scholarly journals Telemonitoring and remote counseling in hypertensive patients. Looking for new ways to do old jobs

2019 ◽  
Vol 25 (4) ◽  
pp. 337-356 ◽  
Author(s):  
М. V. Ionov ◽  
N. Е. Zvartau ◽  
I. V. Emelyanov ◽  
A. О. Konradi

XXI century emphasized humanity to embrace the digital era after a reality of Third and Fourth Industrial Revolutions, nowadays dictating new terms of social networking. It is expected that information and communication technologies integrated with value-based medicine will significantly impact healthcare delivery to tremendous number of patients with socially important noncommunicable diseases. Cardiovascular illnesses comprise the greatest part of such pathologies. Hypertension (HTN) being the most prevalent cardiovascular disease is also the key modifiable cardiovascular risk factor yet seems to be an attractive target for both value-based concept and telehealth interventions. Present review addresses up-to-date science on telehealth, sets out the main well-known, but yet unsolved challenges in management of HTN along with the new approaches involving telemedicine programs, digital health outlooks. The main barriers of telehealth implementation are also considered along with the possible solutions.

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Somesh Nigam

No abstract available. Editor’s Note: This is the second in a series of articles by Dr. Nigam on the use of digital information and communication technologies, commonly referred to as telehealth and telemedicine. In this article the author discusses clinical practice issues and the challenges of regulation and security of digital health information facing society today.


Author(s):  
Adebayo Omotosho ◽  
Peace Ayegba ◽  
Justice Emuoyibofarhe ◽  
Christoph Meinel

Electronic health is one of the most popular applications of information and communication technologies and it has contributed immensely to health delivery through the provision of quality health service and ubiquitous access at a lower cost. Even though this mode of health service is increasingly becoming known or used in developing nations, these countries are faced with a myriad of challenges when implementing and deploying e-health services on both small and large scale. It is estimated that the Africa population alone carries the highest percentage of the world’s global diseases despite its certain level of e-health adoption. This paper aims at analyzing the progress so far and the current state of e-health in developing countries particularly Africa and propose a framework for further improvement.


2000 ◽  
Vol 9 (4) ◽  
pp. 257-270 ◽  
Author(s):  
Raja K. Iyer ◽  
Kakoli Bandyopadhyay

The relentless onslaught of computers and communications technologies has recently descended on the healthcare industry. Fortunately, however, the utilization of technologies in healthcare delivery and administration could not be timelier because of the need to control escalating health costs. While the proliferation of information and communication technologies in healthcare, referred to as health management information systems (HMIS), is certainly long overdue in healthcare organizations (HCOs), it is important to recognize and be prepared for the vulnerabilities of these technologies to natural, technological, and man‐made disasters. This paper describes how HCOs have justifiably become dependent on HMIS and how these organizations may proactively plan for disasters which can impact on HMIS. A phased approach, referred to as the disaster recovery and business continuity (DRBC) planning model, is presented in the paper as an approach to develop and implement business continuity plans in HCOs.


Author(s):  
A. Dwivedi ◽  
T. Butcher

Innovations in information and communication technologies (ICTs) have transformed the manner in which healthcare organizations function. Applications of concepts such as data warehousing and data mining have exponentially increased the amount of information that a healthcare organization has access to. Work flow and associated Internet technologies are being seen as instruments to cut administrative expenses. Specifically designed ICT implementations, such as work flow tools, are being used to automate the electronic paper flow in a managed care operation, thereby cutting administrative expenses (Dwivedi, Bali, & Naguib, 2005, p. 44; Latamore, 1999). These recent innovations in the use of ICT applications in a healthcare context have altered the manner in which healthcare institutions exploit clinical and nonclinical data. The pendulum has shifted from the early 1980s, wherein the emphasis of ICT solutions for healthcare was on storage of data in an electronic medium, the prime objective of which was to allow exploitation of this data at a later point in time. As such, most of the early 1980s ICT applications in healthcare were built to provide support for retrospective information retrieval needs and, in some cases, to analyze the decisions undertaken. Clinical data that was traditionally used in a supportive capacity for historical purposes has today become an opportunity that allows healthcare stakeholders to tackle problems before they arise (Dwivedi et al., 2005).


