Digital Health: Difference between revisions

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=== Mobile Health (mHealth) ===
=== Mobile Health (mHealth) ===
Mobile health (mHealth) involves the use of devices and [https://www.physio-pedia.com/Mobile_Apps mobile apps]  in patient care, especially chronic diseases. <ref>Knitza J., Simon D., Lambrecht A., Raab C., Tascilar K., Hagen M., Kleyer A., Bayat S., Derungs A., Amft O., Schett G., Hueber A. [https://pubmed.ncbi.nlm.nih.gov/32678796/ Mobile Health Usage, Preferences, Barriers, and eHealth Literacy in Rheumatology: Patient Survey Study.] JMIR Mhealth Uhealth. 2020 Aug 12;8(8):e19661. </ref> 


=== Wearable devices ===
=== Wearable devices ===

Revision as of 21:38, 4 January 2023

Introduction[edit | edit source]

Digital health (DH) has gained popularity in the recent post-pandemic years because of its ability to provide alternative ways of delivery of healthcare and health care systems functions. [2] Health professionals see high potential for digitalisation of elements of their practice and are in favour of digital adaptation. [3][4][5]

DH aspects[edit | edit source]

DH refers to various healthcare aspects which involve the following [6]:

Health Information Technology (HIT)[edit | edit source]

HIT is an area of information technology dedicated to the design, development, creation, use and maintenance of information systems for healthcare. [7] This may involve hardware, software, and systems that comprise the input, transmission, use, extraction, and analysis of information in the healthcare sector. [8]

Mobile Health (mHealth)[edit | edit source]

Mobile health (mHealth) involves the use of devices and mobile apps in patient care, especially chronic diseases. [9]

Wearable devices[edit | edit source]

Telehealth / Telemedicine[edit | edit source]

Telehealth / telemedicine

Personalised medicine[edit | edit source]

Taxonomy[edit | edit source]

Taxonomy for DH interactions may vary depending on different areas of technology and type of care. [10] For clinical practice, Pronovost et al. 's taxonomy [11] dividing DH into the following 3 categories of value seems to be most relevant:

- Digital access: scheduling and access to a health system through online, virtual, or other digital means to gain admission to a health care system or provider.

- Digital healthcare delivery (telehealth): this refers to virtual patient visits, with interaction between healthcare provider and patient

- Digital monitoring: sustaining the digital bond with patients on their care journey without direct interaction with them.

Advantages of DH in physiotherapy[edit | edit source]

  • Expansion of preventive care: more efficient use of predictive algorithms, improved genomics
  • Personalised plans: development of tools that focus more on personal health needs
  • Integrated care: better interdisciplinary communication through electronic documentation, connectivity and inter-operability of systems and devices
  • Digitalisation and innovation: novel technologies that save human time and resources, opportunities for tailored simulations in education, decentralised research
  • Standardisation of practice: through digital tools that objectively measure, monitor and deliver [12]
  • Remote management: enabling accessibility and maximisation of efficiency of available resources [13][14]
  • Faster development of drugs and devices: using digital twins

[15]

Digital Health Tools[edit | edit source]

- Synchronous communication (audio and video consultations)

- Asychronous communication(electronic health records, clinical reports, chat)

-Remote patient monitoring (hardware medical devices, software, clinic alarmistic)

- Artificial intelligence(support to decision-making, diagnosis and follow-up)

- Operational support(booking systems, integrated operational tools between institutions, interoperable tools)

[2]

References[edit | edit source]

  1. <a href="https://www.freepik.com/free-photo/female-doctor-with-smart-glasses-touching-virtual-screen-medical-technology_17122969.htm#query=digital%20health&position=3&from_view=keyword">Image by rawpixel.com</a> on Freepik [accessed 4-1-2023]
  2. 2.0 2.1 D'Anza B, Pronovost PJ. Digital Health: Unlocking Value in a Post-Pandemic World. Popul Health Manag. 2022 Feb;25(1):11-22.
  3. Estel K., Scherer J., Dahl H., Wolber E., Forsat N., Back D. Potential of digitalization within physiotherapy: a comparative survey. BMC Health Services Research 2022; 22:496.
  4. Wallcook S., Morris K. Supporting Digital Health and Digital Inclusion: An Occupational Therapy Perspective. Journal of Corporate Citizenship 2017;(68):82-94.
  5. Dahl-popolizio S., Carpenter H., Coronado M., Popolizio N.,Swanson C. Telehealth for the Provision of Occupational Therapy: Reflections on Experiences During the COVID-19 Pandemic. Int J Telerehabil. 2020; 12(2): 77–92.
  6. FDA.What is Digital Health? 2020 Available online: https://www.fda.gov/medical-devices/digital-health-center-excellence/what-digital-health [accessed 4-1-2023]
  7. TechTarget Health IT (health information technology). Available online: https://www.techtarget.com/searchhealthit/definition/Health-IT-information-technology [accessed 4-1-2023]
  8. Jen M., Kerndt C., Korvek S. Health Information Technology. 2022 Jun 23. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–.
  9. Knitza J., Simon D., Lambrecht A., Raab C., Tascilar K., Hagen M., Kleyer A., Bayat S., Derungs A., Amft O., Schett G., Hueber A. Mobile Health Usage, Preferences, Barriers, and eHealth Literacy in Rheumatology: Patient Survey Study. JMIR Mhealth Uhealth. 2020 Aug 12;8(8):e19661.
  10. Classification of Digital Health Interventions. Geneva: World Health Organization, 2018. WHO/RHR/18.06. License: CC BY-NC-SA 3.0 IGO.
  11. Pronovost P., Urwin J., Beck E., Coran J., Sundaramoorthy A., Schario M., Muisyo J., Sague J., Shea S., Runnels P. Making a dent in the trillion-dollar problem: toward zero defects. NEJM Catal Innovations Care Delivery 2021;2.
  12. Lamplot J., Pinnamaneni S., Swensen-Buza S., Lawton C., Dines J., Nawabi D., Young W., Rodeo S., Taylor S. The virtual shoulder and knee physical examination. Orthop J Sports Med. 2020;8(10):2325967120962869.
  13. Bossen D., Veenhof C., Van Beek K., Spreeuwenberg P., Dekker J., De Bakker D. Effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial. J Med Internet Res. 2013;15(11):e257.
  14. Grona S., Bath B., Busch A., Rotter T., Trask C., Harrison E. Use of videoconferencing for physical therapy in people with musculoskeletal conditions: a systematic review. J Telemed Telecare. 2018;24(5):341–55.
  15. Digital Europe. A digital health decade: driving innovation in Europe. Available online: https://digital-europe-website-v1.s3.fr-par.scw.cloud/uploads/2022/04/DIGITALEUROPE_A-DIGITAL-HEALTH-DECADE_DRIVING-INNOVATION-IN-EUROPE.pdf [accessed 19-12-2022]