IOT-Based Smart Healthcare System: A Review on Constituent Technologies

Author(s):  
Manju Lata Sahu ◽  
Mithilesh Atulkar ◽  
Mitul Kumar Ahirwal

The revolution in the Internet of Things (IoT) is redesigning and reshaping the healthcare system technologically, economically and socially. The emerging and rapidly growing IoT-based Smart Healthcare System (SHCS) is seen as a sustainable solution to reduce the burden on the existing healthcare system due to increasing diseases and limited medical infrastructure. IoT-based SHCS plays a vital role in delivery of healthcare services in rural and remote areas where the essential medical amenities, necessary infrastructures and qualified medical practitioners are not available. Therefore, in this paper, a comprehensive investigation of futuristic IoT-based SHCS and its constituents is presented. This paper provides exhaustive review on different techniques and technologies dealing with smart healthcare framework, physiological sensing, signal processing, data communication, cloud computing and data analytics used in IoT-based SHCS. A comparative analysis of existing literature has been carried out to identify the recent trends and advancements in this very dynamic field of global importance. In addition to this, it highlights different issues and challenges, along with the recommendation for further research in the field. The prime objective of this paper is to deliver the state-of-the-art understanding and update about IoT-based SHCS and its constituents by providing a good source of information to the researchers, service providers, technologists, medical practitioners and the general population.

Author(s):  
Subhas C. Misra ◽  
Sandip Bisui

Personalized Medicine (PM) is an emerging concept in the modern healthcare system and can play a vital role in modern healthcare management. If this concept can be adopted and implemented in a proper manner, the entire healthcare system will attain an elevated dimension. However, there exist many difficulties in adopting personalized healthcare system. An attempt has been made in this paper to present the data obtained through survey that has been conducted amongst a group of medical practitioners and a group of patients. The data collected have then been analysed by resorting to statistical techniques. The study shows that despite many personalized medicines have been discovered for use, it is difficult to adopt the personalized medicare system due to lack of adequate infrastructures, healthcare record system, communication among the medical doctors and genomic researchers, awareness and encouragement of common people, proper training of medical doctors, and confidentiality of the patients.


With an enhancement in technology and development of sensors, they have decided to concern the latest technology in particular areas to increases the Quality of their life. One of the important section of research that has seen an agreement of the latest technology is the healthcare. the people who need healthcare services they have to suffer for long process, to reduce the problem As a result, basically this complete technology would try to resole the healthcare issues. The main goal of the project is to develop a remote healthcare system. It have three main parts. The first and most important section in this process is to detecting the patient current health status using this sensors. second important thing is sending data to cloud storage and the last section is to get the detected data for remote viewing. Remote viewing of the data provided to the doctor will able to monitor a patients health progress aboard from hospital places. The Edge-Cognitive- Computing-based (ECC-based) smart healthcare system. This technology is able to check also distinguish and detect the current status of patient using this sensors. It also accommodate the computing resource appropriation of the complete edge computing network expansive to the health different percentage of each user. The experiments show that the ECC-based healthcare system provide a exceed user background and try to improvement the computing resources moderately, as well as consequentially improving in the durability rates of patients in emergency


2021 ◽  
Author(s):  
Tanja Schwarz ◽  
Andrea E. Schmidt ◽  
Julia Bobek ◽  
Joy Ladurner

Abstract Background: There is a growing interest in redesigning healthcare systems to increase access to and coordination across care settings for people with chronic conditions. We aim to promote patient-centredness by gaining a better understanding of the barriers faced by (1) children with chronic bronchial asthma, (2) adults with non-specific chronic back pain, and (3) older people with pre-existing mental illness/es while addressing the problem of fragmentation in Austria’s healthcare system.Methods: Using a qualitative design, we conducted semi-structured interviews face-to-face and by telephone with health service providers, researchers, experts by experience (e.g., patient advocates, family members/carers), and employees in public health administration between July and October 2019. The analysis and interpretation of data were guided by Levesque’s model of access, a conceptual framework used to evaluate access broadly according to five dimensions of accessibility to care: approachability, acceptability, availability and accommodation, affordability, and appropriateness.Results: The findings from the 25 expert interviews were organised within Levesque’s conceptual framework in four dimensions of barriers. They highlight the lack of coordination and defined patient pathways, particularly at the onset of the condition, when seeking a diagnosis, but also later on. Barriers related to issues such as geography (e.g., longer distances and travel times as well as fewer healthcare services in remote rural regions), coordination of care (e.g., structural barriers and inconsistent care pathways), socioeconomic status (e.g., the ability to pay for healthcare services but also basic health literacy), and comorbidity (e.g., consideration of the patients’ state of mental health and holistic therapy approaches).Conclusions: Barriers to healthcare access are of particular concern for patients with chronic conditions, resulting in an urgent need to improve health services according to patients’ specific needs. For health services to be properly accessible, timely and integrated care independent of social and economic resources, continuity of care, and significant improvements in patient-centred communication and coordination of care are paramount. This study has important implications for policy and practice as it highlights provider, expert, and researcher perspectives on access to the healthcare system in Austria and offers a broader look at the changes required by stakeholders in the future.


