mHealth

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):  
Benjamin Falchuk ◽  
David Famolari ◽  
Russell Fischer ◽  
Shoshana Loeb ◽  
Euthimios Panagos

Applications accessible through mobile devices, such as mobile phones, are playing an increasingly important part in the delivery of high quality and personalized healthcare services. In this paper, we examine current usage of mobile devices and networks by mobile healthcare applications, and present our views on how mobile devices and networks could be used for creating patient-centered healthcare applications. The patient-centered healthcare paradigm allows for increased quality of care and quality of life for patients while increasing personal freedom to move about and be always connected to care-givers and healthcare services. The structure of our discussion is analogous to layered protocol stack in communications, progressing from the network and radio technologies, servicing middleware, cloud services, health sensors, mobile smartphones, and applications. All these layers come into play to support future mobile healthcare services.


Author(s):  
Benjamin Falchuk ◽  
David Famolari ◽  
Russell Fischer ◽  
Shoshana Loeb ◽  
Euthimios Panagos

Applications accessible through mobile devices, such as mobile phones, are playing an increasingly important part in the delivery of high quality and personalized healthcare services. In this paper, we examine current usage of mobile devices and networks by mobile healthcare applications, and present our views on how mobile devices and networks could be used for creating patient-centered healthcare applications. The patient-centered healthcare paradigm allows for increased quality of care and quality of life for patients while increasing personal freedom to move about and be always connected to care-givers and healthcare services. The structure of our discussion is analogous to layered protocol stack in communications, progressing from the network and radio technologies, servicing middleware, cloud services, health sensors, mobile smartphones, and applications. All these layers come into play to support future mobile healthcare services.


2021 ◽  
Vol 03 (02) ◽  
pp. 127-134
Author(s):  
Zahra Q HAMI ◽  
Boshra F. Zopon AL_BAYATY

Recently, with Coronavirus, mobile applications are becoming more important especially these days because all people stay at home and they couldn't visit the hospital, and the clinic outside becomes a danger. So the use of mobile phone technologies is becoming more and more beneficial for patient care. Mobile technology has the potential to affect health care. The increasing number of people suffering from chronic diseases is putting pressure on the healthcare sector. Population aging is now a major health care concern in many countries of the world. Elderly patients need more healthcare efforts that imply higher healthcare costs, because of that a set of applications have been developed that help care for patients from their homes. In this paper, many mobile healthcare applications are discussedin order to be identified and used to build a new system that helps care for patients from home.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F R Rab ◽  
S S Stranges ◽  
A D Thind ◽  
S S Sohani

Abstract Background Over 34 million people in Afghanistan have suffered from death and devastation for the last four decades as a result of conflict. Women and children have borne the brunt of this devastation. Afghanistan has some of the poorest health indicators in the world for women and children. In the midst of armed conflict, providing essential healthcare in remote regions in the throws of conflict remains a challenge, which is being addressed the Mobile Health Teams through Afghan Red Crescent (ARCS). To overcome socio-cultural barriers, ARCS MHTs have used local knowledge to hire female staff as part of the MHTs along with their male relatives as part of MHT staff. The present study was conducted to explore the impact of engaging female health workers as part of MHTs in conflict zones within Afghanistan on access, availability and utilization of maternal and child health care. Methods Quantitative descriptive and time-trend analysis were used to evaluate impact of introduction of female health workers. Qualitative data is being analyzed to assess the possibilities and implications of engaging female health workers in the delivery of health services. Results Preliminary results show a 96% increase in uptake of services for expectant mothers over the last four years. Average of 18 thousand services provided each month by MHTs, 70% for women and children. Service delivery for women and children significantly increased over time (p < 0.05) after inclusion of female health workers in MHTs. Delivery of maternity care services showed a more significant increase (p < 0.001). Time trend and qualitative analyses is ongoing. Conclusions Introduction of female health workers significantly improved uptake of health care services for women and children especially in extremely isolated areas controlled by armed groups in Afghanistan. Engaging with local stakeholders is essential for delivery of health services for vulnerable populations in fragile settings like Afghanistan. Key messages Understanding cultural norms results in socially acceptable solutions to barriers in delivery of healthcare services and leads to improvements in access for women and children in fragile settings. Building local partnerships and capacities and using local resources result in safe, efficient and sustainable delivery of healthcare services for vulnerable populations in fragile settings.


