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Since the coronavirus disease (COVID-19) began in 2020, it has changed the way people live such as social life and healthcare. One of the simplest ways to avoid wide spread of the virus is to minimize physical contact and avoid going to a crowded place. Besides that, it also has prompted countries across the world to employ digital technologies such as wireless communication systems to combat this global crisis. Digital healthcare is one of the solutions that play a crucial role to support the healthcare sector in order to prevent and minimize physical contact through telehealth and telemedicine such as monitoring, diagnosis and patient care. 5G network has the potential to advance digital healthcare along with its key technology such as enhanced Mobile Broadband (eMBB), Ultra Reliable and Low Latency Communication (URLLC), and massive Machine Type Communication (mMTC). Despite the benefits of digital healthcare by leveraging the 5G technology, there are still challenges to be overcome such as privacy protection issues, 5G deployment and limited connectivity. In this review, it highlights the relevance and challenges of 5G wireless cellular networks for digital healthcare during the COVID-19 pandemic. It also provides potential solutions and future research areas for researchers on 5G to reduce COVID-19 related health risks.
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The twin focus on healthcare and digital transformation during the past two decades, which was intensified by the COVID-19 pandemic to an unanticipated level, has resulted in the mushrooming of literature in the area. While this has enriched the available insights, it has also created a certain amount of confusion, and there is now a need to make sense of what has been achieved before undertaking research that contributes more meaningfully to theory and practice in the area. Motivated by this need, we systematically analyze and evaluate the existing empirical research on the topic of disruptive digital innovations in healthcare. We followed a five-step approach to identify and analyze 42 congruent studies spread across domains, publishers, and geographies to achieve our objective. The outcome of our review is a conceptual framework that could serve to motivate and support future research. First, we presented a bibliographic sketch of the literature to clarify the milieu and descriptives. Next, we performed content analysis to organize the existing evidence into meaningful streams. Towards this end, we followed a structured approach to the review by defining the scope through a matrix–form conceptual framework to guide thematic analysis. Accordingly, we reported on the findings from three perspectives—theoretical, enabler, and barrier—anchoring them in four innovation implementations/outcomes: products, services, processes, and business models. Our analysis suggests that existing scholarship has drawn upon various interdisciplinary theories to map the enablers as well as the barriers that may inhibit the adoption and usage of these disruptive innovations. Based on the findings of our structured approach, we offer useful recommendations to advance research and practice in this field.
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BACKGROUND: Involving patients and carers in medical students' learning aims to centralise the perspective of healthcare users and supports our future medical workforce in the development of key skills. Medical schools are increasingly using digital technology for teaching and it is timely to understand how to maintain patient and carer involvement in this context. METHODS: Ovid MEDLINE, Ovid EMBASE and medRxiv were searched in October 2020 and reference lists of key articles were hand searched. Eligible studies reported authentic patient or carer involvement in undergraduate medical education where technology was also used. Study quality was assessed by the Mixed Methods Appraisal Tool (MMAT). Levels of patient or carer involvement were assessed using Towle et al.'s (2010) taxonomy, from Level 1 (lowest level) to Level 6 (highest level). RESULTS: Twenty studies were included in this systematic review. In 70% of studies, patients and carers featured in video or web-based case scenarios with no interaction between healthcare users and students. The remaining 30% of studies reported real-time interactions between students and patients via remote clinical encounters. Digital teaching sessions involving patients or carers were perceived to be valuable by students and educators, and increased student engagement, patient-centred attitudes, clinical knowledge, and communication skills. No studies reported the perspective of patients or carers. DISCUSSION: Digital technology has not yet driven higher levels of patient and carer involvement in medical training. "Live" interactions between students and patients are becoming more common but challenges need addressing to ensure positive experiences for all involved. Future teaching should enhance the role of patients and carers in medical education and support them to overcome any potential barriers to doing so remotely.
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Educação de Graduação em Medicina , Estudantes de Medicina , Humanos , Cuidadores , Pessoal de Saúde/educação , AprendizagemRESUMO
The COVID-19 pandemic has put a strain on the entire global healthcare infrastructure. The pandemic has necessitated the re-invention, re-organization, and transformation of the healthcare system. The resurgence of new COVID-19 virus variants in several countries and the infection of a larger group of communities necessitate a rapid strategic shift. Governments, non-profit, and other healthcare organizations have all proposed various digital solutions. It's not clear whether these digital solutions are adaptable, functional, effective, or reliable. With the disease becoming more and more prevalent, many countries are looking for assistance and implementation of digital technologies to combat COVID-19. Digital health technologies for COVID-19 pandemic management, surveillance, contact tracing, diagnosis, treatment, and prevention will be discussed in this paper to ensure that healthcare is delivered effectively. Artificial Intelligence (AI), big data, telemedicine, robotic solutions, Internet of Things (IoT), digital platforms for communication (DC), computer vision, computer audition (CA), digital data management solutions (blockchain), digital imaging are premiering to assist healthcare workers (HCW's) with solutions that include case base surveillance, information dissemination, disinfection, and remote consultations, along with many other such interventions.
