Monitoring and Securing the Healthcare Data Harnessing IOT and Blockchain Technology

Blockchain and Internet of Things (IoT) technologies are used in many domains, predominantly for electronic-healthcare. Here, IoT devices has the ability to provide real-time sensor data from patients to get processed and analyzed. As a single point of failure, mistrust, data manipulation and tampering, and privacy avoidance may all occur as a result of such a method. Through offering shared computing and storage for IoT data, blockchain can help solve such issues.Maintaining and sharing Medical data is necessary here.If there occurs loss of confidence means it threatens the medical data and loss of integrity creates impact on the life of patient. So, the first objective is to protect the medical records. Also, a central server to the records will pretend the hackers to attack and continuous fetching is difficult.Therefore, combining Blockchain and IoT will be a threat breaker for computerized medical records.

Computerized Medical Record and Monitoring System of Saint Michael College of Caraga, Philippines

Life in the digital age raises the need for computerized medical records. This study was conducted to determine the advantages that the system brings to the school clinic and ease managing the students’ medical records and personnel of Saint Michael College of Caraga (SMCC). The current CPD framework, while superior to paper in general, frequently doesn’t address the client’s issues halfway because they depend on an obsolete paper-outline’ worldview (Gad & Ramadan, 2013). The study revealed that the system was necessary for managing the medical records and that it is very beneficial for the school. In addition, this system stores files with security and adds information to both students and personnel, including their consultation with the clinic. Moreover, the system updates the information whenever there are changes in the patient - fast-tracking data that can be convenient for the clinic attendant. The system also prints three classes of reports that are easy to manipulate. It was recommended that applying the system to the school clinic to boost the performance in managing the medical records, and improve the security standards, maintain privacy and confidentiality of patient data.

A systematic approach for introduction of novel treatments to a chronic patient group: sacubitril-valsartan as a case study

Purpose To develop a model for systematic introduction and to test the feasibility in a chronic disease population. We also investigated how the approach was received by the patients. Methods and results The systematic introduction approach is a seven-step procedure: step 1, define a few main criteria; step 2, primary scan patients with the one or two main criteria using computerized medical records/databases/clinical registries; step 3, identify patients applying the other predefined criteria; step 4, evaluate if any examinations/laboratory test updates are required; step 5, summon identified patients to the clinic with an information letter; step 6, discuss treatment with the patient and prescribe if appropriate; and step 7, follow up on initiated therapy and evaluate the applied process. The model was tested in a case study during introduction of the new drug sacubitril-valsartan in a heart failure population. In total, 76 out of 1924 patients were identified to be eligible for sacubitril-valsartan and summoned to the clinic to discuss treatment. Patient experiences with the approach were investigated in an interview study with general inductive approach using qualitative content analysis. This resulted in three final categories: a good approach, role of the information letter, and trust in care. Conclusions The systematic introduction approach ensures that strict criteria are used in the selection process and that a treatment can be implemented in eligible patients within a specified population with limited resources and time. The model was effective in our case study and maintained the patient’s confidence in healthcare.

COMPUTER TECHNOLOGY AND EHEALTH. TRENDS AND REGULATORY FRAMEWORK

The paper aims to identify key aspects of the essence of eHealth (digital hospitals, clinical information systems, computerized medical records, telemedicine) as a priority European policy and how it is reflected in the national legislation of Bulgaria. In this sense, the aim of the study is first to highlight the typical European trends in the development of eHealth through continuous and well-established processes of application of digital technology to healthcare and their incorporation into the Community policies as a legal framework, and second to analyze national processes and stages of digitalization of healthcare and the health insurance system in terms of the creation of functioning and adequate eHealth. Based on the analysis performed, the authors have drawn conclusions about trends in and legal effects of the regulatory framework related to the efficiency of healthcare and the effective management of the health insurance systems.

