Device based monitoring in digital care and its impact on hospital service use

npj Digital Medicine, Год журнала: 2025, Номер 8(1)

Опубликована: Янв. 8, 2025

This systematic review examines four themes of device-based remote monitoring (DRM): technology, patient and support, integration DRM into clinical care, engagement, their impact on hospital service use. We included randomized controlled trials (RCTs) until 2024 comparing use in with usual care. Hospital decreased 72% the 116 RCTs. Non-implantable devices were most commonly used to measure data, but showed a lower decrease than implanted or mobile (69% vs 89% 76%). Providing 24/7 support for patients led (81% studies). replacing involving designated healthcare providers, patient-performed data transmission greater has potential further reduce additional factors such as sufficient automated processes, optimized care redesign.

Язык: Английский

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Speech emotion recognition using machine learning — A systematic review

Intelligent Systems with Applications, Год журнала: 2023, Номер 20, С. 200266 - 200266

Опубликована: Авг. 14, 2023

Speech emotion recognition (SER) as a Machine Learning (ML) problem continues to garner significant amount of research interest, especially in the affective computing domain. This is due its increasing potential, algorithmic advancements, and applications real-world scenarios. Human speech contains para-linguistic information that can be represented using quantitative features such pitch, intensity, Mel-Frequency Cepstral Coefficients (MFCC). SER commonly achieved following three key steps: data processing, feature selection/extraction, classification based on underlying emotional features. The nature these steps, coupled with distinct human speech, underpin use ML methods for implementation. Recent works employed various tasks; however, only few them capture techniques used facilitate core steps In addition, challenges associated state-of-the-art approaches tackling are either ignored or sparsely discussed works. this paper, we present systematic review addressed tasks from perspectives over last decade, emphasis implementation steps. Different challenges, including issue low-classification-accuracy Speaker-Independent experiments, solutions them, detail. also provides guidelines evaluation focus common baselines, metrics available experimentation. paper expected serve comprehensive guideline researchers design techniques, motivate possible improvements existing models, trigger novel enhance performance.

Язык: Английский

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Balancing confidentiality and care coordination: challenges in patient privacy

BMC Nursing, Год журнала: 2024, Номер 23(1)

Опубликована: Авг. 15, 2024

Abstract Background In the digital age, maintaining patient confidentiality while ensuring effective care coordination poses significant challenges for healthcare providers, particularly nurses. Aim To investigate and strategies associated with balancing in age. Methods A cross-sectional study was conducted a general hospital Egypt to collect data from 150 nurses across various departments at least six months of experience care. Data were collected using tools: Demographic Form, HIPAA Compliance Checklist, Privacy Impact Assessment (PIA) Tool, Sharing Agreement (DSA) Framework, EHR Security NIST Cybersecurity Framework. Validity Reliability ensured through pilot testing factor analysis. Results Participants primarily aged 31–40 years (45%), 75% female 60% staff High compliance observed especially Administrative Safeguards (3.8 ± 0.5), indicating strong management training processes, an overall score 85 10. The PIA Tool showed robust privacy management, Project Descriptions scoring 4.5 0.3 total 30 3. DSA Framework had mean 20 2, Protection Measures highest 4.0 0.4. assessments revealed high scores Access Controls (4.4 0.3) Integrity (4.3 0.3), 22 1.5. 18 Protect (3.8) lower Detect (3.6). Strong positive correlations found between ( r = 0.70, p < 0.05) 0.55, 0.05), reflecting protection practices. Conclusion suggests that continuous improvement practices among ongoing comprehensive frameworks, is vital enhancing supporting coordination.

Язык: Английский

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Digital health and health equity: How digital health can address healthcare disparities and improve access to quality care in Africa

Health Promotion Perspectives, Год журнала: 2024, Номер 14(1), С. 3 - 8

Опубликована: Март 14, 2024

The healthcare industry is constantly evolving to bridge the inequality gap and provide precision care its diverse population. One of these approaches integration digital health tools into delivery. Significant milestones such as reduced maternal mortality, rising rapidly proliferating tech start-ups, use drones smart devices for remote service delivery, among others, have been reported. However, limited access family planning, migration professionals, climate change, gender inequity, increased urbanization, poor private firms delivery rubrics continue impair attainment universal coverage equity. Health policy development an integrated system without stigma, addressing inequalities all forms, should be implemented. Telehealth promotion, infrastructure, international collaborations, investment in interventions continuously advocated upscale current landscape achieve

Язык: Английский

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Should we consider a “three strikes and you’re in” rule in general practice?

BMJ, Год журнала: 2025, Номер unknown, С. r261 - r261

Опубликована: Фев. 6, 2025

Язык: Английский

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Assessment of Technology Readiness in Norwegian Older Adults With Long-Term Health Conditions Receiving Home Care Services: Cross-Sectional Questionnaire Study

JMIR Aging, Год журнала: 2025, Номер 8, С. e62936 - e62936

Опубликована: Фев. 7, 2025

Background With the increasing number of older adults globally, there is a constant search for new ways to organize health care services. Digital services are promising and may reduce workload at same time improve patient well-being. A certain level eHealth literacy needed be able use digital However, knowledge technology readiness in this target group unclear. Objective The aim study was understand who were provided home order address present future needs relation implementation Methods This quantitative cross-sectional included 149 from Norway receiving participants completed Readiness Enablement Index Health Technology (READHY) instrument, assessments well-being (World Organization-Five Well-Being [WHO-5]), demographic clinical variables (sex, age, education, living situation, comorbidity, devices, IT). Cluster analyses used users according their readiness. Results mean participant age 78.6 (SD 8.0) years, 55.7% (83/149) women. There good consistency within assumed READHY scales (Cronbach α=.61-.91). grouped into 4 clusters, which differed terms scores, variables, IT daily life. Participants cluster 1 (n=40) had highest scores on scales, younger, larger proportion men, higher better access devices IT. (n=16) scored lowest knowledge. relatively high levels expected benefit services, while would not easily start using Conclusions varied our cohort Norwegian care. Not all elderly people have fully Literacy Questionnaire instrument should offered nondigital or need extensive management support. differences between clusters inform stakeholders about most training support take advantage