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With the COVID-19 pandemic, the world is confronting various healthcare issues, and healthcare automation is more crucial than ever. The pandemic has revealed the limitations of existing digital healthcare systems to manage public health emergencies. There is no registered population for many healthcare institutions in Sri Lanka, as a result, there is a communication gap. Electronic Health Record systems (EHRs) are becoming popular to share patient details but accessing scattered data across several EHRs while safeguarding patient privacy remains a challenge. Most of these medical records are in printed format and manually entering those into EHR systems is time-consuming and error prone. Not only that pharmaceutical error is a critical healthcare problem, but it is even riskier to visit doctors for pharmaceutical diagnosis during a pandemic. This research introduces a Blockchain-based patient health record system, an Optical Character Recognition (OCR) and Natural Language Processing (NLP) based Medical Document Scanner, a Drug Identifier based on Image Processing and a Medical Chatbot powered by NLP as four novel approaches to address these issues. Altogether with the results, this research aims at introducing a solution for the limitations in healthcare while providing a distributed healthcare framework for the healthcare community worldwide. © 2022 IEEE.
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Digital medicine has increasing influence on the German healthcare system. In times of social distancing during the ongoing coronavirus disease 2019 (COVID-19) pandemic, digital tools enable health professionals to maintain medical care. Furthermore, digital elements have potential to provide effective guideline-oriented treatment to a broad range of patients independently from location and time. This survey was used to assess the attitudes of members of the German Pain Society (health professionals) and of associated self-help groups (patients) towards digital medicine. It was sent out as an online survey to health professionals in September 2020 and to patients in February 2021. The survey referred especially to present usage, attitude and potential concerns regarding particular digital elements. Furthermore, technical affinity was assessed. In total, 250 health professionals and 154 patients participated in the survey. The results show that-although digital elements are already known-a substantial proportion of health professionals still lack broad transfer to regular treatment. The potential of digital tools seems to be recognized by both groups; interestingly, patients consider digital medicine as more useful than health professionals. Nevertheless, concerns about for example data security or digital competence remain in both groups. Taken together, our results indicate that disruptive changes, as the implementation of digital medicine in the healthcare system, have to be guided by intense education and channeled by political policies in order to successfully integrate digital elements into medicine on a long-term basis. This would be in favor for all involved parties and is demanded especially by patients.
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Coronavirus disease 2019 (COVID-19) has accelerated the growth of the digital therapeutics (DTx) market;therefore, development strategies for new DTx products are necessary to satisfy market needs. However, data-driven methods for recommending digital healthcare technologies for novel DTx applications are scarce. We propose a technology opportunity discovery framework that recommends 1) potential technologies as new DTx products, and 2) the applicable target disorders. We applied BERTopic and PatentSBERTa to patents filed with the United States Patent and Trademark Office and calculated the score of potential technologies on the basis of their thematic characteristics with respect to their digital capabilities and similarity to DTx technologies. By identifying the target disorder of similar technologies, specific disorders were proposed that can be treated with the proposed technique. By applying the proposed framework to psychiatric disorders—one of the largest therapeutic areas of DTx, we recommend digital monitoring technologies applicable to poor breathing or sleeping patterns for cognitive impairment. Furthermore, we provide strategies to utilize the recommended digital technologies for DTx for specific disorders to facilitate a direct intervention or treatment, which can contribute to the planning of roadmaps for DTx. © 2022 Elsevier Inc.
