healthcare technology
147.5K views | +0 today
Follow
healthcare technology
The ways in which technology benefits healthcare
Curated by nrip
Your new post is loading...
Your new post is loading...
Scooped by nrip
Scoop.it!

Making the COVID-19 Pandemic a Driver for Digital Health in Brazil

Making the COVID-19 Pandemic a Driver for Digital Health in Brazil | healthcare technology | Scoop.it

The COVID-19 outbreak exposed several problems faced by health systems worldwide, especially concerning the safe and rapid generation and sharing of health data. However, this pandemic scenario has also facilitated the rapid implementation and monitoring of technologies in the health field.

 

In view of the occurrence of the public emergency caused by SARS-CoV-2 in Brazil, the Department of Informatics of the Brazilian Unified Health System created a contingency plan. In this paper, we aim to report the digital health strategies applied in Brazil and the first results obtained during the fight against COVID-19. Conecte SUS, a platform created to store all the health data of an individual throughout their life, is the center point of the Brazilian digital strategy.

 

Access to the platform can be obtained through an app by the patient and the health professionals involved in the case. Health data sharing became possible due to the creation of the National Health Data Network (Rede Nacional de Dados em Saúde, RNDS).

 

A mobile app was developed to guide citizens regarding the need to go to a health facility and to assist in disseminating official news about the virus. The mobile app can also alert the user if they have had contact with an infected person. The official numbers of cases and available hospital beds are updated and published daily on a website containing interactive graphs.

 

These data are obtained due to creating a web-based notification system that uses the RNDS to share information about the cases.

 

Preclinical care through telemedicine has become essential to prevent overload in health facilities. The exchange of experiences between medical teams from large centers and small hospitals was made possible using telehealth.

 

Brazil took a giant step toward digital health adoption, creating and implementing important initiatives; however, these initiatives do not yet cover the entire health system. It is expected that the sharing of health data that are maintained and authorized by the patient will become a reality in the near future.

 

The intention is to obtain better clinical outcomes, cost reduction, and faster and better services in the public health network.

 

read more at https://publichealth.jmir.org/2021/6/e28643/

 

 

nrip's insight:

The whole context of health data sharing became evident and the need stronger than ever before amid the covid19 pandemic. Here daily updates of epidemiological data for control and decision-making by governments and health system were required.

 

The use of apps within healthcare  (mHealth) is now a reality, and the number of mobile apps created has been increasing.

 

MHealth apps have been implemented for training, information sharing, risk assessment, self-management of symptoms, contact tracing, home monitoring, and decision making. They are considered valuable tools for citizens, health professionals, and decision-makers in facing critical challenges imposed by the pandemic.

 

The COVID-19 pandemic has demonstrated the importance and usefulness of digital health strategies and has allowed the insertion of these solutions into health care systems in the long term

george sperco's curator insight, January 23, 2023 10:44 AM
https://farmaciadicura.com https://farmaciadicura.com/Prodotto/acquista-metaqualone-in-linea/ https://farmaciadicura.com/Prodotto/acquista-ossicodone-10-mg-sandoz/ https://farmaciadicura.com/Prodotto/acquista-ossicodone-15-mg-sandoz/ https://farmaciadicura.com/Prodotto/acquista-ossicodone-20-mg-sandoz/ https://farmaciadicura.com/Prodotto/acquista-ossicodone-30-mg-sandoz/ https://farmaciadicura.com/Prodotto/acquista-ossicodone-5-mg-sandoz/ https://farmaciadicura.com/Prodotto/acquista-ossicodone-60-mg-sandoz/ https://farmaciadicura.com/Prodotto/acquista-ossicodone-80-mg-sandoz/ https://farmaciadicura.com/Prodotto/acquista-quaalude-online/ https://farmaciadicura.com/Prodotto/acquista-adderall-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-ambien-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-buprenorfina-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-cocaina-boliviana-in-linea/ https://farmaciadicura.com/Prodotto/acquista-cocaina-a-squame-di-pesce/ https://farmaciadicura.com/Prodotto/acquista-desoxyn-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-dilaudid-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquistare-eroina-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-fentanil-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-fentermina-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-la-morfina-iniettabile-italia/ https://farmaciadicura.com/Prodotto/acquista-morfina-in-linea-italia/ https://wereldwijdeapotheek.com/ https://wereldwijdeapotheek.com/product/ketamine-poeder-kopen/ https://wereldwijdeapotheek.com/product/koop-4-aco-dmt-online/ https://wereldwijdeapotheek.com/product/koop-adderall-online/ https://wereldwijdeapotheek.com/product/koop-boliviaanse-cocaine-online/ https://wereldwijdeapotheek.com/product/koop-bruine-heroine-online/ https://wereldwijdeapotheek.com/product/koop-codeine-linctus-online/ https://wereldwijdeapotheek.com/product/koop-crack-cocaine-online/ https://wereldwijdeapotheek.com/product/koop-desoxyn-online/ https://wereldwijdeapotheek.com/product/koop-dexedrine-online09/ https://wereldwijdeapotheek.com/product/koop-fentanyl-citrate-online-09/ https://wereldwijdeapotheek.com/product/koop-fentanyl-poeder-online/ https://wereldwijdeapotheek.com/product/koop-fentanyl-pleister-online09/ https://wereldwijdeapotheek.com/product/koop-fishscale-cocaine-online/ https://wereldwijdeapotheek.com/product/koop-flakka-a-pvp-online/ https://wereldwijdeapotheek.com/product/koop-gouden-leraar-paddenstoelen-online1/ https://wereldwijdeapotheek.com/product/koop-heroine-online/ https://wereldwijdeapotheek.com/product/koop-hydromorphone-online/ https://wereldwijdeapotheek.com/product/koop-morfine-online/ https://wereldwijdeapotheek.com/product/koop-natriumcyanide-100-mg-online/ https://wereldwijdeapotheek.com/product/koop-nembutal-pentobarbital-online1g/ https://wereldwijdeapotheek.com/product/koop-oxycodon-hcl-online/ https://wereldwijdeapotheek.com/product/koop-oxycodon-nachts-online/ https://wereldwijdeapotheek.com/product/koop-oxycontin-online/ https://wereldwijdeapotheek.com/product/koop-psilocybe-cubensis-b-online/ https://farmaciadicura.com/Prodotto/acquista-ossicodone-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-ossicodone-pillole-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-percocet-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-ritalin-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-stilnox-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-strisce-di-suboxone-italia/ https://farmaciadicura.com/Prodotto/acquista-subutex-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-vyvanse-in-linea-italia/ https://farmaciadicura.com/Prodotto/acquista-xanax-in-linea-italia/ https://wereldwijdeapotheek.com/product/koop-ritalin-online/ https://wereldwijdeapotheek.com/product/koop-seconal-sodium-online/ https://wereldwijdeapotheek.com/product/koop-stilnox-online/ https://wereldwijdeapotheek.com/product/koop-suboxone-online/ https://wereldwijdeapotheek.com/product/koop-suboxone-strips/ https://wereldwijdeapotheek.com/product/koop-subutex-online/ https://wereldwijdeapotheek.com/product/koop-ultram-online/ https://wereldwijdeapotheek.com/product/koop-vicodin-online/ https://wereldwijdeapotheek.com/product/koop-vyvanse-online/ https://wereldwijdeapotheek.com/product/koop-witte-heroine-online/ https://wereldwijdeapotheek.com/product/koop-xanax-online/ https://wereldwijdeapotheek.com/product/koop-percocet-online1/ https://wereldwijdeapotheek.com/product/koop-phentermine-adipex-online09/ https://healthmartpsychedelics.com/ https://healthmartpsychedelics.com/produit/acheter-acxion-fentermina-30mg/ https://healthmartpsychedelics.com/produit/acheter-adderall-en-ligne/ https://healthmartpsychedelics.com/produit/achetez-ambien-en-ligne/ https://healthmartpsychedelics.com/produit/achetez-des-bandes-de-suboxone/ https://healthmartpsychedelics.com/produit/acheter-buprenorphine-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-contrave-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-desoxyn-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-du-dilaudid-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-duromine-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-de-lephedrine-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-fentanyl-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-de-la-morphine-injectable/ https://healthmartpsychedelics.com/produit/achetez-du-cyanure-de-sodium-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-meratrim-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-morphine-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-de-loxycodone-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-80-mg-doxycodone-en-ligne/ https://healthmartpsychedelics.com/produit/achetez-ozempic-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-du-percocet-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-phentermine-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-qsymia-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-ritaline-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-rybelsus-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-saxenda-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-stilnox-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-subutex-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-trulicity-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-victoza-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-vyvanse-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-wegovy-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-xanax-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-du-xanax-vert-en-ligne/ https://healthmartpsychedelics.com/produit/acheter-xenical-en-ligne/ https://farmaciadesalud.com/ https://farmaciadesalud.com/tienda/comprar-adderall-en-linea/ https://farmaciadesalud.com/tienda/comprar-ambien-en-linea/ https://farmaciadesalud.com/tienda/comprar-cocaina-boliviana-en-linea/ https://farmaciadesalud.com/tienda/comprar-cocaina-de-escamas-de-pescado/ https://farmaciadesalud.com/tienda/comprar-botox-en-linea/ https://farmaciadesalud.com/tienda/comprar-codeina-en-linea/ https://farmaciadesalud.com/tienda/comprar-codeina-linctus-en-linea/ https://farmaciadesalud.com/tienda/comprar-dexedrina-en-linea/ https://farmaciadesalud.com/tienda/comprar-heroina-blanca-en-linea/ https://farmaciadesalud.com/tienda/comprar-heroina-de-alquitran-negro/ https://farmaciadesalud.com/tienda/comprar-heroina-lobo-artico/ https://farmaciadesalud.com/tienda/comprar-heroina-marron-en-linea/ https://farmaciadesalud.com/tienda/comprar-makatussin-en-linea/ https://farmaciadesalud.com/tienda/comprar-oxicodona-10-mg-sandoz/ https://farmaciadesalud.com/tienda/comprar-oxicodona-15-mg-sandoz/ https://farmaciadesalud.com/tienda/comprar-oxicodona-20-mg-sandoz/ https://farmaciadesalud.com/tienda/comprar-oxicodona-30-mg-sandoz/ https://farmaciadesalud.com/tienda/comprar-oxicodona-5-mg-sandoz/ https://farmaciadesalud.com/tienda/comprar-oxicodona-60-mg-sandoz/ https://farmaciadesalud.com/tienda/comprar-oxicodona-80-mg-sandoz/ https://farmaciadesalud.com/tienda/comprar-pastillas-de-nembutal/ https://farmaciadesalud.com/tienda/compre-polvo-de-nembutal-en-linea/ https://farmaciadesalud.com/tienda/comprar-crack-de-cocaina-en-linea/ https://farmaciadesalud.com/tienda/comprar-desoxyn-en-linea/ https://farmaciadesalud.com/tienda/comprar-dilaudid-en-linea/ https://farmaciadesalud.com/tienda/comprar-efedrina-hcl-en-linea/ https://farmaciadesalud.com/tienda/comprar-fentanilo-en-linea/ https://farmaciadesalud.com/tienda/comprar-fentermina-en-linea/ https://farmaciadesalud.com/tienda/comprar-heroina-en-linea/ https://farmaciadesalud.com/tienda/comprar-morfina-inyectable-en-linea/ https://farmaciadesalud.com/tienda/comprar-morfina-en-linea/ https://farmaciadesalud.com/tienda/comprar-pastillas-de-oxicodona-en-linea/ https://farmaciadesalud.com/tienda/comprar-oxycodone-en-linea/ https://farmaciadesalud.com/tienda/comprar-oxycontin-en-linea/ https://farmaciadesalud.com/tienda/comprar-percocet-en-linea/ https://farmaciadesalud.com/tienda/comprar-ritalin-en-linea/ https://farmaciadesalud.com/tienda/comprar-nembutal-inyectable-en-linea/ https://farmaciadesalud.com/tienda/comprar-stilnox-en-linea/ https://farmaciadesalud.com/tienda/comprar-tiras-de-suboxone-en-linea/ https://farmaciadesalud.com/tienda/comprar-suboxone-en-linea/ https://farmaciadesalud.com/tienda/comprar-subutex-en-linea/ https://farmaciadesalud.com/tienda/comprar-viagra-en-linea/ https://farmaciadesalud.com/tienda/comprar-vyvanse-en-linea/ https://farmaciadesalud.com/tienda/comprar-xanax-en-linea/
Scooped by nrip
Scoop.it!

