scholarly journals IOT Based Health Monitoring System

2019 ◽  
pp. 501-504
Author(s):  
Inkollu Gowri Ramya Sri ◽  
Sravani Konduru ◽  
Pravallika Madiraju ◽  
Jetty Bindu Mahitha ◽  
V. Koteswara Rao
Keyword(s):  
Health Care ◽  
The Body ◽  
Transformative Change ◽  
Physical And Mental Health ◽  
Management Options ◽  
Cost Of Health Care ◽  
Practice Of Medicine ◽  
The Individual ◽  
The Cost ◽  
New Generation

Among many applications enabled by the Internet of Things (IoT), smart and connected health care is a particularly important one. Networked sensors, either worn on the body or embedded in our living environments, make possible the gathering of rich information indicative of our physical and mental health. Captured on a continual basis, aggregated, and effectively mined, such information can bring about a positive transformative change in the health care landscape. In particular, the availability of data until now coupled with a new generation of intelligent processing algorithms can: (a) facilitate an evolution in the practice of medicine, from the current post facto diagnose-and treat reactive paradigm, to a proactive framework for prognosis of diseases at an incipient stage, coupled with prevention, cure, and overall management of health instead of disease, (b) enable personalization of treatment and management options targeted particularly to the specific circumstances and needs of the individual, and (c) help reduce the cost of health care while simultaneously improving outcomes. In this paper, we highlight the opportunities and challenges for IOT in realizing this vision of the future of health care.

The Cost of Health Care — Highlights from a Discussion about Economics and Reform

2009 ◽  
Vol 361 (15) ◽  
pp. 1421-1423 ◽  
Author(s):  
Atul A. Gawande ◽  
Elliott S. Fisher ◽  
Jonathan Gruber ◽  
Meredith B. Rosenthal
Keyword(s):  
Health Care ◽  
Cost Of Health Care ◽  
The Cost

scholarly journals Financial and Labor Benefits of the Individual TB Risk Assessment Model for Annual TB Screening

2020 ◽  
Vol 41 (S1) ◽  
pp. s234-s234
Author(s):  
Kristin Sims ◽  
Roger Stienecker
Keyword(s):  
Risk Assessment ◽  
Health Care ◽  
Assessment Model ◽  
Health Care Personnel ◽  
Individual Risk ◽  
Tuberculosis Screening ◽  
Hospital System ◽  
National Tuberculosis ◽  
The Individual ◽  
The Cost

Background: Since 1991, US tuberculosis (TB) rates have declined, including among health care personnel (HCP). Non–US born persons accounted for approximately two-thirds of cases. Serial TB testing has limitations in populations at low risk; it is expensive and labor intensive. Method: We moved a large hospital system from facility-level risk stratification to an individual risk model to guide TB screening based on Tuberculosis Screening, Testing, and Treatment of US Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC, 2019. This process included individual TB risk assessment, symptom evaluation, TB testing for M. tuberculosis infection (by either IGRA or TST) for HCP without documented evidence of prior LTBI or TB disease, with an additional workup for TB disease for HCP with positive test results or symptoms compatible with TB disease. In addition, employees with specific job codes deemed high risk were required to undergo TB screening. Result: In 2018, this hospital system of ~10,000 employees screened 7,556 HCP for TB at a cost of $348,625. In 2019, the cost of the T Spot test increased from $45 to $100 and the cost of screening 5,754 HCP through October 31, 2019, was $543,057. In 2020, it is anticipated that 755 HCP will be screened, saving the hospital an estimated minimum of $467,557. The labor burden associated with employee health personnel will fall from ~629.66 hours to 62.91 hours. The labor burden associated with pulling HCPs from the bedside to be screened will be reduced from 629.66 hours to 62.91 hours as well. Conclusion: Adoption of the individual risk assessment model for TB screening based on Tuberculosis Screening, Testing, and Treatment of US Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC, 2019 will greatly reduce financial and labor burdens in healthcare settings when implemented.Funding: NoneDisclosures: None

PRESIDENT'S MESSAGE

PEDIATRICS ◽  
1962 ◽  
Vol 30 (1) ◽  
pp. 157-158
Author(s):  
Carl C. Fischer
Keyword(s):  
Whooping Cough ◽  
American People ◽  
Practice Of Medicine ◽  
The Subject ◽  
The Government ◽  
The Individual ◽  
The Cost ◽  
Federal Assistance ◽  
Children Under 5

REGARDLESS of how we, as individual physicians, may feel about the role of the federal government in the individual practice of medicine, the time has long since passed when we can afford the luxury of ignoring it. In past years the influence of the government on medicine has been mostly in general areas and perhaps least of all in that of pediatrics; but under the present administration there has been a decided change. For this reason it seems necessary to me to call to the attention of all Fellows of the Academy the particular items in President Kennedy's message of February 26, 1962, which relate specifically to the practice of Pediatrics. These may be considered to be three in number: The first of these dealt with the subject of immunization. On this topic President Kennedy said: I am asking the American people to join in a nationwide vaccination program to stamp out these four diseases (whooping cough, diphtheria, tetanus, and poliomyelitis) encouraging all communities to immunize both children and adults, keep them immunized and plan for the routine immunization of children yet to be born. To assist the states and local communities in this effort over the next 3 years, I am proposing legislation authorizing a program of federal assistance. This program would cover the full cost of vaccines for all children under 5 years of age. It would also assist in meeting the cost of organizing the vaccination drives begun during this period, and the cost of extra personnel needed for certain special tasks.

