WhatsApp in Stroke Systems: Current Use and Regulatory Concerns

Calleja-Castillo, Juan Manuel; Gonzalez-Calderon, Gina

doi:10.3389/fneur.2018.00388

Cited by 34 publications

(28 citation statements)

References 9 publications

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“…To address a known lack of formal training for acute telestroke, 48 Last, our study adds to research on physicians' increasing use of secure, consumer-oriented mobile messaging software like WhatsApp. 49,50 In our study, mobile messaging was associated with team cohesion by fostering participant satisfaction and ease of communication.…”

Section: Integration With Previous Workmentioning

confidence: 61%

Building cohesion in distributed telemedicine teams: Findings from the Department of Veterans Affairs National Telestroke Program

Patel

Damush

Miech

et al. 2020

Preprint

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Background: As telemedicine adoption increases, so does the importance of building cohesion among physicians in telemedicine teams. For example, in acute telestroke services, stroke specialists provide rapid remote stroke assessment and treatment to patients at hospitals without stroke specialty care. In the National Telestroke Program (NTSP) of the U.S. Department of Veterans Affairs, a virtual (distributed) hub of stroke specialists throughout the country provides 24/7 consultations nationwide. We examined how these specialists adapted to distributed teamwork, and we identified cohesion-related factors in program development and support. Methods: We studied the virtual hub of stroke specialists employed by the NTSP. Semi-structured, confidential interviews with stroke specialists in the virtual hub were recorded and transcribed. We explored the extent to which these specialists had developed a sense of shared identity and team cohesion, and we identified factors in this development. Using a qualitative approach with constant comparison methods, two researchers coded each interview transcript independently using a shared codebook. We used matrix displays to identify themes, with special attention to team cohesion, communication, trust, and satisfaction. Results: Of 13 specialists with at least 8 months of NTSP practice, 12 completed interviews; 7 had previously practiced in telestroke programs in other healthcare systems. Interviewees reported high levels of trust and team cohesion, sometimes even more with their virtual colleagues than with co-located colleagues. Factors facilitating perceived team cohesion included a weekly case conference call, a sense of transparency in discussing challenges, engagement in NTSP development tasks, and support from the NTSP leadership. Although lack of in-person contact was associated with lower cohesion, annual in-person NTSP meetings helped mitigate this issue. Despite technical challenges in establishing a new telehealth system within existing national infrastructure, providers reported high levels of satisfaction with the NTSP. Conclusion: A virtual telestroke hub can provide a sense of team cohesion among stroke specialists at a level comparable with a standard co-located practice. Engaging in transparent discussion of challenging cases, reviewing new clinical evidence, and contributing to program improvements may promote cohesion in distributed telemedicine teams.

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Section: Integration With Previous Workmentioning

confidence: 61%

Building cohesion in distributed telemedicine teams: Findings from the Department of Veterans Affairs National Telestroke Program

Patel

Damush

Miech

et al. 2020

Preprint

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“…For example, of 79 apps certified as being clinically safe and trustworthy by the United Kingdom National Health Service, 89% were found to transfer information online, 66% of which was not encrypted [82][83][84][85]. WhatsApp, a popular instant messaging app that has gained popularity among clinical providers and in the global health space as being supposedly HIPAA-compliant did not have security measures such as end-to-end encryption for some time; now, even with additional security measures in place, concerns still exist around whether these are sufficient to meet HIPAA security standards [86][87][88]. In a study of 20 of the most popular "Medical" and "Health and Fitness" apps, only 20% of those that transmitted data over the network did so using a secure connection [89].…”

Section: Themes Data Transmission and Storagementioning

confidence: 99%

Developments in Privacy and Data Ownership in Mobile Health Technologies, 2016-2019

Galvin

DeMuro²

2020

Yearb Med Inform

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Objectives: To survey international regulatory frameworks that serve to protect privacy of personal data as a human right as well as to review the literature regarding privacy protections and data ownership in mobile health (mHealth) technologies between January 1, 2016 and June 1, 2019 in order to identify common themes. Methods: We performed a review of relevant literature available in English published between January 1, 2016 and June 1, 2019 from databases including PubMed, Google Scholar, and Web of Science, as well as relevant legislative background material. Articles out of scope (as detailed below) were eliminated. We categorized the remaining pool of articles and discrete themes were identified, specifically: concerns around data transmission and storage, including data ownership and the ability to re-identify previously de-identified data; issues with user consent (including the availability of appropriate privacy policies) and access control; and the changing culture and variable global attitudes toward privacy of health data. Results: Recent literature demonstrates that the security of mHealth data storage and transmission remains of wide concern, and aggregated data that were previously considered “de-identified” have now been demonstrated to be re-identifiable. Consumer-informed consent may be lacking with regard to mHealth applications due to the absence of a privacy policy and/or to text that is too complex and lengthy for most users to comprehend. The literature surveyed emphasizes improved access control strategies. This survey also illustrates a wide variety of global user perceptions regarding health data privacy. Conclusion: The international regulatory framework that serves to protect privacy of personal data as a human right is diverse. Given the challenges legislators face to keep up with rapidly advancing technology, we introduce the concept of a “healthcare fiduciary” to serve the best interest of data subjects in the current environment.

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“…2 The emergence of the smartphone then allowed even easier access to IM platforms. WhatsApp is currently the world's popular IM platform with 2 billion users 3 and its widespread adoption has led to its integration in many medical settings, including as a simple and efficient communication tool in stroke medicine 4 and emergency surgery. 5…”

Section: The Future Is Already Herementioning

confidence: 99%

The need for speed! 10 ways that WhatsApp and instant messaging can enhance communication (and clinical care) in sport and exercise medicine

Ahmed¹,

Carmody

Walker

et al. 2020

Br J Sports Med

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WhatsApp in Stroke Systems: Current Use and Regulatory Concerns

Cited by 34 publications

References 9 publications

Building cohesion in distributed telemedicine teams: Findings from the Department of Veterans Affairs National Telestroke Program

Building cohesion in distributed telemedicine teams: Findings from the Department of Veterans Affairs National Telestroke Program

Developments in Privacy and Data Ownership in Mobile Health Technologies, 2016-2019

The need for speed! 10 ways that WhatsApp and instant messaging can enhance communication (and clinical care) in sport and exercise medicine

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