Acceptability of App-Based Contact Tracing for COVID-19

Acceptability of App-Based Contact Tracing for COVID-19 | healthcare technology | Scoop.it

The COVID-19 pandemic is the greatest public health crisis of the last 100 years. Countries have responded with various levels of lockdown to save lives and stop health systems from being overwhelmed. At the same time, lockdowns entail large socioeconomic costs.

 

One exit strategy under consideration is a mobile phone app that traces the close contacts of those infected with COVID-19.

 

Recent research has demonstrated the theoretical effectiveness of this solution in different disease settings. However, concerns have been raised about such apps because of the potential privacy implications. This could limit the acceptability of app-based contact tracing in the general population. As the effectiveness of this approach increases strongly with app uptake, it is crucial to understand public support for this intervention.

 

Objective: The objective of this study is to investigate the user

acceptability of a contact-tracing app in five countries hit by the pandemic.


Methods: We conducted a largescale, multicountry study (N=5995) to measure public support for the digital contact tracing of COVID-19 infections.

 

We ran anonymous online surveys in France, Germany, Italy, the United Kingdom, and the United States and measured intentions to use a contact-tracing app across different installation regimes (voluntary installation vs automatic installation by mobile phone providers) and studied how these intentions vary across individuals and countries.


Results: We found strong support for the app under both regimes, in all countries, across all subgroups of the population, and irrespective of regional-level COVID-19 mortality rates.

We investigated the main factors that may hinder or facilitate uptake and found that concerns about cybersecurity and privacy, together with a lack of trust in the government, are the main barriers to adoption.


Conclusions:

 

Epidemiological evidence shows that app-based contact tracing can suppress the spread of COVID-19 if a high enough proportion of the population uses the app and that it can still reduce the number of infections if uptake is moderate. Our findings show that the willingness to install the app is very high. The available evidence suggests that app-based contact tracing may be a viable approach to control the diffusion of COVID-19.

 

read the study at https://mhealth.jmir.org/2020/8/e19857

 

nrip's insight:

A lot of research and anecdotal evidence shows that mHealth/Mobile App based contact tracing can suppress the spread of COVID-19 if a high enough proportion of the population uses the app. 

that it can still reduce the number of infections if uptake is moderate is interesting to note.

 

 

No comment yet.
Scooped by nrip
Scoop.it!

I Want to Make Healthcare More Holistic, Error-Free, and Open - Nrip Nihalani

I Want to Make Healthcare More Holistic, Error-Free, and Open - Nrip Nihalani | healthcare technology | Scoop.it

There is a seriousness, almost an urgent kind, amongst the healthcare ecosystem to adopt digital technologies more openly as compared to the pre - covid era. Since we have always been talking about the importance of taking healthcare digital, this acceptance of digital technologies has impacted us tremendously and favourably.

