{"id":5446,"date":"2017-04-26T16:15:22","date_gmt":"2017-04-26T15:15:22","guid":{"rendered":"https:\/\/ounews.co\/?p=5446"},"modified":"2017-04-26T16:15:22","modified_gmt":"2017-04-26T15:15:22","slug":"could-an-app-replace-a-trip-to-the-doctor","status":"publish","type":"post","link":"https:\/\/www.open.ac.uk\/blogs\/news\/science-mct\/could-an-app-replace-a-trip-to-the-doctor\/","title":{"rendered":"Could an App replace a trip to the Doctor?"},"content":{"rendered":"<div id=\"attachment_4152\" style=\"width: 310px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4152\" id=\"longdesc-return-4152\" class=\"size-medium wp-image-4152\" tabindex=\"-1\" src=\"https:\/\/www.open.ac.uk\/blogs\/news\/wp-content\/uploads\/2016\/09\/Shailey-Minocha-300x187.jpg\" alt=\"Shailey Minocha, Professor of Learning Technologies and Social Computing\" width=\"300\" height=\"187\" longdesc=\"https:\/\/ounews.co?longdesc=4152&amp;referrer=5446\" srcset=\"https:\/\/www.open.ac.uk\/blogs\/news\/wp-content\/uploads\/2016\/09\/Shailey-Minocha-300x187.jpg 300w, https:\/\/www.open.ac.uk\/blogs\/news\/wp-content\/uploads\/2016\/09\/Shailey-Minocha.jpg 750w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-4152\" class=\"wp-caption-text\">Shailey Minocha, Professor of Learning Technologies and Social Computing<\/p><\/div>\n<p>With <a href=\"http:\/\/www.bbc.co.uk\/news\/technology-39695768\">news of a healthcare smartphone app<\/a> which could diagnose medical conditions and aid GP services, expert in digital healthcare <a href=\"http:\/\/www.shaileyminocha.info\/\">Professor Shailey Minocha<\/a> weighs up the pros and cons of technology becoming an integrated part of our wellbeing:<\/p>\n<h2><strong>Q. Can we trust our data with Apps such as this?<\/strong><\/h2>\n<p>\u201cThe app and underlying systems will require access to the patient data to \u2018learn\u2019 about the person and their conditions. There may be concern amongst people about sharing and storage of the data with companies that they may not trust. There will also be a concern about who else would have access to the data. Could this data be made available to employers and insurers?<\/p>\n<p>\u201cThere will be ethical issues of data usage. Such \u2018deep learning\u2019 systems have to learn to identify patterns from vast amounts of data to be able to diagnose and propose interventions. Access to vast amounts of data will have ethical considerations \u2013 will people have the \u2018opt-out\u2019 facility \u2013 but would this then affect the diagnosis that they receive?<\/p>\n<h2><strong>\u00a0<\/strong><strong>Q: Could technology ever replace a GP?<\/strong><\/h2>\n<p>\u201cIn a face-to-face consultation, a GP\/consultant picks up non-verbal cues (e.g. bruises or other skin conditions) and performs a physical examination (if required). Further, they are able to delve into family history, current circumstances such as job insecurity or unhappy married life which may be directly or indirectly influencing the person\u2019s state of mind and health. It may not be possible for a machine to learn and process such information. There could be symptoms that a patient may not pick up to enter them into the App which only a trained medical eye will be able to spot in a face-to-face consultation.<\/p>\n<p>\u201cIn our investigations, we have found that the data from such Apps and systems is useful for \u2018guiding\u2019 a GP but a holistic diagnosis and subsequent medical interventions require human input when medical professionals can \u2018make sense\u2019 of the information from Apps and propose personalised solutions based on the patient\u2019s medical history, current visible and non-visible symptoms, their medical knowledge, etc. So, the data from Apps and systems aids the medical professionals.<\/p>\n<h2><strong>Q. <\/strong><strong>Couldn\u2019t it undermine medical professionals?<\/strong><\/h2>\n<p>\u201cSuch systems or Apps may impact on the patient-medical professional\u2019s relationship \u2013 where a GP or a medical consultant may be challenged by the advice that they are receiving from the App\/system\u2013 which may lead to legal implications in some cases and possible erosion of trust in the medical professions.<\/p>\n<h2><strong>Q. What could be the benefits of diagnostic healthcare apps?<\/strong><\/h2>\n<p>\u201cAt a patient level, these Apps and systems may be able guide a person to a healthier lifestyle and raise alerts or warning signals about future medical conditions even before the symptoms are obvious.<\/p>\n<p>\u201cSo, such Apps and systems will \u2018add value to medical care\u2019, contribute towards the efficiency (e.g. being able to see more patients) and effectiveness (e.g. success in the diagnosis) of diagnoses by medical professionals, may even be able to predict an epidemic ahead of time or suggest possible future illnesses to individual persons, but not replace the medical professionals.\u201d<\/p>\n<p>&nbsp;<\/p>\n<p>Shailey Minocha is leading a research project into digital health wearables, find out more on her <a href=\"http:\/\/www.shaileyminocha.info\/digital-health-wearables\/\">research project website<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p><small>Photo by <a href=\"http:\/\/www.flickr.com\/photos\/40493340@N00\/8585047526\" target=\"_blank\" rel=\"noopener noreferrer\">Jason A. Howie<\/a> <a title=\"Attribution License\" href=\"http:\/\/creativecommons.org\/licenses\/by\/2.0\/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\"><img decoding=\"async\" src=\"https:\/\/ounews.co\/wp-content\/plugins\/wp-inject\/images\/cc.png\" \/><\/a><\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>With news of a healthcare smartphone app which could diagnose medical conditions and aid GP services, expert in digital healthcare Professor Shailey Minocha weighs up the pros and cons of technology becoming an integrated part of our wellbeing: Q. Can we trust our data with Apps such as this? \u201cThe app and underlying systems will [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":5450,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[623,1048,2002,2181],"class_list":["post-5446","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-science-mct","tag-digital-healthcare","tag-healthcare","tag-shailey-minocha","tag-technology"],"_links":{"self":[{"href":"https:\/\/www.open.ac.uk\/blogs\/news\/wp-json\/wp\/v2\/posts\/5446","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.open.ac.uk\/blogs\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.open.ac.uk\/blogs\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.open.ac.uk\/blogs\/news\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/www.open.ac.uk\/blogs\/news\/wp-json\/wp\/v2\/comments?post=5446"}],"version-history":[{"count":0,"href":"https:\/\/www.open.ac.uk\/blogs\/news\/wp-json\/wp\/v2\/posts\/5446\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.open.ac.uk\/blogs\/news\/wp-json\/wp\/v2\/media\/5450"}],"wp:attachment":[{"href":"https:\/\/www.open.ac.uk\/blogs\/news\/wp-json\/wp\/v2\/media?parent=5446"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.open.ac.uk\/blogs\/news\/wp-json\/wp\/v2\/categories?post=5446"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.open.ac.uk\/blogs\/news\/wp-json\/wp\/v2\/tags?post=5446"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}