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.


2018 ◽  
Vol 15 (3) ◽  
pp. 61-81
Author(s):  
Hisham M. Alsaghier ◽  
Shaik Shakeel Ahamad

This article describes how the exponential growth of mobile applications has changed the way healthcare services function, and mobile healthcare using the Cloud is the most promising technology for healthcare industry. The mobile healthcare industry is in a continuous transition phase that requires continual innovation. There has been identified some of the challenges in the area of security protocols for mobile health systems which still need to be addressed in the future to enable cost-effective, secure and robust mobile health systems. This article addresses these challenges by proposing a secure robust and privacy-enhanced mobile healthcare framework (SRPF) by adopting a Community Cloud (CC), WPKI cryptosystems, Universal Integrated Circuit Cards (UICCs) and a Trusted Platform Module (TPM). All the security properties are provided within this framework. SRPF overcomes replay attacks, Man in the Middle (MITM) Attacks, Impersonation attacks and Multi-Protocol attacks as SRPF was successfully verified using a scyther tool and by BAN logic.


2017 ◽  
Vol 41 (S1) ◽  
pp. S452-S452
Author(s):  
A. Rebowska

AimsThe aim of this literature review is to explore the range of factors that influence the degree of access to health care services by children and young people with learning disabilities.BackgroundChildren with learning disabilities are at increased risk of a wide range of health conditions comparing with their peers. However, recent reports by UK government as well as independent charities working with children and young people with learning disabilities demonstrated that they are at risk of poor health outcomes as a result of barriers preventing them from accessing most appropriate services.MethodsComprehensive searches were conducted in six databases. Articles were also obtained through review of references, a search of the grey literature, and contacting experts in the field. The inclusion criteria were for studies evaluating access to healthcare services, identification and communication of health needs, organisational aspects impacting on access and utilisation, staff attitudes where they impacted on access, barriers, discrimination in patients with intellectual disabilities age 0–18. The literature search identified a sample of 36 papers. The marked heterogeneity of studies excluded conducting a meta-analysis.ResultsBarriers to access included problems with identification of healthcare needs by carers and healthcare professionals, communication difficulties, the inadequacy of facilities, geographical and physical barriers, organisational factors such as inflexible appointment times, attitudes and poor knowledge base of healthcare staff.ConclusionThe factors identified can serve as a guide for managers and clinicians aiming to improve access to their healthcare services for children and young people with intellectual disabilities.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2021 ◽  
Vol 30 (4) ◽  
pp. 27-34
Author(s):  
Dang Thanh Nam ◽  
Nguyen Thi Thuy Duong ◽  
Phan Le Thu Hang ◽  
Tham Chi Dung

Strengthening the health care system at grassroots level is a top priority of the Vietnam Government agenda at the present. Recently, the overall system has been improved, however the capacity to deliver healthcare services, especially primary health care was still facing to many shortcomings. The study aimed to assess the current situation and capacity to deliver health care services at grassroots level. All health care facilities in the Minh Hoa district, Quang Binh province in 2018 were selected, included Minh Hoa District Hospital (DHs) and 16 Commune Health Center (CHCs). The results showed that the disease patterns tended to primarily concentrate on the illness which weres related to the human lifestyle and health behaviors such as living habits, eating unhealthy food, stress and also natural environment. Utilization of the curative services increased over the year, especially the laboratory testing and health examination services. However, the facility infrastructures did not meet the national standard. The function rooms in the facilities being degraded and damaged remained at high proportion which were required to renovate. The facilities lacked of large number of essential equipment and materials. In order to strengthen the capacity to deliver the health care services, the study recommended to invest to standardize infrastructure, provision of essential equipment, materials and drugs in correspondent to the disease pattern.


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.


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