 

Plus91's Digital Health Systems have always been a few years too soon for the market, and Covid just fast-forwarded the world to use us right away.

 

What is your take on virtual methods of providing treatment?

 

All virtual treatment methods, whether it is TeleHealth, Remote Monitoring, Tele Pathology are very much a necessity. Covid has simply brought them into the limelight and forced the world to adopt them quickly.

 

I believe they all benefit healthcare immensely, and thus should be adopted wholeheartedly by doctors and patients. They end up offering a wider variety of options for both and allow a far richer treatment mindset to get created in the coming years.

 

Doctors benefit from being accessible to patients from across the globe more easily and frequently for both offering care as well as 2nd/3rd opinions. This helps them acquire experience on a wider range of patients besides the ones that come to them purely due to geographical viability.

 

Patients benefit a lot as they can access doctors more easily, and also get doctors who may be in a different part of the world from them who are experts at dealing with a specific condition without having to bear the cost of travel.

 

What impact do you want to create in the medical field?

 

I want to make healthcare more holistic, error-free, and open. I believe in the distant future we will be able to address the whole issue of disease and mankind will be completely focused on health from the wellness perspective rather than a treatment perspective. And I want to be an integral part of that change.

 

read the whole interview at : https://www.eatmy.news/2021/04/nrip-nihalani-i-want-to-make-healthcare.html

 

No comment yet.
Scooped by nrip
Scoop.it!

Beyond telehealth: the virtual care technology trends that will transform healthcare

Beyond telehealth: the virtual care technology trends that will transform healthcare | healthcare technology | Scoop.it

We are directionally headed towards a significant shift in the way care is delivered.

 

The rapid up scaling of virtual care capacity and the mainstreaming of Telehealth have given rise to new digital health tools. Self-triaging and contact tracing for COVID-19 infection detection are among the new breed of digital health applications that startups to big firms alike were looking at to seize the emerging opportunities.

 

Telehealth is here to stay. Healthcare is shifting to virtual care models. Digital front door apps are all the rage. What else is emerging that could change the way we experience care?

 

While telehealth is now the de facto mode of accessing healthcare for most low-acuity and routine care needs, a number of related technology-led trends are quietly gaining ground as well. Here the author looks at a few of these and opinionates on their potential impact on healthcare consumer experiences.

 

"contactless" experiences:

Covid has made us all afraid to touch any surface exposed to the public. Nowhere is this fear more prominent than a hospital or clinic setting. Healthcare executives now speak of airport check-in type of experiences for healthcare appointments, both for in-person and virtual visits.

 

Technology-enabled workflows now enable patients to complete most of the registration formalities prior to the visit, be it a virtual consult or a clinic visit. Registration kiosks in hospital lobbies may soon be enabled with facial recognition software to eliminate the need for touching any surface.

Routine examinations are also going virtual, with many diagnostic procedures now possible through remotely controlled devices. Caregivers are beginning to do their patient rounds through virtual visits. This trend will only grow in the coming years.

 

Contact tracing

Inspired by the success of India, Singapore and South Korea, contact tracing applications on Bluetooth-enabled devices have been positioned as an effective means to track and trace infections to reduce the spread of COVID-19

Despite many setbacks, contact tracing's potential for deployment within communities and populations for uses beyond COVID-19 has longer-term potential, and this could be the single most important technology-enabled healthcare program to come out of the COVID-19 crisis.

 

Remote monitoring and automated communication

Healthcare executives are more motivated than ever to keep their populations healthy in their homes. A vast and growing array of automated communication tools allows caregivers to use rule-based messaging to push everything from health coaching, post-discharge care instructions, and appointment reminders through IVR, text, SMS, and mobile alerts.

 

Data mining tools can identify subsets of populations at risk and enable caregivers to intervene on time. A New York-based COVID-19 Rapid Response Coalition involving tech giant Amazon that targeted high-risk populations through SMS campaigns that reached up to 10,000 members a day, is an example of how automated communication tools can serve populations in a crisis and during normal times.

 

The use of digital health and automated communication tools has also improved healthcare outcomes by reducing no-shows for appointments, increased adherence to medication regimens, and targeted interventions during adverse events.

 

There is an unprecedented opportunity today to use telehealth technologies in the complete continuum of care. However, healthcare enterprises and their technology partners need to make them more user-friendly.

 

That will determine success for new technology-enabled virtual care models. Every health system has to design the digital experience that is suited for their patient populations while remembering to address the needs of caregivers who will deliver and manage the experiences.

 

nrip's insight:

Yes, it seems like the directional shift care is going to be delivered,  spoken about for years by many, including me, is arriving. This piece speaks of 3 technologies, of which I believe contactless will probably not survive the test of time. Predictive analysis, Population health interventions or As I like to call it Community Health Interventions will also be big gainers. Mobile platforms will keep enhancing, on the back of contact tracing or assessments, but they will certainly lead to an improvement in information therapy, which hopefully will come main stream.

Kamiya Britton's curator insight, July 2, 2020 12:27 AM
Telehealth has been on the rise with interface doctor visits, therapists appointments, and contactless visits. These new adaptions to the "new normal" have transform healthcare as we knew before. With patients not wanting to physically visit the doctors in fear of exposure. Virtual visits have become a new way to contact the doctor through zoom or skype. I believe that this does keep patients up to date with new technology. But this also takes away the patient-doctor relationship. This could also become a way for diseases and present health issues to not be taken care of. Having personal experiences, Telehealth does not supplement the physical necessities needed for diagnosis and treatment. The demand for disease awareness will decrease because patients can become dishonest and frustrated with the technology adjustment. This would increase sales for tablets and phones that are compatible with Zoom or Skype. Introducing technology as an additive can become modernized to elderly patients. But for health concerns, this is should not become supplements for health appointments. 
Scooped by nrip
Scoop.it!

Which eHealth interventions are most effective for smoking cessation?

Which eHealth interventions are most effective for smoking cessation? | healthcare technology | Scoop.it

The Purpose of this study was to synthesize evidence of the effects and potential effect modifiers of different electronic health (eHealth) interventions to help people quit smoking.

 

Four databases (MEDLINE, PsycINFO, Embase, and The Cochrane Library) were searched in March 2017 using terms that included “smoking cessation”, “eHealth/mHealth” and “electronic technology” to find relevant studies. Meta-analysis and meta-regression analyses were performed.


Results: The review included 108 studies and 110,372 participants. Compared to nonactive control groups (eg, usual care), smoking cessation interventions using web-based and mobile health (mHealth) platform resulted in significantly greater smoking abstinence.

Similarly, smoking cessation trials using tailored text messages  and web-based information and conjunctive nicotine replacement therapy  may also increase cessation.

 

In contrast, little or no benefit for smoking abstinence was found for computer-assisted interventions. The magnitude of effect sizes from mHealth smoking cessation interventions was likely to be greater if the trial was conducted in the USA or Europe and when the intervention included individually tailored text messages. In contrast, high frequency of texts (daily) was less effective than weekly texts.

 

Conclusion

There was consistent evidence that web-based and mHealth smoking cessation interventions may increase abstinence moderately. Methodologic quality of trials and the intervention characteristics (tailored vs untailored) are critical effect modifiers among eHealth smoking cessation interventions, especially for web-based and text messaging trials. Future smoking cessation intervention should take advantages of web-based and mHealth engagement to improve prolonged abstinence. 

 

access the study report at https://www.dovepress.com/which-ehealth-interventions-are-most-effective-for-smoking-cessation-a-peer-reviewed-article-PPA

 

Scooped by nrip
Scoop.it!

How Users Experience and Use an #eHealth Intervention Based on Self-Regulation. #study

How Users Experience and Use an #eHealth Intervention Based on Self-Regulation. #study | healthcare technology | Scoop.it

The objective of this study was to investigate how users experience the implementation of self-regulation techniques
in a Web-based intervention targeting physical activity and sedentary behavior in the general population.

