Digital Health

Original Editor - Angeliki Chorti Top Contributors - Angeliki Chorti, Lucinda hampton, Kim Jackson and Rujuta Naik

Introduction[edit | edit source]

[1]

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 of 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]

Wearable technology refers to electronic and other products that can be worn or mated with human skin to enable monitoring of basic human functions or activities. [10]These devices are commonly used for preventive or diagnostic purposes, but their use has also been extended to rehabilitation. Examples of wearables used in rehabilitation include virtual reality (VR) and augmented reality systems, activity trackers and functional electrical stimulation (FES). [11]

Telehealth / Telemedicine[edit | edit source]

Telehealth / telemedicine involves the delivery of health-related services and information via electronic communication. [12]

Personalised medicine[edit | edit source]

Personalised medicine refers to targeted treatment based on individual characteristics, patient preferences and social and economic factors. [13]In rehabilitation, personalised neuroprosthetics for patient-specific impairments use brain-to-body interfaces to form electronic bridges that enable neural function.

Taxonomy[edit | edit source]

Taxonomy for DH interactions may vary depending on different areas of technology and type of care. [14] For clinical practice, Pronovost et al. 's taxonomy [15] 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 [16]
  • Remote management: enabling accessibility and maximisation of efficiency of available resources [17][18]
  • Faster development of drugs and devices: using digital twins

[19]

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. ↑ Haghi M., Thurow K., Stoll R. Wearable devices in medical internet of things: scientific research and commercially available devices. Healthc Inform Res 2017; 23: 4–15.]
  11. ↑ Rodgers M., Alon G., Pai V., Conroy R. Wearable technologies for active living and rehabilitation: Current research challenges and future opportunities. J Rehabil Assist Technol Eng. 2019 Jan-Dec; 6: 2055668319839607.
  12. ↑ Snoswell C., Chelberg G., De Guzman K., Haydon H., Thomas E., Caffery L., Smith A. The clinical effectiveness of telehealth: A systematic review of meta-analyses from 2010 to 2019. J Telemed Telecare. 2021 Jun 29:1357633X211022907.
  13. ↑ Sigman M. Introduction: Personalized medicine: what is it and what are the challenges? Fertil Steril. 2018 Jun;109(6):944-945.
  14. ↑ Classification of Digital Health Interventions. Geneva: World Health Organization, 2018. WHO/RHR/18.06. License: CC BY-NC-SA 3.0 IGO.
  15. ↑ 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.
  16. ↑ 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.
  17. ↑ 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.
  18. ↑ 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.
  19. ↑ 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]
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