Medical app minefield: radiologists use of medical apps for education and reporting and do they require regulation?

Author(s):  
A. MacCormick ◽  
P. Jenkins ◽  
C. Roobottom
Keyword(s):  
Author(s):  
Tess Grynoch

Objective: To examine how Canadian academic medical libraries are supporting mobile apps, what apps are currently being provided by these libraries, and what types of promotion are being used. Methods: A survey of the library websites for the 17 medical schools in Canada was completed. For each library website surveyed, the medical apps listed on the website, any services mentioned through this medium, and any type of app promotion events were noted. When Facebook and Twitter accounts were evident, the tweets were searched and the past two years of Facebook posts scanned for mention of medical apps or mobile services/events. Results: All seventeen academic medical libraries had lists of mobile medical apps with a large range in the number of medical relevant apps (average=31, median= 23). A total of 275 different apps were noted and the apps covered a wide range of subjects. Five of the 14 Facebook accounts scanned had posts about medical apps in the past two years while 11 of the 15 Twitter accounts had tweets about medical apps. Social media was only one of the many promotional methods noted. Outside of the app lists and mobile resources guides, Canadian academic medical libraries are providing workshops, presentations, and drop-in sessions for mobile medical apps. Conclusion: While librarians cannot simply compare mobile services and resources between academic medical libraries without factoring in a number of other circumstances, librarians can learn from mobile resources strategies employed at other libraries, such as using research guides to increase medical app literacy.


Author(s):  
Junchang Li ◽  
Jiantong Zhang ◽  
Ye Ding

The mobile medical application (M-medical APP) can optimize medical service process and reduce health management costs for users, which has become an important complementary form of traditional medical services. To assist users including patients choose the ideal M-medical APP, we proposed a novel multiple attribute group decision making algorithm based on group compromise framework, which need not determine the weight of decision-maker. The algorithm utilized an uncertain multiplicative linguistic variable to measure the individual original preference to express the real evaluation information as much as possible. The attribute weight was calculated by maximizing the differences among alternatives. It determined the individual alternatives ranking according to the net flow of each alternative. By solved the 0–1 optimal model with the objective of minimizing the differences between individual ranking, the ultimate group compromise ranking was obtained. Then we took 10 well-known M-medical APPs in Chinese as an example, we summarized service categories provided for users and constructed the assessment system consisting of 8 indexes considering the service quality users are concerned with. Finally, the effectiveness and superiority of the proposed method and the consistency of ranking results were verified, through comparing the group ranking results of 3 similar algorithms. The experiments show that group compromise ranking is sensitive to attribute weight.


2020 ◽  
Vol 9 (4) ◽  
pp. 1016 ◽  
Author(s):  
Nuno Pereira Azevedo ◽  
Stavros Gravas ◽  
Jean de la Rosette

Our aim is to present the current position of mobile health (mHealth) and the delivery of healthcare services via mobile communication devices in urology. We conducted a literature review of urology mHealth papers on PubMed. Results indicate that mHealth is becoming ubiquitous in contemporary healthcare systems. Although its potential has been shown, urology lags behind other areas, representing just 0.1% of the 300,000 available medical apps in the Apple App Store and Google Play Store. Furthermore, there is a lack of expert healthcare professional involvement in app development. To avoid harm, it is critical that the scientific accuracy, patient privacy, and user safety of urology mHealth applications are assured. This is because there is no globally enforced medical app regulation, compulsory scientific guidelines, nor mandatory industry standards. Urologists, either individually or via scientific organizations, should have a pivotal position in the design, development, review, certification, and recommendation of apps. mHealth holds great potential in urology, as it can aid multiple stakeholders: citizens, patients, healthcare professionals, health organizations, and public authorities (e.g., Ministry of Health). Even though it is mostly used to improve existing medical activities at present, the future will include revolutionary and ground-breaking technology solutions. This innovative field should be seen by urologists as an opportunity to provide greater care to our patients and better tools and knowledge to our peers.