 

Background: eHealth interventions show stronger effects when informed by solid behavioral change theories; for example,
self-regulation models supporting people in translating vague intentions to specific actions have shown to be effective in altering
health behaviors. Although these theories inform developers about which behavioral change techniques should be included, they
provide limited information about how these techniques can be engagingly implemented in Web-based interventions. Considering
the high levels of attrition in eHealth, investigating users’ experience about the implementation of behavior change techniques might be a fruitful avenue.


Results:

The techniques “providing feedback on performance,” “action planning,” and “prompting review of behavioral goals”
were appreciated by users.

However, the implementation of “barrier identification/problem solving” appeared to frustrate users; this was also reflected by the users’ website data—many coping plans were of poor quality.

Most users were well aware of the benefits of adopting a more active way of living and stated not to have learned novel information. However, they appreciated the provided information because it reminded them about the importance of having an active lifestyle. Furthermore, prompting users to self-monitor their behavioral change was not sufficiently stimulating to make users actually monitor their behavior.

 

Conclusions: Iteratively involving potential end users offers guidance to optimally adapt the implementation of various

manoj's curator insight, October 20, 2018 4:38 AM
ANR is one of the bestHospital of Drug De-addiction in Jammu & Kashmir. Our doctors are expert in drug de-addiction treatment, Anxiety Disorders and Alcohol De-Addiction. You can consult with our qualified Psychologist and Psychiatric in Jammu& Kashmir


Scooped by nrip
Scoop.it!

Estonia and Finland will start exchanging digital prescriptions at the end of 2018

Estonia and Finland will start exchanging digital prescriptions at the end of 2018 | healthcare technology | Scoop.it

Estonia and Finland will start exchanging digital prescriptions at the end of the year, in a groundbreaking move that Estonian Health Minister Riina Sikkut said she hoped other EU countries will follow.

 

Speaking to EURACTIV.com on the sidelines of the European Health Forum in Gastein, Austria, Sikkut said that in Estonia, it is common practice for healthcare professionals to use the e-health system to exchange patient medical records.

 

“But it is also important for people who have a need for healthcare services abroad to have his or her health data available to a doctor, nurse or a pharmacist so that they could also provide quality healthcare services and continuity of care,” she said.

 

The cross-border flow of data has taken centre stage in the discussion in Brussels. Right now, when citizens move to another EU member state, their healthcare data is in fact simply “lost”.

 

Advocates of the digitisation of healthcare say data mobility, or the “5th freedom”, in the EU could unlock the potential of innovation in the sector and make EU patients’ lives easier.

 

Estonia is known for its digitisation push in all sectors, and during its EU Presidency (July-December 2017), it took significant steps to create a “coalition of the willing” of EU member states to speed up healthcare data mobility in Europe.

 
 
No comment yet.
Scooped by nrip
Scoop.it!

Proposing a Transactional Model of eHealth Literacy: Concept Analysis | JMIR

Proposing a Transactional Model of eHealth Literacy: Concept Analysis | JMIR | healthcare technology | Scoop.it

eHealth literacy was conceptualized in 2006 as the ability of internet users to locate, evaluate, and act upon web-based health information.

 

Now, advances in eHealth technology have cultivated transactional opportunities for patients to access, share, and monitor health information. However, empirical evidence shows that existing models and measures of eHealth literacy have limited theoretical underpinnings that reflect the transactional capabilities of eHealth.

 

This paper describes a conceptual model based on the Transactional Model of Communication (TMC), in which eHealth literacy is described as an intrapersonal skillset hypothesized as being dynamic; reciprocal; and shaped by social, relational, and cultural contexts.

 

The objective of this study was to systematically examine eHealth literacy definitions, models, and measures to propose a refined conceptual and operational definition based on the TMC.

 

Systematic review evidence revealed incongruity between operational eHealth literacy included in definitions compared with literacies included within models and measures. Theoretical underpinnings of eHealth literacy also remain dismal.

 

Despite the transactional capabilities of eHealth, the role of “communication” in eHealth literacy remains underdeveloped and does not account for physical and cognitive processing abilities necessary for multiway transactions.

 

read the full study at https://www.jmir.org/2018/10/e10175/

nrip's insight:

eHealth literacy is the ability of internet users to locate, evaluate, and act upon web-based health information. The result of this study identifies that the role of “communication” in eHealth literacy remains underdeveloped.

 

Current frameworks and technologies do not account for physical and cognitive processing abilities necessary for multiway transactions.

 

A study of the Consumption(access by patients) patterns of a majority of patient education resources will be interesting. It may shed light on this underdevelopment being required or not.

 

No comment yet.
Scooped by nrip
Scoop.it!

Genomics: A futuristic approach in Estonia

Genomics: A futuristic approach in Estonia | healthcare technology | Scoop.it

Genomics is the study of the genome, which is the complete set of DNA in an organism. In 2000, the Estonian government declared internet accessto be a human right. The Estonian government has integrated technology into the fabrics of society and advancing genomics over the last 17 years. 

 

Andres Metspalu, MD, PhD professor at the University of Tartu explains the “big picture” approach to healthcare, data, genomics, and rights of the local population to access health technology. In Estonia, medical genomics covers biobank, ehealth, micoarry analysis (used to study the extent to which certain genes are turned on or off in cells and tissues) and genomic sequencing.

 

Estonia even shares data with its neighbor Finland where both countries’ citizens can receive their prescriptions refills in either country. Every Estonian citizen carries a smart ID and mobile card to access healthcare, banking, and any governmental institutions.

 

more at the original at http://nuadox.com/post/163817810337/genomics-a-futuristic-approach-in-estonia

No comment yet.
Scooped by nrip
Scoop.it!

Four Nordic eHealth pilots achieve lasting results

Four Nordic eHealth pilots achieve lasting results | healthcare technology | Scoop.it
By using fiber for broadband connections, eHealth services such as telehealth consultations are being delivered successfully with lasting results. This was shown by the Connected for Health project and its pilots in Denmark, Finland and Sweden.
 

"The Connected for Health project reached several remarkable results from its piloting and research activities", states Mrs. Marjatta Eväsoja, director of International Affairs and Culture in the Regional Council of Southern Ostrobothnia (Finland), which has been coordinating the project as Lead Partner.

 

In the project, four pilots were implemented in Finland, Sweden, and Denmark. They engaged real end users, patients, clients and professionals, mainly from sparsely populated areas that had built Fibre to the Home (FTTH) network infrastructure.

Wound treatment and cost savings

The pilots achieved lasting results. "In Alavus, Finland, the best results were achieved in distance consultations for wound treatment, whereas in Hudiksvall, Sweden, the pilot's core task was to develop and test a social care alarm system (SCAIP) platform sending event messages between patient and carer. The tests showed that this platform brought the municipality considerate cost savings", tells Mr. Sami Perälä, the executive director of EPTEK.

Patient empowerment

The fourth pilot was implemented in the Region of Southern Denmark, and the main conclusion was the fact that a well-functioning infrastructure ensures reliable eHealth solutions, which can contribute to increased patient empowerment.

 

No comment yet.
Scooped by nrip
Scoop.it!

70 percent of physicians now send prescriptions electronically

70 percent of physicians now send prescriptions electronically | healthcare technology | Scoop.it

New numbers from the Office of the National Coordinator for Health IT show that far more doctors are filing prescriptions electronically than in 2008.


As of the end of April, 70 percent of doctors say that they are using the e-prescribing function common in electronic health record (EHR) software to send prescriptions to pharmacies.


The prescription pad, the phone, and the fax machine have been the dominant means of writing prescriptions for most of medicine’s modern age.


