Digital Health Conference 2019: Gesundheit trifft Digitalisierung: Update for our Healthcare System

2019 ◽  
Vol 24 (11) ◽  
pp. 24-24
Keyword(s):  
Healthcare System ◽  
Digital Health

Das Gesundheitssystem befindet sich an einem Wendepunkt.

Digital Governance and the NHS

2020 ◽  
pp. 192-216
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
Healthcare System ◽  
Digital Health ◽  
Public Healthcare ◽  
Coordinated Care ◽  
Informal Networks ◽  
Technological Advances ◽  
Remote Health

The benefits of a fully-digitalised public healthcare system are significant. Digital health is an essential tool in order to improve efficiency, provide coordinated care, and make real health improvements. However, the National Health Service (NHS) has yet to provide a fully digitalised system to patients and providers despite technological advances in recent years. This chapter will thus describe the progress which has already been made in providing remote health services within the NHS. It will also explore problems arising from digitalising health services and the management of health both within the institution and through more informal networks beyond the NHS.

Prospects and role of digital technologies in Russian healthcare reforming

2020 ◽  
Vol 1 (1) ◽  
pp. 72-86
Author(s):  
V.I. Yudin ◽  
◽  
O.V. Shirokova ◽  
Keyword(s):  
Healthcare System ◽  
Data Exchange ◽  
New Technologies ◽  
Digital Health ◽  
Digital Technologies ◽  
Healthcare Sector ◽  
Laboratory Research ◽  
Short Term ◽  
Internet Resources ◽  
Digital Medicine

Background. Modern digital technologies use can solve many problems of Russian healthcare system. The digital medicine development should be accompanied by the informatization of all participants of the process of providing medical services. Analysis and assessment of the changes taking place in society and in the health care system itself in digitalization terms are necessary for making effective management decisions aimed at improving the population health. Purpose. The purpose of this study is to analyze the digital medicine state and prospects for the development. Materials and methods. The analysis of foreign and domestic literature on digital medicine was used to identify current trends in this area and the variety of technologies used. The data analysis from public opinion polls gave an idea of the main problems of Russian healthcare. The study of Internet resources, like information and discussion platforms for medical professionals, as well as survey data, made it possible to identify the main aspects of the informatization process in the healthcare system. Results and discussion. There were highlighted: the main advantages of information technologies use in the healthcare sector, the priority areas for the digital medicine short term development, the level of understanding of telemedicine among healthcare workers, the main areas of discussion regarding digital medical technologies, as well as important problems, risks and trends in this area. Conclusion. The authors identified eight promising areas for the digital medicine short term development. The study of Internet resources has shown that medical social networks are an important channel for healthcare informatization, including professional adaptation, especially of young specialists, to work with new technologies. The Internet also allows physicians to expand their professional capabilities with the help of software products for laboratory research, diagnosis and treatment. All participants of the medical and related industries are actively entering the digitalization process, striving to create a unified system for electronic data exchange. The main problem that slows down the development of digital medicine in Russia and which needs to be addressed at the state level is ensuring data security. A key measure to solve this problem is information about digital health opportunities through social media. At the content creation level there must be built trust to this channel.

Home Use Devices and SaMDs in Patient Self-Care: Concept to Develop Excellenct Products in Digital Health

2018 ◽  
Vol 7 (1) ◽  
pp. 189-194
Author(s):  
Peter Rasche ◽  
Laura Barton ◽  
Katharina Schäfer ◽  
Sabine Theis ◽  
Christina Bröhl ◽  
...  
Keyword(s):  
Healthcare System ◽  
Research Group ◽  
Digital Health ◽  
Self Care ◽  
Formal Concept ◽  
German Health ◽  
Health Products ◽  
German Healthcare System ◽  
Start Ups ◽  
Further Development

