scholarly journals Digital Health Tools For The Management Of Non-Communicable Diseases During And After The Covid-19 Pandemic: Perspectives From Patients And Caregivers (Preprint)

2020 ◽  
Author(s):  
Alessandro Monaco ◽  
Katie Palmer ◽  
Nicolaj Holm Ravn Faber ◽  
Irene Kohler ◽  
Mitchell Silva ◽  
...  
Keyword(s):  
Digital Health ◽  
Communicable Diseases ◽  
Advisory Board ◽  
Design Development ◽  
Multiple Perspectives ◽  
Public And Private ◽  
Non Communicable Diseases ◽  
Partnership Model ◽  
Public And Private Sector ◽  
Effective Models

BACKGROUND The reduction of face-to-face medical examinations for patients with non-communicable diseases (NCDs) during the first wave of the COVID-19 pandemic, has led to healthcare professionals (HCPs) quickly adopting different strategies to communicate and monitor their patients, including the increased use of digital health tools. However, patient preferences, privacy concerns, lack of regulations or over-regulation, and insufficient evidence on the efficacy of these methods may have hampered the potential positive benefits of using such tools to manage NCDs. OBJECTIVE The current paper aims to discuss the output of an Advisory Board; specifically, to present the view of patients and caregivers on the role of digital health tools during and after the COVID- 19 pandemic for managing NCD patients, and identify future directions from the patients’ perspectives. METHODS As an initiative under the NCD Partnership model of Upjohn, a virtual Advisory Board with patient and caregiver advocates was held on July 28th 2020 to bring together key stakeholders from the public and private sector. RESULTS Several key themes emerged: 1) technology developers should understand that the goals of patients may differ from HCPs and other stakeholders' perspectives; 2) patients, HCPs, caregivers, and other end users need to be involved in the development of digital health solutions in the earliest phase possible to guarantee usability, efficacy, and adoption; 3) tools must be better tailored for people with complex conditions such as multimorbidity, older age, and cognitive or sensory impairment; 4) some patients do not want (or are unable) to utilize digital healthcare solutions, so adequate alternatives should always be available. CONCLUSIONS There was consensus that public-private partnership models such as the Upjohn NCD Partnership, can be effective models to foster innovation by synthetizing multiple perspectives, including patients, in the design, development, and implementation of digital (and non-digital) health tools, with the main overall objective of improving the life of NCD patients. CLINICALTRIAL N/A

scholarly journals Digital Health Tools for Managing Noncommunicable Diseases During and After the COVID-19 Pandemic: Perspectives of Patients and Caregivers

10.2196/25652 ◽  
2021 ◽  
Vol 23 (1) ◽  
pp. e25652
Author(s):  
Alessandro Monaco ◽  
Katie Palmer ◽  
Nicolaj Holm Ravn Faber ◽  
Irene Kohler ◽  
Mitchell Silva ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Digital Health ◽  
Advisory Board ◽  
Noncommunicable Diseases ◽  
Design Development ◽  
Multiple Perspectives ◽  
Public And Private ◽  
Face To Face ◽  
Effective Models

Background A reduction in the number of face-to-face medical examinations conducted for patients with noncommunicable diseases (NCDs) during the first wave of the COVID-19 pandemic has led to health care professionals quickly adopting different strategies to communicate with and monitor their patients. Such strategies include the increased use of digital health tools. However, patient preferences, privacy concerns, a lack of regulations, overregulation, and insufficient evidence on the efficacy of digital health tools may have hampered the potential positive benefits of using such tools to manage NCDs. Objective This viewpoint aims to discuss the views of an advisory board of patient and caregiver association members. Specifically, we aim to present this advisory board’s view on the role of digital health tools in managing patients with NCDs during and after the COVID-19 pandemic, and to identify future directions based on patients’ perspectives. Methods As an initiative under the NCD Partnership (PARTners in Ncds Engage foR building Strategies to improve Healthy ageing In Patients) model of Upjohn, a web-based advisory board of patient and caregiver advocates was held on July 28, 2020, to bring together key stakeholders from public and private sectors. Results The following key themes emerged: (1) technology developers should understand that the goals of patients may differ from those of health care professionals and other stakeholders; (2) patients, health care professionals, caregivers, and other end users need to be involved in the development of digital health tools at the earliest phase possible, to guarantee usability, efficacy, and adoption; (3) digital health tools must be better tailored to people with complex conditions, such as multimorbidity, older age, and cognitive or sensory impairment; and (4) some patients do not want or are unable to use digital health care tools, so adequate alternatives should always be available. Conclusions There was consensus that public-private partnership models, such as the Upjohn NCD Partnership, can be effective models that foster innovation by integrating multiple perspectives (eg, patients’ perspectives) into the design, development, and implementation of digital and nondigital health tools, with the main overall objective of improving the life of patients with NCDs.