Just 4 percent of new prescriptions and refills were filed electronically in 2008. By 2013, that number had risen to 57 percent.


“We believe that financial incentives can drive providers’ adoption and use of health information technology, such as e-prescribing, and that health information networks can be a powerful tool in tracking incentives’ progress,” the authors said.

No comment yet.
Scooped by nrip
Scoop.it!

5 Myths About Consumer Use of Digital Healthcare Services

5 Myths About Consumer Use of Digital Healthcare Services | healthcare technology | Scoop.it

A recent international survey by the McKinsey & Company consulting firm addresses some myths about consumer use of digital healthcare services.


Many healthcare executives believe that, due to the sensitive nature of medical care, patients don’t want to use digital services except in a few specific situations. Decision makers often cite relatively low usage of digital healthcare services. Results of this survey however reveal something quite different. 


The 5 myths debunked by this survey are as follows

Myth 1: People don’t want to use digital services for healthcareMyth 2: Only young people want to use digital services

Myth 3: Mobile health is the game changer
Myth 4: Patients want innovative features and apps
Myth 5: A comprehensive platform of service offerings is a prerequisite for creating value

More at http://www.healthdatamanagement.com/gallery/5-myths-about-consumer-use-of-digital-healthcare-services-48388-1.html



No comment yet.
Scooped by nrip
Scoop.it!

The e-Health Sensor Shield V2.0

The e-Health Sensor Shield V2.0 | healthcare technology | Scoop.it

The e-Health Sensor Shield V2.0 allows Arduino and Raspberry Pi users to perform biometric and medical applications where body monitoring is needed by using 10 different sensors: pulse, oxygen in blood (SPO2), airflow (breathing), body temperature, electrocardiogram (ECG), glucometer, galvanic skin response (GSR - sweating), blood pressure (sphygmomanometer), patient position (accelerometer) and muscle/eletromyography sensor (EMG).


This information can be used to monitor in real time the state of a patient or to get sensitive data in order to be subsequently analysed for medical diagnosis. Biometric information gathered can be wirelessly sent using any of the 6 connectivity options available: Wi-Fi, 3G, GPRS, Bluetooth, 802.15.4 and ZigBee depending on the application.


If real time image diagnosis is needed a camera can be attached to the 3G module in order to send photos and videos of the patient to a medical diagnosis center.


Data can be sent to the Cloud in order to perform permanent storage or visualized in real time by sending the data directly to a laptop or Smartphone. iPhone and Android applications have been designed in order to easily see the patient's information.


No comment yet.
Scooped by nrip
Scoop.it!

Case-Initiated COVID-19 Contact Tracing Using Anonymous Notifications

Case-Initiated COVID-19 Contact Tracing Using Anonymous Notifications | healthcare technology | Scoop.it

We discuss the concept of a participatory digital contact notification approach to assist tracing of contacts who are exposed to confirmed cases of coronavirus disease (COVID-19);

 

The core functionality of our concept is to provide a usable, labor-saving tool for contact tracing by confirmed cases themselves

 

the approach is simple and affordable for countries with limited access to health care resources and advanced technology.

 

The proposed tool serves as a supplemental contract tracing approach to counteract the shortage of health care staff while providing privacy protection for both cases and contacts.

  • This tool can be deployed on the internet or as a plugin for a smartphone app.
  • Confirmed cases with COVID-19 can use this tool to provide contact information (either email addresses or mobile phone numbers) of close contacts.
  • The system will then automatically send a message to the contacts informing them of their contact status, what this status means, the actions that should follow (eg, self-quarantine, respiratory hygiene/cough etiquette), and advice for receiving early care if they develop symptoms.
  • The name of the sender of the notification message by email or mobile phone can be anonymous or not.
  • The message received by the contact contains no disease information but contains a security code for the contact to log on the platform to retrieve the information.

 

Conclusion

The successful application of this tool relies heavily on public social responsibility and credibility, and it remains to be seen if the public would adopt such a tool and what mechanisms are required to prevent misuse.

 

This is a simple tool that does not require complicated computer techniques despite strict user privacy protection design with respect to countries and regions. Additionally, this tool can help avoid coercive surveillance, facilitate the allocation of health resources, and prioritize clinical service for patients with COVID-19. Information obtained from the platform can also increase our understanding of the epidemiology of COVID-19.

 

read this concept paper at https://mhealth.jmir.org/2020/6/e20369

 

 

No comment yet.
Scooped by nrip
Scoop.it!

How do patients really feel about virtual care and electronic patient engagement?

How do patients really feel about virtual care and electronic patient engagement? | healthcare technology | Scoop.it

The aim of the Connected Healthcare Study was to understand the impact COVID-19 has had on health care and communication with providers and gain insights into experiences and preferences as it relates to telehealth and online health care tools. 

 

More than two-thirds of U.S. patients (69%) had seen a health care provider via telehealth since the COVID-19 pandemic began, with more than two in five (46%) meeting with a PCP and about one in five (19%) meeting with a mental health care provider. Other providers whom respondents have seen via telehealth since the pandemic began included specialties like ophthalmology and women’s health and orthopedic care, which were not considered typical telehealth users before the pandemic.

 

Telehealth is clearly emerging from the COVID-19 pandemic as the new normal

an overwhelming majority (84%) of respondents who received telehealth services since March 2020 reported that they plan to continue using telehealth appointments in the future, with the top reasons being that it’s more convenient (43%) or to avoid being around people who are ill (39%).

 

One of the most striking results of the survey was that nearly half of U.S. patients (48%) reported that they have sought (4%) or would be likely to seek care (44%) from a different health care provider if their current provider did not offer telehealth appointments.

 

This is clearly a resounding message of support for telehealth from patients to their physicians.

 

As we look back on the broader impact of the COVID-19 pandemic, it will have catapulted patient awareness and acceptance of telehealth and virtual care to the extent that would have been inconceivable before the pandemic.

 

It has also brought to the forefront many other aspects of patient electronic and virtual engagement with providers across all specialties.

 

read the entire post at https://www.kevinmd.com/blog/2021/05/how-do-patients-really-feel-about-virtual-care-and-electronic-patient-engagement.html

 

nrip's insight:

So patients want an electronic option of care out of convenience and to feel safe. Its unfortunate that it took a pandemic to make the global healthcare systems realize that.

 

There is much scope in the world of Digital Health to make healthcare easier, faster and more accurate for the patients. There are options better for the patients, its better for hospitals, its better for doctors and its definitely better for whoever the payer is in whichever part of the world.

george sperco's curator insight, August 18, 2022 4:42 AM

https://macchinadagolf.com/Prodotto/acquista-2000-club-car-ds-online/
https://macchinadagolf.com/Prodotto/2004-club-car-precedente/
https://macchinadagolf.com/Prodotto/2010-star-2-passeggero/
https://macchinadagolf.com/Prodotto/2012-yamaha-the-drive-ptv-gas/
https://macchinadagolf.com/Prodotto/2016-clubcar-precedent-alpha-48-volt/
https://macchinadagolf.com/Prodotto/2017-ezgo-express-s4-elite/
https://macchinadagolf.com/Prodotto/2017-ezgo-txt-elite/
https://macchinadagolf.com/Prodotto/2018-clubcar-tempo-48-volt/
https://macchinadagolf.com/Prodotto/2018-cushman-hauler-800-x-gas/
https://macchinadagolf.com/Prodotto/2018-cushman-hauler-800x/
https://macchinadagolf.com/Prodotto/2018-ezgo-express-s4-gas/
https://macchinadagolf.com/Prodotto/2019-cushman-hauler-800x-gas-efi/
https://macchinadagolf.com/Prodotto/2019-ezgo-express-s4-48-volt/
https://macchinadagolf.com/Prodotto/2021-ezgo-rxv-48-volt/
https://macchinadagolf.com/Prodotto/2022-ezgo-express-s4-elite/
https://macchinadagolf.com/Prodotto/2022-ezgo-rxv-gas-ex1/
https://macchinadagolf.com/Prodotto/2022-navitas-x4-48-volt/
https://macchinadagolf.com/Prodotto/acquista-2005-club-car-elettrica/
https://macchinadagolf.com/Prodotto/acquista-ezgo-txt-elite-2017/
https://macchinadagolf.com/Prodotto/acquistare-2016-e-z-go-tempesta-ristrutturazione/
https://macchinadagolf.com/Prodotto/acquistare-ingersoll-rand-golf-carts/
https://macchinadagolf.com/Prodotto/carrelli-epic-golf-a-6-posti/
https://macchinadagolf.com/Prodotto/epic-carts-4-seater-golf/
https://macchinadagolf.com/Prodotto/ezgo-freedom-rxv-2016/

kens's curator insight, September 10, 2022 6:51 PM
hariprasath228@gmail.com's curator insight, October 13, 2022 3:41 AM

