Should medical professionals get an iPhone, Blackberry, or Android phone? It’s complicated.

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How important is security and an “enterprise” ready phone to you?

We’ve mentioned before some of the security issues with the iPhone platform. With the upcoming iPhone OS 4.0 software, Apple hopes to address many of these issues, and is promising a more robust enterprise ready platform.

However, Blackberry has dominated the enterprise market, and if you ask most IT managers at your hospital they will tell you they prefer Blackberry due to the greater access to control they have using the Blackberry Enterprise Server. On top of this, the lack of 3rd party medical applications available for the Blackberry can also be seen as a plus for those concerned with hospital IT security. These applications can be a portal to security breaches – not something a hospital system wants to deal with when they have sensitive patient information stored on their servers.

Blackberry also has a fantastic native e-mail client. It can thread together your e-mails, in a similar fashion as G-mail on your desktop browser. Again, Apple promises to deliver this functionality with the upcoming iPhone OS 4.0 release this summer, but Blackberry has had it for awhile now.

So if security is of upmost concern to you, you want a mobile phone with a great e-mail client, and you don’t mind a lack of medical applications, then going with a Blackberry would be a good choice here.

I hedge the above by saying patient data shouldn’t be stored on a mobile phone – rather, almost all patient data that is accessed is done via a cloud system – accessed from a secure server. You should be fine using an Android device or iPhone when accessing information via these systems.

Do you use medical reference apps or use a PDA often?

If you use one of those old Palm PDA’s, you could definitely save some pocket space by having a smart phone. Many forget Palm was at the forefront when it came to having medical apps – physicians and medical students loved their Palm PDAs because they could download custom designed medical apps from the internet, upload them onto their PDA, and use them as mobile medical reference tools in practice. I can speak for the medical community at large when I say we’re all hoping Palm makes a comeback under the leadership of their new parent company HP.

Just as Palm was at the forefront of medical apps back in the early 2000s, its clear Apple is taking the lead now. They literally have thousands of more legitimate medical applications than the Android and Blackberry platforms. Apple certainly didn’t create the App Store with the mindset of developing an ecosystem for vibrant medical apps – they didn’t even have a medical apps section on the launch of the App Store.

Rather, the set up of the App Store and the tens of millions of iPhones and iPod Touches sold can be given credit for this huge success. Developers are given a seventy percent cut of the sales of their Apps, and with the huge number of potential customers – one can see the huge incentive to develop quality apps on the iPhone OS platform.

The key difference between the iPhone and Android App eco system is the lack of a streamline operating system on the Android. The Android operating system is severely fragmented, with certain apps only working on certain phones and certain versions of the operating system. Apple has avoided this by having a uniform operating system on their iPhone and iPod Touch. Even the iPad can run apps that are on the iPhone and iPod touch – although not on a full screen.  It’s easy for Apple to do this since they make both the operating system and the actual hardware, while Google(Android) does not.

A developer I recently spoke to who has popular applications on both the Android OS and iPhone OS said the following:

I know what to expect when I develop an app for the iPhone. I know the devices it will run on, and I know I’m instantly reaching millions of customers. With Android, I don’t know how my applications will run on all the different types of phones, and I know my some of my applications won’t run on the older versions of the software. When Android updates its operating system again, there is a good chance my applications won’t run on the newer phones. So when it comes to spending time developing applications, it makes financial sense to focus on the iPhone.

Just look at our top 10 list of free medical apps on the iPhone verse the top 5 list of free medical apps on the Android. We struggled to find quality free applications on the Android. We set out to find 10 free medical apps for the Android, but had to stop at 5 because of the lack of quality free apps.

Granted, you can access Epocrates, Skyscape and other large medical reference companies on your Android and Blackberry, but if you look at our top 10 list of free medical apps for the iPhone, you’ll find extremely useful apps that are almost all only available on the iPhone, such as iRadiology. Even with Epocrates, only recently did they come out with a free version for the Android – and they still don’t have premium versions of Epocrates available for the Android! Further showing the issues the Android platform presents for medical developers.

So if you want a smartphone that delivers quality medical apps, then the iPhone is clearly your best bet. Notice how Blackberry wasn’t even mentioned here – if you ask developers they will tell you Blackberry doesn’t make it easy for them to develop apps for their phones, plus their user interface isn’t as dynamic as the iPhone or Android operating systems.

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Discussion ( 26 comments ) Post a Comment
  • Thank you very much I found it really helpful

    I have a question if you don’t mind :what do you recommend, buying an Android phone or an iPhone for someone who already got an iPad ?

    and thanks again

    • 1. Pretty much all of the iPhone apps work on the iPad, so you can have many of the same Apps on both devices (without paying twice).

      2. If you like (and know) the iPad interface, it will be very easy to use an iPhone. The Android user interface is not nearly as slick.

      PS: New version of the iPhone expected to be announced next week.

