Corona hotels in Israel: Care and abandonment under the auspices of digital medicine

2021 ◽  
pp. 136345932110679
Author(s):  
Shirly Bar-Lev
Keyword(s):  
Social Relations ◽  
Medical Technology ◽  
Digital Health ◽  
Critical Studies ◽  
Digital Medicine ◽  
Hybrid Spaces ◽  
Human Embodiment

Following the onset of the COVID-19 pandemic, Israel established a number of ‘corona hotels’ – hybrid spaces that were neither fully treatment-oriented nor fully incarcerational, in which people known or suspected to be infected with the coronavirus were confined, sometimes for prolonged and indefinite periods. This paper describes the experience of 25 people who were confined in corona recovery and isolation hotels between March and July 2020. The corona hotels exemplify how remote medical technology and digital medicine together enable a new ‘technogeography of care’, where care and abandonment are inextricably linked. The paper adds to the growing number of critical studies on digital health by showing how the employed technologies impact the concepts of human embodiment, subjectivity and social relations, as well as how the occupants negotiated the meaning of these technologies and resisted their effects.

scholarly journals Developing a Novel Measurement of Sleep in Rheumatoid Arthritis: Study Proposal for Approach and Considerations

2021 ◽  
pp. 191-205
Author(s):  
Michelle Crouthamel ◽  
Robert J. Mather ◽  
Suraj Ramachandran ◽  
Kai Bode ◽  
Godhuli Chatterjee ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Drug Development ◽  
Sleep Disturbances ◽  
Digital Health ◽  
The Novel ◽  
Tool Selection ◽  
Health Technologies ◽  
Study Approach ◽  
Digital Medicine ◽  
Regulatory Strategy

The development of novel digital endpoints (NDEs) using digital health technologies (DHTs) may provide opportunities to transform drug development. It requires a multidisciplinary, multi-study approach with strategic planning and a regulatory-guided pathway to achieve regulatory and clinical acceptance. Many NDEs have been explored; however, success has been limited. To advance industry use of NDEs to support drug development, we outline a theoretical, methodological study as a use-case proposal to describe the process and considerations when developing and obtaining regulatory acceptance for an NDE to assess sleep in patients with rheumatoid arthritis (RA). RA patients often suffer joint pain, fatigue, and sleep disturbances (SDs). Although many researchers have investigated the mobility of joint functions using wearable technologies, the research of SD in RA has been limited due to the availability of suitable technologies. We proposed measuring the improvement of sleep as the novel endpoint for an anti-TNF therapy and described the meaningfulness of the measure, considerations of tool selection, and the design of clinical validation. The recommendations from the FDA patient-focused drug development guidance, the Clinical Trials Transformation Initiative (CTTI) pathway for developing novel endpoints from DHTs, and the V3 framework developed by the Digital Medicine Society (DiMe) have been incorporated in the proposal. Regulatory strategy and engagement pathways are also discussed.

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.

Chatbots for Smoking Cessation: Scoping Review (Preprint)

2021 ◽  
Author(s):  
Robyn Whittaker ◽  
Rosie Dobson ◽  
Katie Garner
Keyword(s):  
Smoking Cessation ◽  
Scoping Review ◽  
Text Messaging ◽  
Digital Health ◽  
Mode Of Delivery ◽  
Cochrane Library ◽  
Future Research ◽  
Conversational Agents ◽  
Quit Smoking ◽  
Digital Medicine

BACKGROUND Despite significant progress in reducing tobacco use over the past two decades, tobacco still kills over 8 million people every year. Digital interventions such as text messaging have been found to help people quit smoking. Chatbots, or conversational agents, are newer digital tools that mimic instantaneous human conversation and therefore could extend the effectiveness of text messaging. OBJECTIVE This scoping review aims to assess the extent of research in the chatbot literature for smoking cessation and provide recommendations for future research in this area. METHODS Relevant studies were identified through searches conducted in MEDLINE, APA PsycINFO, Google Scholar and Scopus as well as an additional search on JMIR, Cochrane Library, Lancet Digital Health, and Digital Medicine. Studies were identified if they were conducted with tobacco smokers, were conducted between 2000 to 2021, were available in English and included a chatbot intervention. RESULTS Of the 323 studies identified, 10 studies were included in the review. Some studies noted an improvement in smoking cessation measures. However, the number of studies was limited and most had methodological or quality concerns. CONCLUSIONS More research is needed to make a firm conclusion of the efficacy of chatbots for smoking cessation. Researchers need to provide a more in-depth description of the chatbot functionality, mode of delivery, and theoretical underpinnings. CLINICALTRIAL na