Author(s):  
Maria S. Y. Hung ◽  
Stanley K. K. Lam

Global increases in both population size and ageing have led to a drastic expansion in the demand for healthcare services. The shortage of nursing workforce capacity continues, posing immense challenges for the global healthcare system. We aimed to identify the antecedents and contextual factors that contribute to the decisions of occupational turnover from the clinical duties of registered nurses in public hospitals in Hong Kong. A qualitative descriptive design was used in this study. A total of 18 registered nurses who had resigned from public hospitals in Hong Kong and changed their occupations were recruited via convenience and snowball sampling methods. Data were collected through individual, semi-structured, and face-to-face interviews and were analyzed according to the content analysis approach. The antecedents and contextual factors that contributed to the registered nurses’ decisions regarding occupational turnover were identified from the collected data. These factors were classified into three overarching categories: (1) job dissatisfaction due to a tense work environment, (2) low motivation due to limited career opportunities, and (3) inadequate communication due to ineffective leadership. The identification of these antecedents and contextual factors could help healthcare service providers to develop strategies to enhance nurses’ commitment and engagement in their positions and eventually improve their retention. Based on these factors, healthcare sector policy makers could consider incorporating appropriate strategies into healthcare system policy.


2017 ◽  
Vol 41 (S1) ◽  
pp. S35-S35
Author(s):  
M. Schouler-Ocak

With growing globalisation and an increasing number of people on the move across boundaries, it has become vital that service providers, policy makers and mental health professionals are aware of the different needs of the patients they are responsible. One of the most fundamental barriers for migrants, refugees and asylum seekers in accessing health services are inadequate legal entitlement and, mechanisms for ensuring that they are well known and respected in practice. Access to the healthcare system is impeded by language and cultural communication problems. Qualified language and cultural mediators are not widely available, and moreover, are not regularly asked to attend. This can lead to misunderstandings, misdiagnosis and incorrect treatment, with serious consequences for the afflicted. The language barrier represents one of the main barriers to access to the healthcare system for people who do not speak the local language; indeed, language is the main working tool of psychiatry and psychotherapy, without which successful communication is impossible. Additionally, the lack of health literacy among the staff of institutions, which provide care for refugees and asylum seekers means that there is a lack of knowledge about the main symptoms of common mental health problems among these groups. The healthcare services, which are currently available, are not well prepared for these increasing specific groups. In dealing with ethnic minorities, including asylum seekers and refugees, mental healthcare professionals need to be culturally competent.In this talk, main models for providing mental health care for migrants and refugees will be presented and discussed.Disclosure of interestThe author has not supplied his declaration of competing interest.


2018 ◽  
Vol 237 ◽  
pp. 108-130
Author(s):  
Armin Müller

AbstractChina's healthcare system is governed by institutions that are mutually incompatible. Although healthcare providers are supposed to offer affordable curative care services and engage in public health and administrative work, they receive insufficient financial support from the state and rely on generating informal profits and grey income. The “institutional misfit” between this public welfare mandate and medical service providers’ market orientation is particularly pronounced in the case of township health centres (THCs), a generalist type of healthcare provider with a key role in China's healthcare system. Based on fieldwork in four county-level jurisdictions, this study explores how local governments and THCs interact to cope with institutional misfit. It sheds light on a large variety of informal practices pertaining to human resources, healthcare services, drug procurement, health insurance and capital investment. Local governments deliberately neglect regulatory enforcement and collude with THCs to generate informal profits, behaviour which undermines service quality and increases healthcare costs. The study also shows that while the New Healthcare Reform altered the informal and collusive practices, it has failed to harmonize the underlying institutional misfit. To date, we see only a reconfiguration rather than an abandoning of informal practices resulting from recent healthcare reforms.


