support the improvements offered by technological advances, they must strive to do so within robust governance frameworks, after sound evaluation of clinical outcomes and examination of potential unintended consequences.

【 授权许可】

   
2014 Charani et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Ozdalga E, Ozdalga A, Ahuja N: The smartphone in medicine: a review of current and potential use among physicians and students. J Med Internet Res 2012, 14:e128.
• [2]Baldwin LP, Low PH, Picton C, Young T: The use of mobile devices for information sharing in a technology-supported model of care in AE. Int J Electron Healthc 2006, 3:90-106.
• [3]Nolan T: A smarter way to practise. BMJ 2011, 342:470-471.
• [4]Oehler RL, Smith K, Toney JF: Infectious diseases resources for the iPhone. Clin Infect Dis 2010, 50:1268-1274.
• [5]Aziz O, Panesar SS, Netuveli G, Paraskeva P, Sheikh A, Darzi A: Handheld computers and the 21st century surgical team: a pilot study. BMC Med Inform Decis Mak 2005, 5:28. BioMed Central Full Text
• [6]Mohammad Mosa AS, Yoo I, Sheets L: A systematic review of healthcare applications for smartphones. BMC Med Inform Decis Mak 2012, 12:67. BioMed Central Full Text
• [7]Koehler N, Vujovic O, McMenamin C: Healthcare professional’s use of mobile phones and the internet in clinical practice. Journal of Mobile Technology in Medicine 2013, 2:3-13.
• [8]Food and Drug Administration: Mobile medical applications: guidance for industry and Food and Drug Administration staff. http://www.fda.gov/downloads/MedicalDevices/.../UCM263366.pdf webcite
• [9]Thompson BM, Brodsky I: Should the FDA regulate mobile medical apps? BMJ 2013, 347:F5211.
• [10]Barton AJ: The regulation of mobile health applications. BMC Med 2012, 10:46. BioMed Central Full Text
• [11]European Commission: Medical devices guidance documents. http://ec.europa.eu/health/medical-devices/documents/guidelines/index_en.htm webcite
• [12]Gill PS, Kamath A, Tejkaran SG: Distraction: an assessment of smartphone usage in health care work settings. Risk Manag Healthc Policy 2012, 5:105-114.
• [13]Robson Y, Blackford S, Roberts D: Caution in melanoma risk analysis with smartphone application technology. Br J Dermatol 2012, 167:703-704.
• [14]Charani E, Kyratsis Y, Lawson W, Wickens H, Brannigan E, Moore L, Holmes A: An analysis of the development and implementation of a smartphone application for the delivery of antimicrobial prescribing policy: lessons learnt. J Antimicrob Chemother 2012, 68:960-967.
• [15]Putzer GJ, Park Y: Are physicians likely to adopt emerging mobile technologies? Attitudes and innovation factors affecting smartphone use in the Southern United States. Perspect Health Inf Manag 2012, 9:1b.
• [16]Kit H, Mate C, Cecily M, Josip C: Apps for asthma self-management: a systematic assessment of content and tools. BMC Med 2012, 10:144. BioMed Central Full Text
• [17]Google Glass to gain local apps, but not cellular connection http://www.techhive.com/article/2047512/google-glass-to-gain-local-apps-but-not-cellular-connection.html webcite
• [18]Silva BM, Rodrigues JPC, Canelo F, Lopes IC, Zhou L: A data encryption solution for mobile health apps in cooperation environments. J Med Internet Res 2013, 15(4):e66.
• [19]Van Velsen L, Beaujean DJMA, van Gemert-Pinjen JE: Why mobile health app overload drives us crazy, and how to restore sanity. BMC Med Inform Decis Mak 2013, 13:23. BioMed Central Full Text
• [20]Weng C, Appelbaum P, Hripcsak G, Kronish I, Busacca L, Davidson KW, Bigger JT: Using EHRs to integrate research with patient care: promises and challenges. J Am Med Inform Assoc 2012, 19:684-687.
• [21]Kramer DB, Baker M, Ransford B, Molina-Markham A, Stewart Q, Fu K, Reynolds MR: Security and privacy qualities of medical devices: an analysis of FDA postmarket surveillance. PLoS One 2012, 7:e40200.
• [22]Barbour V, Clark J, Connell L, Ross A, Simpson P, Veitch E, Winker M: A reality checkpoint for mobile health: three challenges to overcome. PLoS Med 2013, 10:e1001395.
• [23]Shaffer VA, Probst CA, Merkle EC, Arkes HR, Medow MA: Why do patients derogate physicians who use a computer-based diagnostic support system. Med Decis Making 2013, 33:108-118.