The German healthcare system is characterized by digital change. In recent years, a trend towards the entry of start-ups and medium-sized enterprises into this sector has developed. These types of companies in particular are facing enormous challenges due to the industry and the ongoing digital change. This article presents the fundamental developments and challenges of these companies. Further solutions developed by the Tech4Age research group are presented briefly. Finally, this article describes how these solutions can be integrated into a formal concept for the promotion and further development of SMEs and start-ups in the German health industry in order to enable them quickly and comprehensively for the development of excellent digital health products.

scholarly journals Privacy Preserving Analytics in Outsourced Healthcare System

2020 ◽  
Vol 9 (9) ◽  
pp. 329-333
Keyword(s):  
Healthcare System ◽  
Cloud Storage ◽  
Learning Algorithm ◽  
Homomorphic Encryption ◽  
Digital Health ◽  
Health Data ◽  
Third Party ◽  
Sensitive Data ◽  
Data Intensive ◽  
Cloud Server

The most data intensive industry today is the healthcare system. The advancement in technology has revolutionized the traditional healthcare practices and led to enhanced E-Healthcare System. Modern healthcare systems generate voluminous amount of digital health data. These E-Health data are shared between patients and among groups of physicians and medical technicians for processing. Due to the demand for continuous availability and handling of these massive E-Health data, mostly these data are outsourced to cloud storage. Being cloud-based computing, the sensitive patient data is stored in a third-party server where data analytics are performed, hence more concern about security raises. This paper proposes a secure analytics system which preserves the privacy of patients’ data. In this system, before outsourcing, the data are encrypted using Paillier homomorphic encryption which allows computations to be performed over encrypted dataset. Then Decision Tree Machine Learning algorithm is used over this encrypted dataset to build the classifier model. This encrypted model is outsourced to cloud server and the predictions about patient’s health status is displayed to the user on request. In this system nowhere the data is decrypted throughout the process which ensures the privacy of patients’ sensitive data.

scholarly journals Struggling with and mastering e-mail consultations: A study of access, interaction, and participation in a digital health care system

2021 ◽  
Vol 42 (s4) ◽  
pp. 7-21
Author(s):  
Anette Grønning
Keyword(s):  
Healthcare System ◽  
Digital Health ◽  
Research Question ◽  
Qualitative Interviews ◽  
Access Point ◽  
Face To Face ◽  
Institutional Practice ◽  
The Past ◽  
Medical Consultations ◽  
E Mail

Abstract In Denmark, medical consultations and the institutional practice of going to the doctor have been expanded upon over the past decade, with e-mail consultations (e-consultations) now supplementing conventional consultations. As a form of communication with different constraints than face-to-face and telephonic communication, e-consultations are likely to both afford some benefits and present struggles. In this article, I examine the use and perception of primary care e-consultations from the perspective of the patient. The study is based on qualitative interviews with 20 patients and guided by the following research question: How do patients struggle with and master digital participation during e-consultations? The study demonstrates that e-consultations are more than a digital access point to the healthcare system: patients often struggle to maintain contact with their general practitioner, and e-consultations can help them navigate the healthcare system. Indeed, those who master this form of communication are appreciative of it and perceive it as screen care.

scholarly journals Thinking through the basics: What we shouldn't take for granted about devices and networks delivering digital health services

2021 ◽  
Author(s):  
Catherine A. Middleton
Keyword(s):  
Health Services ◽  
Healthcare System ◽  
Patient Engagement ◽  
Digital Health ◽  
Digital Technologies ◽  
Critical Thought

• This presentatIon outlines some questIons and observatIons to encourage critIcal thought about what how digital technologies can be brought into healthcare. • The context is the use of smartphones and applicatIons to support patIent engagement with the healthcare system.