2020 ◽  
Vol 179 ◽  
pp. 02063
Author(s):  
Peng Han ◽  
Liyuan Xu ◽  
Xiaochen Lv

Based on community medical APP as the carrier, this paper studies the emotional and experiential process of community doctors using mobile community medical APP under different cognitive loads, and puts forward the improvement of product optimization. Firstly, based on the cognitive load theory, objective user data is obtained through cognitive load control experiments on target users. Second, ask the target user to fill in the Positive and Negative Affect Scale and System Usability Scale to obtain subjective user data. Finally, analyze the user’s subjective and objective data. Based on the analysis of experimental results and user observation, the improvement strategy is proposed to reduce the barriers to community doctors learning and using community medical apps.


2020 ◽  
Author(s):  
Chiao-Chen Chang

BACKGROUND The successful operation of medical mobile applications primarily depends on the extent to which users are fully motivated to adopt it. OBJECTIVE Therefore, the primary purpose of this study is to investigate the factors influencing mobile medical application usage intentions. METHODS This study applied the Unified Theory of Acceptance and Use of Technology (UTAUT2) to build a comprehensive model that explains the usage intentions of mobile medical apps. RESULTS Research findings confirm the validity of the UTAUT2 in explaining the intention of using mobile medical apps in the context of mobile medical services. Also, the results focus on the enhancement in the role of the other, rather contextual attributes of the IT/IS environment (i.e., personal involvement and personal innovativeness). CONCLUSIONS By conducting surveys, mobile medical app designers can know that personal involvement and personal innovativeness leads to influences on the effectiveness of corporate marketing efforts about using mobile medical apps.


2021 ◽  
pp. 8-17
Author(s):  
Ashok Kumar .. ◽  
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...  

The number of mobile Medicare applications has grown exponentially over the past few years, and it is expected to continue to grow soon. The use of health apps promises to be a good way to improve patient care and make work easier for professional. However, some cases of malfunction or misdiagnosis and treatment recommendations have been reported. Regulation is essential to protect users and support product development. So, to suppress the malfunctions we present a pharmacopeia Medicare app in which the customer can see the original profile and the specification of any stimulant with its useful information. This inculcates a clean process which procures a less chance of misapplication of the drugs. These mobile medical app companies have improved access to clinical references and point of care tools. However, it is difficult to identify mobile medical apps that are suitable for the practice of pharmacy. This app is entirely based on our experience in accrediting websites with health-related content and journal.


2020 ◽  
Author(s):  
Florian Dittrich ◽  
Felix Reinecke ◽  
Marcel Dudda ◽  
Andreas Stang ◽  
Christina Polan ◽  
...  

BACKGROUND Smartphones have become an essential part of everyday life and it is undeniable that apps offer enormous opportunities for dealing with future challenges in public health. Nevertheless, the exact patient requirements for medical apps in the field of orthopedic and trauma surgery are currently unknown. OBJECTIVE The aim of this study was to define target groups, evaluate patient requirements, potentials and pitfalls regarding medical apps specific for orthopedic and trauma surgery. METHODS A prospective multicenter study was conducted between August 2018 and December 2019 at a German trauma center and 3 trauma surgery/orthopedic practices. A paper-based survey consisting of 15 questions evaluated information regarding smartphone and medical app usage behavior. In addition, suggested app functions were rated using Likert scales. Descriptive statistics and binary log-binomial regression was performed. RESULTS A total of 1,055 questionnaires were included in the statistical analysis. A total of 89.57 % owned a smartphone. Ownership probability decreased with every decade of life and increased with a higher level of education. Medical information was obtained via mobile web access by 62.65% of participants; this correlated similarly to ownership in regard to age and educational level. Only 11.18% reported previous medical app usage; 3.50% received an app recommendation from a physician. More than half (56.30%) were unwilling to pay for a medical app. The highest rated app functions were information about medication, behavioral guidelines and medical record archival. An improved treatment experience through suggested app features was reported by 71.18%. CONCLUSIONS Mobile devices are a widely used source of information for medical content, but only a minority reports previous medical app usage. The main target group for medical apps in orthopedic and trauma surgery tends to be younger, what harbours the danger of excluding fringe groups especially the elderly. Education seems to be one of the most important pull factors to use smartphones or a mobile web connection to obtain health information. Medical apps, primarily focusing on an optimized patient education and flow of information, therefore seem to have the potential to support patients in health issues, at least in their subjective perception. For future target group-oriented app developments, further evidences on clinical application, feasibility, and acceptance of app usage are necessary, in order to avoid patient endangerment and limit socio-economic costs.


