Hacia un modelo global de mHealth

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CLAVES:

  • El uso de soluciones basadas en la tecnología móvil ya es cada vez más habitual en el sector sanitario.
  • Según los expertos, es necesario crear un modelo de evaluación único para las aplicaciones y soluciones sanitarias de mHealth, consensuado por los principales stakeholders a nivel internacional.
  • Los principales aspectos que debería cubrir el modelo de evaluación son: taxonomía, ficha técnica, marco de evaluación por campo e itinerarios de evaluación en cinco fases.

El uso de soluciones basadas en la tecnología móvil ya es cada vez más habitual en el sector sanitario. De hecho, cada vez hay más aplicaciones reguladas que cubren distintas necesidades, tanto de profesionales como de pacientes.

Source: PWC. Why mobile technology may well define the future of healthcare…for everyone

Aun así, todavía hace falta crear un modelo de evaluación único, consensuado por los principales stakeholders a nivel internacional, que sirva de guía para que desarrolladores y cuidadores puedan tomar decisiones informadas a la hora de aplicar una u otra solución.

Documento relacionado en ThinkNowa:

La producción de este modelo de evaluación oficial es lo que condujo al equipo de mHealth de Mobile World Capital Barcelona y otros grupos de interés del sector a organizar una serie de workshops orientados a establecer los puntos clave de este documento y marcar las pautas de desarrollo para su elaboración.

El primer taller tuvo lugar en febrero 2015. En él, se concretó una hoja de ruta con cinco acciones pensadas para fomentar la construcción de las directrices del modelo.

AGÈNCIA DE QUALITAT I AVALUACIÓ SANITÀRIES DE CATALUNYA. mHealth Assessment Workshop.February 2015 [consultado 27-01-2016]. Disponible en:  http://www.mobilehealthglobal.com/media/upload/pdf/mhealt_assessment_workshop_barcelona_2015-02-25_minutes_editora_68_2_1.pdf

Estos son los principales aspectos que debería cubrir el modelo de evaluación:

  • TaxonomíaGráfico de clasificación de aplicaciones móviles por categorías, fases de implementación sobre las diversas patologías y valoración de riesgo. Según Laura Ryan, directora médica asociada NHS24 del Centro escocés de Telehealth y Telecare (SCTT), “Los gobiernos y los sistemas sanitarios se centrarán en el rojo (área mHealth de mayor riesgo). Deberíamos centrarnos también en el verde (bajo riesgo), porque eso será cada vez más importante el futuro”.
SCOTTISH CENTRE FOR TELEHEALTH & TELECARE. Landing page. [consultado 27-01-2016]. Disponible en: http://sctt.org.uk
  • Ficha técnica: Herramienta para definir la app o solución móvil a partir de una serie de validaciones estándar. Idealmente esta herramienta tendría que estar disponible online, y debería estar asociada a un algoritmo que automáticamente detectase las soluciones que no cumplieran los requisitos básicos para su correcta implementación.
  • Marco de evaluación por campo: Un gráfico pensado para evaluar los puntos fuertes y las carencias de las distintas aplicaciones, por ejemplo, según su acabado técnico, su riesgo, sus beneficios o los recursos necesarios para activar la aplicación o solución. Los participantes del segundo taller establecieron más de 50 aspectos diferentes sobre los que poder valorar una aplicación.
  • Itinerarios de evaluación en 5 fases: Una evaluación cronológica de las soluciones según su fase de desarrollo. Así, por ejemplo, la evaluación de la madurez técnica de una app correspondería a la fase 1.

Para comprobar el correcto funcionamiento del Modelo de Evaluación propuesto se aplicaron sus directrices a Diabetes Diary, una app desarrollada en Noruega para ayudar a que personas con diabetes entiendan cómo sus hábitos sanitarios pueden afectar su condición. El ejercicio práctico permitió concluir que el modelo presentado suponía un buen punto de partida.

ITUNES. APP. Diabetes Diary. [consultado 22-12-2015]. Disponible en:  https://itunes.apple.com/us/app/diabetes-diary/id308154469?mt=8

La versión revisada del Modelo de Evaluación se presentó en octubre de 2015, gracias a las reuniones online efectuadas por los diferentes representantes de los principales grupos de interés.

El III mHealth Assessment Model Workshop tuvo lugar el viernes 22 de enero en Londres, sede del NICE. En esta ocasión el debate se centró en la adaptación del Modelo de Evaluación según el país en que se aplique, estableciendo los parámetros propios de cada región a partir de los casos de Reino Unido y Catalunya.

“La idea es establecer un marco de evaluación global que dé confianza a los profesionales clínicos y seguridad a los pacientes en el marco de la Unión Europea” sentencia Joan Cornet, director del mHealth de Mobile World Capital.

MOBILE WORLD CAPITAL. BARCELONA. Avance hacia un modelo global de evaluación de aplicaciones y soluciones mHealth. 2015 [consultado 27-01-2016]. Disponible en:  http://mobileworldcapital.com/es/aplicaciones-real-de-soluciones-mhealth-avance-hacia-un-modelo-de-evaluacion-global/

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