Telemedicine technologies as a tool to increase the availability of health care for the population at the present stage: key problems and development prospects

Telemedicine is the remote provision of medical services to patients and continuing education for health workers as part of digital healthcare. In 2019 the telemedicine market was estimated at 37.4 billion US dollars, the expected growth by 2022 could reach more than 18% annually. Many countries spend significant funds on the development and production of digital medical technology with the ability to transfer data. In most countries of the EU, telemedicine is an auxiliary technology in the implementation of medical care. In the EU there are no common standards in the field of telemedicine services and common approaches to determining the content of telemedicine. In a number of countries, including the Russian Federation, the main limiting factor hindering the development of telemedicine is the financial issue due to the high cost of telemedicine technologies and the underdevelopment of technical equipment. An urgent issue is the protection of patient privacy and confidentiality. The regulatory framework for digital healthcare in Russia is poorly developed and requires significant additions. Today, the main problem for medical organizations that are going to provide services through telemedicine is the need to use a unified system of identification and authentication of participants. Significant legislative work is required to remove barriers to the further development of digital health.

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Genetic-Mathematical Modeling of Population Interaction, New Psychoneuroimmunoendocrinology and Psychoneuroimmunology

Bulletin of Science and Practice ◽

10.33619/10.33619/2414-2948/60/09 ◽

2020 ◽

Vol 6 (11) ◽

pp. 85-103

Author(s):

V. Volobuev ◽

A. Kolsanov ◽

N. Romanchuk ◽

D. Romanov ◽

I. Davydkin ◽

...

Keyword(s):

Differential Equations ◽

Temporal Dynamics ◽

Homo Sapiens ◽

Digital Health ◽

Mathematical Problem ◽

Human Liver Cells ◽

Interaction Solutions ◽

Population Interaction ◽

Further Development ◽

Digital Healthcare

Modern digital healthcare, biophysics and biology create new problems that stimulate the development of a new biophysical circuit and mathematical models from nuclear fusion (nuclear medicine) to genomic cell-organizational prognosis in neurophysiology, neuroendocrinology, psychoneuroimmunology and psychoneuroimmunoendocrinology. In this case, the following are effectively used: deterministic, stochastic, hybrid, multiscale modeling methods, as well as analytical and computational methods. The solution of a genetical-mathematical problem of interaction of cages of human population and virus population in relation to COVID-19 pandemic problem is submitted. A mathematical model based on the Hardy-Weinberg law is used, consisting of two interdependent differential equations. The equations reflect the temporal dynamics of the cells of human and viral populations during their interaction. Solutions of differential equations were found and the results of these solutions were analyzed. The pandemic duration is estimated using parameters of human liver cells and influenza virus. Perspective of further development of psychoneuroimmunology as interdisciplinary science, through algorithms and routing of digital health care, with expansion of psychoneurocommunications of professional interests in medicine, economics, sociology, cultural studies is shown. Modern neurobes and neuromarketing are built around Homo sapiens within a “reasonable environment” — a healthy individual space.

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Thematic Priorities For Sustainable Development of Ukraine-Romania Cross-Border Cooperation (The Case Study of Chernivtsi Region)

Історико-політичні проблеми сучасного світу ◽

10.31861/mhpi2020.41.205-219 ◽

2020 ◽

pp. 205-219

Author(s):

Valentyna Bohatyrets ◽

Liubov Melnychuk ◽

Yaroslav Zoriy

Keyword(s):