scholarly journals APPLICATIONS OF DATA MINING IN HEALTHCARE AND CURRENT ISSUES

2021 ◽  
Vol 10 (4) ◽  
pp. 3384-3387
Author(s):  
Sanjivani Jadhao
Keyword(s):  
Data Mining ◽  
Healthcare System ◽  
Digital Health ◽  
Meta Analysis ◽  
Medical Knowledge ◽  
Developed Countries ◽  
Quality Data ◽  
Record Keeping ◽  
Ayurvedic Drugs ◽  
Qualitative Exploration

Quantitative and Qualitative exploration of clinical and diagnostic data using advanced analytics could unravel hidden medical knowledge by finding correlations, causations, and associations between apparently independent variables. Therefore, the scope and use and of Data Mining techniques in the current healthcare system is increasing steadily. In regard to this, we will discuss the disciplines, methods, models, algorithms, and results, and how these techniques would help in performing studies including but not limited to long-term prospective and retrospective studies, population studies, correlation studies, multicentric, multiracial, phased studies, meta-analysis, pharmacovigilance, etc. on Ayurvedic drugs and methods. We have discussed the applications of Data Mining on healthcare that is being implemented in developed countries. We have also discussed the issues like lack of quality data and record-keeping, and other issues and challenges in conducting ayurvedic studies in India, and how the National Digital Health Blueprint would be a game-changer in the current healthcare system of India.

scholarly journals Implementation of tele visit healthcare services triggered by the COVID-19 emergency: the Trentino Province experience

2021 ◽  
Author(s):  
Sara Testa ◽  
Oscar Mayora-Ibarra ◽  
Enrico Maria Piras ◽  
Olivia Balagna ◽  
Stefano Micocci ◽  
...  
Keyword(s):  
Healthcare System ◽  
Healthcare Service ◽  
Digital Health ◽  
Scale Up ◽  
Healthcare Services ◽  
Service Provisioning ◽  
User Perspective ◽  
Structural Integration ◽  
Local Healthcare

Abstract Aim In response to the SARS-CoV-2 emergency, the Competence Centre on digital health ‘TrentinoSalute4.0’ has developed TreC_Televisita, a tele visit solution that meets the needs of the Trentino healthcare system and maintains high-quality patient–doctor interactions while respecting social distancing. This paper highlights how ‘TreC_Televisita’ was integrated into the Trentino healthcare system and its potential to become a structural and durable solution for the future local healthcare service provisioning. Subject and methods This paper presents the multifactorial context that TreC_Televisita has faced for its implementation and the strategies adopted for its structural integration into the healthcare system. The analysis focuses on the main issues faced for the integration of the tele visits (e.g. privacy, payments) and how the context of TrentinoSalute4.0 permitted responding quickly to its implementation during the pandemic. It also describes how TreC_Televisita fits into the healthcare continuum from the organisational and technological standpoint, the end-user perspective and the barriers that could hamper the solution scalability. Results TreC_Televisita has demonstrated to be a technological solution that can be contextualised for different clinical domains beyond SARS-CoV-2. Moreover, it has shown its potential to scale up the solution beyond the COVID-19 emergency to the whole healthcare provisioning system in the long term. Conclusion Being a positive experience in the first months of its implementation, the long-term goal is to transform TreC_Televisita into a structural pillar of the Trentino healthcare system, setting the bases for a sustainable, win–win situation for all the stakeholders involved in healthcare service provisioning.

scholarly journals Addressing equity in eHealth interventions for healthcare system users & patients, literature review

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
V Ramel
Keyword(s):  
Health Promotion ◽  
Literature Review ◽  
Conceptual Framework ◽  
Conceptual Model ◽  
Healthcare System ◽  
Digital Health ◽  
Unintended Consequences ◽  
Health Interventions ◽  
Equity Issues ◽  
Ottawa Charter