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The COVID-19 pandemic has seen the advent of novel medical devices and practices. Demand for quality healthcare services rose exponentially which eventually led to accessibility becoming a major issue of concern. In addition to this, in-person consultations and various other conventional treatment methods were proven to be problematic. Limitations of traditional health care systems such as in-person consultations were highlighted, and conventional treatment methods have proven to be problematic. As an alternative approach, telehealth services are now gaining recognition due to their high efficiency, ease of use, and state-of-the-art technology. In this article, trends of telemedicine and its evolving popularity across the medical community due to the pandemic and beyond are studied and highlighted. An online survey form was circulated to 42 medical practitioners and interns to analyse the growing interest in telemedicine. The questionnaire covered the physicians' perspectives, preferences, experiences, and other important aspects of home-based teleconsultation. Based on the responses collected from doctors and medical interns, 14.2% disapproved, whereas 38.1% favoured and 47.6% showed a neutral response to the teleconsultation. More than 50% of the respondents claim the process to be time-consuming and 42% of them perceived it to be the other way round. 4.8% of the doctors preferred it to be only through computers whereas 45.2% per cent preferred consultation through smartphones and 50% of them preferred it be both ways. More than half (59.5%) of the doctors preferred the pandemic scenario and the remaining for its continued usage post-pandemic. Although India has the world's second-largest online market, a major population in India is digitally illiterate according to the Digital Foundation of India. Thus, it is important to devise telehealth technology that is simplest to use to reach also the economically backward patient communities.
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Chronic pain is a major clinical challenge in Scotland and across Europe as a whole. 18% of the United Kingdom population are currently affected by severe chronic pain. Health Boards and Third Sector Organisations shifted to digital services due to COVID-19. The aim of this literature review was to examine the patient's perception, engagement, and satisfaction of digital pain management services and what this shows for the future after the pandemic. Published literature on chronic pain management studies conducted in the UK or EU from 2017 to 2021 were reviewed. The results of the literature were compared with the latest survey conducted by Pain Association Scotland (PAS) on digital service delivery during the pandemic. Five papers were found. The outcomes reported were acceptance, feasibility, pain intensity, attrition, and cost-savings. When compared with the results from the PAS survey, there were some similarities found in patient engagement and outcomes, namely, increased coping, a reduction in GP visits and the request for a blended model of self-management delivery going forward. Digital chronic pain management is feasible and there is evidence of suggestive benefits during and before the pandemic. There is a need for funding, clear protocols and pathways, resource training and further focused research within the UK population, for this method of service delivery to become mainstream. Copyright © Nova Science Publishers, Inc.
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BACKGROUND: At the start of the COVID-19 pandemic, unprecedented pressure was placed on health care services globally. An opportunity to alleviate this pressure was to introduce a digital health platform that provided COVID-19-related advice and helped individuals understand and manage their COVID-19 symptoms. Therefore, in July 2020, the Your COVID Recovery website was launched by the National Health Service of England with the aim of creating a practical tool that provides advice and support to individuals recovering from COVID-19. The website includes information on many of the key COVID-19 symptoms. To date, public use of the Your COVID Recovery website and user behavior remain unknown. However, this information is likely to afford insight into the impact of the website and most commonly experienced COVID-19 symptoms. OBJECTIVE: This study aimed to evaluate public use of the Your COVID Recovery website, a digital health platform that provides support to individuals recovering from COVID-19, and determine user behavior during its first year of operation. METHODS: Google Analytics software that was integrated into the Your COVID Recovery website was used to assess website use and user behavior between July 31, 2020, and July 31, 2021. Variables that were tracked included the number of users, user country of residence, traffic source, number of page views, number of session views, and mean session duration. User data were compared to COVID-19 case data downloaded from the UK government's website. RESULTS: During the study period, 2,062,394 users accessed the Your COVID Recovery website. The majority of users were located in the United Kingdom (1,265,061/2,062,394, 61.30%) and accessed the website via a search engine (1,443,057/2,062,394, 69.97%). The number of daily website users (n=15,298) peaked on January 18, 2021, during the second wave of COVID-19 in the United Kingdom. The most frequently visited pages after the home page were for the following COVID-19 symptoms: Cough (n=550,190, 12.17%), Fatigue (n=432,421, 9.56%), Musculoskeletal pain (n=406,859, 9.00%), Taste and smell (n=270,599, 5.98%), and Breathlessness (n=203,136, 4.49%). The average session duration was 1 minute 13 seconds. CONCLUSIONS: A large cohort of individuals actively sought help with their COVID-19 recovery from the website, championing the potential of this tool to target an unmet health care need. User behavior demonstrated that individuals were primarily seeking advice on how to relieve and manage COVID-19 symptoms, especially symptoms of cough, fatigue, and musculoskeletal pain. COVID-19 rehabilitation programs should use the results of this study to ensure that the program content meets the needs of the post-COVID-19 population.
