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

2018 ◽  
Author(s):  
Rajendra Pratap Gupta

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.

2010 ◽  
pp. 1379-1390
Author(s):  
Delyth Samuel ◽  
Danny Samson

Governments provide a wide range of services, and the digital economy provides both threats and opportunities in this sector. The Transport Accident Commission (TAC) is a compulsory, government owned and operated insurance scheme for third-party, no-fault liability insurance for transport accident victims, operated in Victoria, Australia. E-business has now been widely used in all sectors from small business (Loane, McNaughton, & Bell, 2004) to emerging economies (Li & Chang, 2004), and in very different industry sectors (Cagno, Di Giulio, & Trucco, 2004; Golden, Hughes, & Gallagher, 2003). Major steps forward and applications have occurred in retailing (Leonard & Cronan, 2003; Mackay, Altmann, & McMichael, 2003; Starr, 2003). Applications need to be highly customized as the business-to-consumer (B2C) and business-to-business (B2B) environments are very different, and requirements of industries such as retailing and mining, and indeed government, differ substantially (Carter, 2003; He & Lung, 2002; Rotondaro, 2002). Government provides a particularly different environment for e-business applications because government services are often delivered in monopoly circumstances, with no real profit motive behind them. At the height of the technology boom in October 1999, Tony Marxsen joined the TAC as head of IT to develop a new IT outsourcing contract for the organization as the current 5-year contract was due to end in July 2000. He quickly realized that the TAC IT systems were out of date, lacked IT process integration, and were constraining improvement in business processes, and that no significant investments had been made for some time. Renewing or redesigning the outsourcing contract, the basis for which he had been employed, would only be a short-term solution. The problem was that the cost of new infrastructure would be high, and return on technology investment would mainly be realized from redesigned business processes enabled by the new technology. Tony wanted to propose a business transformation, with process changes as well as significant investment in IT infrastructure. Together, these would take the TAC from 1970s technology into the 21st century. The problem was that their (investments in such transformation) payoffs are not easily and quickly achieved. Their value does not come from installing the technology; it comes from changing both operating and management processes—perhaps operating and managing cultures too. (Ross & Beath, 2002, p. 53) Tony knew he would have to win the support of the board and senior management, but he could not immediately give them a concrete business case for the investment. He also knew that any infrastructure investment had to be linked with a major process-improvement initiative from the start to avoid the double investment of building new applications to support old processes, and then undertaking major modifications or even replacement when the need for improvement became obvious to the board and management team. He compared investing in IT infrastructure to rewiring and replumbing your house: as far as visitors are concerned, there’s no visible difference, everything’s behind the walls, but as the owner you get the benefits of things like cheaper electricity and water bills because of efficiencies in the new redesigned systems. The problem is convincing people that they will get these results in the future, but that they need to hand over the money now, when there’s no hard evidence for the benefits they’ll get, just a bunch of assumptions and no guarantees. It’s a big ask for any Board. (Marxsen, personal communication, September 4, 2003) Tony knew that the first hurdle he would have to overcome would be getting the board to agree to give him the opportunity to put together a team to develop a business case for the board’s further consideration.


2019 ◽  
pp. 1-9
Author(s):  
Sharon Walsh ◽  
Maria Pertl ◽  
Paddy Gillespie ◽  
Brian Lawlor ◽  
Sabina Brennan ◽  
...  

2021 ◽  
Vol 10 (2) ◽  
pp. e56610212827
Author(s):  
André May ◽  
Luciana Fontes Coelho ◽  
Evandro Henrique Figueiredo Moura da Silva ◽  
Ronaldo da Silva Viana ◽  
Nilson Aparecido Vieira Junior ◽  
...  

This article presents a review on the use of graphene in various segments, elucidating that this product can be used in various industrial sectors. These include mainly agriculture (as in large crops of high relevance, such as coffee), the food industry and the environment, as a plant growth stimulator and in fertilizers, nanoencapsulation and smart-release systems, antifungal and antibacterial agents, smart packaging, water treatment and ultrafiltration, contaminant removal, pesticide and insecticide quantitation, detection systems and precision agriculture. However, some challenges can be overcome before the graphene-based nanoparticle is used on a large scale. In this way, before using the product in the environment, it is necessary to determine whether the technology is safe for the soil-plant system and consumers. Furthermore, the cost of its use can also be a limiting factor depending on the level applied. Therefore, this review proposes to examine the diverse literature to explain the effects of the use of graphene in agriculture, plants and soil microorganisms. Accordingly, this article discusses and presents the possibilities of application of graphene in agriculture, plants and soil microorganisms.