Foreign Policy ◽

Quantitative Research ◽

Legal Framework ◽

Cultural Development ◽

Cross Border ◽

Strategic Orientations ◽

The Impact ◽

Further Development ◽

Cross Border Cooperation ◽

The Eu

This paper seeks to investigate sustainable cross-border cooperation (CBC) as a distinctive model of interstate collaboration, embedded in the neighboring borderland regions of two or more countries. The focus of the research revolves around the establishment and further development of geostrategic, economic, cultural and scientific capacity of the Ukrainian-Romanian partnership as a fundamental construct in ensuring and strengthening the stability, security and cooperation in Europe. This research highlights Ukraine’s aspirations to establish, develop and diversify bilateral good-neighborly relations with Romania both regionally and internationally. The main objective is to elucidate Ukraine-Romania cross-border cooperation initiatives, inasmuch Ukraine-Romania CBC has been stirring up considerable interest in terms of its inexhaustible historical, cultural and spiritual ties. Furthermore, the similarity of the neighboring states’ strategic orientations grounds the basis for development and enhancement of Ukraine-Romania cooperation. The authors used desk research and quantitative research to conclude that Ukraine-Romania CBC has the impact not only on the EU and on Ukraine multi-vector foreign policy, but it also has the longer-term global consequences. In the light of the current reality, the idea of introducing and reinforcing the importance of Cross-Border Cooperation (CBC) sounds quite topical and relevant. This research considers a number of explanations for Ukraine-Romania Cross-Border Cooperation as a key element of the EU policy towards its neighbors. Besides, the subject of the research is considered from different perspectives in order to show the diversity and complexity of the Ukraine-Romania relations in view of the fact that sharing common borders we are presumed to find common solutions. As the research has demonstrated, the Ukraine-Romania cross border cooperation is a pivotal factor of boosting geostrategic, economic, political and cultural development for each participant country, largely depending on the neighboring countries’ cohesion and convergence. Significantly, there is an even stronger emphasis on the fact that while sharing the same borders, the countries share common interests and aspirations for economic thriving, cultural exchange, diplomatic ties and security, guaranteed by a legal framework. The findings of this study have a number of important implications for further development and enhancement of Ukraine-Romania cooperation. Accordingly, the research shows how imperative are the benefits of Romania as a strategic partner for outlining top priorities of Ukraine’s foreign policy.

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AVADAR Application: a learning model for designing a mobile-based disease surveillance system using participatory community reporting in Africa (Preprint)

10.2196/preprints.17440 ◽

2019 ◽

Cited By ~ 1

Author(s):

Godwin Akpan ◽

Johnson Muluh Ticha ◽

Lara M.F. Paige ◽

Daniel Rasheed Oyaole ◽

Patrick Briand ◽

...

Keyword(s):

Community Participation ◽

Surveillance System ◽

Disease Surveillance ◽

Health Workers ◽

Digital Health ◽

Black Box ◽

Project Planning ◽

Acceptance Testing ◽

Surveillance Strategy ◽

Design And Implementation

BACKGROUND Acute Flaccid Paralysis (AFP) surveillance is the bedrock of polio case detection. The Auto Visual AFP Detection and Reporting (AVADAR) is a digital health intervention designed as a supplemental community surveillance system. OBJECTIVE This paper describes the design and implementation process that made AVADAR a successful disease surveillance strategy at the community level. METHODS This paper outlines the methods for the design and implementation of the AVADAR application. It explains the co-design of the application, the implementation of a helpdesk support structure, the process involved in trouble shooting the application, the benefits of utilizing a closed user group for telecommunication requirements, and the use of a consented video. We also describe how these features combined led to user acceptance testing using black box methodology. RESULTS A total of 198 community informants across two provinces, four districts and 32 settlements were interviewed about application performance, usability, security, load, stress and functionality testing black box components. The responses showed most community participants giving positive reviews. Data from the Blackbox testing yielded optimum acceptance ratings from over 90% of the users involved in the testing. A total of 22380 AFP Alerts were sent out by community informants and 21589 (95%) were investigated by health workers or WHO AVADAR coordinators. Overall there was 93% assimilation at regional level. About 83% of investigations were done in the vicinity of the alerts in 2018 compared to 77% in 2017. CONCLUSIONS AVADAR implementation model offers a simplistic step by step model that includes community participation as an integral tool for the successful deployment of a mobile based surveillance reporting tool. AVADAR can be a veritable source of project planning data and a mobile application for other interventions that target using community participation to influence health outcomes.

