4.3 Article

eHealth and mHealth Development in Spain: Promise or Reality?

Publisher

MDPI
DOI: 10.3390/ijerph182413055

Keywords

eHealth; mHealth; telemedicine; Spanish national health system; health policy; health equity; public policy; healthcare disparities

Funding

  1. Ministerio de Economia y Competitividad (Programa Estatal de Investigacion, Desar-rollo e Innovacion Orientada a los Retos de la Sociedad, Convocatoria 2014) [CSO2014-53014-R]

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In recent years, the Spanish healthcare system has made significant progress in the fields of eHealth and mHealth, but research has found weaknesses in the general population's understanding and use of eHealth services, as well as room for improvement in the usability and development of mobile applications.
In the last decades, the use of Information and Communication Technologies (ICTs) has progressively spread to society and public administration. Health is one of the areas in which the use of ICTs has more intensively developed through what is now known as eHealth. That area has recently included mHealth. Spanish health system has stood out as one of the benchmarks of this technological revolution. The development of ICTs applied to health, especially since the outbreak of the pandemic caused by SARS Cov-2, has increased the range of health services delivered through smartphones and the development of subsequent specialized apps. Based on the data of a Survey on Use and Attitudes regarding eHealth in Spain, the aim of this research was to conduct a comparative analysis of the different eHealth and mHealth user profiles. The results show that the user profile of eHealth an mHealth services in Spain is not in a majority. Weaknesses are detected both in the knowledge and use of eHealth services among the general population and in the usability or development of their mobile version. Smartphones can be a democratizing vector, as for now, access to eHealth services is only available to wealthy people, widening inequality.

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