Showing papers by "Maged N. Kamel Boulos published in 2014"

Mobile medical and health apps: state of the art, concerns, regulatory control and certification

Abstract: This paper examines the state of the art in mobile clinical and health-related apps. A 2012 estimate puts the number of health-related apps at no fewer than 40,000, as healthcare professionals and consumers continue to express concerns about the quality of many apps, calling for some form of app regulatory control or certification to be put in place. We describe the range of apps on offer as of 2013, and then present a brief survey of evaluation studies of medical and health-related apps that have been conducted to date, covering a range of clinical disciplines and topics. Our survey includes studies that highlighted risks, negative issues and worrying deficiencies in existing apps. We discuss the concept of ‘apps as a medical device’ and the relevant regulatory controls that apply in USA and Europe, offering examples of apps that have been formally approved using these mechanisms. We describe the online Health Apps Library run by the National Health Service in England and the calls for a vetted medical and health app store. We discuss the ingredients for successful apps beyond the rather narrow definition of ‘apps as a medical device’. These ingredients cover app content quality, usability, the need to match apps to consumers’ general and health literacy levels, device connectivity standards (for apps that connect to glucometers, blood pressure monitors, etc.), as well as app security and user privacy. ‘Happtique Health App Certification Program’ (HACP), a voluntary app certification scheme, successfully captures most of these desiderata, but is solely focused on apps targeting the US market. HACP, while very welcome, is in ways reminiscent of the early days of the Web, when many “similar” quality benchmarking tools and codes of conduct for information publishers were proposed to appraise and rate online medical and health information. It is probably impossible to rate and police every app on offer today, much like in those early days of the Web, when people quickly realised the same regarding informational Web pages. The best first line of defence was, is, and will always be to educate consumers regarding the potentially harmful content of (some) apps.

On the Internet of Things, smart cities and the WHO Healthy Cities.

Abstract: This article gives a brief overview of the Internet of Things (IoT) for cities, offering examples of IoT-powered 21st century smart cities, including the experience of the Spanish city of Barcelona in implementing its own IoT-driven services to improve the quality of life of its people through measures that promote an eco-friendly, sustainable environment. The potential benefits as well as the challenges associated with IoT for cities are discussed. Much of the 'big data' that are continuously generated by IoT sensors, devices, systems and services are geo-tagged or geo-located. The importance of having robust, intelligent geospatial analytics systems in place to process and make sense of such data in real time cannot therefore be overestimated. The authors argue that IoT-powered smart cities stand better chances of becoming healthier cities. The World Health Organization (WHO) Healthy Cities Network and associated national networks have hundreds of member cities around the world that could benefit from, and harness the power of, IoT to improve the health and well-being of their local populations.

Preliminary survey of leading general medicine journals’ use of Facebook and Twitter

Abstract: Aim: This study is the first to chart the use of Facebook and Twitter by peer-reviewed medical journals. Methods: We selected the top 25 general medicine journals on the Thomson Reuters Journal Citation Report (JCR) list. We surveyed their Facebook and Twitter presences and scanned their Web sites for any Facebook and (or) Twitter features as of November 2011. Results/Discussion: 20 of 25 journals had some sort of Facebook presence, with 11 also having a Twitter presence. Total ‘Likes’ across all of the Facebook pages for journals with a Facebook presence were 321,997, of which 259, 902 came from the New England Journal of Medicine (NEJM) alone. The total numbers of Twitter ‘Followers’ were smaller by comparison when compiled across all surveyed journals. ‘Likes’ and ‘Followers’ are not the equivalents of total accesses but provide some proxy measure for impact and popularity. Those journals in our sample making best use of the open sharing nature of social media are closed-access; with the leading open access journals on the list lagging behind by comparison. We offer a partial interpretation for this and discuss other findings of our survey, provide some recommendations to journals wanting to use social media, and finally present some future research directions. Conclusions: Journals should not underestimate the potential of social media as a powerful means of reaching out to their readership.