scholarly journals Lacking Clarity or Strategic Ambiguity? Comment on "Competing Frames in Global Health Governance: An Analysis of Stakeholder Influence on the Political Declaration on Non-Communicable Diseases"

2021 ◽  
Author(s):  
Angela Carriedo ◽  
Kathrin Lauber ◽  
Margaret M. Miller ◽  
Rob Ralston
Keyword(s):  
Global Health ◽  
Conflicts Of Interest ◽  
Communicable Diseases ◽  
The Political ◽  
Global Health Governance ◽  
Health Governance ◽  
Public And Private ◽  
Non Communicable Diseases ◽  
Multi Stakeholder ◽  
Public And Private Sector

This commentary engages with Suzuki and colleagues’ analysis about the ambiguity of multi-stakeholder discourses in the United Nations (UN) Political Declaration of the 3rd High-Level Meeting of the General Assembly on the Prevention and Control of Non-Communicable Diseases (HLM-NCDs), suggesting that blurring between public and private sector in this declaration reflects broader debates about multi-stakeholder partnerships (MSPs) and public-private partnerships (PPPs) in health governance. We argue that the ambiguity between the roles and responsibilities of public and private actors involved may downplay the role (and regulation) of conflicts of interest (COI) between unhealthy commodity industries and public health. We argue that this ambiguity is not simply an artefact of the Political Declaration process, but a feature of multi-stakeholderism, which assumes that commercial actors´ interests can be aligned with the public interest. To safeguard global health governance, we recommend further empirical and conceptual research on COI and how it can be managed.

scholarly journals PENGEMBANGAN POSBINDU LANSIA DI POSBINDU JERUK DESA CIPAYUNG KECAMATAN CIPUTAT KOTA TANGERANG SELATAN PROPINSI BANTEN

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Nunuk Nugrohowati ◽  
Gatot Soeryo Koesoemo ◽  
Kristin Simanjuntak
Keyword(s):  
Life Expectancy ◽  
Health Workers ◽  
Health Sector ◽  
The Elderly ◽  
Communicable Diseases ◽  
Health Promotion Program ◽  
Public And Private ◽  
Non Communicable Diseases ◽  
Negative Impacts ◽  
Integrated Counseling

