Assisting Transition: Growth Prospects for the Development of the Assistive Technology Industry in South Australia

© [2017] Flinders University / Australian Industrial Transformation InstituteAround the world, but particularly in the advanced Western economies and key Asian economies, populations are ageing, retirees are wealthier than ever before, governments are moving to provide greater assistance to persons with disabilities and new technologies are creating the prospect of longer, more independent, more active and healthy lives. And, of course, the incidence of people with a disability rises in tandem with population ageing. Individuals and communities are demanding access to assistive technologies (or AT) in line with their higher incomes, requirements for a high quality of life, and the technological innovations that are creating an ever-more vast array of possibilities. Governments concerned with the rising cost of caring for older persons and those with a disability will support solutions that enable them to be cared for in their homes rather than in dedicated care facilities where the costs are higher. At the same time governments are encouraging older workers to participate in the workforce for as long as possible. Assistive technologies have an important role to play in facilitating these objectives

How to Add Value to your Business with CEA: A Practical Approach

Companies are always trying to differentiate themselves from the rest of the pack by applying different strategies such as improving customer service, increasing the efficiency of their operations, or reducing their costs. Most of the time, however, these goals are competing against each other for scarce resources, and managers often need to decide to concentrate on one. A small company can effectively and simultaneously accomplish these goals for a fraction of the cost by implementing communications-enabled business processes or solutions, which are a set of technology components that add real-time networking functionality to applications. One particular implementation of this framework is the one provided by Coral CEA. Coral CEA is a business ecosystem anchored around CEA functionalities that are offered as building blocks, out-of-the-box components that link the capabilities and intelligence of networks platforms with the power of current applications to provide a new set of features and functionalities. In this article, we show how a small company called Rezact, located in the ski resort town of Mont-Tremblant, Quebec, successfully implemented CEA capabilities within its own operations using Coral CEA services

Multilayer framework for digital multicomponent platform design for colorectal survivors and carers: a qualitative study

BackgroundThe advent of eHealth services offers the potential to support colorectal cancer (CRC) survivors and their informal caregivers (ICs), yet research into user needs and design requirements remains scant. This exploratory qualitative study addresses this knowledge gap by focusing on the development of a Digital Multicomponent Platform (DMP) designed to provide comprehensive support to these populations.AimsThe objective of this research is to use qualitative methodologies to identify key user needs and design requirements for eHealth services. It seeks to propose and apply a multi-tiered framework for creating a DMP that encapsulates the needs of CRC survivors and their ICs.MethodsSkype-based focus groups (FGs) were utilized to gather qualitative data from CRC survivors and ICs. This approach served to elicit crucial themes integral to the design of the DMP. A multi-tiered framework was subsequently developed to integrate user-centered design (UCD) principles and requirements with predetermined outcomes, eHealth services, and IT infrastructure.ResultsThe first stage of the analysis identified five crucial themes: (1) the importance of healthcare system interaction via eHealth, (2) interaction between healthcare providers and peers, (3) lifestyle and wellness considerations, (4) platform content and user interface requirements, (5) caregiver support. The second stage analysis applied the multi-tiered framework, to determine the DMP that was conceptualized from these themes, underscores the significance of personalized content, caregiver involvement, and integration with electronic health records (EHRs).ConclusionThe study offers novel insights into the design and development of digital supportive care interventions for CRC survivors and their caregivers. The results highlight the utility of user-centered design principles, the significance of personalized content and caregiver involvement, and the need for a unified health data platform that promotes communication among patients, healthcare providers, and peers. This multi-tiered framework could serve as a prototype for future eHealth service designs

TV interaction as a non-invasive sensor for monitoring elderly well-being at home

The number of technical solutions to remotely monitoring elderly citizens and detecting hazard situations has been increasing in the last few years. These solutions have dual purposes: to provide a feeling of safety to the elderly and to inform their relatives about potential risky situations, such as falls, forgotten medication, and other unexpected deviations from daily routine. Most of these solutions are based on IoT (Internet of Things) and dedicated sensors that need to be installed at the elderly’s houses, hampering mass adoption. This justifies the search for non-invasive technical alternatives with smooth integration that relying only on existent devices, without the need for any additional installations. Therefore, this paper presents the SecurHome TV ecosystem, a technical solution based on the elderly’s interactions with their TV sets—one of the most used devices in their daily lives—acting as a non-invasive sensor enabling one to detect potential hazardous situations through an elaborated warning algorithm. Thus, this paper describes in detail the SecurHome TV ecosystem, with special emphasis on the warning algorithm, and reports on its validation process. We conclude that notwithstanding some constraints while setting the user’s pattern, either upon the cold start of the application or after an innocuous change in the user’s TV routine, the algorithm detects most hazardous situations contributing to monitor elderly well-being at home