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The prevalence of chronic diseases and the recent global spread of deadly communicable diseases such as COVID-19 has resulted in changing global health needs which require new and adaptable approaches towards delivering healthcare. Healthcare digitization has aided in dealing with old and new healthcare issues and there is still enormous untapped power. Enough power to transform healthcare delivery systems when safe and accurate aggregation of individual health data is achieved. We explore a typical patient's healthcare pathway for two major chronic conditions, namely cardiovascular and mental diseases. The aim is to reveal healthcare delivery approach changes as used in the past, present, with a look to the future to manage these diseases. Further, we provide a holistic overview of the technologies behind the digital healthcare transformation. The study also offers a roadmap which depicts the evolution in the healthcare delivery system enabled by these technological health advancements and concludes with a critical evaluation of such systems. IEEE
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Digital literacy is not based solely on an understanding of technology, but is highly influenced by social and cultural context. This study focused on developing mobile applications for medication allergy care for respiratory-related patients in daily life, which is based on inclusiveness and digital literacy. With COVID-19, there are growing needs to share the role of primary care hospitals, with, for example GPs, and self-care symptom records applications, in order to supplement the saturated medical service of general hospitals. The mobile application of ‘medication-allergy record for respiratory-related patients’ which is developed in this study considers cultural digital literacy and provides the solutions to the local people’s needs. For these objectives this study has conducted field research and analyzed the influential factors and needs in digital interaction, by interviewing 120 outpatients of respiratory and allergic internal medicine department in general hospital in Cheongju. Based on this, the direction of the mobile application has developed new information architecture and relevant wire-frames. This study will contribute to the future direction of non-face communication in health-care service by suggesting a self-data-producing digital health care service by bridging the personal culture and user-centered technology. © Springer Nature Switzerland AG 2021.
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Introduction: The COVID-19 pandemic represented an unprecedented challenge for the healthcare world and the introduction of a new stronger and believable project plays a fundamental role for the quality of work and the provision of qualitative care. Aim: The survey provided by Italian Association for the Quality of Health and Social Care (ASIQUAS) aims to examines the impact of "Health" chapter included in the Recovery Plan, through the assessment of management quality of the COVID-19 pandemic. Methods: Starting from a literature review, in September 2021, a web-based survey has been conducted and administered by e-mail. It has been taken into account measures widely used by different healthcare structures in order to analyze the projects implemented in the face of pandemic and to evaluate the new real possibility to invest funds in new healthcare structures and projects. Results: The survey consists of 19 multiple choices and respondents were from different types of structures, including regional departments and regional health agencies (1.4%), universities, research centers and scientific hospitalization and treatment institutes (IRCCS) (11%), hospitals and university polyclinics (34.2%), Local Health Authorities (39.7%), socio-health organizations and Others (13.7%). The pandemic has highlighted many vulnerabilities at both hospitals and territorial level. The major weaknesses revealed by the survey are mainly due to the lack of support from new staff units and poor availability of specific training tools for COVID-19 procedures. The Recovery Plan is still unclear with a lot of concern about the implementation and many limits of diffusion. Conclusions: It becomes essential to guarantee a new effective and interoperative model of integration. Today we can start more aware for the implementation of a system closer to everyone's needs, making shortcomings the new strength and starting point.
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COVID-19 , Humanos , Pandemias , Atenção à Saúde , Instalações de Saúde , ItáliaRESUMO
During the COVID-19 pandemic, there was a growing awareness about the importance of building a health and safety net based on digital healthcare systems, such as ICT-based local community online services and patient monitoring technology. This study was conducted with the aim of evaluating the formative usability of a three-way digital healthcare system, which had been developed to build a health and safety net for people with disabilities and deriving the directions for system improvement in order for them to be used as basic data for further system enhancement. A formative usability evaluation of a three-way digital healthcare system was performed with the participation of 43 healthcare professionals, using the 10-item System Usability Scale (SUS) and five items for satisfaction evaluation. Each item was rated on a five-point Likert scale, with the result converted to a scale of 100. Analysis was performed using the average score and the acceptable system usability level. The overall mean SUS score was 62.4, which corresponds to Grade D according to the SUS grading scale, and the below-average items were complexity (Q2), convenience (Q8), simplicity (Q3), professionalism (technician support, prior learning) (Q4, Q10), and learnability (Q7). The overall mean user satisfaction was 71.2 points, where overall satisfaction, system architecture and understandability, and continuous use intention were marked with below-average scores. The SUS D grade is interpreted as "fair" and the water solubility is "almost acceptable". For the usability enhancement of the newly developed a three-way digital healthcare system, the overall direction for system architecture improvement was analyzed centering on complexity (Q2), convenience (Q8), professionalism (technician support, prior learning) (Q4, Q10), learnability (Q7), and simplicity (Q3). Efforts need to be directed at enhancing system satisfaction and continuance rate by deriving detailed system improvement strategies and achieving system enhancement to reflect the opinions of not only experts but also users.