The Prostatic Imperative and the Social Relations of Medical Technology

1997 ◽  
Vol 13 (4) ◽  
pp. 602-612 ◽  
Author(s):  
Evan Willis
Keyword(s):  
Prostate Cancer ◽  
Prostate Specific Antigen ◽  
Social Relations ◽  
Technology Assessment ◽  
Medical Technology ◽  
Specific Antigen ◽  
Specific Reference ◽  
Sociological Approach ◽  
Psa Testing ◽  
The Social

AbstractA sociological approach to medical technology assessment is outlined in this paper, first in general and then with specific reference to controversies surrounding the use of prostate-specific antigen (PSA) testing to population screening for prostate cancer.

scholarly journals Psychiatric Prescriber Attitudes, Experiences, and Proclivities Toward Digital Medicine and How They Influence Adoption of Digital Medicine Platforms

CNS Spectrums ◽  
2021 ◽  
Vol 26 (2) ◽  
pp. 144-145
Author(s):  
Charles Ruetsch ◽  
Dawn Velligan ◽  
Delbert Robinson ◽  
Chris Jaeger ◽  
William Carpenter ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Medication Adherence ◽  
Learning Style ◽  
Healthcare Cost ◽  
Digital Health ◽  
Opinion Leader ◽  
Test Site ◽  
Self Report ◽  
Uninsured Patients ◽  
Digital Medicine

AbstractBackgroundPsychiatric prescribers typically assess adherence by patient or caregiver self-report. A new digital medicine (DM) technology provides objective data on adherence by using an ingestible event monitoring (IEM) sensor embedded within oral medication to track ingestion. Despite likely clinical benefit, adoption by prescribers will in part depend on attitudes toward and experience with digital health technology, learning style preference (LSP), and how the technology s utility and value are described.Objectiveis to identify attitudes, experiences, and proclivities toward DM platforms that may affect adoption of the IEM platform and provide direction on tailoring educational materials to maximize adoption. Methods A survey of prescribers treating seriously mentally ill patients was conducted to assess drivers/barriers to IEM adoption. Factor analysis was performed on 13 items representing prior experience with and attitudes toward DM. Factor scores were correlated with prescriber characteristics including attitude and experience with digital technologies, LSP, and level of focus on healthcare cost.ResultsA total of 127 prescribers (56% female, 76% physicians, mean age 48.1yrs.) completed the survey. Over 90% agreed medication adherence is important, visits allow enough time to monitor adherence (84.1%), and tailoring treatment to level of adherence would be beneficial (92.9%). The majority (65.9%) preferred relying upon outcomes data as their learning style while 15.9% preferred opinion leader recommendations and 18.3% information about how the technology would affect practice efficiency. Factor analysis revealed four dimensions: Level of comfort with EHR; Concern over current ability to monitor medication adherence; Attitudes about value of DM applications; and Benefits vs cost of DM for payers. Women scored higher on attitudes about the value of digital applications (p<0.01). Providers who perceive non-adherence as costly, and those who believe DM could benefit providers and patients scored higher on the value of DM (p<.05). Those whose LSP focuses on improving efficiency and prescribers with a higher proportion of Medicaid/ uninsured patients displayed concern about their ability to monitor adherence (p<0.05). Willingness to be a Beta Test site for DM applications was positively correlated with concern about their ability to monitor adherence and attitudes about the value of DM (p <0.01).ConclusionsPrescriber characteristics including LSP, focus on healthcare costs, and attitudes toward DM may be related to adoption of the IEM platform. Those with more Medicaid/ uninsured patients were more concerned about ability to monitor adherence while those focused-on cost and benefit to providers and patients viewed DM as part of a solution for managing outcomes and cost. Overall, LSP, patient panel size by payer type, and focus on healthcare cost containment should be considered when developing IEM provider training materials.FundingOtsuka Pharmaceutical Development & Commercialization, Inc.