2011 ◽  
pp. 3878-3889
Author(s):  
Delyth Samuel ◽  
Danny Samson

Governments provide a wide range of services, and the digital economy provides both threats and opportunities in this sector. The Transport Accident Commission (TAC) is a compulsory, government owned and operated insurance scheme for third-party, no-fault liability insurance for transport accident victims, operated in Victoria, Australia. E-business has now been widely used in all sectors from small business (Loane, McNaughton, & Bell, 2004) to emerging economies (Li & Chang, 2004), and in very different industry sectors (Cagno, Di Giulio, & Trucco, 2004; Golden, Hughes, & Gallagher, 2003). Major steps forward and applications have occurred in retailing (Leonard & Cronan, 2003; Mackay, Altmann, & McMichael, 2003; Starr, 2003). Applications need to be highly customized as the business-to-consumer (B2C) and business-to-business (B2B) environments are very different, and requirements of industries such as retailing and mining, and indeed government, differ substantially (Carter, 2003; He & Lung, 2002; Rotondaro, 2002). Government provides a particularly different environment for e-business applications because government services are often delivered in monopoly circumstances, with no real profit motive behind them. At the height of the technology boom in October 1999, Tony Marxsen joined the TAC as head of IT to develop a new IT outsourcing contract for the organization as the current 5-year contract was due to end in July 2000. He quickly realized that the TAC IT systems were out of date, lacked IT process integration, and were constraining improvement in business processes, and that no significant investments had been made for some time. Renewing or redesigning the outsourcing contract, the basis for which he had been employed, would only be a short-term solution. The problem was that the cost of new infrastructure would be high, and return on technology investment would mainly be realized from redesigned business processes enabled by the new technology. Tony wanted to propose a business transformation, with process changes as well as significant investment in IT infrastructure. Together, these would take the TAC from 1970s technology into the 21st century. The problem was that their (investments in such transformation) payoffs are not easily and quickly achieved. Their value does not come from installing the technology; it comes from changing both operating and management processes—perhaps operating and managing cultures too. (Ross & Beath, 2002, p. 53) Tony knew he would have to win the support of the board and senior management, but he could not immediately give them a concrete business case for the investment. He also knew that any infrastructure investment had to be linked with a major process-improvement initiative from the start to avoid the double investment of building new applications to support old processes, and then undertaking major modifications or even replacement when the need for improvement became obvious to the board and management team. He compared investing in IT infrastructure to rewiring and replumbing your house: as far as visitors are concerned, there’s no visible difference, everything’s behind the walls, but as the owner you get the benefits of things like cheaper electricity and water bills because of efficiencies in the new redesigned systems. The problem is convincing people that they will get these results in the future, but that they need to hand over the money now, when there’s no hard evidence for the benefits they’ll get, just a bunch of assumptions and no guarantees. It’s a big ask for any Board. (Marxsen, personal communication, September 4, 2003) Tony knew that the first hurdle he would have to overcome would be getting the board to agree to give him the opportunity to put together a team to develop a business case for the board’s further consideration.


Author(s):  
Nikhil Balram ◽  
Ivana Tošić ◽  
Harsha Binnamangalam

The exponential growth in digital technology is leading us to a future in which all things and all people are connected all the time, something we refer to as The Infinite Network (TIN), which will cause profound changes in every industry. Here, we focus on the impact it will have in healthcare. TIN will change the essence of healthcare to a data-driven continuous approach as opposed to the event-driven discrete approach used today. At a micro or individual level, smart sensing will play a key role, in the form of embedded sensors, wearable sensors, and sensing from smart medical devices. At a macro or aggregate level, healthcare will be provided by Intelligent Telehealth Networks that evolve from the telehealth networks that are available today. Traditional telemedicine has delivered remote care to patients in the area where doctors are not readily available, but has not achieved at large scale. New advanced networks will deliver care at a much larger scale. The long-term future requires intelligent hybrid networks that combine artificial intelligence with human intelligence to provide continuity of care at higher quality and lower cost than is possible today.


1994 ◽  
Vol 29 (1) ◽  
pp. 48-63 ◽  
Author(s):  
Michael Moran

Health Care Has Been Called ‘The World's Most successful industry’. That success is long-standing. In every nation for which we have reliable long-term evidence the proportion of Gross National Product devoted to health care is much higher than was the cast a generation ago. The state has been central to that expansion. In all advanced industrial nations it regulates health care industries; in many it pays most of the cost of care; and in some it directly employs those who do the caring. In the 1980s, however, most countries tried to slow down the growth of health care spending, or even to cut it absolutely. The ‘health care state’ is as a consequence being reshaped across the advanced capitalist world: its power structures are changing; the conditions under which it funds and delivers services are being altered; and its relations with the ‘consumers’ of care are being transformed.