  • Fragmentation, You are correct that there are some issues with fragmentation but if the developer of the app does there work correctly this should not happen. iPhone is about to experience the same problem with their 4.0 OS release, that is older version of apps may not work. The same thing happens with all computers, Apple or MS. Manufactures must deprecate system if they are to move forward.

    As for the difference in iPhone and others such as Android and Blackberry. It depends on the person and their needs. The one button iPhone solution is great for some an hated by others. Android currently is a more powerful tool but it is not quite as simple to use. The driver of a VW may not enjoy a Porsche GT3

    Jeff Brandt
    http://www.hieconnect.net

      • Welcome to benefits and problems of OpenSource. Unfortunately, this will happen as it does even in the iPhone/iPod world. Almost all of our problem with our app motionPHR on the Apple idevices are on the iPod/iPad. Apple say the OS is the same, but as a Software Engineer I can tell you if you change any software to run on different hardware, IT IS NOT THE SAME. LOL Blackberry is the worst, each platform is different and has to be handled differently.

        mHealth is a fairly new field with many developing health apps that have no experience in Software Engineering or Medical Informatics. The cost structure of free is actually contributing to the poor quality. But this too will change. The model will change or the initiative will die. I’m hoping for a change because the future should be in mobile.

        Jeff Brandt
        http://www.motionPHR.com

    • There are NO problems with Apps working with the new iPhone software (version 4.0). Fragmentation is a non-issue.

  • This is a fantastic post and an invaluable resource. As a new medical school graduate and a longtime Palm PDA user, I am looking to upgrade to a smartphone and have been weighing the Android vs. iPhone question for the last few months. The above post has affirmed my own analysis of the topic. While I think Android is a fantastic platform overall and in fact bests iPhone in many areas, iPhone is currently still the reigning king in regards to medical apps, and therefore has the most utility for those looking for native medical app resources on their device. Thank you for your insightful analysis. I am looking forward to seeing what Apple will be announcing next week in addition to what we already know about the next-gen iPhone.

    Wayne L

    • Wayne, If you are attending OHSU medical grad school as I am, beware of one thing. There online system to do almost everything has a big warning “if you are thinking about an iPad for school it is not compatible with our SAKAI system” This is my problem with Apple, you have to give me the tools I need. I hate Flash but I need it. FYI, I am typing on my Macbook pro, the best tool for the job.

      Jeff

        • I think Steve Job’s explanation of why iPhone/iPad is not supporting Flash is logical and clear and should be read before believing all the FUD being spread around by various blog ‘pundits’.

          Apple has good reason not to support Flash (and personally, I don’t miss the Flash ads and various slow downs.

          In my experience, Apple is usually ahead of the curve on various standards (remember the floppy?)

          http://www.apple.com/hotnews/t…

      • SAKAI is based on JAVA not FLASH and probably will not work on the iPhone because JAVA typically requires that a JAVA applet be downloaded.

        Webkit, the basis for the iPad/iPhone Safari browser, along with the browser on Android, PalmPre, Google Chrome, Nokia S60, Symbian, etc. Expect most if not all major websites to eventually support Webkit.

      • Isn’t it really Verizon’s decision as to whether to let the iPhone on their network?

        Verizon uses CDMA, an end-of-the-road standard that will soon be replaced with LTE (which is closer to ATT’s GSM network). The iPhone will not work on Verizon’s network.

        Reportedly, Apple went to Verizon before going to ATT when the iPhone came out. Verizon wouldn’t deal so Apple went with ATT.

  • This is such a great post. I have been debating on which smart phone to get now that I am done with medical school, and this post could not have said it any better. I completely agree with Wayne. Thanks so much!

  • I’m not sure if most physicians who read your comments are in my category or not. I am over 20 years out of med school, began w/ the Sharp Wizard in the 80′s and progressed thru all the Palm products and want to stay w/ Palm. I don’t need all the bells and whistles (apps). I need a reliable smart phone w/ easy net access, e-mail, etc. that allows me a great network here in NJ which AT&T doesn’t. That rules out the iPhone. The great new Android seems to freeze a lot on the people I’ve spoken to and seems to have a lot of kinks they need to work out. The Blackberry has a lot of what I want but so does the Palm Pre Plus. I played w/ them all in both a store and whenever I see someone w/ them. I like the feel of the Palm. I have 20 years of stored info that I would like to seemlessly transfer to a new Palm. I recently played w/ the Android Incredible, i phone and the Palm Pre Plus and just love the feel and look of the Palm.
    So now to my question. What do you think of the Palm Pre Plus. Wouldn’t you expect HP to take this good product and build upon it? I don’t need a lot of apps and doesn’t the web connectivity make a lot of the apps I use immediately available anyway?
    Thanks, EGross

      • Thanks. One question I still have is what are the main sites accessible thru the net that the Palm Pre Plus would then be as good as any? Google maps is essentially navigation plus Fandango and many others for non-medical uses are great. Epocrates works w/ Palm well uploaded but what about some net sites that function as medical apps?

  • Thanks, great article. Do you have a list of good medical web apps?

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