A survey of mHealth use from a physician perspective in paediatric emergency care in the UK and Ireland

Jahn, Haiko Kurt; Jahn, Ingo Henry Johannes; Behringer, Wilhelm; Lyttle, Mark D.; Roland, Damian

Abstract

Abstract: There has been a drive towards increased digitalisation in healthcare. The aim was to provide a snapshot of current apps, instant messaging, and smartphone photography use in paediatric emergency care. A web-based self-report questionnaire was performed. Individual physicians working in paediatric emergency care recorded their personal practice. One hundred ninety-eight medical doctors completed the survey. Eight percent of respondents had access to institutional mobile devices to run medical apps. Eighty-six percent of respondents used medical apps on their personal mobile device, with 78% using Apple iOS devices. Forty-seven percent of respondents used formulary apps daily. Forty-nine percent of respondents had between 1–5 medical apps on their personal mobile device. Respondents who used medical apps had a total of 845 medical apps installed on their personal device, accounted for by 56 specific apps. The British National Formulary (BNF/BNFc) app was installed on the personal mobile device of 96% of respondents that use medical apps. Forty percent of respondents had patient confidentiality concerns when using medical apps. Thirty-eight percent of respondents have used consumer instant messaging services, 6% secure specialist messaging services, and 29% smartphone photography when seeking patient management advice. Conclusion: App use on the personal mobile devices, in the absence of access to institutional devices, was widespread, especially the use of a national formulary app. Instant messaging and smartphone photography were less common. A strategic decision has to be made to either provide staff with institutional devices or use software solutions to address data governance concerns when using personal devices.
What is Known:
• mHealth use by junior doctors and medical students is widespread.
• Clinicians’ use of instant messaging apps such as WhatsApp is the widespread in the UK and Ireland, in the absence of alternatives.W

What is New:
• Personal mobile device use was widespread in the absence of alternatives, with the British National Formulary nearly universally downloaded to physicians’ personal mobile devices.
• A third of respondents used instant messaging and smartphone photography on their personal mobile device when seeking patient management advice from other teams in the absence of alternatives.

Citation

Jahn, H. K., Jahn, I. H. J., Behringer, W., Lyttle, M. D., & Roland, D. (2021). A survey of mHealth use from a physician perspective in paediatric emergency care in the UK and Ireland. European Journal of Pediatrics, 180, 2409–2418. https://doi.org/10.1007/s00431-021-04023-0

• Journal Article Type: Article
• Acceptance Date: Mar 10, 2021
• Online Publication Date: Mar 25, 2021
• Publication Date: 2021-08
• Deposit Date: Mar 31, 2021
• Publicly Available Date: Jun 8, 2021
• Journal: European Journal of Pediatrics
• Print ISSN: 0340-6199
• Electronic ISSN: 1432-1076
• Publisher: Springer (part of Springer Nature)
• Peer Reviewed: Peer Reviewed
• Volume: 180
• Pages: 2409–2418
• DOI: https://doi.org/10.1007/s00431-021-04023-0
• Keywords: Pediatrics, Perinatology, and Child Health
• Public URL: https://uwe-repository.worktribe.com/output/7243719
• Additional Information: Received: 8 September 2020; Revised: 5 March 2021; Accepted: 10 March 2021; First Online: 25 March 2021; : ; : This survey accessed clinicians via a research collaborative to assess their individual practice and therefore did not require formal ethics review according to the Framework for Health and Social Care Research (UK).; : Consent was implied by participation; : N/A; : The authors declare no competing interests.