Mahou-Lago, Xosé MaríaCernadas Ramos, AndrésBouzas Lorenzo, RamónBarral Buceta, BranFernández Da Silva, Ángela2024-02-052024-02-052021-12-10Mahou, X.; Barral, B.; Fernández, Á.; Bouzas-Lorenzo, R.; Cernadas, A. eHealth and mHealth Development in Spain: Promise or Reality?. Int. J. Environ. Res. Public Health 2021, 18, 13055. https:// doi.org/10.3390/ijerph1824130551661-7827http://hdl.handle.net/10347/32306In the last decades, the use of Information and Communication Technologies (ICTs) has progressively spread to society and public administration. Health is one of the areas in which the use of ICTs has more intensively developed through what is now known as eHealth. That area has recently included mHealth. Spanish health system has stood out as one of the benchmarks of this technological revolution. The development of ICTs applied to health, especially since the outbreak of the pandemic caused by SARS Cov-2, has increased the range of health services delivered through smartphones and the development of subsequent specialized apps. Based on the data of a Survey on Use and Attitudes regarding eHealth in Spain, the aim of this research was to conduct a comparative analysis of the different eHealth and mHealth user profiles. The results show that the user profile of eHealth an mHealth services in Spain is not in a majority. Weaknesses are detected both in the knowledge and use of eHealth services among the general population and in the usability or development of their mobile version. Smartphones can be a democratizing vector, as for now, access to eHealth services is only available to wealthy people, widening inequality.engThis article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/eHealthmHealthSpanish national health systemTelemedicineHealth policyHealth equityPublic policyHealthcare disparitiesjournal article10.3390/ijerph1824130551660-4601open access