Abstract Objective eHealth has great potential to improve access to health information and care but important barriers to equity still exist and a real digital divide threatens its use. It is therefore necessary to build a conceptual framework on digital health interventions aiming at promoting equity and to analyse the strategies and recommendations that arise through the literature. Such a conceptual framework has not been identified in the literature yet. Methods We carried out a scoping literature review of the scientific literature since 2000 in Western countries, in Scopus, PubMed, PsycArticles, SocIndex and PBSC. Results Strategies that take into account equity in eHealth for healthcare system users and patients can be presented in light of the five key action areas of the Ottawa Charter for Health Promotion. They deal with the policy level, the individual one, aim at creating supportive environments, at using the community level for eHealth promotion and focus on health services. Individuals-oriented interventions are the most reported, thus revealing a lack of systematic thinking and certainly a lack of understanding of the whole spectrum of health determinants. Conclusions Following Gibbons’ expression of “compunetics” (Information and Communication Technologies & ethics), interventions that truly consider the unintended consequences of eHealth on social and geographic health inequalities are absolutely necessary. The conceptual model analysing the whole literature on this interaction makes it easy to understand the types of interventions that are or could be carried out to tackle equity issues in digital health interventions. Its recommendations become easy to implement in the field and can be extremely helpful for decision-making. Key messages Strategies that take into account equity in eHealth for healthcare system users and patients can be presented in light of the five key action areas of the Ottawa Charter for Health Promotion. The conceptual model we elaborated makes it easy to understand the types of interventions that could be carried out to tackle equity issues in digital health interventions.

scholarly journals A model for national assessment of barriers for implementing digital technology interventions to improve hypertension management in the public health care system in India

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shivani A. Patel ◽  
Kushagra Vashist ◽  
Prashant Jarhyan ◽  
Hanspria Sharma ◽  
Priti Gupta ◽  
...  
Keyword(s):  
Public Health ◽  
Healthcare System ◽  
Digital Health ◽  
District Level ◽  
Health Interventions ◽  
Hypertension Management ◽  
Staff Nurse ◽  
It Infrastructure ◽  
District Hospitals ◽  
Health Centres

Abstract Background There is substantial interest in leveraging digital health technology to support hypertension management in low- and middle-income countries such as India. The potential for healthcare infrastructure and broader context to support such initiatives in India has not been examined. We evaluated existing healthcare infrastructure to support digital health interventions and examined epidemiologic, socioeconomic, and geographical contextual correlates of healthcare infrastructure in 544 districts covering 29 states and union territories across India. Methods The study was a cross-sectional analysis of India’s Fourth District Level Household and Facility Survey (DLHS-4; 2012–2014), the most up-to-date nationally representative district-level healthcare infrastructure data. Facilities were the unit of analysis, and analyses accounted for clustering within states. The main outcome was healthcare system infrastructural context to implement hypertension management programs. Domains included diagnostics (functional BP instrument), medications (anti-hypertensive medication in stock), essential clinical staff (e.g., staff nurse, medical officer, pharmacist), and IT specific infrastructure (regular power supply, internet connection, computer availability). Descriptive analysis was conducted for infrastructure indicators based on the Indian Public Health Standards, and logistic regression was conducted to estimate the association between epidemiologic and geographical context (exposures) and the composite measure of healthcare system. Results Data from 32,215 government facilities were analyzed. Among lowest-tier subcenters, 30% had some IT infrastructure, while at the highest-tier district hospitals, 92% possessed IT infrastructure. At mid-tier primary health centres and community health centres, IT infrastructure availability was 28 and 51%, respectively. For all but sub-centres, the availability of essential staff was lower than the availability of IT infrastructure. For all but district hospitals, higher levels of blood pressure, body mass index, and urban residents were correlated with more favorable infrastructure. By region, districts in Western India tended towards having the best prepared health facilities. Conclusions IT infrastructure to support digital health interventions is more frequently lacking at lower and mid-tier healthcare facilities compared with apex facilities in India. Gaps were generally larger for staffing than physical infrastructure, suggesting that beyond IT infrastructure, shortages in essential staff impose significant constraints to the adoption of digital health interventions. These data provide early benchmarks for state- and district-level planning.

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