 In morning everyone has to do exercise for at least 30 mins to maintain our body health and be happy in life. We have to eat heathy food to take care of our body because now a days all food products are harm to human health so be aware of it. every three time we have to eat our food on time otherwise we will get ulcer. A healthy diet is a diet the maintain such as protein, micronutrients, nutrients or improves overall health. A healthy diet provides the body with essential nutrition.

 Healthy food does not have merely one but numerous benefits. It helps us in various spheres of life. Healthy food does not only impact our physical health but mental health too. When we intake healthy fruits and vegetables that are full of nutrients, we reduce the chances of diseases.

Key facts

  • A healthy diet helps to protect against malnutrition …
  • Unhealthy diet and lack of physical activity are …
  • Healthy dietary practices start early in life

 obesity is the biggest problems our country is facing now. People are falling prey to obesity faster than expected. However, this can still be controlled. Obese people usually indulge in a lot of junk food. The junk food contains sugar, salt fats and more which contribute to obesity. Healthy food can help you get rid of all this as it does not contain harmful things.

In addition, healthy food also helps you save money. It is much cheaper in comparison to junk food. Plus, all that goes into the preparation of healthy food is also of low cost. Thus, you will be saving a great amount when you only consume healthy food.

MORNING EXERCISE AND HEALTH ‹ health benefits ‹ Reader — WordPress.com

Scooped by nrip
Scoop.it!

What Therapists Need to Know about Telehealth Technology

What Therapists Need to Know about Telehealth Technology | healthcare technology | Scoop.it

Thousands of therapists are providing Tele-services to their patients during the covid imposed lockdown using video-enabled platforms like Zoom, Skype, Google Meet, etc.

 

Many of them hadn’t intended to ever take the online route, however, a number of them are now discovering the ease of use and the convenience of it, both for themselves and for their patients.

 

While the technological tools available for mental health professionals and patients has dramatically improved over the past decade, those transitioning to online services rapidly need to hold a few things in mind.

 

It’s not the same as in-person therapy

 

While online psychotherapy has been shown to be just as effective as in-person care, the delivery of psychotherapy via telehealth requires skills that in-person therapy does not.

 

Because the skill set for online consults is  different, therapists typically need additional training in telehealth. The amount of training can/will vary depending on the skills of each person. As the technology continues to get more user-friendly, the amount of training needed becomes less.

 

The legal considerations have changed, but not in the ways some therapists think

 

The Department of Health and Human Services is using its enforcement discretion to allow providers to use video-calling platforms, such as Zoom and Facebook Messenger, that are not compliant with HIPAA privacy rules. The Centers for Medicare and Medicaid Services have also loosened geographic restrictions on telehealth provision. But both of these moves have been widely misunderstood, and they are only temporary in nature.

 

Ethical standards haven’t changed

 

Certainly, many therapists had to switch to telehealth quickly and may have done so even without initial training in order to ensure continuity of care to at-risk clients. In the event of a complaint, ethics committees would likely take such factors into consideration. But therapists who have not been trained in telehealth and whose clients have not provided informed consent specific to telehealth should do so as quickly as possible.

 

Therapist fears about negative impacts haven’t been supported by research

 

While telehealth needs to be entered into thoughtfully, many of the reasons therapists have traditionally given for their resistance to telehealth simply haven’t shown up. For example, therapists often point to the eye contact issue described above and express concern that building a therapeutic relationship is harder online. Research hasn’t supported this idea.

 

While therapists are sometimes less satisfied with the therapeutic relationship in telehealth, clients show no difference – and in some studies actually feel a stronger alliance in online care.

 

Mistakes are common and avoidable

 

Some steps one can take to avoid common mistakes include:

– Choose a secure telehealth platform that offers a Business Associate Agreement stipulating who has access to confidential information and how it can be used

– Learn the platform well, and practice using it with a friend or colleague to test all of its features

– Understand the legal requirements surrounding telehealth in your state, and complete any state-mandated training

– Always get client consent before sending private client information via an unsecured email

– Review your telehealth technology and data security practices at least annually.

 

read the original article at https://hitconsultant.net/2020/06/12/what-therapists-need-to-know-about-telehealth-technology/#.XuYlqmozZPt

 

nrip's insight:

TeleHealth has always been considered well suited to a Technology based intervention, and patients have always been open to it. At Plus91 we have always found mental health professionals sitting on the fence when it came to online and mobile consultations. Many of them find it a logically good choice but are unsure of adopting it "at this time" and would explore it sometime int he future. But the covid pandemic changed that. As many of my doctor friends say now, this is so much easier than I had imagined.

Scooped by nrip
Scoop.it!

Implementation of an Automated Pediatric Malnutrition Screen Using Anthropometric Measurements in the #EHR

Implementation of an Automated Pediatric Malnutrition Screen Using Anthropometric Measurements in the #EHR | healthcare technology | Scoop.it

Nutrition evaluation and intervention in hospitalized pediatric patients is critical, because undernutrition negatively impacts physical and cognitive development, wound healing, immune function, mortality, and quality of life.

 

Multiple, validated pediatric nutrition screening tools are available, yet no consensus on the ideal tool exists.

 

Generally, the aims of the nutrition screening process are identification of current nutrition status and determination of a need for further nutrition assessment and intervention.

 

Children’s Hospital of Philadelphia has developed what it says is the first automated pediatric malnutrition screening tool using EHR data.

 

In this study the tool was used to analyze anthropometric measurements in the hospital’s Epic EHR—including body mass index, height, length and weight—for inpatients in the pediatric oncology unit at CHOP for a little more than a year, representing about 2,100 hospitalizations.

 

Researchers used software to take note of changes in the anthropometric measurements to assess each hospitalized patient’s risk of malnutrition. For those pediatric cancer patients determined to be at risk, the automated program categorized their risk as either mild, moderate or severe.

 

In the study, 47 percent were classified as at mild risk, 24 percent as moderate risk and 29 percent as severe—consistent with clinical experience and other research. In addition, the overall prevalence of malnutrition was determined to be 42 percent for the study period, which was also consistent with previous studies.

 

“This test study demonstrates the feasibility of using EHR data to create an automated screening tool for malnutrition in pediatric inpatients, Further research is needed to formally assess this screening tool, but it has the potential to identify at-risk patients in the early stages of malnutrition, so we can intervene quickly. In addition, this tool could be implemented to screen all pediatric patients for malnutrition, because it uses data common to all electronic medical records.”

 

ref: https://www.healthdatamanagement.com/news/chop-uses-ehr-data-to-identify-cancer-patients-for-malnutrition

 

study: https://jandonline.org/article/S2212-2672(18)30974-2/abstract

 

Scooped by nrip
Scoop.it!