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Mobile health messaging service and helpdesk for South African mothers (MomConnect): history, successes and challenges

BMJ Global Health ◽

10.1136/bmjgh-2017-000559 ◽

2018 ◽

Vol 3 (Suppl 2) ◽

pp. e000559 ◽

Cited By ~ 24

Author(s):

Peter Barron ◽

Joanne Peter ◽

Amnesty E LeFevre ◽

Jane Sebidi ◽

Marcha Bekker ◽

...

Keyword(s):

Pregnant Women ◽

South African ◽

Mobile Health ◽

Health Workers ◽

Digital Health ◽

Universal Coverage ◽

Text Messages ◽

Time Data ◽

Department Of Health ◽

Early Decision

MomConnect is a flagship programme of the South African National Department of Health that has reached over 1.5 million pregnant women. Using mobile technology, MomConnect provides pregnant and postpartum women with twice-weekly health information text messages as well as access to a helpdesk for patient queries and feedback. In just 3 years, MomConnect has been taken to scale to reach over 95% of public health facilities and has reached 63% of all pregnant women attending their first antenatal appointment. The helpdesk has received over 300 000 queries at an average of 250 per day from 6% of MomConnect users. The service is entirely free to its users. The rapid deployment of MomConnect has been facilitated by strong government leadership, and an ecosystem of mobile health implementers who had experience of much of the content and technology required. An early decision to design MomConnect for universal coverage has required the use of text-based technologies (short messaging service and Unstructured Supplementary Service Data) that are accessible via even the most basic mobile phones, but cumbersome to use and costly at scale. Unlike previous mobile messaging services in South Africa, MomConnect collects the user’s identification number and facility code during registration, enabling future linkages with other health and population databases and geolocated feedback. MomConnect has catalysed additional efforts to strengthen South Africa’s digital health architecture. The rapid growth in smartphone penetration presents new opportunities to reduce costs, increase real-time data collection and expand the reach and scope of MomConnect to serve health workers and other patient groups.

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Digital Health-Enabled Community-Centered Care (D-CCC): A Scalable Model to Empower Future Community Health Workers utilizing Human-in-the-Loop AI

10.1101/2021.03.03.21252873 ◽

2021 ◽

Author(s):

Sarah M. Rodrigues ◽

Anil Kanduri ◽

Adeline M. Nyamathi ◽

Nikil Dutt ◽

Pramod P. Khargonekar ◽

...

Keyword(s):

Community Health ◽

Community Health Workers ◽

Closed Loop ◽

Health Workers ◽

Digital Health ◽

Human In The Loop ◽

Collaborative Community ◽

Health And Social Care ◽

The Future ◽

Centered Care

AbstractDigital Health-Enabled Community-Centered Care (D-CCC) represents a pioneering vision for the future of community-centered care. Utilizing an artificial intelligence-enabled closed-loop digital health platform designed for, and with, community health workers, D-CCC enables timely and individualized delivery of interventions by community health workers to the communities they serve. D-CCC has the potential to transform the current landscape of manual, episodic and restricted community health worker-delivered care and services into an expanded, digitally interconnected and collaborative community-centered health and social care ecosystem which centers around a digitally empowered community health workforce of the future.

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A Note on 2015 Developments in Polish Competition Law: Is it Really a Drive Towards the European Model?

Yearbook of Antitrust and Regulatory Studies ◽

10.7172/1689-9024.yars.2016.9.14.10 ◽

2016 ◽

Vol 9 (14) ◽

Author(s):

Anna Piszcz

Keyword(s):