Telemedicine and Electronic Health

2018 ◽  
pp. 1-19
Author(s):  
Kijpokin Kasemsap
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Medical Information ◽  
Electronic Communications ◽  
Cost Of Health Care ◽  
Share Data ◽  
Strategic Goals ◽  
Hospital Stays ◽  
Electronic Health ◽  
The Cost

This chapter reveals the overview of telemedicine; telemedicine in developing countries; Electronic Health Record (EHR); and mobile health technologies. Telemedicine and Electronic Health (e-health) are modern technologies toward improving quality of care and increasing patient safety in developing countries. Telemedicine and e-health are the utilization of medical information exchanged from one site to another site via electronic communications. Telemedicine and e-health help health care organizations share data contained in the largely proprietary EHR systems in developing countries. Telemedicine and e-health help reduce the cost of health care and increases the efficiency through better management of chronic diseases, shared health professional staffing, reduced travel times, and shorter hospital stays. The chapter argues that utilizing telemedicine and e-health has the potential to enhance health care performance and reach strategic goals in developing countries.

The Nursery of Life

2030 ◽  
2010 ◽  
Author(s):  
Rutger van Santen ◽  
Djan Khoe ◽  
Bram Vermeer
Keyword(s):  
Health Care ◽  
New Technology ◽  
Medical Knowledge ◽  
Human Beings ◽  
Slowing Down ◽  
Cost Of Health Care ◽  
Precise Diagnosis ◽  
Set Up ◽  
The Cost ◽  
Prompt Diagnosis

Human beings are much more complex than any technology we could devise today. How many machines are good for 80 or 90 years of service? Our immune system—set up at birth—is able to repel diseases that don’t even exist yet. Most viruses that proliferate 50 years after we were born can be defeated just as easily as maladies that have been dogging humans for generations. Effective health care means that—in most regions of the planet—we are living longer and longer. All the same, human beings are not perfect: We get sick and we wear out over time. In the wealthier regions, we spend a great deal of money trying to get as close as possible to a 100-year span. Our greatest task is to bring a long and healthy life within the reach of as many people as possible. New technology is required to hold down the cost of health care, to nip outbreaks of disease in the bud, and to ease discomfort in our old age. Scientists believe that substantial benefits can be gained by identifying abnormalities earlier. A cancerous growth measuring just a few millimeters is still relatively harmless, and an infection caught in its early stages won’t leave any scars. Although techniques for accurately diagnosing incipient abnormalities can often be very expensive, prompt diagnosis generally means that treatment will be easier, cheaper, and more likely to succeed. Thus, we can end up saving money despite the need for expensive equipment. To adequately fight the outbreak of diseases in the future, our technology must be able to respond more rapidly. This could pose a particular challenge because there is also a trend at present toward superspecialization, which is fragmenting medical knowledge and slowing down responses. Take the science of ophthalmology in which the various specializations focus on extremely specific parts of the eye. This is fine once a precise diagnosis has been made, but it could be a significant problem if the patient consults the wrong doctor at the outset. The way we currently approach diagnosis needs to change.

Private Health Care for Canada: North of the Border, an Idea Whose Time Shouldn't Come?

1998 ◽  
Vol 26 (2) ◽  
pp. 138-148 ◽  
Author(s):  
Ted Schrecker
Keyword(s):  
United States ◽  
Health Care ◽  
The United States ◽  
Canadian Medical Association Journal ◽  
Private Health Care ◽  
Publicly Funded ◽  
Cost Of Health Care ◽  
The Cost ◽  
Permanent Residents ◽  
Universal Health

Toronto physician Brian Goldman had thought about “joining the camp that favours private health care for Canada.” Writing in the Canadian Medical Association Journal, he tells us that he changed his mind after one of his cats experienced a series of illnesses and misadventures that resulted in a Can$3,101 medical bill. “I’m just glad,” he says, “that the cost of health care never entered my deliberations.”’Canadian citizens and permanent residents are similarly free from most worries about the direct costs of their own medical care, and have been for more than a generation. This reflects a fundamental difference between the Canadian and United States contexts for health policy. Since the failure of President Clinton's first-term efforts to provide something approximating universal health insurance, reforms to the existing regime of providing and financing health care in the United States have been incremental, and primarily responsive to the changing nature of the health care marketplace. In Canada, universal publicly funded first-dollar coverage for most physicians’ and hospitals’ services has been a reality since the early 1970s.

Cost Shifting Does Not Reduce the Cost of Health Care

JAMA ◽  
2009 ◽  
Vol 302 (9) ◽  
pp. 999 ◽  
Author(s):  
Victor R. Fuchs
Keyword(s):  
Health Care ◽  
Cost Shifting ◽  
Cost Of Health Care ◽  
The Cost
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