Pervasive Mobile Health

Author(s):  
Muhammad Anshari ◽  
Mohammad Nabil Almunawar

Pervasive mobile health is mobile health that provides healthcare services accessible regardless of time and place with patients can continuously be connected through their smart mobile devices. It offers healthcare providers a more comprehensive perspective of patients' condition and thus aid in achieving complex healthcare goal(s) such as building lasting relationships with patients. The service can be further extended to accommodate customers' participation in health and healthcare processes to improve healthcare services by extending roles of patients. The advancement of the Web technologies, especially social networks, push eHealth to embrace mobile devices (mHealth) and personalize customers centric services with a possibility to extend and improve services by enabling active participation of patients, patient's families, and the community at large in healthcare processes and personal health decision making. This chapter addresses some important concepts of mHealth, challenges, future trends, and some related terminologies to provide a holistic view of mHealth.

Author(s):  
Muhammad Anshari ◽  
Mohammad Nabil Almunawar

Pervasive mobile health is mobile health that provides healthcare services that are accessible regardless of time and place where patients can continuously be connected through their smart mobile devices. It offers healthcare providers a more comprehensive perspective of patients' conditions and thus aids in achieving complex healthcare goal(s) such as building lasting relationships with patients. The service can be further extended to accommodate customers' participation in health and healthcare processes to improve healthcare services by extending roles of patients. The advancement of the web technologies, especially social networks, push e-health to embrace mobile devices (m-health) and personalize customer-centric services with a possibility to extend and improve services by enabling active participation of patients, patients' families, and the community at large in healthcare processes and personal health decision making. This chapter addresses some important concepts of m-health, challenges, future trends, and some related terminologies to provide a holistic view of m-health.


Electronics ◽  
2020 ◽  
Vol 9 (12) ◽  
pp. 2208
Author(s):  
Jesús D. Trigo ◽  
Óscar J. Rubio ◽  
Miguel Martínez-Espronceda ◽  
Álvaro Alesanco ◽  
José García ◽  
...  

Mobile devices and social media have been used to create empowering healthcare services. However, privacy and security concerns remain. Furthermore, the integration of interoperability biomedical standards is a strategic feature. Thus, the objective of this paper is to build enhanced healthcare services by merging all these components. Methodologically, the current mobile health telemonitoring architectures and their limitations are described, leading to the identification of new potentialities for a novel architecture. As a result, a standardized, secure/private, social-media-based mobile health architecture has been proposed and discussed. Additionally, a technical proof-of-concept (two Android applications) has been developed by selecting a social media (Twitter), a security envelope (open Pretty Good Privacy (openPGP)), a standard (Health Level 7 (HL7)) and an information-embedding algorithm (modifying the transparency channel, with two versions). The tests performed included a small-scale and a boundary scenario. For the former, two sizes of images were tested; for the latter, the two versions of the embedding algorithm were tested. The results show that the system is fast enough (less than 1 s) for most mHealth telemonitoring services. The architecture provides users with friendly (images shared via social media), straightforward (fast and inexpensive), secure/private and interoperable mHealth services.


2021 ◽  
Vol 27 (4) ◽  
pp. 267-278
Author(s):  
Somayyeh Zakerabasali ◽  
Seyed Mohammad Ayyoubzadeh ◽  
Tayebeh Baniasadi ◽  
Azita Yazdani ◽  
Shahabeddin Abhari

Objectives: Despite the growing use of mobile health (mHealth), certain barriers seem to be hindering the use of mHealth applications in healthcare. This article presents a systematic review of the literature on barriers associated with mHealth reported by healthcare professionals.Methods: This systematic review was carried out to identify studies published from January 2015 to December 2019 by searching four electronic databases (PubMed/MEDLINE, Web of Science, Embase, and Google Scholar). Studies were included if they reported perceived barriers to the adoption of mHealth from healthcare providers’ perspectives. Content analysis and categorization of barriers were performed based on a focus group discussion that explored researchers’ knowledge and experiences.Results: Among the 273 papers retrieved through the search strategy, 18 works were selected and 18 barriers were identified. The relevant barriers were categorized into three main groups: technical, individual, and healthcare system. Security and privacy concerns from the category of technical barriers, knowledge and limited literacy from the category of individual barriers, and economic and financial factors from the category of healthcare system barriers were chosen as three of the most important challenges related to the adoption of mHealth described in the included publications.Conclusions: mHealth adoption is a complex and multi-dimensional process that is widely implemented to increase access to healthcare services. However, it is influenced by various factors and barriers. Understanding the barriers to adoption of mHealth applications among providers, and engaging them in the adoption process will be important for the successful deployment of these applications.


