7,236 research outputs found

    Public health policy-making for hearing loss: stakeholders' evaluation of a novel eHealth tool

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    Background: Hearing loss (HL) affects 466 million people of all ages worldwide, with a rapidly increasing prevalence, and therefore requires appropriate public health policies. Multi-disciplinary approaches that make use of eHealth services can build the evidence to influence public policy. The European Union-funded project EVOTION developed a platform that is fed with real-time data from hearing aids, a smartphone, and additional clinical data and makes public health policy recommendations based on hypothetical public health policy-making models, a big data engine and decision support system. The present study aimed to evaluate this platform as a new tool to support policy-making for HL. / Methods: A total of 23 key stakeholders in the United Kingdom, Croatia, Bulgaria and Poland evaluated the platform according to the Strengths, Weaknesses, Opportunities and Threats methodology. / Results: There was consensus that the platform, with its advanced technology as well as the amount and variety of data that it can collect, has huge potential to inform commissioning decisions, public health regulations and affect healthcare as a whole. To achieve this, several limitations and external risks need to be addressed and mitigated. Differences between countries highlighted that the EVOTION tool should be used and managed according to local constraints to maximise success. / Conclusion: Overall, the EVOTION platform can equip HL policy-makers with a novel data-driven tool that can support public health policy-making for HL in the future

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    EHealth and Its Role in Supporting Audiological Rehabilitation: Patient Perspectives on Barriers and Facilitators of Using a Personal Hearing Support System With Mobile Application as Part of the EVOTION Study

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    BACKGROUND: Hearing loss is a major public health challenge. Audiology services need to utilise a range of rehabilitative services and maximise innovative practice afforded by technology to actively promote personalized, participatory, preventative and predictive care if they are to cope with the social and economic burden placed on the population by the rapidly rising prevalence of hearing loss. Digital interventions and teleaudiology could be a key part of providing high quality, cost-effective, patient-centred management. There is currently very limited evidence that assesses the hearing impaired patient perspective on the acceptance and usability of this type of technology. AIM: This study aims to identify patient perceptions of the use of a hearing support system including a mobile smartphone app when used with Bluetooth-connected hearing aids across the everyday life of users, as part of the EVOTION project. METHODS: We applied a questionnaire to 564 participants in three countries across Europe and analysed the following topics: connectivity, hearing aid controls, instructional videos, audiological tests and auditory training. KEY FINDINGS: Older users were just as satisfied as younger users when operating this type of technology. Technical problems such as Bluetooth connectivity need to be minimised as this issue is highly critical for user satisfaction, engagement and uptake. A system that promotes user-controllability of hearing aids that is more accessible and easier to use is highly valued. Participants are happy to utilise monitoring tests and auditory training on a mobile phone out of the clinic but in order to have value the test battery needs to be relevant and tailored to each user, easy to understand and use. Such functions can elicit a negative as well as positive experience for each user. CONCLUSION: Older and younger adults can utilise an eHealth mobile app to complement their rehabilitation and health care. If the technology works well, is tailored to the individual and in-depth personalised guidance and support is provided, it could assist maximisation of hearing aid uptake, promotion of self-management and improving outcomes

    Research investigations on the use or non-use of hearing aids in the smart cities

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    This study aims to explore factors influencing behavioral intention to adopt hearing aids among old adults in smart cities. It argues that trust is a moderator to influence the relationship between attitude, subjective norm and individual's behavioral intention in smart cities. This study tests hypotheses using a sample of 103 respondents from six smart cities in China. The results reveal that attitude is main factor influencing individual's behavioral intention. Subjective norm and trust are both not statistically significant at the 95% confidence interval in the model of multiple-regression. Interestingly, it finds that trust moderates the relationship between subjective norm and individual's behavioral intention. It means that the audiologists' advice can positively affect person's behavioral intention in smart cities. The findings imply that the Theory of Reasoned Action can be partially used to explain the person's behavioral intention in Chinese context. This study contributes to encourage old people to use smart hospitals to consult audiologists about hearing loss and hearing aids rehabilitation. Hence, hearing aids can improve their quality of life (QoL), which can be reflected by the improved standard of living, better access to treatments and also the positive sentiment about their life, including comfort, friendship, happiness and a closer connection to the society

    The Consent Myth: Improving Choice for Patients of the Future

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    Consent has enjoyed a prominent position in the American privacy system since at least 1970, though historically, consent emerged from traditional notions of tort and contract. Largely because consent has an almost deferential power as a proxy for consumer choice, organizations increasingly use consent as a de facto standard for demonstrating privacy commitments. The Department of Health and Human Services and the Federal Trade Commission have integrated the concept of consent into health care, research, and general commercial activities. However, this de facto standard, while useful in some contexts, does not sufficiently promote individual patient interests within leading health technologies, including the Internet of Health Things and Artificial Intelligence. Despite consent’s prominence in United States law, this Article seeks to understand, more fully, consent’s role in modern health applications, then applies a philosophical-legal lens to clearly identify problems with consent in its current use. This Article identifies the principle issues with substituting consent for choice, the “consent myth,” a collection of five problems, then proposes principles for addressing these problems in contemporary health technologies

    The Role of the Internet of Things in Health Care: A Systematic and Comprehensive Study

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    The Internet of Things (IoT) is becoming an emerging trend and has significant potential to replace other technologies, where researchers consider it as the future of the internet. It has given tremendous support and become the building blocks in the development of important cyber-physical systems and it is being severed in a variety of application domains, including healthcare. A methodological evolution of the Internet of Things, enabled it to extend to the physical world beyond the electronic world by connecting miscellaneous devices through the internet, thus making everything is connected. In recent years it has gained higher attention for its potential to alleviate the strain on the healthcare sector caused by the rising and aging population along with the increase in chronic diseases and global pandemics. This paper surveys about various usages of IoT healthcare technologies and reviews the state of the art services and applications, recent trends in IoT based healthcare solutions, and various challenges posed including security and privacy issues, which researchers, service providers and end users need to pay higher attention. Further, this paper discusses how innovative IoT enabled technologies like cloud computing, fog computing, blockchain, and big data can be used to leverage modern healthcare facilities and mitigate the burden on healthcare resources
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