Secure Instant Messaging Application in Prenatal Care

Abstract

The use of mobile phone for medical purposes is rapidly expanding as the number of medical applications rise. Studies show improvement of patient management and communication between medical team members using instant messaging applications. There are currently several smartphone applications routinely used by doctors and nurses. WhatsApp is by far the most common, however, it has several limitations when it comes to medical confidentiality. The aim of this paper is to introduce “Siilo” as an alternative secure messaging application and its advantages in the medical field, specifically in obstetrics. The typical course of consultation for an abnormal fetal finding is very long, cumbersome, frustrating and depends a lot on the patient, whereas, via Siilo the process is fast, efficient, depends more on the medical caregivers and helps ensuring minimum lost to follow-up. This paper demonstrates for the first time the utility of the use of Siilo application in medical management.

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The data used for this paper is available from the corresponding author on reasonable request.

References

  1. 1.

    Ventola, C. L., Mobile devices and apps for health care professionals: Uses and benefits. P T 39(5):356–364, 2014.

  2. 2.

    Nardo, B., Cannistrà, M., Diaco, V., Naso, A., Novello, M., Zullo, A., Ruggiero, M., Grande, R., and Sacco, R., Optimizing patient surgical management using WhatsApp application in the Italian healthcare system. Telemed. J. E. Health 22(9):718–725, 2016.

    Article  Google Scholar 

  3. 3.

    Dhiliwal, S. R., and Salins, N., Smartphone applications in palliative homecare. Indian J. Palliat. Care 21(1):88–91, 2015.

    Article  Google Scholar 

  4. 4.

    Ozdalga, E., Ozdalga, A., and Ahuja, N., The smartphone in medicine: A review of current and potential use among physicians and students. J. Med. Internet Res. 14(5):e128, 2012.

    Article  Google Scholar 

  5. 5.

    Astarcioglu, M. A., Sen, T., Kilit, C., Durmus, H. I., Gozubuyuk, G., Kalcik, M., Karakoyun, S., Yesin, M., Zencirkiran Agus, H., and Amasyali, B., Time-to-reperfusion in STEMI undergoing interhospital transfer using smartphone and WhatsApp messenger. Am. J. Emerg. Med. 33(10):1382–1384, 2015.

    Article  Google Scholar 

  6. 6.

    Gulacti, U., Lok, U., Hatipoglu, S., and Polat, H., An analysis of WhatsApp usage for communication between consulting and emergency physicians. J. Med. Syst. 40(6):130, 2016.

    Article  Google Scholar 

  7. 7.

    Wallace, S., Clark, M., and White, J., 'It's on my iPhone': attitudes to the use of mobile computing devices in medical education, a mixed-methods study. BMJ Open 2(4), 2012.

  8. 8.

    Nikolic, A., Wickramasinghe, N., Claydon-Platt, D., Balakrishnan, V., and Smart, P., The use of communication apps by medical staff in the Australian health care system: Survey study on prevalence and use. JMIR Med. Inform. 6(1):e9, 2018.

    Article  Google Scholar 

  9. 9.

    Johnston, M. J., King, D., Arora, S., Behar, N., Athanasiou, T., Sevdalis, N., and Darzi, A., Smartphones let surgeons know WhatsApp: An analysis of communication in emergency surgical teams. Am. J. Surg. 209(1):45–51, 2015.

    Article  Google Scholar 

  10. 10.

    Carmona, S., Alayed, N., al-Ibrahim, A., and D'Souza, R., Realizing the potential of real-time clinical collaboration in maternal-fetal and obstetric medicine through WhatsApp. Obstet. Med. 11(2):83–89, 2018.

    Article  Google Scholar 

  11. 11.

    Thomas, K., Wanted: A WhatsApp alternative for clinicians. BMJ 360:k622, 2018.

    Article  Google Scholar 

  12. 12.

    John, B., Are you ready for general data protection regulation? BMJ 360:k941, 2018.

    Article  Google Scholar 

  13. 13.

    Yang, Y. T., and Silverman, R. D., Mobile health applications: The patchwork of legal and liability issues suggests strategies to improve oversight. Health Aff. (Millwood) 33(2):222–227, 2014.

    Article  Google Scholar 

  14. 14.

    Rimmer, A., Doctors' use of Facebook, twitter, and WhatsApp is the focus of 28 GMC investigations. BMJ 358:j4099, 2017.

    Article  Google Scholar 

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Correspondence to Osnat Ezra.

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This article is part of the Topical Collection on Mobile & Wireless Health

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Ezra, O., Toren, A., Tadmor, O. et al. Secure Instant Messaging Application in Prenatal Care. J Med Syst 44, 73 (2020). https://doi.org/10.1007/s10916-020-01552-3

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Keywords

  • Instant messaging
  • Application
  • Smartphone
  • whatsApp
  • Communication
  • Medical information
  • Siilo