Язык: Английский

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Digital Literacy 5.0 to Enhance Multicultural Education

Multicultural Islamic Education Review, Год журнала: 2023, Номер 1(2), С. 109 - 179

Опубликована: Дек. 8, 2023

In Digital Literacy 5.0, the intersectionality of digital competence across various domains marks a paradigm shift from traditional siloed approaches to more integrated and holistic framework. This article explores pervasive influence literacy diverse fields including health, medicine, nutrition, medical tourism, economy, biomedical sciences, bioinformatics, telemedicine, telehealth, artificial intelligence (AI), vascular surgery. Emphasizing necessity not just as skill for tool utilization but cornerstone understanding leveraging potential technologies, this comprehensive exploration underscores critical role in enhancing patient outcomes, driving economic growth, spurring innovation, revolutionizing healthcare surgical practices. Through multidisciplinary lens, elucidates indispensability technologically interconnected era, highlighting its implications policy, educational paradigms, future technological advancements.

Язык: Английский

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Cancer Patients’ Perspectives and Requirements of Digital Health Technologies: A Scoping Literature Review

Cancers, Год журнала: 2024, Номер 16(13), С. 2293 - 2293

Опубликована: Июнь 21, 2024

Digital health technologies have the potential to alleviate increasing cancer burden. Incorporating patients' perspectives on digital tools has been identified as a critical determinant for their successful uptake in care. The main objective of this scoping review was provide an overview existing evidence and requirements patient-facing technologies. Three databases (CINAHL, MEDLINE, Science Direct) were searched 128 studies eligible inclusion. Web-based software/platforms, mobile or smartphone devices/applications, remote sensing/wearable employed delivery interventions patient monitoring most frequently abilities enable care management, user-friendliness, facilitate patient-clinician interactions technological predominantly considered important by patients. findings from that could inform future research technology-associated parameters influencing decisions regarding adoption

Язык: Английский

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Factors Influencing Telehealth Satisfaction Among Liver and Kidney Transplant Recipients

Clinical Nursing Research, Год журнала: 2025, Номер unknown

Опубликована: Янв. 12, 2025

Solid organ transplant (SOT) recipients now have widespread access to telehealth, but the factors influencing their satisfaction still need be understood. This cross-sectional study explored potential contributors telehealth among SOT recipients, including liver, kidney, and simultaneous liver–kidney recipients. A total of 136 adult completed an online survey. The survey assessed satisfaction, previous experiences, confidence levels for assistance from others, electronic health literacy (eHealth literacy), perceived physical mental status, cognitive function, along with demographic clinical characteristics. multivariate regression backward selection method was used identify contributing satisfaction. Participants had a mean age 60.1 years (standard deviation [ SD] = 10.5) were, on average, 92 months post-transplant ( SD 99.9). score 5.3 out 7 1.2), indicating positive telehealth. However, lower associated poor in communicating providers via eHealth literacy, better prolonged time since (adjusted R 2 0.49). who perceive vulnerability technology, report are farther may exhibit When considering care, clinicians should prioritize addressing specific concerns challenges unfavorably.

Язык: Английский

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Exploring components and feasibility of health coaching interventions for self-management of Type 2 diabetes: A systematic review protocol (Preprint)

Опубликована: Янв. 16, 2025

Type 2 diabetes (T2D) currently has no cure. However, extensive evidence suggests that addressing key risk factors through lifestyle changes can help individuals effectively self-manage their condition. Diabetes self-management primarily involves patients engaging in self-monitoring behaviours and adopting coping strategies to manage long-term illness. In recent years, health coaching interventions have gained recognition as a valuable approach for providing personalized support, enabling take an active role managing health. By fostering behaviour change goal setting, learning, accountability, empowerment, equips with the tools proactively condition over time. This is especially important researchers policymakers, it underscores need acceptable, engaging, care lasting positive impact, promoting self-sufficiency improved quality of life T2D. The aim study systematically review published, peer-reviewed, primary research studies examine intervention T2D identify conceptualize associated effectiveness, acceptability, engagement. protocol outlines procedure systematic follows methodology recommended by PRISMA guidelines. will include experimental (randomized controlled trial (RCT)), quasi-experimental designs, qualitative designs which focus on in-depth interviews group discussions (FGDs), published English up 1 December 2024. Following databases be used search articles: MEDLINE, PsycINFO, EMBASE, Cumulative Index Nursing Allied Health Literature (CINAHL via Ebsco host), Web science (core collection) Cochrane central library. To any additional did not appear while searching databases, citation searches manual reference lists all selected critical appraisal performed. Moreover, performed GoogleScholar Science. Eligible provide 1:1 delivered face-to-face, remotely digital technology, virtually AI-driven platforms within context comprising coach. Outcomes interest Glycated haemoglobin (HbA1c), other clinical outcomes, data related acceptability engagement obtained from patients. A double-screening process employed, two independent reviewers assessing randomly set 25 identified against inclusion criteria ensure consistency before proceeding screen remaining studies. Any disagreements resolved discussion until consensus reached. Outcome extracted, quantitative being narratively summarised, analysed performing thematic analysis framework analysis. underway anticipated completed June 2025. explore interventions, components, offer recommendations aimed at optimizing designs.

Язык: Английский

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