2013 ◽  
pp. 99-109 ◽  
Author(s):  
Barbara L. Ciaramitaro ◽  
Marilyn Skrocki

Mobile Healthcare, or mHealth, involves the use of mobile devices in healthcare. It is considered a revolutionary approach to delivering health care services such as diagnosis and treatment, research, and patient monitoring. Much of its revolutionary reach is due to the widespread adoption of mobile devices such as mobile smart phones and tablets such as the Apple Ipad. It is estimated that there are over five billion mobile devices in use throughout the world. In terms of demographics, in the United States, it is estimated that five out of seven Medicaid patients carry a mobile smart phone. One result of this mobile reach is the ability to provide healthcare services to people nonambulatory and isolated in their homes, and in underdeveloped and emerging countries, in ways that were previously cost prohibitive. mHealth is also seen as a way to emphasize prevention through mobile monitoring devices and thereby reduce the overall cost of healthcare. mHealth is viewed as changing the healthcare landscape by changing the relationship between the patient, healthcare provider, and between healthcare providers. “A new generation of eHealth products and services, based on wireless and mobile technology, is putting diagnosis and treatment management into the hands of the patient” (The Mobile Health Crowd, 2010). There is clearly a growing interest in, and emphasis on, mobile healthcare applications in the world today by vendors, physicians and patients. It is predicted that the mobile health application market alone will be worth over $84 million, and that by the year 2015, more than 500 million people will be actively using mobile health care applications (Merrill, 2011; Merrill, 2011b).


Author(s):  
Enaam Al-Ananbeh ◽  
Abeer Al-Wahadneh

Purpose: To explore the experiences of family caregiver in health decision-making for patients with chronic diseases. Study Design: Qualitative Descriptive Design. Subjects and Methods: A descriptive qualitative approach was used. A purposive sample of fifteen family caregiver for patients with chronic diseases were interviewed in Amman, Jordan; fifteen caregivers; males (n= 2), females (n= 13). Average of age = 40 years old. Data were generated through phone messages voice records over a period of two months (March & April 2020) in Amman, Jordan. Data were analyzed using a five–step technique proposed by Giorgi (1985). Results: The findings of the study revealed that three major themes related to family caregivers’ experiences in health decision-making for patients with chronic diseases: 1) The patient has the right to decide about his health, 2) Healthcare providers know better, and 3) Roles of family caregivers in the decision making process. Conclusion: The vital role of the family members in taking decisions for patients with chronic diseases is well-recognized by healthcare providers. Continuous systematic assessment of family members’ preferences and needs is crucial to provide the needed support for their patients in decision-making.


Author(s):  
Nasim Aslani ◽  
Mina Lazem ◽  
Somaye Mahdavi ◽  
Ali Garavand

Context: Using smart mobile devices, called mobile health (mHealth), facilitates providing health services, speeds up the process, and reduces the costs and complications of direct services. Also, mHealth has many capabilities and applications in epidemic and pandemic outbreaks. This study aimed to identify mHealth applications in epidemic/pandemic outbreaks and provide some suggestions for tackling COVID-19. Methods: To find the relevant studies, searches were done in PubMed and Scopus by related keywords during 2014 - 2020 (March 10). After selecting the studies based on the inclusion and exclusion criteria, data were collected by a data-gathering form. Results: Of the 727 retrieved studies, 17 studies were included. All studies emphasized the positive effect of mHealth for use in epidemic/pandemic outbreaks. The main applications of mHealth for epidemic/pandemic outbreaks included public health aspects, data management, educational programs, diagnosis, and treatment. Conclusions: mHealth is an appropriate method for encountering epidemic/pandemic outbreaks due to its extensive applications. In the pandemic outbreak of COVID-19, mHealth is one of the best choices to use in the patient-physician relationship as tele-visits, using in fever coach, providing real-time information for healthcare providers, population monitoring, and detecting the disease based on obtained data from different locations.


