RECOMENDAÇÃO PERSONALIZADA DE CONTEÚDO PARA SUPORTE À APRENDIZAGEM INFORMAL NO CONTEXTO DA SAÚDE

Pessoas com doenças crônicas sofrem com limitações impostas por sua condição de saúde e aprender mais sobre a doença ajuda na melhoria de sua qualidade de vida. O uso em massa dos dispositivos móveis e o advento das ferramentas da web 2.0 contribuíram para o surgimento do conceito de saúde 2.0, que disponibiliza meios de promover a aprendizagem informal através da recomendação personalizada de conteúdo aos usuários, indicando conteúdos relevantes relacionados à sua condição de saúde. Desta forma, conhecendo-se o perfil do usuário e aplicando mecanismos de recomendação de conteúdo com o uso de algoritmo genético, é possível, saber a semelhança entre usuários e conteúdos e recomendar conteúdos de seu interesse. Diante disso, este artigo propõe um sistema de recomendação personalizada de conteúdos, como parte do modelo MobiLEHealth, para prover a aprendizagem informal no contexto da saúde, apoiando pessoas com doenças crônicas

Um Sistema de Enriquecimento Semântico de Perfil de Usuário Baseado em Traços Digitais para Apoio à Aprendizagem Informal no Contexto da Saúde

O processo de aprendizagem informal favorece a autoaprendizagem, relações sociais, o compartilhamento de experiências e a aprendizagem colaborativa. As tecnologias móveis podem auxiliar neste processo através de um ambiente ubíquo, promovendo o acesso ao conhecimento em qualquer lugar e a qualquer momento. Baseado no conceito de saúde 2.0, a ferramenta MobiLEHealth tem como objetivo proporcionar uma melhor qualidade de vida a pacientes em tratamento domiciliar, estimulando-os a tornam-se ativos nos cuidados relativos a sua saúde. Para isso promove um ambiente de aprendizagem informal através da recomendação personalizada de conteúdo a estes usuários, levando em consideração o seu cotidiano, monitorando-os por meio de tecnologias ubíquas. Para tornar isso possível é primordial conhecer o usuário e seus interesses sem a necessidade de sua intervenção. Este trabalho propõe um sistema de enriquecimento semântico de perfil de saúde do usuário para a ferramenta MobiLEHealth, que, através da análise de traços digitais, processamento de linguagem natural, ontologias e agentes de software, permite determinar a relação entre usuário, conteúdo e domínios relacionados à sua saúde

A review of the role of sensors in mobile context-aware recommendation systems

Recommendation systems are specialized in offering suggestions about specific items of different types (e.g., books, movies, restaurants, and hotels) that could be interesting for the user. They have attracted considerable research attention due to their benefits and also their commercial interest. Particularly, in recent years, the concept of context-aware recommendation system has appeared to emphasize the importance of considering the context of the situations in which the user is involved in order to provide more accurate recommendations. The detection of the context requires the use of sensors of different types, which measure different context variables. Despite the relevant role played by sensors in the development of context-aware recommendation systems, sensors and recommendation approaches are two fields usually studied independently. In this paper, we provide a survey on the use of sensors for recommendation systems. Our contribution can be seen from a double perspective. On the one hand, we overview existing techniques used to detect context factors that could be relevant for recommendation. On the other hand, we illustrate the interest of sensors by considering different recommendation use cases and scenarios

Effective implementation and monitoring of telehealth and telecare in Ireland: learning from international best practice.

