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. 2019 Mar 20;364:l920. doi: 10.1136/bmj.l920

Table 4.

Categorisation of first and third parties (n=37) performing data analytics

Main activity of parties No (%) Description* Examples Example domain names†
First parties:
 Freelance app development 3 (8) Design, develop, and maintain apps for third party clients to specification; services might include app usage analytics, ad campaign setup, and reporting; app store optimisation or customer support Atmosphere Apps (USBMIS); Mobixed secure.usbmis.com; www.mobixed.com
 Clinical decision support 7 (19) Ranging from not-for-profit companies to corporations, these companies provide evidence based drug information and clinical decision supports on digital platforms, including websites and apps; some are available through individual or institutional subscriptions; those that are free to users generate revenue through hosted advertising and sponsored content Epocrates (AthenaHealth); Medscape (WebMD); UpToDate; Lexi-Comp; MIMS Australia; AZCERT services.epocrates.com; api.medscape.com; www.uptodate.com; update.lexi.com; iris.mimsandroid.com.au; crediblemeds.org
 Consumer health management 6 (16) Consumer-facing apps that support drug adherence, health management, and care coordination; free for consumers, these companies generate revenue from pharmaceutical companies, health insurers, or health services by licensing the app (on a per member basis), sponsorship, or selling data commodities Ada Health; MedAdvisor; Talking Medicines; MyMeds; Montuno Software; Precedence Health Care prod-mh-22.ada.com; mobile.medadvisor.com.au; talkingmedicines.azurewebsites.net; app.my-meds.com; ppserver.montunosoftware.com; cdm.net.au
Third parties:
 Analytics 5 (14) Freemium services; in exchange, companies retain the right to collect, aggregate, and commercialise deidentified end user data; companies provide services to app developers, including error and bug reporting, and analysis of user numbers, characteristics, and behaviours; some also offer the ability to understand users’ behaviours across devices and platforms and integrate with advertising data to target marketing activities Crashlytics; Sentry; Google Analytics; Flurry; Amplitude settings.crashlytics.com; ssl.google-analytics.com; data.flurry.com
 User engagement 6 (16) Freemium services; in exchange, companies retain the right to collect, aggregate, and commercialise de-identified end user data; these software integrations allow developers to analyse how users navigate an app, features users find most engaging and provide push notifications to increase user engagement One Signal; Apptimize; Urban Airship; Braze; Mixpanel; Customer.io onesignal.com; brahe.apptimize.com; combine.urbanairship.com; dev.appboy.com; api.mixpanel.com
 Advertising 7 (19) Includes services that provide advertisement attribution to tie each user to the ads they interact with; buying and selling of ad space; ad serving and ad management; and analytics that enable ad targeting and personalisation Audience Network by Facebook; AdMob by Google; TUNE; Adjust; 24/7 Real Media; JanRain; AppsFlyer 169316.engine.mobileapptracking.com; app.adjust.com; oasc17.247realmedia.com; nps.au.jainraincapture.com; t.appsflyer.com
 Social media 1 (3) Integration with social media platforms, allowing apps to share users’ data with social media or to import social media data into the app; this could include a Facebook login, status updates related to the app, sharing content via social media, or finding a list of contacts who have also installed the app; this integration also allows for cross-platform advertising Facebook Graph API graph.facebook.com
 Customer support 1 (3) Paid services based on level of use; a software product that allows for tracking, prioritising, and solving user support issues including live chat and messaging and AI-powered help tools Zendesk  
 Government 1 (3) Several application programming interfaces are available through the National Library of Medicine related to public drug information sources National Library of Medicine rximage.nlm.nih.gov
*

Description based on content analysis of entities’ websites and linked documents such as privacy policies, terms and conditions, and investor prospectuses.

When there was no corresponding domain name, the developers self reported data sharing with the third party in the app’s privacy policy.