2017 ◽  
pp. 97-109
Author(s):  
Kelvin J. Bwalya

Information and Communication Technologies (ICTs) are being embedded into healthcare system front-end and back-end platforms both in the developing and developing world contexts in ways unimaginable 20 years ago. This trend has brought about ubiquity culminating into spatial-temporal healthcare delivery models where health practitioners and patients do not need to be simultaneously in the same physical domain in order for healthcare to be delivered. This chapter presents a development projectile of healthcare systems and explores interventions and current trends in pervasive healthcare delivery systems and makes a prognosis of what is to come in future. The first parts of the chapter generally present formulaic concepts about telemedicine. The chapter is hinged on literature and document reviews focussing on innovations in telemedicine and gives a commentary on what needs to be done to achieve true ubiquity in healthcare delivery systems both in the developing and developed world contexts. The chapter posits that pervasiveness will be highly enshrined into healthcare systems to a point where physicians will not have to leave their working space to provide a service. The design of the Defibrillator Drone, for example, provides an opportunity for healthcare application developers to develop information system applications which do not only carry medical supplies from one place to the other, but are able to reason and prescribe medications. With acute advances in the science of robotics and ICTs in general, this is a reality in the foreseeable future.


Author(s):  
Pirkko Nykanen

E-health refers to use of information and communication technologies to improve or enable health and healthcare. E-health broadens the scope of healthcare delivery; citizens are in the center of services and services are offered by information systems often via the Internet. In this chapter e-health systems are classified on the basis of their use and their functionality and the use is discussed from the viewpoints of citizens and health professionals. Citizens are increasingly using Internet and e-health systems to search for medicine or health-related information, and they become better informed and may take more responsibility of their own health. Health professionals are more reluctant to use the Internet and e-health systems in physician-patient communication due to the power and responsibility problems of decisions. In the future the sociotechnical nature of e-health should be considered and future systems developed for real use and user environment with user acceptable technology.


2013 ◽  
Vol 35 (1) ◽  
pp. 179-189 ◽  
Author(s):  
Bartosz Pędziński ◽  
Paweł Sowa ◽  
Waldemar Pędziński ◽  
Michalina Krzyżak ◽  
Dominik Maślach ◽  
...  

Abstract Despite the great expansion and many benefits of information and communication technologies (ICT) in healthcare, the attitudes of Polish general practitioners (GPs) to e-health have not been explored. The aim of this study was to determine the GPs’ perception of ICT use in healthcare and to identify barriers to the adoption of EMR (Electronic Medical Records) in the Podlaskie Voivodeship. Online and telephone surveys were conducted between April and May 2013. Responses from 103 GP practices, 43% of all practices in the region, were analysed. The results showed that 67% of the respondents agreed that IT systems improve quality of healthcare services. In the GP group who declared at least partial EMR implementation, 71.4% see the positive impact of IT on practice staff processes and 66.1% on personal working processes. In this group, more than three-quarters of GPs did not see any positive impact of ICT on the average number of patients treated per day, number of patients within the practice or scope of services. The four most common barriers to EMR implementation were: lack of funds, risk of a malfunction in the system, resistance to change, and lack of training and proper information. Although the use of ICT by Polish GPs is limited, their attitude to e-health is generally positive or neutral and resembles the overall pattern in Europe. Barriers identified by GPs need to be taken into account to ensure the effective implementation of e-health across the country.


2008 ◽  
Vol 13 (1) ◽  
pp. 169-175
Author(s):  
Robert Łuczak

Abstract As number of studies show, Information and Communication Technologies (ICT) have become important factor of economic activity worldwide. This article presents a proposal of a theoretical approach to contemporary geography of economic activity – a phenomena narrowed here to business processes usually referred to as information or knowledge-based sector of the economy. The reasoning is based on a theoretical model presented by Michael Storper that has been developed further. The output shows the existence of a distinctive paradox of digital era: the ICT potentially being able to overcome spatial barriers, lead to refocusing on spatial dimension of business. It is concluded that ICT introduce new dimension of division of business process and labor, namely a spatial one. It is leading to worldwide reconfiguration of the geography of economic activity developed under fordist regime of production – hitherto separate areas and territories are being transformed into network economy of distant yet linked places.


2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Bustanul Arifin ◽  
Amirah Ulfah

<p>The development of Information and Communication Technologies (ICTs) has brought many fundamental changes in the political practices. One of the main essential aspects of ICTs is internet. This internet plays an important role in developing the information age. Therefore, the information age contributes to the way in which we effectively and efficiently create and consume the information. In this research, we focus to see the role of technology that drives to the practice of netpolitik by both the public and political actors in Indonesia. Netpolitik itself is the combination between internet and politic. Then, we analyze how netpolitik is influencing and changing the political situation in Indonesia during the recent time. Then, we put several aspects in order to see the effects driven by the netpolitik. Finally, we conclude the research by a finding stating that the netpolitik has done a political transformation in Indonesia and it becomes a core engine in determining the behaviour of political actor and audiences.</p><p><strong><em>Keywords:</em></strong><em> Internet, Netpolitik, Public, Political Actors, ICTs, Digital Era, Transformation, and Indonesia</em></p>


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