Use of eHealth Technologies Common in MS Community

Use of eHealth Technologies Common in MS Community | healthcare technology | Scoop.it

Use of eHealth technologies is common in the multiple sclerosis (MS) population and facilitates the exchange of health care information with providers, according to a recent study.

 

However, use of eHealth and mHealth technologies varies substantially with sociodemographic factors, and health care providers need to be aware of these disparities as these technologies are increasingly leveraged in health care settings.

 

Researchers surveyed participants in the North American Research Committee on Multiple Sclerosis (NARCOMS) Registry in 2017 about their use of eHealth technologies using questions adapted from the Health Information National Trends (HINTS) 4 Cycle 4 survey. They found:

 

  • Of 6,423 participants included in the analysis, most participants were female, and white, with a mean (SD) age of 59.7 (10.1) years.
  • Overall, 5,408 (84.2%) had exchanged medical information with a health professional most often using a secure online portal (1,839, 28.6%), followed by email (1,327, 20.7%).
  • Of the 5,529 smartphone and tablet users, 2,556 (46.2%) used an mHealth app.

 

read original at https://www.mdedge.com/clinicalneurologynews/clinical-edge/summary/multiple-sclerosis/use-ehealth-technologies-common-ms

 

Scooped by nrip
Scoop.it!

Major grant for development of ehealth program for cardiac rehabilitation

Major grant for development of ehealth program for cardiac rehabilitation | healthcare technology | Scoop.it

Every year, more than 3 million people in Europe experience a heart attack. For half of them, this is not the first time. Most of these recurrent heart attacks can be prevented by improving the lifestyle after the first heart attack, for which patients are often offered cardiac rehabilitation. These programs consist of exercise and lifestyle recommendations. Cardiac rehabilitation is provided at specialized centers.
 
According to estimates, if all cardiac patients were to undergo cardiac rehabilitation, the mortality from myocardial infarctions could fall by 26 percent and hospital admissions by more than 30 percent. Despite these benefits, less than half of cardiac patients receive cardiac rehabilitation. This lack of participation is mainly due the distance to the cardiac rehabilitation centers, which patients experience as being too far. There are also many objections to the limited possibilities for taking an individualized program.
 
Research has shown that an internet-based rehabilitation program can achieve the same results as rehabilitation at a center. An e-health application for cardiac rehabilitation could therefore eliminate many obstacles for patients.

 

However, such an application is not yet available.

 

With Eurostar funding of € 1.9 million, a European consortium of researchers and companies will create CaRe, a mobile platform for cardiac rehabilitation.

 

Maria Hopman is creating this e-health program for cardiac rehabilitation together with a consortium of Danish and Swiss companies. Starting in 2021, the program will be available for physiotherapists and hospitals in Europe.

 

more at https://www.radboudumc.nl/en/news/2018/major-grant-for-development-of-e-health-program-for-cardiac-rehabilitation

 

 

 

 

nrip's insight:

This week I am finding a lot of exciting pilots being funded well enough to take them to commercialization. Which is excellent. However, I find a number of such pilots seem to overlap in ideas and purpose. I wish there is collaboration of ideas between similar projects, especially, if not only to avoid another lack of interoperability scenario, arising 3-4 years from now, and causing pain for patients and care givers alike.

Scooped by nrip
Scoop.it!

Why Cyber-Criminals Are Attacking Healthcare -- And How To Stop Them

Why Cyber-Criminals Are Attacking Healthcare -- And How To Stop Them | healthcare technology | Scoop.it

Healthcare organisations are a major target for cyber criminals – and the consequences are huge. How can attacks be stopped?

 

The last five years has seen a surge of attacks on the healthcare industry, with the largest breaches impacting as many as 80 million people. In July this year, it was revealed that 150,000 NHS patients' data was shared over a three-year period following a major breach.

 

Over in the US, the 2015 cyber-attack on Anthem saw hackers steal 78.8 million patient records, claiming highly sensitive data, including names, social security numbers, home addresses and dates of birth.

 

Meanwhile, this year, hackers breached the Singapore government’s health database with a targeted cyber-attack, accessing the data of 1.5 million patients.

 

Healthcare breaches are especially serious because personal data can, in some cases, mean the difference between life and death. For example, says Carlisle, it could cause medications to become mixed up – or people might fail to get treatment for conditions such as diabetes.

 

Healthcare providers often struggle to find room in tight budgets to invest in new IT systems, leaving them vulnerable. “Compliance issues are commonplace in healthcare too, where organizations need to meet stringent requirements of governing bodies such as HIPAA

 

While network and endpoint technologies are a required element of an organization’s IT security stance, they are increasingly less effective at keeping external attacks at bay, They are also an inadequate way of securing cloud, big data, internet of things (IoT) and container deployments.

 

The critical nature of healthcare environments means users require immediate access to healthcare data across a range of devices and applications. Therefore, Security can often be seen as a barrier rather than an enabler.

 

It’s integral that healthcare organizations bolster their data security and compliance efforts. Data should be encrypted so it would be “worthless” in the event of a cyber-attack.

 

The good news is that healthcare data breaches are now in the consumer collective consciousness – and organizations are more aware than ever of potential data misuse.

 

No comment yet.
Scooped by nrip
Scoop.it!

A digital toolkit for improved maternal health

Every day, around the world, an estimated 830 women die from pregnancy or childbirth related causes, most in low-income countries. An additional 7000 newborn babies die each day. Many of these deaths could have been prevented.
 
The presence of a skilled birth attendant—doctor, nurse, or midwife—at birth is important to prevent and manage obstetric complications.
 
Supportive care from birth companions can also be helpful to women by bringing support, monitoring, and care to a woman's home throughout pregnancy, labour, and post partum.
 
Imagine if a digital toolkit could be given to pregnant women that combines the ability to individually support, monitor, and inform them, but does it remotely using sensors and apps. It could also incorporate artificial intelligence algorithms to identify patterns of high-risk complications before they occur and could potentially prevent them.
 
 
nrip's insight:

There are many digital toolkits which are already in use in low income countries, and many more which exist but are not widely adopted yet. Such toolkits are primarily used for quick diagnosis and helping decide the next course of action. Like the one we at Plus91 deployed along with our friends at Instrats called FLEM. While such tools are plenty, they have yet to be widely used due to the prohibitive cost, lack of awareness and (funnily) red tape and bureaucracy within the funding agencies.  

No comment yet.
Scooped by nrip
Scoop.it!

Smartphones for digital mental health 

Smartphones for digital mental health  | healthcare technology | Scoop.it

Emerging technologies can offer real benefits to people with mental health difficulties 

 

Current smartphones are several times more powerful than the Cray-2 supercomputer, the 1980s fastest computer. Smartphones, have changed the game for digital interventions. These beloved tiny supercomputers present an opportunity for mental health to deliver ‘ecological; momentary’ interactions (EMIs) in harmony with the fabric of people’s lives.

 

Ecological momentary interventions (EMIs) are treatments that are provided to people during their everyday lives (i.e. in real time) and in natural settings (i.e. real world) (Heron & Smyth, 2010).

 

Often in mental health when thinking about the development of health apps we find ourselves struggling to fully conceptualise what it is we are attempting to do and why.

 

Ecological momentary interventions for depression and anxiety” by Schueller et al (2017) brings together some useful ways of thinking about apps for mental health and how we might understand them.

 

The authors are keen that we review where we have been with digital mental health apps so that we might begin to develop a far more exciting digital mental health future. The paper includes a number of ideas useful to those of us looking to understand and develop ways of making people’s lives better using digital technologies. The paper also makes a number of useful distinctions between different types of interactions between patients and technology and explores how we might better understand them.  

