The Digitisation of Healthcare in a Global Pandemic

2022 ◽  
pp. 55-71
Author(s):  
Siobhan Eithne McCarthy
Keyword(s):  
Data Privacy ◽  
Large Scale ◽  
Care Delivery ◽  
Digital Health ◽  
Health Anxiety ◽  
Healthcare Quality ◽  
Well Being ◽  
Patient Portals ◽  
Global Pandemic ◽  
Digital Healthcare

The chapter discusses the rapid digitisation of healthcare during the COVID-19 global crisis and its implications for healthcare quality from patient, clinician, and provider perspectives. Using the example of patient portals, online interfaces that provide patients with real-time access to their health records, the chapter explores how this large-scale shift to digital healthcare has influenced key elements of healthcare quality. These elements include the safety, timeliness, effectiveness, efficiency, equity, eco-friendliness, and person-centeredness of care delivery, as well as patient and staff well-being. The discussion addresses health anxiety exacerbated by remote service delivery and potential associations with cyberchondria and online search behaviours. Additionally, concerns about digital health literacy, equality of access, patient data privacy, and cybersecurity are discussed in the context of increasing health system shocks. Recommendations are made about how the future adaptation of digital healthcare can support healthcare quality in a post-pandemic era.

An Overview of Digital Health in the Transition of Pediatric to Adult Epilepsy Care

2020 ◽  
Vol 09 (04) ◽  
pp. 106-113
Author(s):  
Ysabeau Bernard-Willis ◽  
Emily De Oliveira ◽  
Shaheen E Lakhan
Keyword(s):  
Health Management ◽  
Digital Health ◽  
Health Care Systems ◽  
Well Being ◽  
Pediatric Care ◽  
Medical Mistrust ◽  
Patient Portals ◽  
Language Therapy ◽  
Adult Care ◽  
Care Systems

AbstractChildren with epilepsy often have impairments in cognitive and behavioral functioning which may hinder socio-occupational well-being as they reach adulthood. Adolescents with epilepsy have the added worry of health problems while starting the transition from family-centered pediatric care into largely autonomous adult care. If this transition is not appropriately planned and resourced, it may result in medical mistrust, nonadherence, and worsening biopsychosocial health as an adult. In recent years, there has been increased availability of digital health solutions that may be used during this stark change in care and treating teams. The digital health landscape includes a wide variety of technologies meant to address challenges faced by patients, caregivers, medical professionals, and health care systems. These technologies include mobile health products and wearable devices (e.g., seizure monitors and trackers, smartphone passive data collection), digital therapeutics (e.g., cognitive/behavioral health management; digital speech–language therapy), telehealth services (e.g., teleneurology visits), and health information technology (e.g., electronic medical records with patient portals). Such digital health solutions may empower patients in their journey toward optimal brain health during the vulnerable period of pediatric to adult care transition. Further research is needed to validate and measure their impact on clinical outcomes, health economics, and quality of life.

My Digital Healthcare Record

2022 ◽  
pp. 538-557
Author(s):  
Anita Medhekar ◽  
Julie Nguyen
Keyword(s):  
Digital Literacy ◽  
Data Privacy ◽  
Health Management ◽  
Digital Health ◽  
Personal Data ◽  
Hospital Staff ◽  
Health Record ◽  
Positive Health ◽  
Digital Revolution ◽  
Digital Healthcare

In the 21st century, the digital revolution is disrupting every sector of the economy. Australia has adopted the digital healthcare technological revolution such as My Health Record (MyHRC) to improve healthcare practice for clinicians/medical professionals and empower consumers to provide positive health management experience with a patient-centred approach to digital health revolution and digital literacy. My Health Record has its benefits, but it has been a challenge for the healthcare practitioners, hospital staff, as well as patients as consumers to accept, embrace, and uptake digital technologies and manage their healthcare records amidst concerns of slow adoption by the patient, data privacy, and implications of the secondary use of their personal data by non-government entities.