2020 ◽  
Author(s):  
M.L Rao ◽  
Gulraiz JJ ◽  
A Farooq ◽  
Saad Rehman

Internet of Medical Things (IOMT) is playing vital role in healthcare industry to increase the accuracy, reliability and productivity of electronic devices. Researchers are contributing towards a digitized healthcare system by interconnecting the available medical resources and healthcare services. As IOT converge various domains but our focus is related to research contribution of IOT in healthcare domain. This paper presents the peoples contribution of IOT in healthcare domain, application and future challenges of IOT in term of medical services in healthcare. We do hope that this work will be useful for researchers and practitioners in the field, helping them to understand the huge potential of IoT in medical domain and identification of major challenges in IOMT. This work will also help the researchers to understand applications of IOT in healthcare domain. This contribution will help the researchers to understand the previous contribution of IOT in healthcare industry.


Sensors ◽  
2021 ◽  
Vol 21 (15) ◽  
pp. 5035
Author(s):  
Alan Litchfield ◽  
Arshad Khan

The study presents a blockchain-based incentive mechanism intended to encourage those in underserved communities to engage with healthcare services. The smart healthcare system, which is the result of the amalgamation of advanced technologies, has emerged recently and is increasingly seen as essential to meet the needs of modern society. An important part of the healthcare system is the prescription management system, but studies show that prescription affordability and accessibility play a part in creating unequal access for underserved communities. This is a form of unequal access that results in those living in underserved communities to become disengaged from accessing healthcare services. In New Zealand, the prescription management system plays a crucial role and this study seeks to address the issue by presenting the BlockPres framework, which uses a novel incentive mechanism to encourage patients to participate and engage with services in order to be rewarded. The blockchain attribute of immutability in BlockPres enhances equality and participation by providing sophisticated authorisation and authentication capabilities for healthcare providers and patients. BlockPres empowers the patient by assigning ownership or control of some patient information to the patient. A simulation is carried out using the Ethereum blockchain and the evaluation of successful transaction completion and superficial performance assessment demonstrates that the blockchain would be sufficient to cope with the needs of a prescription management system. Furthermore, for the simulation, a BlockPres Smart Contract is developed using solidity and implemented in Remix. The Ropsten network is used as the simulation environment and the initial results show that the proposed incentive mechanism mitigates unequal access.


2018 ◽  
Vol 3 (8) ◽  
pp. 25
Author(s):  
Nuraisyah Chua Abdullah ◽  
Herwina Rosnan ◽  
Norzayana Yusof

Malaysia is among the chosen countries for medical tourism due to its excellent healthcare services. Nevertheless, there are concerns if service providers are balancing the local and foreign patient’s demands. Due to the lack of discussion on medical practitioners’ behaviour towards local patients, this paper aims to analyse the similarities and differences of their behaviour on these two groups. Through literature analysis, it is found that unhealthy behaviour towards local patients is profound. Hence, the discussions are hoped to spark the policy-makers’ attention in restructuring the healthcare policy to realign the medical practitioners’ behaviour on both patient groups.eISSN: 2398-4287© 2018. The Authors. Published for AMER ABRA cE-Bsby e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/e-bpj.v3i8.1389


2018 ◽  
Vol 4 (12) ◽  
pp. 47-60
Author(s):  
Nuraisyah Chua Abdullah ◽  
Herwina Rosnan ◽  
Norzayana Yusof

Malaysia is among the selected countries for medical tourism due to its excellent healthcare services. Nevertheless, there are concerns if service providers are balancing the local and foreign patients’ healthcare demands due to the similarities and differences of their behaviour on these two groups. Through literature analysis, it is found the lack of discussion on medical practitioners’ behaviour towards local patients, this paper aims to analyse the that unhealthy behaviour towards local patients is profound. Hence, the discussions are hoped to spark the policy-makers’ attention in restructuring the healthcare policy to realign the medical practitioners’ behaviour on both patient groups. Keywords:Medical Tourism; Healthcare Internationalisation; Medical Practitioners; Local Patients eISSN 2514-751X © 2019. The Authors. Published for AMER ABRAcE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) andcE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. https://doi.org/10.21834/aje-bs.v4i12.338


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