This document synthesises the information provided in a number of papers relating to Telecare/Telehealth commissioned by and developed for the National Disability Authority between 2014 and 2017. The papers in question were developed by researchers in Work Research Centre (WRC), the National Disability Authority and the University of Ulster, and this report has taken key learning and information from each of them to create this composite briefing paper

Quality Management and Improvement Practices for Home and Community-based Care: Literature Review

The Centers for Medicare and Medicaid Services (CMS) have contracted with the Muskie School of Public Service to develop a technical assistance guide for use by states and CMS regional offices to assess and improve the quality of home and community-based care (HCBC) to Medicaid beneficiaries. 1 The project will identify tools, measures, standards, and oversight mechanisms for performance measurement and quality improvement of long term care services delivered under federal and state-funded HCBC programs, exclusive of consumer-directed services. In addition to highlighting promising state practices, the project will describe the opportunities and challenges of applying advancements in the field of quality management, so broadly used in other sectors of health care, to improve the quality of HCBC services. This paper reviews published literature and provides a summary of major CMS initiatives in the area of quality measurement and improvement over the last five years. In conducting this review, a wide lens was applied to identify quality strategies in settings of care and delivery systems both within and outside long term care. This paper will serve as background for a meeting with federal and state policymakers and quality experts to assess the relevance and limitations of identified methods to improve the quality of services and outcomes in HCBC programs. Based on findings from the meeting and additional structured interviews with stakeholders, a technical assistance guide will be prepared

Envisioning Digital Europe 2030: Scenarios for ICT in Future Governance and Policy Modelling

The report Envisioning Digital Europe 2030 is the result of research conducted by the Information Society Unit of IPTS as part of the CROSSROAD Project - A Participative Roadmap on ICT research on Electronic Governance and Policy Modelling (www.crossroad-eu.net ). After outlining the purpose and scope of the report and the methodological approach followed, the report presents the results of a systematic analysis of societal, policy and research trends in the governance and policy modelling domain in Europe. These analyses are considered central for understanding and roadmapping future research on ICT for governance and policy modelling. The study further illustrates the scenario design framework, analysing current and future challenges in ICT for governance and policy modelling, and identifying the key impact dimensions to be considered. It then presents the scenarios developed at the horizon 2030, including the illustrative storyboards representative of each scenario and the prospective opportunities and risks identified for each of them. The scenarios developed are internally consistent views of what the European governance and policy making system could have become by 2030 and of what the resulting implications for citizens, business and public services would be. Finally, the report draws conclusions and presents the proposed shared vision for Digital Europe 2030, offering also a summary of the main elements to be considered as an input for the future development of the research roadmap on ICT for governance and policy modelling.JRC.DDG.J.4-Information Societ

Telemedicine

Telemedicine is a rapidly evolving field as new technologies are implemented for example for the development of wireless sensors, quality data transmission. Using the Internet applications such as counseling, clinical consultation support and home care monitoring and management are more and more realized, which improves access to high level medical care in underserved areas. The 23 chapters of this book present manifold examples of telemedicine treating both theoretical and practical foundations and application scenarios

Availability, implementation and remuneration of pharmacist-led cognitive services in Europe

Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas MonizIntroduction: Pharmacist-led cognitive services (PLCS) comprise a range of activities provided by pharmacists to the local community focusing on patient-centredness. However, the implementation level and remuneration models of PLCS are either absent or superficially described in the literature. Objectives: To review the implementation of PLCS in primary care across Europe and to explore the associated third-party paid remuneration models. Methodology: A cross-sectional study was conducted using an online survey sent to representatives of 44 European countries/regions (between November 2016 and October 2017). The survey listed 22 PLCS and asked respondents to report the availability of the service, the rate of implementation and the existence of remuneration. Data triangulation was sought using three representatives per country/region, representing backgrounds of community pharmacy, pharmacy practice research and health policy. Subsequent consensus was sought. Data was analysed using excel, 2010. The project was approved by the Research Ethics Committee of Egas Moniz (Proc. 515) Results: Data from 34 different countries/regions across Europe (79%) were obtained. Provision of medicines’ information (94.1%), generic substitution (85.3%), medication review (79.4%), provision of emergency oral contraception (70.6%) and point-of-care testing (67.7%) were the most frequently reported services. The highest implementation rates were found for medication review, adherence support and monitoring, prescription renewal, opioid substitution and travel medicine. Some type of remuneration model was mentioned in half of the participating countries/regions, predominantly based on a feefor- service, with less frequent reports of pay-for-performance or mixed models. Conclusion: The availability of PLCS is increasing and varying in scope across Europe. The wide range of reported implementation levels suggests there is lack or limited public information for monitoring service implementation. Remuneration of PLCS is spreading, although no clear patterns were found between service provision and payment.Introdução: Consideram-se Serviços Farmacêuticos (SF) como atividades prestadas em farmácias para melhorar o nível de saúde da comunidade local. A informação sobre o nível de implementação e os modelos de remuneração destes SF está ausente ou superficialmente descrita na literatura. Objetivos: Rever a implementação dos SF em cuidados primários na Europa e explorar os modelos de remuneração associados. Metodologia: Foram abordados representantes de 44 regiões/países Europeus através de um estudo transversal, recorrendo a um inquérito online (de Novembro de 2016 a Outubro de 2017). Para um conjunto de 22 SF, foram questionados sobre a disponibilidade, o nível de implementação e a remuneração. Usaram-se três representantes por país: organizações profissionais, meio académico e farmácia comunitária, para garantir a triangulação dos dados. Recorreu-se a uma técnica de consenso para validação dos dados. A análise foi realizada em Excel, 2010. O projeto foi aprovado pela Comissão de Ética da Egas Moniz (Proc. 515) Resultados: Obtiveram-se respostas de 34 países/regiões Europeus (79%). Os SF mais disponíveis nas regiões/países da Europa foram: prestação de informação sobre medicamentos (94.1%), substituição por genéricos (85.3%), revisão da medicação (79.4%), prestação de contraceção oral de emergência (70.6%) e testes point-of-care (67.7%). Os SF prestados num elevado nível de implementação são: revisão da medicação, apoio na adesão à terapêutica, renovação da prescrição, terapêutica de substituição opióide e programas de medicina do viajante. Foram descritos modelos de remuneração por cerca de metade dos participantes, sendo predominante o modelo fee-for-service, e menos frequentes os modelos pay-for-performance ou mixed models. Conclusão: O número de SF prestados em farmácia comunitária na Europa tem vindo a aumentar e a ser diversificado. A elevada amplitude nos níveis de implementação descritos sugere a inexistência ou limitação de fontes oficiais de monitorização. Os modelos de remuneração são cada vez mais comuns, ainda que não tenha sido encontrado nenhum padrão entre a disponibilidade do serviço e a remuneração

Advancing Dietetic Practice through the Implementation and Integration of Smartphone Apps

As the burden of obesity and its related chronic diseases grows, dietitians have integral roles in providing individualised medical nutrition therapy. Smartphone mobile health (mHealth) applications (apps) have potential to support and extend reach of dietetic services. This thesis examines how mHealth apps could be implemented and integrated by dietitians to advance nutrition care. Based on a narrative review of current evidence, the novel mobile Nutrition Care Process grid was developed, providing dietitians with best-practice guidance for using mHealth apps across the nutrition care process. Surveying dietitians internationally revealed that 62% used mHealth apps in their practice, although primarily as an information resource and for patient self-monitoring rather than as an integral part of the nutrition care process. Similarly, the public used commercial health and fitness apps, such as MyFitnessPal, to track health behaviours. However, individuals performed suboptimally when using MyFitnessPal to track dietary intake, with the app underestimating mean energy intake by -1863kJ (SD=2952kJ, P=0.0002) compared to 24-hour recalls. Qualitative feedback from dietitians, the public and patients are presented to guide app developers in designing quality mHealth apps. A behavioural analysis was conducted using the COM-B model and intervention recommendations were formulated to facilitate uptake of mHealth apps into dietetic practice. These recommendations were incorporated into a two-phase intervention comprising of an educational and training workshop and a 12-week phase where dietitians used an integrated commercial app platform with their patients. The intervention was found to be feasible to deliver and improved dietitians’ mHealth app self-efficacy. There is translational potential for this intervention to equip the profession with greater capability, opportunity, motivation and self-efficacy to use mHealth apps in dietetic practice and in patient nutrition care