scholarly journals Implementation factors affecting the large-scale deployment of digital health and well-being technologies: A qualitative study of the initial phases of the ‘Living-It-Up’ programme

2016 ◽  
Vol 22 (4) ◽  
pp. 867-877 ◽  
Author(s):  
Ruth Agbakoba ◽  
Marilyn McGee-Lennon ◽  
Matt-Mouley Bouamrane ◽  
Nicholas Watson ◽  
Frances S Mair
Keyword(s):  
Qualitative Study ◽  
Large Scale ◽  
Digital Health ◽  
Well Being ◽  
Normalisation Process Theory ◽  
Important Lesson ◽  
Factors Affecting ◽  
Services Delivery ◽  
Design Activities ◽  
Health And Well Being

Little is known about the factors which facilitate or impede the large-scale deployment of health and well-being consumer technologies. The Living-It-Up project is a large-scale digital intervention led by NHS 24, aiming to transform health and well-being services delivery throughout Scotland. We conducted a qualitative study of the factors affecting the implementation and deployment of the Living-It-Up services. We collected a range of data during the initial phase of deployment, including semi-structured interviews (N = 6); participant observation sessions (N = 5) and meetings with key stakeholders (N = 3). We used the Normalisation Process Theory as an explanatory framework to interpret the social processes at play during the initial phases of deployment. Initial findings illustrate that it is clear − and perhaps not surprising − that the size and diversity of the Living-It-Up consortium made implementation processes more complex within a ‘multi-stakeholder’ environment. To overcome these barriers, there is a need to clearly define roles, tasks and responsibilities among the consortium partners. Furthermore, varying levels of expectations and requirements, as well as diverse cultures and ways of working, must be effectively managed. Factors which facilitated implementation included extensive stakeholder engagement, such as co-design activities, which can contribute to an increased ‘buy-in’ from users in the long term. An important lesson from the Living-It-Up initiative is that attempting to co-design innovative digital services, but at the same time, recruiting large numbers of users is likely to generate conflicting implementation priorities which hinder − or at least substantially slow down − the effective rollout of services at scale. The deployment of Living-It-Up services is ongoing, but our results to date suggest that − in order to be successful − the roll-out of digital health and well-being technologies at scale requires a delicate and pragmatic trade-off between co-design activities, the development of innovative services and the efforts allocated to widespread marketing and recruitment initiatives.

scholarly journals Rebooting consent in the digital age: a governance framework for health data exchange

2021 ◽  
Vol 6 (Suppl 5) ◽  
pp. e005057
Author(s):  
Nivedita Saksena ◽  
Rahul Matthan ◽  
Anant Bhan ◽  
Satchit Balsari
Keyword(s):  
Data Privacy ◽  
Data Exchange ◽  
Data Science ◽  
Care Delivery ◽  
Digital Health ◽  
Health Planning ◽  
Personal Health Record ◽  
Health Data ◽  
Individual Autonomy ◽  
Patient Consent

In August 2020, India announced its vision for the National Digital Health Mission (NDHM), a federated national digital health exchange where digitised data generated by healthcare providers will be exported via application programme interfaces to the patient’s electronic personal health record. The NDHM architecture is initially expected to be a claims platform for the national health insurance programme ‘Ayushman Bharat’ that serves 500 million people. Such large-scale digitisation and mobility of health data will have significant ramifications on care delivery, population health planning, as well as on the rights and privacy of individuals. Traditional mechanisms that seek to protect individual autonomy through patient consent will be inadequate in a digitised ecosystem where processed data can travel near instantaneously across various nodes in the system and be combined, aggregated, or even re-identified.In this paper we explore the limitations of ‘informed’ consent that is sought either when data are collected or when they are ported across the system. We examine the merits and limitations of proposed alternatives like the fiduciary framework that imposes accountability on those that use the data; privacy by design principles that rely on technological safeguards against abuse; or regulations. Our recommendations combine complementary approaches in light of the evolving jurisprudence in India and provide a generalisable framework for health data exchange that balances individual rights with advances in data science.

