ABSTRACT
BACKGROUND: In Peru, there is an increase in the creation of mobile health (mHealth) apps; however, this situation could present problems related to the quality of information these apps share, data security and privacy, usability, and effectiveness, as there is no specific local regulation about their creation and use. OBJECTIVE: The objective of this study was to review mHealth apps created, uploaded, or used in Peru, and perform an analysis of the national regulatory framework that could be applied to evaluate whether there is a need to develop and implement a specific regulation to these apps. METHODS: A total of 3 reviews were performed. First, we reviewed information about Peruvian mHealth apps created up to May 2019 from scientific publications, news, government communications, and virtual stores, and evaluated their purpose, creator, and the available evidence of their usability and effectiveness. The second review was carried out by taking a sample of the 10 most commonly used mHealth apps in Peru (regardless of the country of creation), to evaluate the information they collect and classify them according to the possible risks that they could present in terms of security and privacy. In addition, we evaluated whether they refer to or endorse the information they provided. Finally, in the third review, we searched for Peruvian standards related to electronic health (eHealth) that involve information technology that can be applied to regulate these apps. RESULTS: A total of 66 apps meeting our inclusion criteria were identified; of these, 47% (n=31) belonged to government agencies and 47% (n=31) were designed for administrative purposes (private and government agencies). There was no evidence about the usability or effectiveness of any of these apps. Concerning the 10 most commonly used mHealth apps in Peru, about the half of them gathered user information that could be leaked, changed, or lost, thus posing a great harm to their users or to their related patients. In addition, 6/10 (60%) of these apps did not mention the source of the information they provided. Among the Peruvian norms, the Law on the Protection of Personal Data, Law on Medical Devices, and administrative directives on standards and criteria for health information systems have some regulations that could be applied to these apps; however, these do not fully cover all aspects concerning the evaluation of security and privacy of data, quality of provided information, and evidence of an app's usability and effectiveness. CONCLUSIONS: Because many Peruvian mHealth apps have issues related to security and privacy of data, quality of information provided, and lack of available evidence of their usability and effectiveness, there is an urgent need to develop a regulatory framework based on existing medical device and health information system norms in order to promote the evaluation and regulation of all the aforesaid aspects, including the creation of a national repository for these apps that describes all these characteristics.
Subject(s)
Mobile Applications , Telemedicine , Computer Security , Humans , Peru , PrivacyABSTRACT
Objetivo: Determinar la relación entre calidad percibida del servicio y la cultura de seguridad en salud en el personal médico del Hospital nivel II en el distrito de Vitarte de la ciudad de Lima. Materiales y métodos: Estudio cuantitativo, descriptivo, transversal, correlacional prospectivo, no experimental. Se entrevistó a 124 médicos del Hospital II EsSalud Vitarte de la ciudad de Lima entre los meses de marzo y abril del año 2017. El análisis descriptivo se realizó mediante distribución de frecuencias. Para el análisis bivariado se usó el coeficiente tau (τ) de Kendall, y se consideró p<0.01 para diferencias significativas. Resultados: Se encontró una relación positiva entre la calidad percibida y la cultura de seguridad en salud en los médicos. Conclusiones: La calidad del servicio se relaciona significativamente con la cultura de seguridad en salud en el personal médico del Hospital II EsSalud Vitarte. Lima 2017.
Objective: To determine the relationship between perceived service quality and culture of health safety in the medical staff of a level II hospital in the district of Vitarte, city of Lima. Materials and methods: A quantitative, descriptive, cross-sectional, correlational, prospective and non-experimental study was carried out in 124 physicians of the Hospital II EsSalud Vitarte in the city of Lima, who were interviewed between March and April 2017. The descriptive analysis was performed by means of a frequency distribution. For the bivariate analysis, the Kendall's tau (τ) coefficient was used, and p < 0.01 was considered for significant differences. Results: A positive relationship was found between perceived service quality and culture of health safety among the physicians. Conclusions: The perceived service quality is significantly related to the culture of health safety in the medical staff of the Hospital II EsSalud Vitarte, Lima, 2017.