scholarly journals Social and Managerial Aspects of Using Digital Health Technologies

2021 ◽  
Author(s):  
Valery Igorevich Yudin
Keyword(s):  
Health Care ◽  
Information Technologies ◽  
Administrative Support ◽  
Digital Health ◽  
Health Sector ◽  
Digital Technologies ◽  
Critical Conditions ◽  
Maximum Information ◽  
Health Technologies ◽  
Digital Medicine

The development of the health sector around the world is linked to digital technologies, because there is a need to optimize the processes of medical care for the population. Every year there is an increase in this market by a quarter. The use of digital technologies helps to improve health care. The management and organization system implements unified effective systems using the technological capabilities of digitalization in the health care sector. The relevance of the study is related to the need to change the outdated health management system with access to a modern level of technical and administrative support for medical services.The actual tool of digital medicine is cooperative forms of network interaction. We are exploring the further development of digital medicine in the short term, what opportunities can be presented and what results can be obtained by residents. Network communications play an important role in uniting professional medical communities. More than 65% of people between the ages of 21 and 35 have become participants in network technologies, and their number is constantly increasing. Administrative and management staffs are most active in discussions (43%) on the Internet and all respondents have an idea about telemedicine. Patients have the opportunity to get advice by contacting doctors online. The next stage in the development of information technologies is associated with increasing the speed and volume of transmitted data, which will help to predict critical conditions that threaten the patient’s health as quickly as possible. Now there is a discussion about the possibility of not just consulting, but also making diagnoses when patients contact the doctor, discussing in which cases a personal meeting with the doctor is necessary and under what conditions it is enough to provide maximum information about the state of health for diagnosis. Keywords: digital healthcare, digital technologies, adaptation, medical specialists

scholarly journals Formalization of Technological Processes for Accounting and Storage of Information in a Healthcare Institution

2020 ◽  
pp. 70-78
Author(s):  
O.S. Kovalenko ◽  
◽  
L.M. Kozak ◽  
O.O. Romanyuk ◽  
M. Najafian Tumanjani ◽  
...  
Keyword(s):  
Health Care ◽  
Data Exchange ◽  
Business Processes ◽  
Medical Information ◽  
Digital Health ◽  
General Structure ◽  
Effective Interaction ◽  
Information Flows ◽  
Mobile Medicine ◽  
Digital Medicine

Introduction. To ensure the effective delivery of health services, it is important to provide accessible mechanisms for interaction between different levels of health care and patients. mHealth, eHealth and other technological developments, such as telemedicine, constitute a new digital health paradigm. The purpose of the paper is to develop the formalized components of the digital medicine integrating environment to ensure effective interaction between patients, family physicians and health care workers at various levels. Results. The general structure of information flows of the integrative environment of digital medicine is described and the formalized representation of health care business processes are developed.An analysis of the characteristics of the main actors actively involved in medical care was provided, and the access level to medical information of each participant, which is an obligatory condition, in particular in the case of mobile medicine, was determined. To ensure the storage of this information, an infologicalmodel of the database was developed, indicating the internal links between the blocks of the database. Model elements are defined for each block: classes, attributes and operations (using UML). Conclusions. Formalized representation of eHealth business processes using mHealth reflects the interaction of participants in these processes (patient and different groups of health professionals) and information flows that arise in this interaction. To ensure reliable mechanisms for the digital medical data exchange, access levels were prescribed for each participant included in the eHealth system.

scholarly journals Autotraining using sustainable digital technologies: myth or reality