2021 ◽  
Vol 13 (11) ◽  
pp. 5986
Author(s):  
Correa Diego ◽  
Gil Jakub ◽  
Moyano Christian

Many cities around the world encourage the transition to battery-powered vehicles to minimize the carbon footprint of the transportation sector. Deploying large-scale wireless charging infrastructures to charge electric transit buses when loading and unloading passengers have become an effective way to reduce emissions. The standard plug-in electric vehicles have a limited amount of power stored in the battery, resulting in frequent stops to refill the energy. Optimal siting of wireless charging bus stops is essential to reducing these inconveniences and enhancing the sustainability performance of a wireless charging bus fleet. Wireless charging is an innovation of transmitting power through electromagnetic induction to portable electrical devices for energy renewal. Online Electric Vehicle (OLEV) is a new technology that allows the vehicle to be charged while it is in motion, thus removing the need to stop at a charging station. Developed by the Korea Advanced Institute of Science and Technology (KAIST), OLEV picks up electricity from power transmitters buried underground. This paper aims to investigate the cost of the energy logistics for the three types of wireless charging networks: stationary wireless charging (SWC), quasi-dynamic wireless charging (QWC), and dynamic wireless charging (DWC), deployed at stops and size of battery capacity for electric buses, using OLEV technology for a bus service transit in the borough of Manhattan (MN) in New York City (NYC).


2020 ◽  
Author(s):  
Ujjwal Ramtekkar ◽  
Jeffrey A Bridge ◽  
Glenn Thomas ◽  
Eric Butter ◽  
Jennifer Reese ◽  
...  

UNSTRUCTURED The use of telebehavioral health has been expanding in the past decade to improve access to psychiatric care and address critical shortages in the psychiatric workforce. The coronavirus (COVID-19) pandemic forced a sudden shift from traditional in-person visits to alternative modalities. There are key factors associated with successful transitional and large-scale implementation of telehealth with existing resources. We describe the experience of a large health care system using telehealth technology, and we identify strategies and discuss considerations for long-term sustainability after the pandemic.


2018 ◽  
Author(s):  
Onil Bhattacharyya ◽  
Kathryn Mossman ◽  
Lovisa Gustafsson ◽  
Eric C Schneider

BACKGROUND Twenty years ago, a “Guardian Angel” or comprehensive digital health advisor was proposed to empower patients to better manage their own health. This is now technically feasible, but most digital applications have narrow functions and target the relatively healthy, with few designed for those with the greatest needs. OBJECTIVE The goal of the research was to identify unmet needs and key features of a general digital health advisor for frail elderly and people with multiple chronic conditions and their caregivers. METHODS In-depth interviews were used to develop personas and use cases, and iterative feedback from participants informed the creation of a low-fidelity prototype of a digital health advisor. Results were shared with developers, investors, regulators, and health system leaders for suggestions on how this could be developed and disseminated. RESULTS Patients highlighted the following goals: “live my life,” “love my life,” “manage my health,” and “feel understood.” Patients and caregivers reported interest in four functions to address these goals: tracking and insights, advice and information, providing a holistic picture of the patient, and coordination and communication. Experts and system stakeholders felt the prototype was technically feasible, and that while health care delivery organizations could help disseminate such a tool, it should be done in partnership with consumer-focused organizations. CONCLUSIONS This study describes the key features of a comprehensive digital health advisor, but to spur its development, we need to clarify the business case and address the policy, organizational, and cultural barriers to creating tools that put patients and their goals at the center of the health system.


Author(s):  
Yi Ge ◽  
Peter J. Jin ◽  
Tianya Zhang ◽  
Jonathan Martinez

This paper explores the cloud- versus server-based deployment scenarios of an enhanced computer vision platform for potential deployment on low-resolution 511 traffic video streams. An existing computer vision algorithm based on a spatial–temporal map and designed for high-angle traffic video like that of NGSIM (Next Generation SIMulation) is enhanced for roadside CCTV traffic camera angles. Because of the lower visual angle, determining the directions, splitting vehicles from occlusions, and identifying lane changes become difficult. A motion-flow-based direction determination method, a bisection occlusion detection and splitting algorithm, and a lane-change tracking method are proposed. The model evaluation is conducted by using videos from multiple cameras from the New Jersey Department of Transportation’s 511 traffic video surveillance system. The results show promising performance in both accuracy and computational efficiency for potential large-scale cloud deployment. The cost analysis reveals that at the current pricing model of cloud computing, the cloud-based deployment is more convenient and cost-effective for an on-demand network assessment. In contrast, the dedicated-server-based deployment is more economical for long-term traffic detection deployment.


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