Many Mobile Health Apps Target High-Need, High-Cost Populations, But Gaps Remain
Many Mobile Health Apps Target High-Need, High-Cost Populations, But Gaps Remain
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DOI：
10.1377/hlthaff.2016.0578
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发表时间：
2016-12-01
期刊：
影响因子：
9.7
通讯作者：
Bates, David W.
中科院分区：
文献类型：
--
作者：
Singh, Karandeep;Drouin, Kaitlin;Bates, David W.
随着智能手机拥有量的增加，移动健康应用程序(mHealth应用程序)有可能支持高需求、高成本的人群管理他们的健康。虽然可用的mHealth应用程序的数量大幅增长，但对于提供商应该如何评估和向患者推荐此类应用程序，还没有出现明确的战略。包括医疗专业协会、保险公司和政策制定者在内的主要利益相关者在很大程度上避免正式推荐APP，因为APP会迫使患者从其他来源获得建议。为了帮助利益相关者克服审查和推荐应用程序的障碍，我们评估了137个面向患者的mHealth应用程序-这些应用程序旨在由患者使用来管理自己的健康-这些应用程序得到了消费者的高度评价和专家的推荐，目标人群是高需求、高成本的人群。我们发现，市场上有各种各样的应用程序，但很少有应用程序能满足患者的需求，他们可能会受益最大。我们还发现，消费者的评分不能很好地反映应用程序的临床实用性或可用性，而且大多数应用程序在用户输入潜在危险的健康信息时没有做出适当的反应。展望未来，数据隐私和安全仍将是mHealth应用程序传播中的主要问题。
With rising smartphone ownership, mobile health applications (mHealth apps) have the potential to support high-need, high-cost populations in managing their health. While the number of available mHealth apps has grown substantially, no clear strategy has emerged on how providers should evaluate and recommend such apps to patients. Key stakeholders, including medical professional societies, insurers, and policy makers, have largely avoided formally recommending apps, which forces patients to obtain recommendations from other sources. To help stakeholders overcome barriers to reviewing and recommending apps, we evaluated 137 patient-facing mHealth apps-those intended for use by patients to manage their health-that were highly rated by consumers and recommended by experts and that targeted high-need, high-cost populations. We found that there is a wide variety of apps in the marketplace but that few apps address the needs of the patients who could benefit the most. We also found that consumers' ratings were poor indications of apps' clinical utility or usability and that most apps did not respond appropriately when a user entered potentially dangerous health information. Going forward, data privacy and security will continue to be major concerns in the dissemination of mHealth apps.