 

Smartphones make new kinds of health intervention possible. Rather than sitting down to do a health related task, interventions can be quick and take place in the context of other everyday activities.

 

We make momentary ecological interventions with our smartphones hundreds of times a day; from firing off a quick email to checking our bank balance. Once the threshold for digital health was Ecological Momentary Assessments (EMAs).

 

Such assessments might encourage people to answer a question about their current feelings or asking people to measure something such as heart rate or blood sugar, extending the ‘window of observation’ into people’s lives and allowing the collection of data by asking people to feedback via an app.

 


In the paper, Schueller et al discuss methods of understanding what digital interventions for depression and anxiety actually are, ways of evaluating these interventions and report recent evidence for the efficacy of such interventions. Their paper also suggests a future path for digital mental health application development.
A brave new world?


Schueller et al make it clear that smartphone technology has extended the horizon of possibility for treatment and also for the monitoring or tailoring of treatment because modern apps can both measure our responses to interventions and also modify those interventions in light of direct feedback. 


The authors set out a compelling vision of the future of digital mental health interventions where “advances in EMIs are likely to take us one step closer to personal digital mental health assistants.

 

These assistants will listen to people through sensed data, learn from people in the context of their daily lives, and guide people in directions that will support their mental health.

 

Such personal digital mental health assistants will still be made up of combinations of interventions, decision points, tailoring rules, and decision rules but powered by advances in technologies and analytics that make each of these more personalized and more data-driven.”

 

more at http://mhealth-weekly.dub.io/ecological-momentary-interventions-smartphones-for-digital-mental-health

 

Geoffrey Cooling's curator insight, August 5, 2017 11:12 AM
Interesting article on the use of smartphones for mental health
Scooped by nrip
Scoop.it!

6 Ways Technology is Helping to Fight Ebola

6 Ways Technology is Helping to Fight Ebola | healthcare technology | Scoop.it
As Ebola continues to ravish Sierra Leone, Guinea and Liberia, people from all around the world are working together to stop the disease. In addition to the life saving work of medical staff, logisticians and community organizers, information and communication technology (ICT) is also playing a vital part in supporting their work. Below are six examples showing how ICT is already making a difference in the current Ebola crisis.


1. Tracing outbreaks with mapping and geolocation


2. Gathering Ebola information with digital data collection forms


3. Connecting the sick with their relatives using local Wi-Fi networks


4. Sharing and receiving Ebola information via SMS text messages


5. Mythbusting for diaspora communities via social media


6. Supporting translations of Ebola information remotely online


read more at http://techchange.org/2014/10/08/ebola-technology-ict/



nrip's insight:

Adding to this list, my associates and I have built a mobile Ebola diagnosis and data collection prototype. If interested in exploring possible uses of the same for your organization, please drop me a message.

Lauren Silva's curator insight, October 8, 2014 8:06 PM

In an age where social media and technology affects the everyday human often, it is beneficial to view an article that details the benefits of technology in the world. This article doesn't specify how technology may stop ebola, it focuses more on how it can spread awareness, hope and understanding. The article doesn't pretend like the epidemic isn't happening, but instead focuses on the ups of what is. Family members can still communicate, awareness is spread, and information is reached all through technology.

nrip's comment, October 9, 2014 3:36 AM
@Lauren Silva Thanks for your comments
Eric Chan Wei Chiang's curator insight, October 10, 2014 2:31 AM

The spread of Ebola is a worrying trend http://sco.lt/8AK7FJ

which has gotten the attention of President Obama http://sco.lt/6yO8xd

 

WHO statements about the transmission of Ebola and the current status of the outbreak is scooped here: http://sco.lt/6Qpd3p

 

Innovative means of using technology to curb the spread is welcome indeed.

Scooped by nrip
Scoop.it!

Electronic health records ripe for theft

Electronic health records ripe for theft | healthcare technology | Scoop.it

America’s medical records systems are flirting with disaster, say the experts who monitor crime in cyberspace. A hack that exposes the medical and financial records of hundreds of thousands of patients is coming, they say — it’s only a matter of when.


As health data become increasingly digital and the use of electronic health records booms, thieves see patient records in a vulnerable health care system as attractive bait, according to experts interviewed by POLITICO. On the black market, a full identity profile contained in a single record can bring as much as $500.


“What I think it’s going to lead to, if it hasn’t already, is an arms race between the criminal element and the people trying to protect health data,” said Robert Wah, president of the American Medical Association and chief medical officer at the health technology firm CSC. “I think the health data stewards are probably a little behind in the race. The criminal elements are incredibly sophisticated.”


The infamous Target breach occurred last year when hackers stole login information through the retailer’s heating and air system. Although experts aren’t sure what a major health care hack would look like, previous data breaches have resulted in identity and financial theft, and health care fraud.



Significant breaches are already occurring. Over the course of three days, hackers using a Chinese IP address infiltrated the St. Joseph Health System in Bryan, Texas, and exposed the information of 405,000 individuals, gaining names, address, Social Security numbers, dates of birth and other information.


It was the third-largest health data breach tracked by the federal government.


The L.A. Gay & Lesbian Center reported late last year that hackers attacked its computer systems over a course of two months trying to steal credit card, Social Security and other financial information. About 59,000 clients and former clients were left vulnerable.


While a stolen credit card or Social Security number fetches $1 or less on the black market, a person’s medical information can yield hundreds of times more, according to the World Privacy Forum. Thieves want to hack the data to gain access to health insurance, prescription drugs or just a person’s financial information


The Identify Theft Resource Center — which has identified 353 breaches in 2014 across industries it tracks, says almost half occurred in the health sector. Criminal attacks on health data have doubled since 2000, according to the Ponemon Institute, an industry leader in data security.


Health care is the industry sector least prepared for a cyberattack, according to security ratings firm BitSight Technologies. The industry had the highest volume of threats and the slowest response time, leading the FBI in April to issue a warning to health care providers.



Read more: http://www.politico.com/story/2014/07/electronic-health-records-theft-108856.html#ixzz37SDFnUKa

No comment yet.
Scooped by nrip
Scoop.it!

EHRs Detect Depression When Many PCPs Can’t

EHRs Detect Depression When Many PCPs Can’t | healthcare technology | Scoop.it

Depression is one of the hardest disorders to diagnose, yet it affects 14 percent of the world’s population. Researchers have found factors in EHRs may be key to predicting a diagnosis of depression.


While depression comes at a high cost to those who suffer from it, the actual price tag in the United States reaches over $44 billion annually. This takes into account, among other things, lost productivity and direct expenses. Depression is a diagnosis that is often missed by primary care physicians, despite the fact that it is the second most common chronic disorder they treat.


According to EHR Intelligence, researchers from Stanford University have worked to use EHR systems as a tool to help predict depression diagnoses. In the study, published by the Journal of the American Medical Informatics Association, researchers say valuable information already stored in the EHR can be used to predict depression up to a year in advance.


“Depression is a prevalent disorder difficult to diagnose and treat. In particular, depressed patients exhibit largely unpredictable responses to treatment,” explain researchers. “Many depressed patients are not even diagnosed … primary care physicians, who deliver the majority of care for depression, only identify about 50 percent of true depression cases.”


The Stanford team used EHR data including demographic data, ICD-9, RxNorm, CPT codes, progress notes, and pathology, radiology, and transcription reports. From these, they used a model which factored in three criteria: the ICD-9 code, the presence of a depression disorder term in the clinical text, and the presence of an anti-depressive drug ingredient term in the clinical text.


These factors were then compared to predict a diagnosis of depression, response to treatment, and determine the severity of the condition.


more at http://www.healthitoutcomes.com/doc/ehrs-detect-depression-when-many-pcps-can-t-0001


No comment yet.