The Emerging Concept of an Inclusive mHealth Ecosystem in India

Author(s):  
Pradeep Nair

The reason for considering ICT-based communication platforms, especially mobile phones, as the most efficacious media tool to interconnect health care providers, practitioners and other stakeholders to a substantially large number of consumers in the healthcare system is that the mobile phone subscribers in India has reached to 1,013.23 million in the third quarter of 2018. The prices of smartphones have also come down by 11 percent with a demand for 4G devices capturing 6 percent of smartphone unit demand in India. Hence, it is an appropriate time to understand that the future of healthcare business in India lies with mobile based healthcare services. This chapter explores some of the significant innovations taking place in mobile healthcare business in India and examines the emerging approach of integrated health care ecosystems to provide quality health services to everyone where and when it is required.

Author(s):  
Awad Al-Zaben ◽  
Lina M.K. Al-Ebbini ◽  
Badr Qatashah

In many situations, health care professionals need to evaluate the respiration rate (RR) for home patients. Moreover, when cases are more than health care providers’ capacity, it is important to follow up cases at home. In this paper, we present a complete system that enables healthcare providers to follow up with patients with respiratory-related diseases at home. The aim is to evaluate the use of a mobile phone’s accelerometer to capture respiration waveform from different patients using mobile phones. Whereas measurements are performed by patients themselves from home, and not by professional health care personnel, the signals captured by mobile phones are subjected to many unknowns. Therefore, the validity of the signals has to be evaluated first and before any processing. Proper signal processing algorithms can be used to prepare the captured waveform for RR computations. A validity check is considered at different stages using statistical measures and pathophysiological limitations. In this paper, a mobile application is developed to capture the accelerometer signals and send the data to a server at the health care facility. The server has a database of each patient’s signals considering patient privacy and security of information. All the validations and signal processing are performed on the server side. The patient’s condition can be followed up over a few days and an alarm system may be implemented at the server-side in case of respiration deterioration or when there is a risk of a patient’s need for hospitalization. The risk is determined based on respiration signal features extracted from the received respiration signal including RR, and Autoregressive (AR) moving average (ARMA) model parameters of the signal. Results showed that the presented method can be used at a larger scale enabling health care providers to monitor a large number of patients.


2021 ◽  
pp. 141-151
Author(s):  
Paweł Lipowski

The aim of this study is to identify the legal characteristics of contracts for the health care services provided by a public payer, i.e. the National Health Fund (NFZ) as part of treatment covered by universal health insurance, as compared to those provided by the health care providers with public or private legal status. This issue is discussed in relation to the legal conditions for the treatment of patients on a commercial basis in those institutions (private or public) which have contracts for the provision of healthcare services under the general health insurance (so-called contracts). The discussion is presented based on author’s own observations, resulting both from his scientific studies in the field of medical law and his work in various entities operating in the health care system.


2000 ◽  
Vol 28 (2) ◽  
pp. 191-193 ◽  
Author(s):  
Allyson Behm

The United States Court of Appeals for the Third Circuit held that when quitam relators file a multi-claim complaint under the Fraudulent Claims Act (FCA), their share of the proceeds must be based on an individual analysis of each claim. More importantly, the court held that relators are not entitled to any portion of the settlement of a specific claim if that claim was subject to dismissal under section 3730(e)(4) Relator Merena filed a quitam suit against his employer, SmithKline Beecham (SKB), claiming, among other things, that SKB defrauded the government by billing for laboratory tests that were not performed, paying illegal kickbacks to health care providers, and participating in an “automated chemistry” scheme. Soon thereafter, additional relators filed suit.


2019 ◽  
Vol 7 (2) ◽  
pp. 258-262
Author(s):  
Ghada El-Kannishy ◽  
Reham Elsawaf ◽  
Rana Tarek Elsaber ◽  
Hebatalla Magdi Elbanasawi ◽  
Menatalla Magdi Elbahnasawi ◽  
...  