Digital health - Hope, Hype, and Halt (Preprint)

2018 ◽  
Author(s):  
Rajendra Pratap Gupta
Keyword(s):  
Large Scale ◽  
Care Delivery ◽  
Digital Health ◽  
New Technology ◽  
Business Case ◽  
Cost Of Care ◽  
Regulatory Frameworks ◽  
Health Conferences ◽  
The Cost

UNSTRUCTURED Over the past 40 years, the healthcare community has been repeatedly excited by the hope of providing better care through the effective adoption of the technology. In the hope that digital health is going to be the game changer, an aura of hype has been created amongst the stakeholders of healthcare industry. However, digital health is yet to witness a large-scale adoption that could match the hope created about its utility. There does not exist an example where digital health has successfully transformed the health system of a geography and has demonstrated a net positive return on the initial investment. Owing to the lack of a positive business case, the initiatives pertaining to digital health are losing steam. Corporates are shutting down digital health labs, staunching investments in digital health, digital health conferences are consolidating, and governments are re-evaluating the funding regimes for such initiatives. For the technology to be able to create desired impact in this sector, the principle stakeholders namely governments, hospitals, insurers, tech developers, medical professionals, and patients need to participate equitably. The resources need to be focused on high impact areas like epidemiology surveys, legal and regulatory frameworks, geriatric care, and human resources training. For a new technology to thrive, the industry competitors and governments must work in unison to develop solutions that are pragmatic, solves the problems, reduce the cost of care delivery, and are sustainable in the long-term. Digital health is not dead, but it is in a stage where its revival will be an up-hill task.

scholarly journals Use of digital healthcare solutions for care delivery during a pandemic-chances and (cyber) risks referring to the example of the COVID-19 pandemic

2021 ◽  
Author(s):  
Florian Klaus Kaiser ◽  
Marcus Wiens ◽  
Frank Schultmann
Keyword(s):  
Information Technology ◽  
Medical Care ◽  
Process Model ◽  
State Of The Art ◽  
Care Delivery ◽  
Digital Health ◽  
Service Provisioning ◽  
Medical Disciplines ◽  
Digital Healthcare ◽  
Health Applications

AbstractDuring pandemics, regular service provisioning processes in medical care may be disrupted. Digital health promises many opportunities for service provisioning during a pandemic. However, a broad penetration of medical processes with information technology also has drawbacks. Within this work, the authors use the COVID-19 pandemic to analyze the chances and the risks that may come with using digital health solutions for medical care during a pandemic. Therefore, a multi-methods approach is used. First we use a systematic literature review for reviewing the state of the art of digital health applications in healthcare. Furthermore, the usage of digital health applications is mapped to the different processes in care delivery. Here we provide an exemplary process model of oncological care delivery. The analysis shows that including digital health solutions may be helpful for care delivery in most processes of medical care provisioning. However, research on digital health solutions focuses strongly on some few processes and specific disciplines while other processes and medical disciplines are underrepresented in literature. Last, we highlight the necessity of a comprehensive risk-related debate around the effects that come with the use of digital healthcare solutions.

scholarly journals The Design Blueprint for a Large-Scale Telehealth Platform

2022 ◽  
Vol 2022 ◽  
pp. 1-15
Author(s):  
Rattakorn Poonsuph
Keyword(s):  
Healthcare Service ◽  
Large Scale ◽  
Healthcare Professionals ◽  
Digital Health ◽  
Healthcare Services ◽  
Digital Tools ◽  
Security Design ◽  
Patient Journey ◽  
Healthcare Facilities ◽  
Digital Healthcare

Technological innovation plays a crucial role in digital healthcare services. A growing number of telehealth platforms are concentrating on using digital tools to improve the quality and availability of care. Virtual care solutions employ not only advanced telehealth technology but also a comprehensive range of healthcare services. As a result, these can reduce patient healthcare costs as well as increase accessibility and convenience. At the same time, the healthcare service provider can leverage healthcare professionals to get a better perspective into the needs of their patients. The objective of this research is to provide a comprehensive design blueprint for a large-scale telehealth platform. Telehealth is the digital healthcare service combining online services and offline access for healthcare facilities to offer various healthcare services directly to patients. This design blueprint covers the digital healthcare ecosystem, new patient journey design for digital health services, telehealth functionality design, and an outline of the platform infrastructure and security design. Ultimately, telehealth platforms establish a completed digital healthcare service and new ecosystem that provides better care for every patient worldwide.