The increasing life expectancy of increasing the number of elderly people in Indonesia can have positive and negative impacts. The need for empowerment and enhancing the role of the community as well as empowering the public and private partnerships, for example, Elderly integrated counseling post (Posbindu) who conducts early detection and monitoring of risk factors for non-communicable diseases in an integrated, routine and periodic manner. The development of the Elderly Posbindu in the village of Cipayung, Ciputat sub-district according to the Guidelines, needs to be developed. The formulation and management of the development of the Elderly Posbindu program in Cipayung village, Ciputat District, South Tangerang City. The incomplete Elderly Posbindu Cadre and the completeness of the Posbindu facilities according to the Ministry of Health's instructions encouraged us to develop the elderly Posbindu in Cipayung village, Ciputa District by comparing with the instructions from the Ministry of Health. After discovering the potentials, problems, and challenges in the development of the Posbindu Elderly in this region, we implemented a plan for the development of the elderly Posbindu Jeruk in the form of meeting the limited posbindu facilities, conducting non-communicable diseases counseling and training cadres in blood sugar level checks. The provision of health service facilities encourages the community to raise awareness of healthy lifestyles, invites the involvement of the elderly community in the health promotion program independently so that they become eager to live a healthy life and life expectancy is increased. Improving the quality of health workers in the context of prevention and increasing counseling in the health sector in the context of handling non-communicable diseases.ABSTRAK:Meningkatnya angka harapan hidup menambah jumlah lansia di Indonesia dapat berdampak positif dan negatif. Perlunya pemberdayaan dan peningkatan peran masyarakat serta pemberdayaan kemitraan pemerintah dan swasta, misalnya Posbindu Lansia yang melakukan kegiatan deteksi dini dan pemantauan faktor risiko Penyakit Tidak Menular secara terpadu, rutin, dan periodik. Masih belum terselenggarakannya Posbindu Lansia di desa Cipayung, kecamatan Ciputat sesuai Petunjuk, perlu dibuat pengembangannya. Terumuskannya dan menata laksana pengembangan program  Posbindu Lansia di desa Cipayung Kecamatan Ciputat Kota Tangerang Selatan. Belum lengkapnya Kader Posbindu Lansia dan kelengkapan fasilitas posbindu sesuai petunjuk kemenkes mendorong kami melakukan pengembangan posbindu lansia di desa Cipayung Kecamatan Ciputa dengan cara membandingkan dengan syarat petunjuk dari Kemenkes.  Setelah ditemukan potensi, permasalahan dan tantangan dalam pengembangan Posbindu Lansia di wilayah ini, kami menerapkan rencana pengembangan posbindu lansia Jeruk berupa pemenuhan fasilitas posbindu yang masih terbatas, mengadakan penyuluhan penyakit tidak menular dan melatih kader dalam pemeriksaan kadar gula darah. Penyediaan sarana pelayanan kesehatan mendorong masyarakat meningkatkan kepedulian pola hidup sehat, mengajak keterlibatan masyarakat lansia pada program sosialisasi kesehatan secara mandiri sehingga kembali bersemangat untuk hidup sehat dan angka harapan hidup menjadi meningkat. Meningkatkan kualitas tenaga kesehatan dalam rangka pencegahan serta peningkatan penyuluhan di bidang kesehatan dalam rangka penanggulangan penyakit tidak menular

scholarly journals The Processes of Location Study for Developing Economic Zones under Public Private Partnership Model: Country Study on Bangladesh

2019 ◽  
Author(s):  
Md. Mahmudul Alam ◽  
Abu Rashed
Keyword(s):  
Public Private Partnership ◽  
Public And Private ◽  
Private Partnership ◽  
The Public ◽  
Partnership Model ◽  
The Government ◽  
Location Study ◽  
Public And Private Sector ◽  
Economic Zones ◽  
Capital Intensive

In spite of the complexity in defining the boundary, the concept of Economic Zones (EZ) has been evolved as a way forward for the government of the developing countries for enhancing the national trade. Similarly the recent phenomenon of widespread Public Private Partnership (PPP) practices especially in infrastructure sector is also providing a window to develop many of such economic zones through PPP model as EZ typically is capital intensive. Bangladesh has discrete success both under PPP and EZ regime. However, developing EZ under PPP model has few commercial complexities as both the public and private sector need to bear some roles and obligations one of which is selection of appropriate location for EZ development. The location study for PPP EZ development therefore receives paramount attention both from developer and lenders perspective. Such location study generally is not typical project site study by nature, rather it is more economic concentrated. This paper will try to identify the factors that are essential to consider for conducting these location studies based on the examples of Bangladesh. The paper will also identify the appropriate methods and approaches required for successful EZ development through PPP.

scholarly journals Digital interventions for people living with non-communicable diseases in India: A systematic review of intervention studies and recommendations for future research and development

2019 ◽  
Vol 5 ◽  
pp. 205520761989615 ◽  
Author(s):  
Md Mahbub Hossain ◽  
Samia Tasnim ◽  
Rachit Sharma ◽  
Abida Sultana ◽  
Araish Farzana Shaik ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Intervention Studies ◽  
Digital Health ◽  
Communicable Diseases ◽  
Health Interventions ◽  
Current Evidence ◽  
Future Research ◽  
Non Communicable Diseases ◽  
Digital Interventions