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Objetivo: Analizar formas de presentación de la disminución mineral ósea en pacientes usuarios de la Unidad de Densitometría Ósea en el Instituto Peruano de Paternidad Responsable (INPPARES-Lima) durante los años 2008, 2009 y 2010. Métodos: Investigación de tipo transversal y descriptiva, se revisó archivos de la Unidad de Densitometría Ósea, cuya población de estudio corresponde a un total de 4308 pacientes mayores de 50 años. Resultados: El 36.2% de mujeres presentó valores compatibles con osteoporosis y en hombres sólo el 25.9%. Además la estructura ósea más afectada fue la columna lumbar. En la población en estudio incluyendo tanto a las mujeres como a los hombres, a mayor IMC la prevalencia de osteoporosis disminuyó. En los casos de pacientes con bajo peso el 62.5% de casos tuvieron valores densitométricos compatibles con osteoporosis mientras que en los casos de pacientes con peso normal, sobrepeso y obesidad se obtuvieron resultados con diagnóstico de osteoporosis en el 41.8%, 32.8% y 30.1% de los casos respectivamente. Conclusiones: La gran mayoría de exámenes densitométricos se realizaron a mujeres y se encontró en ellas que los valores compatibles con osteoporosis es más frecuente, encontrándose solamente un 17.2% de estudios densitométricos normales, 82.8% con alteraciones en la densidad mineral ósea: El 46.6% con osteopenia y el 36.2% con osteoporosis; mientras que en los varones encontramos 28.9% de estudios densitométricos normales y 71.1% con anormalidad: 45.2% con osteopenia y 25.9% con valores compatibles con osteoporosis. La relación entre el índice de masa corporal con el diagnóstico de osteoporosis fue inversa, siendo este hallazgo estadísticamente significativo en mujeres y en la población general.
Objective: To analyze presentations of the decrease in bone mineral in patients using bone Densitometry Unit of the Peruvian Institute of Responsible Fatherhood (INPPARES), during the years 2008.2009 and 2010. Methods: Investigation of cross-sectional and descriptive. Files was reviewed Bone Densitometry Unit, whose study population corresponds to a total of 4.308 patients over 50 years. Results: 36.2% of women showed values consistent with osteoporosis and in men only 25.9%. In addition, the bone structure was the most affected lumbar spine. In the study population including both women and men, higher BMI decreased the prevalence of osteoporosis. In cases of patients with low weight of 62.5% of cases were consistent with densitometry osteoporosis while in the cases of patients with normal weight, overweight and obesity were diagnosed with osteoporosis results in 41.8%, 32.8% and 30.1% of cases, respectively. Conclusions: The vast majority of densitometric tests were performed in women and was found in them that performed in women and was found in them that compatible with osteoporosis values are most common, being only 17.2% of normal densitometric studies, 82.8% with alterations in mineral bone density: 46.6% with osteoporosis, while 28.9% are men of normal metrics densitometric studies and 71.1% with abnormalities: 45.2% with osteoporosis and 25.9% with values compatible with osteoporosis. The relationship between body mass index with the diagnosis of osteoporosis was reversed and this statistically significant finding in women and in the general population.
Subject(s)
Humans , Male , Female , Middle Aged , Aged, 80 and over , Bone Density , Densitometry , Osteoporosis , Body Mass Index , Epidemiology, Descriptive , Cross-Sectional StudiesABSTRACT
Este trabajo recogerá el pensar de los médicos sobre los ítems que consideran deben ser incluidos al realizar la hoja de entrada de las historias clínicas. Se identificará por una encuesta que partes de la misma consideran indispensables, que items son los mas considerados y las razones por la que algunos otros ítems no son considerados. Estos resultados se contrastaran con la identificación de los ítems mencionados en las hojas de entrada hechas por los médicos encuestados
This work will collect the doctors think about the items they consider should be included when they make the "entry sheet" of the medical records. Will be identified by a survey that parts of it deemed essential, wich items are most considered amd the reasons why some other items are not considered. These results will be contrasted with the identification of the items mentioned in the entry sheets made b y the doctors surveyed