Psycho-Social Well-Being of Young Learners During Emergency Remote Teaching

2021 ◽  
pp. 368-385
Author(s):  
Ayse Taskiran
Keyword(s):  
Large Scale ◽  
Well Being ◽  
Health Conditions ◽  
Psychological Consequences ◽  
Young Learners ◽  
Global Pandemic ◽  
K 12 ◽  
Unknown Period

The COVID-19 pandemic, which started through the end of 2019 and which seems to continue for an unknown period of time, has had unprecedented effects that are not limited to health conditions only, but also include financial, sociological, and psychological consequences. This global pandemic forced schools and universities to close their doors, causing a large-scale educational disruption for a large number of learners worldwide. Despite the measures taken to compensate for education at all levels, there still is another concern for K-12 level learners' psycho-social well-being. This chapter elaborates some points that should be considered in case of emergency remote teaching applications in terms of enhancing psycho-social well-being of young learners.

My Digital Healthcare Record

2020 ◽  
pp. 131-150
Author(s):  
Anita Medhekar ◽  
Julie Nguyen
Keyword(s):  
Digital Literacy ◽  
Data Privacy ◽  
Health Management ◽  
Digital Health ◽  
Personal Data ◽  
Hospital Staff ◽  
Health Record ◽  
Positive Health ◽  
Digital Revolution ◽  
Digital Healthcare

In the 21st century, the digital revolution is disrupting every sector of the economy. Australia has adopted the digital healthcare technological revolution such as My Health Record (MyHRC) to improve healthcare practice for clinicians/medical professionals and empower consumers to provide positive health management experience with a patient-centred approach to digital health revolution and digital literacy. My Health Record has its benefits, but it has been a challenge for the healthcare practitioners, hospital staff, as well as patients as consumers to accept, embrace, and uptake digital technologies and manage their healthcare records amidst concerns of slow adoption by the patient, data privacy, and implications of the secondary use of their personal data by non-government entities.

scholarly journals Digital Health Interventions for Adolescent and Young Adult Cancer Survivors

2018 ◽  
pp. 1-15 ◽  
Author(s):  
Katie A. Devine ◽  
Adrienne S. Viola ◽  
Elliot J. Coups ◽  
Yelena P. Wu
Keyword(s):  
Young Adult ◽  
Cancer Survivors ◽  
Care Delivery ◽  
Digital Health ◽  
Well Being ◽  
Health Interventions ◽  
Adolescent And Young Adult ◽  
Young Adult Cancer Survivors ◽  
Adult Cancer Survivors ◽  
Improve Health

This narrative review describes the evidence regarding digital health interventions targeting adolescent and young adult (AYA) cancer survivors. We reviewed the published literature for studies involving Internet, mHealth, social media, telehealth, and other digital interventions for AYA survivors. We highlight selected studies to illustrate the state of the research in this unique patient population. Interventions have used various digital modalities to improve health behaviors (eg, physical activity, nutrition, tobacco cessation), enhance emotional well-being, track and intervene on cancer-related symptoms, and improve survivorship care delivery. The majority of studies have demonstrated feasibility and acceptability of digital health interventions for AYA survivors, but few efficacy studies have been conducted. Digital health interventions are promising to address unmet psychosocial and health information needs of AYA survivors. Researchers should use rigorous development and evaluation methods to demonstrate the efficacy of these approaches to improve health outcomes for AYA survivors.

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