Introduction: Muslim hemodialysis (HD) patients are motivated to practice fasting in Ramadan. Health-care providers may be unable to make a recommendation based on lack of evidence. The aim of the present study was to investigate patients’ and medical professionals’ opinion toward fasting in 4 HD centers in Egypt as well as the impact of physicians’ attitude on their patient behavior. Materials and Methods: This observational multicentric study was conducted on 161 patients undergoing HD and 23 physicians in 4 HD centers in Egypt just after Ramadan 1438 Hijri. Patients’ demographic characteristics as well as any associated comorbidities were recorded. Patients and physician were interviewed and were asked about their opinion toward fasting in HD patients and any experienced complications during fasting. Results: Eighty-one (50.3%) patients of the studied HD patients practiced fasting in Ramadan. No statistical difference was observed between fasting and nonfasting groups regarding age, gender, and duration of HD. Eighty percent of patients reported no complications. Fifteen (65.2%) physicians support the opinion that HD patients are capable to fast with precautions. There was a significant variation in fasting frequency among HD patients in the studied centers with a significantly low fasting frequency observed in the third center (10.5%). Most physicians from this HD center adopted that HD patients should not fast. Conclusion: HD patients were keen to practice fasting in Ramadan and were to a considerable extent capable of completing this Islamic worship. Patient decision seems to be affected by their physician’s opinion. Absence of clear recommendations to guide fasting in Ramadan in HD patients as in diabetic patients makes permission or prohibition of such practice unjustified.


Author(s):  
Ibitoye O. F. ◽  
Adamolekun M. M. ◽  
Adamolekun P. A. ◽  
Amuwa T.

Background: The Nigerian health system as a whole has been plagued by problems associated with the quality of service, including but not limited to unfriendly staff attitudes to patients, inadequate skills, decaying infrastructures, and chronic shortages of essential drugs. Approximately two-thirds of all Nigerian women deliver outside of health facilities and without the presence of medically skilled attendants.  The study was carried out to assess the awareness and knowledge of women regarding their rights during pregnancy and childbirth, and to explore the extent to which women’s rights were respected during pregnancy and childbirth.Methods: This descriptive study was conducted among randomly selected 140 women at Mother and Child Hospital, Akure, Ondo state, Nigeria. Data was collected with a pretested questionnaire and was analysed using Statistical Packages for Social Sciences (SPSS) version 21.Results: Findings revealed that majority (76.9%) of the women had a fair knowledge of their rights in pregnancy and childbirth, with the source of knowledge majorly from their friends. Right to information, informed consent and refusal, even distribution of healthcare services, maintenance of attainable level of health regarding proper monitoring were fairly observed by the health care providers. Right of women against verbal and physical abuse, privacy, treatment with dignity and respect were least accorded to women.Conclusions: Respective Maternity Care remains a challenge that demands policy interventions in most public health facilities to enhance positive endorsement and utilisation of maternal and health care services.


Author(s):  
Shakir Karim ◽  
Raj Sandu ◽  
Mahesh Kayastha

Artificial Intelligence (AI) is the greatest development and promise in the present technology world, as it promises big contribution, massive changes, modernization, and coordination with and within people’s progressing life. This paper aims to provide an analysis of Jordan health care that are co-connected and interconnected with the consequences formed by Artificial Intelligence (AI) and focuses on the strengths and weaknesses of adopting AI in health sector. It also discusses the local awareness and familiarization of Artificial Intelligence (AI) in Jordan healthcare providers and gives a consistent assessment of current and future best practices. Data was gathered by using interviews from Jordan IT and health care providers. The investigation found that AI is consistently changing the way healthcare is to be directed in Jordan. AI can provide solid healthcare services to the stakeholders. As a developing country, Jordan has not fully adopted Artificial Intelligence (AI) in its healthbsector.   Keywords: Artificial Intelligence (AI); Challenges; Health care System; Jordan; Opportunities  


Author(s):  
Iraj Sedighi ◽  
Mohammad Yousef Alikhani ◽  
Samira Ramezani ◽  
Mansour Nazari ◽  
Amir Sasan Mozaffari Nejad

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