A National Dialogue on Health Information Technology and Privacy

Increasingly, government leaders recognize that solving the complex problems facing America today will require more than simply keeping citizens informed. Meeting challenges like rising health care costs, climate change and energy independence requires increased level of collaboration. Traditionally, government agencies have operated in silos -- separated not only from citizens, but from each other, as well. Nevertheless, some have begun to reach across and outside of government to access the collective brainpower of organizations, stakeholders and individuals.The National Dialogue on Health Information Technology and Privacy was one such initiative. It was conceived by leaders in government who sought to demonstrate that it is not only possible, but beneficial and economical, to engage openly and broadly on an issue that is both national in scope and deeply relevant to the everyday lives of citizens. The results of this first-of-its-kind online event are captured in this report, together with important lessons learned along the way.This report served as a call to action. On his first full day in office, President Obama put government on notice that this new, more collaborative model can no longer be confined to the efforts of early adopters. He called upon every executive department and agency to "harness new technology" and make government "transparent, participatory, and collaborative." Government is quickly transitioning to a new generation of managers and leaders, for whom online collaboration is not a new frontier but a fact of everyday life. We owe it to them -- and the citizens we serve -- to recognize and embrace the myriad tools available to fulfill the promise of good government in the 21st Century.Key FindingsThe Panel recommended that the Administration give stakeholders the opportunity to further participate in the discussion of heath IT and privacy through broader outreach and by helping the public to understand the value of a person-centered view of healthcare information technology

Evaluating mobile health applications as digital therapeutical products

The emergence of new technological advancements and the unprecedented expansion of mobile phone usage has led to the exponential growth of Mobile Health Applications (mHealth apps) development and implementation in the global markets. mHealth apps have created innovative channels to diagnose, treat, monitor, and engage with patients in various healthcare settings, and therefore, it is an important exploration in the fields of information technology, healthcare, and cognitive behavioural sciences. However, a significant portion of mHealth apps has been identified to be developed without scientific or clinical evidence. The objective of implementing the proposed “mHealth App Evaluation Tool” and its validation of the perceived usefulness of the tool from clinicians, mHealth app developers and end-users is to provide a solution for addressing the current gap in evaluating the efficacy of unregulated mHealth apps. An extensive review of the literature from 2010 to 2022 was conducted in three separate phases, gathering and synthesising the core concepts of the mHealth app landscape, proposed frameworks and parameters, the evolution and construction of unidimensional and multidimensional scales and the use of multi-stakeholder participation for a holistic evaluation process. The proposed mHealth app evaluation tool was developed on the foundation of six design drivers: modifiability, scalability, multi-stakeholder involvement, simultaneous management of multiple evaluation projects, ease of use and accessibility. The development of the tool utilised the RestFul API pattern, leveraging Laravel PHP and Vue.js frameworks. The data collection process was completed in two separate phases. The first phase involved the data obtained from the participant’s evaluation of the WYSA app using the proposed mHealth App Evaluation Tool. The system auto-generated an associated average score out of 5 against each evaluation. The second phase involved the data collection during the 30 minutes interview session. Due to the ever-changing nature of software applications, it is inevitable that the elements of mHealth app evaluation will continue to evolve and change over time. What is deemed to be necessary and critical in evaluating mHealth apps today may not be so in years to come. The mHealth App Evaluation tool addresses the need for future criteria modifications, scalability, and the necessity to obtain expert knowledge from multiple stakeholders for a holistic mHealth app evaluation

Impact of Using Online Health Management Tools on Patient Perception of Healthcare Quality: A Multiple Chronic Conditions and Generational Perspective

While access and adoption issues related to online health management tools (OHMT) have been studied in healthcare contexts, questions remain about whether and how their use impacts patients’ perceptions of healthcare. Drawing on technology affordance and media synchronicity frameworks, we explore how the existence of multiple chronic conditions (MCC) and differences in usage pattern due to patient’s generation impact these relationships. Utilizing HINTS data, this study provides empirical support for a positive relationship between utilization of electronic personal health records (e-PHRs) and healthcare quality perceptions, albeit with a caveat that patients with greater healthcare needs as well as millennial and younger generations do not seem to enjoy the same benefits from increased use of e-PHRs. Furthermore, asynchronous patient-provider electronic communication is yet to achieve positive perceptions of better healthcare quality for most users. This research bears implications for personalization and customization of OHMT to account for variations in patients’ healthcare needs and usage patterns

