Connected Health Technologies for the Support of Chronic Patients: Challenges and Opportunities

Chouvarda, I. (2018) Connected Health Technologies for the Support of Chronic Patients: Challenges and Opportunities. “St Kliment Ohridski” University - Bitola, Faculty of Information and Communication Technologies - Bitola, Republic of Macedonia, I. ISBN 978-9989-870-80-4

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Connected health technologies enable health actors to make better decisions for health and care, via design of devices, services or interventions around the patient’s needs, sharing of health related data and proactive care. These aspects, i.e. data sharing and patient centred approaches, along with the temporal and organizational continuum via new care and business models, are also central in integrated care approaches.
In this respect, the use of cloud based systems is further discussed, as regards a) Chronic disease management, b) Health Behavior Change, and c) Independent Living.
In the former case where the need for mature and robust ICT technology is highlighted, along with interoperability and standardisation among services/devices. This will later create a stable environment that will leverage medical knowledge and allow the transition from observation via connected health, to decisions and interventions.
In the latter case of Health Behavior Support, or Independent Living Support, deployed as a home based service, CH consumer electronics are central and their role in changing the health landscape is recognized. The value of data is highlighted, that can lead to personalised models of behavior, status and needs. However, they way to connect such services with care and with community services is not trivial.
In all these cases for elder care and self-management, the common technological components are a cloud platform, along with wearables and sensors, and mobile computing.
Moving beyond these examples, when the cloud-based PHR becomes the central point around which the services are organized, one may recognize health challenges related to the different cultures and values of health and social care services, and how to balance their priorities in a common framework. Connected Health Services can be built around the PHR following a loosely connected scheme. This will require to technically allow for an ecosystem of services and analytics, and to investigate models for organisational integration. The main directions to achieve this goal are:
a) To integrate and liberate the data: a PHR can play a role in this, and bridge social service, primary care services, and even consumer health services
b) To connect the personal health data to an ecosystem of services: this can be built on top of a PHR , with adequate security. Blockchain technologies can play a role
c) To show the value of personal health data analytics: develop a culture of data driven research and AI services
d) To enable the assessment of CH impact that will allow the scaling up of CH services.
Thus, leveraging the PHR to become the core of an ecosystem of connected health services can bear promises for a new era in digital health and integrated, even cross-border, care.

Item Type: Book
Subjects: Scientific Fields (Frascati) > Engineering and Technology > Electrical engineering, electronic engineering,information engineering
Scientific Fields (Frascati) > Engineering and Technology > Other engineering and technologies
Divisions: Faculty of Information and Communication Technologies
Depositing User: Mrs Natasha Blazheska-Tabakovska
Date Deposited: 01 Mar 2019 23:34
Last Modified: 13 May 2019 08:33

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