2021 ◽  
Vol 258 ◽  
pp. 07039
Author(s):  
Margarita Filatova-Safronova ◽  
Daria Kuramshina
Keyword(s):  
Psychological Health ◽  
Digital Health ◽  
Digital Technologies ◽  
Self Confidence ◽  
Self Help ◽  
Digital Medicine ◽  
Multimedia Tool ◽  
Mental Problems ◽  
Training Format ◽  
Health Applications

This study aimed to analyze the possibilities that modern digital technologies offer to the fields of health, psychotherapy, psychology and self-help. A review of various studies in the field of digital medicine with statistical data was conducted. The conclusions that researchers from different countries came to were similar: digital health applications are a practical solution that can be used to improve mental and psychological health. Moreover, digital psychotherapy can serve as a preventive tool to avert the development of mental disorders, increase the ability to deal with stress and mental problems, grow self-confidence, and more. The results of a study that was carried out using a Russian multimedia tool Master Kit are discussed. After using the program for three months, its users advanced in their ability to create an image of the desired outcome (a goal) and develop a plan to reach it. There is a noticeable difference in how goal-oriented the users became and their ability to independently self-train. Experimental data suggest that the tool can be effectively used to form and transform personal beliefs through a self-training format. More than half of the subjects talked about their satisfaction with the method, and more than one-quarter of them noted that their expectations from working with the program were fully satisfied.

Halakha and Patriarchal Motherhood —An Anatomy of the New Israeli Surrogacy Law

1998 ◽  
Vol 32 (1) ◽  
pp. 51-80 ◽  
Author(s):  
Carmel Shalev
Keyword(s):  
20Th Century ◽  
Social Relations ◽  
Medical Technology ◽  
Petri Dish ◽  
Blood Typing ◽  
The Social ◽  
Control And Prevention ◽  
Reproductive Activities ◽  
Legal Procedures

The second half of the 20th century has been a period of innovation in medical technology, with much significance for the social relations of reproduction. The invention of the contraceptive pill changed our attitudes towards the control and prevention of pregnancy, and allowed us to differentiate between female sexual and reproductive activities. The development of blood-typing and genetic tests radically altered the legal procedures for proving paternity, and deeply influenced our understanding of the uncertainty of biological fatherhood. The innovation of various methods of medical imaging gave concrete and human shape to the image of the fetus in its mother's womb. The very moment of conception was transformed, by means of in vitro fertilisation, from a mysterious event taking place in the hidden spaces of a woman's body to an overt and exposed occurrence in a laboratory petri-dish.

scholarly journals ‘Are they out to get us?’ Power and the ‘recognition’ of the subject through a ‘lean’ work regime

2020 ◽  
pp. 017084062091270
Author(s):  
Ewan Mackenzie ◽  
Tom McGovern ◽  
Adrian Small ◽  
Chris Hicks ◽  
Tracy Scurry
Keyword(s):  
Human Capital ◽  
Social Relations ◽  
Professional Autonomy ◽  
Shop Floor ◽  
Critical Studies ◽  
Neoliberal Governmentality ◽  
Worker Health ◽  
Work Intensification ◽  
The Subject ◽  
Lean Methods

Critical studies of ‘lean’ work regimes have tended to focus on the factory shop floor or public and healthcare sectors, despite its recent revival and wider deployment in neoliberal service economies. This paper investigates the politics of the workplace in a United Kingdom automotive dealership group subject to an intervention inspired by lean methods. We develop Foucauldian studies of governmentality by addressing lean as a technology of power deployed to act on the conduct of workers, examining how they debunk, distance themselves from and enact its imperatives. Our findings support critiques of lean work regimes that raise concerns about work intensification and poor worker health. Discourses of professional autonomy allow workers to distance themselves from lean prescriptions, yet they are reaffirmed in their actions. More significantly, we illustrate the exercise of a more encompassing form of power, showing how lean harnesses the inherently exploitable desire for recognition among hitherto marginalised workers, and its role as a form of ‘human capital’. The paper contributes to critical studies of lean by illustrating its subtle, deleterious and persistent effects within the analytical frame of neoliberal governmentality. We also demonstrate how studies of governmentality can be advanced through the analysis of contested social relations on the ground, highlighting the ethico-political potential of Foucauldian work.

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