Background A high burden of non-communicable diseases (NCDs) is contributing to high mortality and morbidity in India. Recent advancements in digital health interventions, including mHealth, eHealth, and telemedicine, have facilitated patient-centered care for NCDs. Objective This systematic review aims to evaluate the current evidence on digital interventions for people living with NCDs in India and the outcomes of those interventions. Methods We adopted PRISMA guidelines and systematically reviewed articles from MEDLINE, CINAHL, PsycINFO, ERIC, and Scopus databases with following criteria: journal articles presenting digital intervention(s) used by people with at least one of the NCDs, reporting health outcomes following the intervention, studies conducted in India among Indian population. Results Among 1669 articles retrieved from multiple sources, only 13 articles met our criteria. Most ( n = 7) studies were conducted in southern states of India; eight studies included patients with diabetes, followed by neuropsychiatric disorders and other NCDs. Five studies recruited participants from tertiary hospitals; six interventions used text-messaging for delivering health services, and 10 studies reported randomized controlled trials. All the studies reported positive health outcomes following the intervention, including better self-management, increased patient–provider communication, improved medication adherence, and reduced disease symptoms. Most studies scored moderate to high in quality assessment checklist of Downs and Black. Conclusion Current evidence suggests a low number of interventions with positive outcomes. Future research should explore avenues of advanced technologies ensuring equitable and sustainable development of digital health interventions for people living with NCDs in India.

scholarly journals Accessing medicines for non-communicable diseases: Patients and health care workers’ experiences at public and private health facilities in Uganda

PLoS ONE ◽  
2020 ◽  
Vol 15 (7) ◽  
pp. e0235696 ◽  
Author(s):  
Andrew K. Tusubira ◽  
Ann R. Akiteng ◽  
Brenda D. Nakirya ◽  
Ritah Nalwoga ◽  
Isaac Ssinabulya ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Communicable Diseases ◽  
Health Facilities ◽  
Public And Private ◽  
Non Communicable Diseases ◽  
Care Workers

scholarly journals Artificial Intelligence Solutions to Increase Medication Adherence in Patients With Non-communicable Diseases

2021 ◽  
Vol 3 ◽  
Author(s):  
Aditi Babel ◽  
Richi Taneja ◽  
Franco Mondello Malvestiti ◽  
Alessandro Monaco ◽  
Shaantanu Donde
Keyword(s):  
Artificial Intelligence ◽  
Medication Adherence ◽  
Data Storage ◽  
Digital Health ◽  
Patient Empowerment ◽  
Communicable Diseases ◽  
Future Research ◽  
Non Communicable Diseases ◽  
Health Technologies ◽  
Systems Research

Artificial intelligence (AI) tools are increasingly being used within healthcare for various purposes, including helping patients to adhere to drug regimens. The aim of this narrative review was to describe: (1) studies on AI tools that can be used to measure and increase medication adherence in patients with non-communicable diseases (NCDs); (2) the benefits of using AI for these purposes; (3) challenges of the use of AI in healthcare; and (4) priorities for future research. We discuss the current AI technologies, including mobile phone applications, reminder systems, tools for patient empowerment, instruments that can be used in integrated care, and machine learning. The use of AI may be key to understanding the complex interplay of factors that underly medication non-adherence in NCD patients. AI-assisted interventions aiming to improve communication between patients and physicians, monitor drug consumption, empower patients, and ultimately, increase adherence levels may lead to better clinical outcomes and increase the quality of life of NCD patients. However, the use of AI in healthcare is challenged by numerous factors; the characteristics of users can impact the effectiveness of an AI tool, which may lead to further inequalities in healthcare, and there may be concerns that it could depersonalize medicine. The success and widespread use of AI technologies will depend on data storage capacity, processing power, and other infrastructure capacities within healthcare systems. Research is needed to evaluate the effectiveness of AI solutions in different patient groups and establish the barriers to widespread adoption, especially in light of the COVID-19 pandemic, which has led to a rapid increase in the use and development of digital health technologies.

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