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Coronavirus disease 2019 (COVID-19) has accelerated the growth of the digital therapeutics (DTx) market;therefore, development strategies for new DTx products are necessary to satisfy market needs. However, data-driven methods for recommending digital healthcare technologies for novel DTx applications are scarce. We propose a technology opportunity discovery framework that recommends 1) potential technologies as new DTx products, and 2) the applicable target disorders. We applied BERTopic and PatentSBERTa to patents filed with the United States Patent and Trademark Office and calculated the score of potential technologies on the basis of their thematic characteristics with respect to their digital capabilities and similarity to DTx technologies. By identifying the target disorder of similar technologies, specific disorders were proposed that can be treated with the proposed technique. By applying the proposed framework to psychiatric disorders—one of the largest therapeutic areas of DTx, we recommend digital monitoring technologies applicable to poor breathing or sleeping patterns for cognitive impairment. Furthermore, we provide strategies to utilize the recommended digital technologies for DTx for specific disorders to facilitate a direct intervention or treatment, which can contribute to the planning of roadmaps for DTx.
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Recently, epidemiological investigation technology for identifying infected persons based on smart phone location data has been used to prevent threats by quickly finding close contacts who may be in the early stage of infection. In addition, in order to prevent the spread of COVID-19, the technology is used for rehabilitation through video call-based EEG, ECG, and EMG sensor-based treatment support, thereby preventing close contacts with infected people and protecting medical staff and patients. In most cases, there exists security and privacy concerns. This paper studies pseudonymization to protect security and personal privacy. The core of the technology proposal to enhance security and privacy in the loT and sensing-based medical technology environment is to approach the NFC network tagging-based OTAC authentication technology from a completely different perspective. This paper suggests a new service direction that can be used in the development of a system that protects personal security and personal information. The proposed technology is valuable to security and privacy. © 2022 IEEE.
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The COVID-19 pandemic has disrupted the daily lives of people worldwide on an unprecedented scale, resulting in the emergence of new norms, such as people staying at home for longer periods of time, the ubiquitous pandemic prevention and control measures happening on individual, community and national levels, as well as the increased need for personal healthcare at home. These scenarios have brought about new challenges and issues, which digital technologies such as Internet of Things (IoT), artificial intelligence (AI), big data, and 5G can help to address. This paper will discuss some examples of these the innovations in digital healthcare in response to the COVID-19 pandemic, as well as propose a quantitative scoring criteria for practical considerations to aid data-driven decision making during the roll-out of these technologies. © 2022 IEEE.
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Digital healthcare platforms have enabled patients to receive healthcare in ways that were impossible previously—for example, by providing a “safer”way to meet, as underscored by the Covid-19 pandemic. This article investigates whether older and younger primary care users display behavioral differences on digital healthcare platforms. The article adopts a mixed-method approach in which one-way ANOVA analysis on a sample of 152 000 patient journeys was combined with qualitative interview data. The findings highlight significant differences in usage between elderly and younger patients. The elderly spends more time during use—for example, during anamnesis, onboarding, and in queues. We also outline how the key antecedent factors that are most central to platform usage, such as perceived usefulness, perceived ease of use, digital maturity, and trust, play out in the elderly user context. The study contributes to the nascent literature on digital healthcare platforms and the postadoption usage of information and communication technologies by the elderly. The article also outlines research implications in the area of DHPs and mHealth for elderly users, and it discusses the practical implications for both platform owners and healthcare professionals, where platform design and information management are particularly important for elderly users. Author
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COVID-19 , Humanos , Pandemias , Raciocínio Clínico , Inteligência Artificial , Atenção Primária à SaúdeRESUMO
Digital healthcare has been greatly benefiting the public health system, especially during the COVID-19 pandemic. In digital healthcare, information communication through the Internet is crucial. The current study explores how patients' accessibility and trust in Internet information influence their decisions and ex-post assessment of healthcare providers by employing the Bayesian Mindsponge Framework (BMF) on a dataset of 1,459 Vietnamese patients. We find that patients' accessibility to Internet information positively affects the perceived sufficiency of information for choosing a healthcare provider, and their trust in the information intensifies this effect. Internet information accessibility is negatively associated with post-treatment assessment of healthcare providers, and trust also moderates this effect. Moreover, patients considering professional reputation important while making a decision are more likely to regard their choices as optimal, whereas patients considering services important have contradicting tendencies. Based on these findings, a concern about the risk of eroding trust toward Internet sources about healthcare information is raised. Thus, quality control and public trust-building measures need to be taken to improve the effectiveness of healthcare-related communication through the Internet and facilitate the implementation of digital healthcare.