2014 ◽  
Vol 155 (38) ◽  
pp. 1510-1516
Author(s):  
Tamás Heiner ◽  
Tímea Barzó

The number of medical malpractice lawsuits filed each year in Hungary has considerably increased since 1990. The judicial decisions and practices on determining and awarding wrongful damages recoverable for medical malpractices in the Hungarian civil law have been developing for decades. In the meantime, a new Hungarian Civil Code (Act V of 2013) has entered into force, which among others, necessitates the revaluation of assessment of damages recoverable for medical malpractices. There are two main areas where fundamental changes have been introduced, which may significantly affect the outcome of medical malpractice lawsuits in the future. In the early stage of medical malpractices it was unclear whether the courts had to consider either the contractual relationship between patients and healthcare providers (contractual liability) or general codal articles on damages arising from non-contractual liability/torts (delictual liability) in their judgement delivered in the cases. Both the theoretical and practical experience of the last ten years shows that healthcare services agreements are concluded between healthcare providers and patients with the aim and intention to provide appropriate professional healthcare services to patients, which meet patients’ interests and wishes. The medical service is violated if it fails to meet patients’ interests and wishes as well as the objectives of the agreement. Since the new legislation implies a stricter liability for damages in the case of breach of contract and stricter rules for exempting the party in breach from compensation obligations, the opportunities to exempt healthcare providers from these obligations have become limited compared to previous regulations. This modification, which was aimed at further integrating the established judicial practices into legislation, stipulates the application of the rules for liability for damages resulting from medical malpractice in non-contractual situations. This paper analyses dogmatic and practical problems related to this topic. Another important area of current analysis is the institution of injury fees, which replaced the reimbursement of non-pecuniary damages. The mere fact of infringement allows setting injury fees. Taking into consideration the current resources in staff and equipment available in healthcare, this regulation may promote claims for injury fees impartial. Consequently, courts will have to apply other criteria when judgment in ‘trivial cases’, which might not require legal assessment, is delivered. Orv. Hetil., 2014, 155(38), 1510–1516.


Author(s):  
S. Karthiga Devi ◽  
B. Arputhamary

Today the volume of healthcare data generated increased rapidly because of the number of patients in each hospital increasing.  These data are most important for decision making and delivering the best care for patients. Healthcare providers are now faced with collecting, managing, storing and securing huge amounts of sensitive protected health information. As a result, an increasing number of healthcare organizations are turning to cloud based services. Cloud computing offers a viable, secure alternative to premise based healthcare solutions. The infrastructure of Cloud is characterized by a high volume storage and a high throughput. The privacy and security are the two most important concerns in cloud-based healthcare services. Healthcare organization should have electronic medical records in order to use the cloud infrastructure. This paper surveys the challenges of cloud in healthcare and benefits of cloud techniques in health care industries.


Author(s):  
Julie M. Robillard ◽  
Emily Wight

Neuroscience communication is at a turning point, with tremendous opportunity for growth and democratization. The rise of the web and social media as platforms for dissemination of research findings and stakeholder engagement presents both unique opportunities and critical ethical considerations. Online- and mobile-based information and services for brain health may enhance the autonomy of users in health decision-making. However, nonadherence to ethical norms, such as informed consent and conflict of interest by digital content creators, may lead to harm. The challenges of communicating neuroscience in the digital era will require the rejection of the traditional top-down dissemination of research findings by the science community. Communicators must embrace participatory communication models, frame science in non-sensationalized, lay-friendly terms, improve the ethics of online resources and web users’ ability to assess the quality of information and source material, and educate scientists in the importance of transparency and public engagement.


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