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Table 1 A table outlining the self-certification process and the significance of key events

From: Regulating digital health technologies with transparency: the case for dynamic and multi-stakeholder evaluation

Self-certification stepAdvantagesChallenges
I. Developers complete self-certification checklistMotivates app developers to build secure and effective apps that pass the checklistDevelopers can misrepresent an app and/or its capabilities and privacy policies
II. App libraries offer self-certified apps publicly available for downloadEngages private sector and incentivizes developers to self-certify for inclusion in major app librariesMay slow the rate at which new apps and updates are recommended
III. Apps are subject to community ratings and random audits on accuracy of self-certification reportFacilitates cross-sector and multi-stakeholder collaborationRatings are public, giving voice to potentially inaccurate or harmful user content
IV. Developers renew self-certification every 3 monthsEnsures app updates and new versions are in line with self-certification policiesFrequency at which apps can be audited requires more reviewers and effort