The adoption of ICT in Malaysian public hospitals: the interoperability of electronic health records and health information systems

There have been a number of researches that investigated ICT adoption in Malaysian healthcare. With the small number of hospitals that adopt ICT in their daily clinical and administrative operations, the possibility to enable data exchange across 131 public hospitals in Malaysia is still a long journey. In addition to those studies, this research was framed under six objectives, which aim to critically review existing literature on the subject matter, identify barriers of ICT adoption in Malaysia, understand the administrative context during the pre and post-ICT adoption, and recommend possible solutions to the Ministry of Health of Malaysia (MoHM) in its efforts to implement interoperable electronic health records (EHR) and health information systems (HTIS). Specifically, this research aimed to identify the factors that had significant impacts to the processes of implementing interoperable EHR and HTIS by the MoHM. Furthermore, it also aimed to propose relevant actors who should involve in the implementation phases. These factors and actors were used to develop a model for implementing interoperable EHR and HTIS in Malaysia. To gather the needed data, series of interviews were conducted with three groups of participants. They were ICT administrators of MoHM, ICT and medical record administrators of three hospitals, and physicians of three hospitals. To ensure the interview feedback was representing the context of EHR and HTIS implementation in Malaysia, two hospital categories were selected, which included the hospitals with HTIS and non-HTIS hospitals. The government documents were then used to triangulate the feedback to ensure dependability, credibility, transferability and conformity of the findings. Two techniques were used to analyse the data, which were thematic analysis and theme matching. These two techniques were modified from its original method, known as pattern matching. The originality of this research was presented in the findings and methods to transform them into solutions and provide recommendation to the MoHM. In general, the results showed that the technological factors contributed less to the success of the implementation of interoperable EHR and HTIS compared to the managerial and administrative factors. Four main practical and social contributions were identified from this research, which included synchronisation of managerial elements, political determination and change management transformation, optimisation of use of existing legacy system (Patient Management System) and finally the roles of actors. Nevertheless, the findings of this research would be more dependable and transferable if more participants had been willing to participate especially among the physicians and those who managed the ICT adoptions under the MoHM

Introducing Wireless Grids Technology to the Field of Telemedicine

While telemedicine and technology-enabled education are not new concepts and have significant bodies of research, in depth application to management and treatment of veteran Post-Traumatic Stress Disorder (PTSD) and Traumatic Brain Injury (TBI) is relatively new. The conflicts in the Southwest Asia over the last two decades have significantly increased the need for healthcare and support services for these returning warriors. Creative thinking and innovative technologies are needed to meet the growing and changing demand of these patients in the face of many competing demands within the U.S. healthcare sector. This doctoral research study investigated the potential for a platform-agnostic (ad hoc) networking technology to serve as a trusted social networking and training platform for healthcare providers who are striving to provide quality healthcare that meets the needs of veterans suffering from PTSD and TBI. This research study analyzed the effectiveness of a digitally networked environment to deliver desired training and certification outcomes in a military healthcare environment. The level of acceptance of an ad hoc network technology (GridstreamRx) by healthcare professionals using it as an enabler of collaboration during the training process was evaluated. The results also assessed the readiness of healthcare professionals to use this Information Communications Technology (ICT), or analogous new applications and services, to help them perform their healthcare responsibilities. This thesis study, accomplished with the support of the U.S. Army and National Science Foundation, took place at two large military medical centers over a twelve-month period of time. Data was gathered from 568 healthcare professionals using quantitative survey instruments. Ninety-six respondents provided additional quantitative and qualitative inputs at various times during a proscribed training regimen. DeLone and McLean\u27s 2003 Information System Success Model, modified by findings of more recent research, provided the theoretical lens for analyzing the data from 32 of the training participants in determining the perceived net benefit of the GridstreamRx technology. The data gathered for the study showed, at the 95% level of confidence, that a majority of the professionals of these two medical centers would perceive a positive net benefit from using GridstreamRx in a healthcare training environment. The conclusion from this analysis was that not only are the healthcare providers in this study ready to use ICT and social networking in this professional setting, but also that GridstreamRx is an acceptable platform for performing these functions. The study participants provided input with respect to their priorities regarding information sharing techniques, functionality, and suggestions for improving the platform. The outcomes confirmed that GridstreamRx can be a successful introduction of ad hoc networking to telemedicine. This thesis concluded with recommendations for scholars and practitioners to pursue in the future; and should be followed up with further research and actions in order to build toward a Fully Integrated Virtual Healthcare Environment (FivHe)