scholarly journals EmERGE mHealth Platform: Implementation and Technical Evaluation of a Digital Supported Pathway of Care for Medically Stable HIV

Author(s):  
Francisco J. Gárate ◽  
Paloma Chausa ◽  
Jennifer Whetham ◽  
Christopher Iain Jones ◽  
Felipe García ◽  
...  

In this article, we described a new mobile-Health (mHealth) supported clinical pathway of care for people living with medically stable HIV in terms of platform acceptability, usability and technical feasibility. The EmERGE mHealth platform was codesigned with clinicians and the community, developed using Scrum agile methodology, integrated with hospital information systems and validated in a large prospective cohort study of 2251 participants. The evaluation of this new paradigm of care was conducted using a tailored Health Technology Assessment: the Model for Assessment of Telemedicine Applications. Usability and acceptability were assessed through the System Usability Score and a Patient Reported Experience Measure. The EmERGE platform was successfully deployed across diverse care settings in five European countries and used by 2251 patients and more than 20 clinicians for up to 30 months. Results from the formal evaluation demonstrated that the EmERGE platform is feasible and acceptable, with a high level of usability (median System Usability Score (SUS) 85.0%) and very positive patient-reported experiences (94.2% would recommend to a friend). The EmERGE platform is a secure and General Data Protection Regulation (GDPR)-compliant system with a complete set of functionalities that could be easily adapted to other clinical conditions, clinical sites and health systems thanks to its modular technical architecture.

2019 ◽  
Vol 16 (1) ◽  
pp. 158-191 ◽  
Author(s):  
Christopher Kuner

The importance of personal data processing for international organizations (‘IOs’) demonstrates the need for them to implement data protection in their work. The EU General Data Protection Regulation (‘GDPR’) will be influential around the world, and will impact IOs as well. Its application to them should be determined under relevant principles of EU law and public international law, and it should be interpreted consistently with the international obligations of the EU and its Member States. However, IOs should implement data protection measures regardless of whether the GDPR applies to them in a legal sense. There is a need for EU law and international law to take each other better into account, so that IOs can enjoy their privileges and immunities also with regard to EU law and avoid conflicts with international law, while still providing a high level of data protection in their operations.


2018 ◽  
Vol 10 (9) ◽  
pp. 3252 ◽  
Author(s):  
Igor Calzada

Against the backdrop of the General Data Protection Regulation (GDPR) taking effect in the European Union (EU), a debate emerged about the role of citizens and their relationship with data. European city authorities claim that (smart) citizens are as important to a successful smart city program as data and technology are, and that those citizens must be convinced of the benefits and security of such initiatives. This paper examines how the city of Barcelona is marking a transition from the conventional, hegemonic smart city approach to a new paradigm—the experimental city. Through (i) a literature review, (ii) carrying out twenty in-depth interviews with key stakeholders, and (iii) actively participating in three symposiums in Barcelona from September 2017 to March 2018, this paper elucidates how (smart) citizens are increasingly considered decision-makers rather than data providers. This paper considers (i) the implications of the technopolitics of data ownership and, as a result, (ii) the ongoing implementation of the Digital Plan 2017–2020, its three experimental strategies, and the related seven strategic initiatives. This paper concludes that, from the policy perspective, smartness may not be appealing in Barcelona, although the experimental approach has yet to be entirely established as a paradigm.


2020 ◽  
Author(s):  
Irene Kamara

In 2019, the Cybersecurity Act, the EU law aiming to achieve high level of cybersecurity in the Union and Member States, entered into force. The CSA belongs to a broader set of Union laws providing a framework of legal protection of individual and collective rights from harmful use of information and communication technologies. Those laws introduce private law instruments for the achievement of legislative goals.1 Despite the overarching similarities of the regulated fields, the Union legislator adopted seemingly different approaches in introducing private law instruments. The Chapter seeks to comparatively present the certification frameworks as introduced in the Cybersecurity Act and the General Protection Regulation, with the aim to provide an understanding on the legislative choices and the normative, implementation and policy reasons underpinning the introduction of private law instruments in Union laws.


1989 ◽  
Vol 28 (04) ◽  
pp. 124-128 ◽  
Author(s):  
J. Spitz ◽  
N. Clemenz ◽  
K. Tittel ◽  
H. Weigand

In addition to its established oncological indications the sensitivity of bone scintigraphy is of steadily increasing significance in traumatology. Inactivity- induced osteoporosis plays a major role during the immobilization period in the plaster cast. In the region of the joints remodelling intensity may reach such a high level that the non-injured bone shows a higher rate of accumulation than the fracture. This process already begins between the third and fourth week of immobilization. The highest uptake is found after fracture of the scaphoid bone at the end of twelve weeks of immobilization. Control scintigraphies at intervals of several days are indicated to differentiate between various clinical conditions (pseudoarthrosis, activated osteoarthrosis, algodystrophy in case of doubtful x-ray results).


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