Concerns are broken down into four key categories: infrastructure, distracters, privacy and security, and app developers.
The first group relates to the network infrastructure at a healthcare
facility or wherever the healthcare provider is aiming to use medical
apps. Of course, without a cell signal, most medical apps won’t work.
The researchers also note that some hospital set-ups could have
bandwidth issues if too many healthcare providers are attempting to use
apps simultaneously.
Distraction-related issues that the researchers noted include email sign
ups, pop-ups, icons/badges, notifications, and email alerts. The
distractibility of other apps resident on mobile devices has been a concern for many years.
The patient’s perception that a medical profession may not be paying
attention to them and making eye contact because they are using a
medical app is a related concern.
The
researchers cite concerns about medical app developers. Developers may
lack an understanding of healthcare contexts and standards. They may be
using data mining tools as mentioned above. They may also have included
very little (if any) end user input during the design of their apps,
which could lead to safety risks and inaccurate information or
algorithms.
While
the researchers’ concerns shouldn’t be new to longtime mobile health
watchers, the report sums them up tidily. The entire January edition of
the medical journal, which focused on mobile health regulation, is available for free as a PDF right now.
Empower Yourself...Welcome to your future and beyond.... Working together we will build upon our "collective wisdom" to create, for tomorrow, what we can only imagine today...J. Perl, Editor
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Ethics and HIT
Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
- patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
- transparency and a commitment to patient safety should govern vendor contracts;
- institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
- vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.