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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 step

Advantages

Challenges

I. Developers complete self-certification checklist

Motivates app developers to build secure and effective apps that pass the checklist

Developers can misrepresent an app and/or its capabilities and privacy policies

II. App libraries offer self-certified apps publicly available for download

Engages private sector and incentivizes developers to self-certify for inclusion in major app libraries

May 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 report

Facilitates cross-sector and multi-stakeholder collaboration

Ratings are public, giving voice to potentially inaccurate or harmful user content

IV. Developers renew self-certification every 3 months

Ensures app updates and new versions are in line with self-certification policies

Frequency at which apps can be audited requires more reviewers and effort