Psychometric testing of immigrants and natives in an acute psychiatry facility

The diagnostic process after referral to an acute psychiatric treatment facility consists of more than the clinical investigation and laboratory tests. Psychometric tests in a broad range of languages may be such an augmentation of our diagnostic armamentarium. Whether such tests are in use, and how they are distributed among different patient categories was the aim of the study. All referrals in one calendar year (N=1168), as they are depicted in the hospital computerized medical records, were investigated. Fifty-six (6.1%) out of 926 ethnic Norwegians and six (3.0%) out of 198 non-Western immigrants were tested, whereas none of the 44 Western immigrants. The difference between ethnic Norwegians and the immigrants was significant (Z=-3.05 and P=0.002). Psychometric tests were thus almost not in use, and even lesser so in immigrants. Mean number of resident days was higher among those tested, 11.7 (SD=11.2) versus those not tested, 7.4 (SD=10.4) days, t=2.97 and P=0.004. Length of stay for ethnic Norwegians did not differ from that for non-Western immigrants 11.4 versus 11.7, respectively. The patients tested were older than those not tested. Mean age was 43.0 (SD=14.4) versus 38.8 (SD=12.1), with a t=2.65 and P=0.03. The difference in resident days between all immigrants and ethnic Norwegians was significant with a Z=- 2.232 and P=0.026. Level of testing was higher in ethnic Norwegians, and the tested patients stayed longer, maybe indicating more room for testing. Whether this low test-activity influences treatment quality is an unsettled question.

Psychometric testing of immigrants and natives in an acute psychiatry facility

The diagnostic process after referral to an acute psychiatric treatment facility consists of more than the clinical investigation and laboratory tests. Psychometric tests in a broad range of languages may be such an augmentation of our diagnostic armamentarium. Whether such tests are in use, and how they are distributed among different patient categories was the aim of the study. All referrals in one calendar year (N=1168), as they are depicted in the hospital computerized medical records, were investigated. Fifty-six (6.1%) out of 926 ethnic Norwegians and six (3.0%) out of 198 non-Western immigrants were tested, whereas none of the 44 Western immigrants. The difference between ethnic Norwegians and the immigrants was significant (Z=-3.05 and P=0.002). Psychometric tests were thus almost not in use, and even lesser so in immigrants. Mean number of resident days was higher among those tested, 11.7 (SD=11.2) versus those not tested, 7.4 (SD=10.4) days, t=2.97 and P=0.004. Length of stay for ethnic Norwegians did not differ from that for non-Western immigrants 11.4 versus 11.7, respectively. The patients tested were older than those not tested. Mean age was 43.0 (SD=14.4) versus 38.8 (SD=12.1), with a t=2.65 and P=0.03. The difference in resident days between all immigrants and ethnic Norwegians was significant with a Z=−2.232 and P=0.026. Level of testing was higher in ethnic Norwegians, and the tested patients stayed longer, maybe indicating more room for testing. Whether this low test-activity influences treatment quality is an unsettled question.

The Impact of Patient Online Access to Computerized Medical Records and Services on Type 2 Diabetes: Systematic Review (Preprint)

BACKGROUND Online access to computerized medical records has the potential to improve convenience, satisfaction, and care for patients, and to facilitate more efficient organization and delivery of care. OBJECTIVE The objective of this review is to explore the use and impact of having online access to computerized medical records and services for patients with type 2 diabetes mellitus in primary care. METHODS Multiple international databases including Medline, Embase, CINAHL, PsycINFO and the Cochrane Library were searched between 2004 and 2016. No limitations were placed on study design, though we applied detailed inclusion and exclusion criteria to each study. Thematic analysis was used to synthesize the evidence. The Mixed Methods Appraisal Toolkit was used to appraise study quality. RESULTS A search identified 917 studies, of which 28 were included. Five themes were identified: (1) disparities in uptake by age, gender, ethnicity, educational attainment, and number of comorbidities, with young men in full-time employment using these services most; (2) improved health outcomes: glycemic control was improved, but blood pressure results were mixed; (3) self-management support from improved self-care and shared management occurred especially soon after diagnosis and when complications emerged. There was a generally positive effect on physician-patient relationships; (4) accessibility: patients valued more convenient access when online access to computerized medical records and services work; and (5) technical challenges, barriers to use, and system features that impacted patient and physician use. The Mixed Methods Appraisal Toolkit rated 3 studies as 100%, 19 studies as 75%, 4 studies as 50%, and 1 study scored only 25%. CONCLUSIONS Patients valued online access to computerized medical records and services, although in its current state of development it may increase disparities. Online access to computerized medical records appears to be safe and is associated with improved glycemic control, but there was a lack of rigorous evidence in terms of positive health outcomes for other complications, such as blood pressure. Patients remain concerned about how these systems work, the rules, and timeliness of using these systems.