Competition Law ◽

Considerable Part ◽

Member States ◽

European Model ◽

Eu Competition Law ◽

Recent Developments ◽

Conscious Intention ◽

Further Development ◽

The Eu

Modern Polish competition law has become highly regulated and codified over the twenty five years of its existence and this article will provide readers with information relating to its recent developments of 2015. Separate subsections present a review of provisions on remedies in infringement decisions as well as settlements. A considerable part of this paper is designed to outline the peculiarities that characterize Poland’s new provisions on fines. Further on, the paper introduces readers to newest trends in the area of concentration control between undertakings. In addition, an assessment of recent developments and suggestions for a further development of Polish competition law are reviewed in the EU context. The conscious intention of the author is to analyse whether the EU competition law pattern, often regarded as a model for Member States, has been used to develop Polish competition law. Has the latter been amended to look more, or less like EU competition law? Has Polish competition law shown the capacity to absorb the best elements of EU competition law into itself? How is the outcome aligned with the declared direction of these amendments?

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Environmental policy of the EU: insights for further development

Geografický časopis - Geographical Journal ◽

10.31577/geogrcas.2019.71.1.02 ◽

2019 ◽

Vol 71 (1) ◽

Author(s):

Marta Vovk ◽

Boris Dziura ◽

Martin Grešš

Keyword(s):

Environmental Policy ◽

Further Development ◽

The Eu

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Possible Assessment Method of Green Infrastructure in the Case of Small Town Keszthely, Hungary

Land Science ◽

10.30560/ls.v2n2p21 ◽

2020 ◽

Vol 2 (2) ◽

pp. p21

Author(s):

Vera Iváncsics ◽

Krisztina Filepné Kovács

Keyword(s):

Green Infrastructure ◽

Environmental Planning ◽

Evaluation Method ◽

Assessment Method ◽

Policy Implications ◽

Current Status ◽

Field Surveys ◽

Further Development ◽

The Eu

Recently the planning of green infrastructure (GI) has become a general practice around metropolis (Paris, München, Budapest, etc). A complex methodology is required that goes beyond the scope of traditional green surface systems. However, there are various policy implications in the EU, the smaller towns are lagging to apply them. The paper presents a potential evaluation method through the case study of Keszthely, HU. As Keszthely at Balaton Riviera, is a popular touristic target of CEE, the environmental planning is an essential part of sustainable development. After a literature analyses of assessment methods of GI and ecosystem services, the aspects of GI have been valued on grade scales, based on field surveys and indicators. The current status of the GI was surveyed which is a base for further development and monitoring activities. The paper introduces the methodology, which contributes to preservation of ecosystems.

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THE INFLUENCE OF EUROPEAN INTEGRATION ON THE DEVELOPMENT OF ECOLOGICAL BUSINESS IN UKRAINE

Economic Analysis ◽

10.35774/econa2017.03.100 ◽

2017 ◽

pp. 100-104

Author(s):

Iryna Skorokhod ◽

Lyudmyla Hrynchuk

Keyword(s):

European Integration ◽

Systematic Approach ◽

The State ◽

Eu Countries ◽

Goods And Services ◽

The Status ◽

Factors Of Influence ◽

The Impact ◽

Further Development ◽

The Eu

Introduction. The article deals the impact of European integration on the development of ecological business in Ukraine. The Association of Ukraine and the EU implies adaptation and reforms not only in economy, but also in others areas, including ecology. The factors of influence and their consequences on the development of environmental business in the state are investigated. The main obstacles for using the experience of the EU countries are highlighted. Prospects of further using of "green enterprise" methods in Ukraine are considered. Purpose. The aim of the article is to reveal the essence, forms, stages of formation and innovative forms of the ecological business; to analyze the experience of ecological business and its regulation in the EU countries; to characterize the status and the impact of European integration on ecological business in Ukraine. Method (methodology). Methods of analogy and comparison are used in the study of problematic aspects of Ukraine and the EU in the field of ecology. Statistical methods are used for analyzing the dynamics of indicators of the development of ecological business in the state. Systematic approach is used for explaining strategic guidelines and identifying further promising ways for the development of ecological business in Ukraine. Results. The main aspects of cooperation between Ukraine and the EU have been analyzed. The main directions of further development of common cooperation have been singled out. The proposals of improving the position of Ukrainian eco-goods and services on the European market have been substantiated.

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