Digital Health: Difference between revisions

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== DH aspects ==
== DH aspects ==
DH refers to various healthcare aspects which involve <ref>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]</ref>:
DH refers to various healthcare aspects which involve the following <ref>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]</ref>:


- Health Information Technology (IT)
=== Health Information Technology (HIT) ===
HIT is an area of information technology dedicated to the design, development, creation, use and maintenance of information systems for healthcare. <ref>TechTarget Health IT (health information technology). Available online: https://www.techtarget.com/searchhealthit/definition/Health-IT-information-technology [accessed 4-1-2023]</ref>  This may involve hardware, software, and systems that comprise the input, transmission, use, extraction, and analysis of information in the healthcare sector. <ref>Jen M., Kerndt C., Korvek S. [https://pubmed.ncbi.nlm.nih.gov/29262233/ Health Information Technology]. 2022 Jun 23. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–.</ref>


- Mobile Health (mHealth)
=== Mobile Health (mHealth) ===


- Wearable devices
=== Wearable devices ===


- [https://www.physio-pedia.com/Introduction_to_Telehealth Telehealth / telemedicine]
=== Telehealth / Telemedicine ===
[https://www.physio-pedia.com/Introduction_to_Telehealth Telehealth / telemedicine]
 
=== Personalised medicine ===


- Personalised medicine 
== Taxonomy ==
== Taxonomy ==
Taxonomy for DH interactions may vary depending on different areas of technology and type of care. <ref>[https://apps.who.int/iris/bitstream/handle/10665/260480/WHO-RHR-18.06-eng.pdf Classification of Digital Health Interventions]. Geneva: World Health Organization, 2018. WHO/RHR/18.06. License: CC BY-NC-SA 3.0 IGO. </ref> For clinical practice, Pronovost et al. 's taxonomy <ref>Pronovost P., Urwin J., Beck E., Coran J., Sundaramoorthy A., Schario M., Muisyo J., Sague J., Shea S., Runnels P.  [https://catalyst.nejm.org/doi/abs/10.1056/CAT.19.1064 Making a dent in the trillion-dollar problem: toward zero defects.] NEJM Catal Innovations Care Delivery 2021;2.</ref> dividing DH  into the following 3 categories of value seems to be most relevant:
Taxonomy for DH interactions may vary depending on different areas of technology and type of care. <ref>[https://apps.who.int/iris/bitstream/handle/10665/260480/WHO-RHR-18.06-eng.pdf Classification of Digital Health Interventions]. Geneva: World Health Organization, 2018. WHO/RHR/18.06. License: CC BY-NC-SA 3.0 IGO. </ref> For clinical practice, Pronovost et al. 's taxonomy <ref>Pronovost P., Urwin J., Beck E., Coran J., Sundaramoorthy A., Schario M., Muisyo J., Sague J., Shea S., Runnels P.  [https://catalyst.nejm.org/doi/abs/10.1056/CAT.19.1064 Making a dent in the trillion-dollar problem: toward zero defects.] NEJM Catal Innovations Care Delivery 2021;2.</ref> dividing DH  into the following 3 categories of value seems to be most relevant:

Revision as of 21:22, 4 January 2023

Introduction[edit | edit source]

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 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]

Wearable devices[edit | edit source]

Telehealth / Telemedicine[edit | edit source]

Telehealth / telemedicine

Personalised medicine[edit | edit source]

Taxonomy[edit | edit source]

Taxonomy for DH interactions may vary depending on different areas of technology and type of care. [9] For clinical practice, Pronovost et al. 's taxonomy [10] 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 [11]
  • Remote management: enabling accessibility and maximisation of efficiency of available resources [12][13]
  • Faster development of drugs and devices: using digital twins

[14]

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. Classification of Digital Health Interventions. Geneva: World Health Organization, 2018. WHO/RHR/18.06. License: CC BY-NC-SA 3.0 IGO.
  10. 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.
  11. 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.
  12. 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.
  13. 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.
  14. 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]