2014 ◽  
Vol 53 (03) ◽  
pp. 208-224 ◽  
Author(s):  
S. Marceglia ◽  
F. Pinciroli ◽  
S. Bonacina

SummaryObjectives: The huge amount of released medical apps prevents medical app users from believing that medical scientific societies and other accreditation bodies as well, have the resources and the power for assigning to any medical app a quality score. By the time being, any medical app user has to take the risks related to the frequently insufficient accreditation of that app. Providing clear user-oriented schemas, to be adopted both when putting a medical App on the market and when an App comes to be evaluated by a cohort or single users, becomes crucial. The aim of our research was to define a pictorial identification one-shot schema for a comprehensive user-oriented identification of medical apps.Methods: Adopting a pictorial approach is common in software design modeling. To build up our identification schema we started from the limited number of Apps already available on a web site of app reviews (iMedicalApps.com), and we identified an appropriately large set of attributes for describing medical apps. We arranged the attributes in six main families. We organized them in a one-shot comprehensive pictorial schema. We adopted a traffic light color code for assessing each attribute, that was sufficient to provide simple elements of alerts and alarms regarding a single App. Then, we considered apps from iMedicalApps.com web site belonging to three medical specialties: cardiology, oncology, and pharma and analyzed them according to the proposed pictorial schema.Results: A pictorial schema having the attributes grouped in the families related to “Responsible Promoters”, “Offered Services”, “Searching Methods”, “Applications Domains”, “Envisaged Users”, and “Qualifiers and Quantifiers” has been identified. Furthermore, we produced a one-shot pictorial schema for each considered app, and for each medical specialty, we produced it also in an aggregated form.Conclusions: The one-shot pictorial schema provides a useful perception of when and where to use a considered app. It fits positively the expectations of potential but different user’s profiles. It can be a first step towards a systematic assessment of apps from the user viewpoint.


2019 ◽  
Vol 104 (12) ◽  
pp. 1203-1207 ◽  
Author(s):  
Haiko Kurt Jahn ◽  
Ingo H Jahn ◽  
Damian Roland ◽  
Mark D Lyttle ◽  
Wilhelm Behringer

IntroductionMobile devices and medical apps are used by healthcare professionals in adult and paediatric emergency departments worldwide. Recently, there has been a drive toward increased digitalisation especially in the UK. This point prevalence survey aims to describe hardware and software provision and their use in paediatric emergency care in the UK and Ireland.MethodsA web-based self-report questionnaire of member sites of an international paediatric emergency research collaborative was performed. A lead site investigator completed the survey on behalf of each site.ResultsOf the 54 sites, 46 (85%) responded. At 10 (21.7%) sites, the use of a personal mobile device at the bedside was not allowed; however, this was only enforced at 4 (8.7%) of these sites. Apple iOS devices accounted for the majority (70%) of institutional mobile devices. Most sites provided between 1 and 5 medical apps on the institutional mobile device. The British National Formulary (BNF/BNFc) app was the app which was most frequently provided and recommended. No site reported any harm from medical app use.ConclusionThe breadth of app use was relatively low. There was variability in trust guidance on app use and challenges in accessibility of Wi-Fi and devices.


2018 ◽  
Vol 4 (1) ◽  
pp. 173-176
Author(s):  
Scholtes Michael ◽  
Behrend Annemarie ◽  
Stephanie Buedenbender ◽  
Gross Volker ◽  
Sohrabi Keywan

AbstractComputer applications in medicine are very important. However, there are differences in quality of such software, which periodically led to discussions about safety, regulation, and registration of software applications. Today, the admission procedure of medical products is highly regulated, and this applies also for mobile medical apps. The clinical evaluation is one important aspect of the admission procedure, especially due to the latest regulatory changes of the guideline MedDev 2.7/1 revision 4. The requirements have increased, and uncertainty grows in medical app development companies. The aim of this paper was the development of a process orientated guide, that gives an overview of the needed steps of a clinical evaluation of mobile medical apps and that could help to give a rough estimation about the necessary effort. The guide was developed, based on the relevant literature and legal texts. The clinical evaluation can be conducted in five substeps: “Planning and Scoping”, “Literature Research”, “Literature Assessment”, “Clinical Data Analysis” and “Reporting”. Prospectively, this guide will be evaluated by developers and adjusted, as soon as Medical Device Regulation is legally binding.


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