Delivering health care through remote monitoring wearables' and personal devices such as mobile phones are collectively termed as "mHealth". mHealth has emerged as ubiquitous, omnipresent global phenomena. Adoption of ethical priority and challenges on implementation of them are often noted but not given adequate care. Meta-analysis of research data published from 2009 to 2018 were analyzed and the ethical concerns raised were grouped into 5 grids. 1. Privacy, security and the data ownership, 2. Process of obtaining informed consent, 3. Efficiency, prevention and maleficence 4. Empowerment, beneficence 5. Access to mHealth technology and its social justice were the major 5 concerns reported in the published literatures. Based on these reported concerns and on evaluation of these problems, for effective designing and implementation of ethical principles ten recommendations, concerns and concepts are designed. The proposed recommended steps for adopting implementations and to be used in developing mHealth apps are prioritized and tabulated along with Council for International Organizations of Medical Sciences ethical guidelines. Our study resolves that, the regulatory mechanism in India is in an evolution stage and speedy constitution of regulating frame works with ethical concerns is the need of the hour before the system goes beyond repair. Bioethicists play a vital role and are exceptionally placed to bring these more conceptual and empirical issues into the public debate and extend the current discourse beyond questions of effectiveness and safety of mHealth. The ethical issues are evolving and dynamic and hence constant evaluation and appropriate recommendations should be implemented periodically.
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