Towards Flexible Process Support on Mobile Devices

Ubiquitous computing is considered as enabler for linking everyday life with information and communication technology. However, developing pervasive and mobile applications that provide personalized user assistance still constitutes a challenge. Mobile application scenarios are diverse and encompass domains like healthcare, logistics, and sales. For their support two fundamental technologies with increasing maturity are emerging: development frameworks for mobile devices and light-weight process engines. Their integrated use, however, is in a rather premature state. Generally, the use of a process engine for supporting mobile collaboration raises many challenging issues. This paper picks up some of these challenges and shows how we have coped with them in the MARPLE project. MARPLE targets at a tight integration of process management technology with mobile computing frameworks in order to enable mobile process support in advanced application scenarios. We give insights into the MARPLE architecture and its components.In particular, we introduce the MARPLE process engine, which enables light-weight as well as flexible process support on mobile devices. This will be key for mobile user assistance in advanced application scenarios

Wearable Technology Supported Home Rehabilitation Services in Rural Areas:– Emphasis on Monitoring Structures and Activities of Functional Capacity Handbook

The sustainability of modern healthcare systems is under threat. – the ageing of the population, the prevalence of chronic disease and a need to focus on wellness and preventative health management, in parallel with the treatment of disease, pose significant social and economic challenges. The current economic situation has made these issues more acute. Across Europe, healthcare expenditure is expected to rice to almost 16% of GDP by 2020. (OECD Health Statistics 2018). Coupled with a shortage of qualified personnel, European nations are facing increasing challenges in their ability to provide better-integrated and sustainable health and social services. The focus is currently shifting from treatment in a care center to prevention and health promotion outside the care institute. Improvements in technology offers one solution to innovate health care and meet demand at a low cost. New technology has the potential to decrease the need for hospitals and health stations (Lankila et al., 2016. In the future the use of new technologies – including health technologies, sensor technologies, digital media, mobile technology etc. - and digital services will dramatically increase interaction between healthcare personnel and customers (Deloitte Center for Health Solutions, 2015a; Deloitte Center for Health Solutions 2015b). Introduction of technology is expected to drive a change in healthcare delivery models and the relationship between patients and healthcare providers. Applications of wearable sensors are the most promising technology to aid health and social care providers deliver safe, more efficient and cost-effective care as well as improving people’s ability to self-manage their health and wellbeing, alert healthcare professionals to changes in their condition and support adherence to prescribed interventions. (Tedesco et al., 2017; Majumder et al., 2017). While it is true that wearable technology can change how healthcare is monitored and delivered, it is necessary to consider a few things when working towards the successful implementation of this new shift in health care. It raises challenges for the healthcare systems in how to implement these new technologies, and how the growing amount of information in clinical practice, integrates into the clinical workflows of healthcare providers. Future challenges for healthcare include how to use the developing technology in a way that will bring added value to healthcare professionals, healthcare organizations and patients without increasing the workload and cost of the healthcare services. For wearable technology developers, the challenge will be to develop solutions that can be easily integrated and used by healthcare professionals considering the existing constraints. This handbook summarizes key findings from clinical and laboratory-controlled demonstrator trials regarding wearables to assist rehabilitation professionals, who are planning the use of wearable sensors in rehabilitation processes. The handbook can also be used by those developing wearable sensor systems for clinical work and especially for use in hometype environments with specific emphasis on elderly patients, who are our major health care consumers

Potential adoption of mobile health technologies for public healthcare in Burundi.

Doctor of Philosophy in Information Systems and Technology. University of KwaZulu-Natal, Pietermaritzburg 2016.Mobile health (or mHealth) describes the utilisation of wireless mobile communications devices in public and private healthcare. These include, but are not limited to, mobile telephones, personal digital assistants, and patient monitoring devices. Although the outcomes of mHealth interventions in developing countries have generally been assessed as positive, there is a need for designing mHealth interventions that are specifically tailored to the context of individual countries. It is in this context that this research investigates the potential adoption of mHealth technologies to provide healthcare services in Burundi from the institutional level point of view (Burundi’s Ministry of Health and Fight Against AIDS (MoH&A) and the Ministry of Communication (MoC)), users point of view (primary healthcare professionals) and mobile technology point of view (mobile technology providers). Using three theoretical frameworks i.e. the Capabilities Approach (CA) model, the Diffusion of Innovation (DOI) theory and the Unified Theory of Acceptance and Use of Technology (UTAUT), this research firstly identifies the determinants and impediments to mHealth adoption in Burundi. It further describes how mHealth could be used to address the current challenges that the Burundi’s Ministry of Health faces in terms of providing public healthcare services. It further proposes a framework for the adoption of mHealth in Burundi. At the institutional level and mobile technology point of view, semi-structured interviews were held with civil servants from the two Ministries and with mobile technology services providers. At the users’ level, a survey was conducted with primary healthcare professionals from 47 primary healthcare centres. Findings reveal that mHealth adoption can contribute to disease prevention, disease management and the provision of quality healthcare in Burundi. Although there is limited knowledge of mHealth capabilities within the Burundi’s public healthcare sector, there is a general willingness towards the adoption of mHealth notwithstanding challenges associated with its adoption. Although DOI construct-related factors such as relative advantage, compatibility, trialability and observability significantly influence the adoption of mHealth in Burundi, complexity does not. In addition, performance expectancy, effort expectancy and facilitating conditions are UTAUT constructs that significantly influence the adoption of mHealth adoption. The research advocates for an integrated and collaborative approach to addressthe impediments to mHealth adoption in Burundi

Towards PWA in Healthcare

Nowadays there is a very large number of mobile applications that use the network to offer some functionality to users and because of this, applications are limited by the network conditions, such as network latency. These mobile applications usually are developed in a traditional approach, designated as a native approach and its goal is to develop the application to a specific operating system (iOS, Android). Applications used in a working environment are known to improve its process, but the network has the potential to decrease application performance and traditional mobile development is inefficient. Healthcare is a field with huge opportunities for application development because applications have the potential to improve work efficiency and quality of patient care. This paper consists of introducing the Progressive Web Application mobile development approach in the healthcare industry as an m-Health solution. It highlights successful cases of such an approach and key features, that allow establishing a reliable and resilient mobile application, that deals with most challenges involving the network nowadays and is a valid opportunity in the healthcare business. This document also presents a mobile health application for dietary evaluation, compares the PWA approach and other traditional approaches with a SWOT Analysis, PWA success cases, the INTCare system (an intelligent decision support system available in the Centro Ho spitalar do Porto) and the opportunity to use Progressive Web App in the INTCare's Electronic Nursing Record (ENR), which is a web interface that represents clinical patient information, integrated in a new proposed INTCare system architecture design. (C) 2019 The Authors. Published by Elsevier B.V.This work has been supported by national funds through FCT -Fundacao para a Ciencia e Tecnologia within the Project Scope: UID/CEC/00319/2019 and Deus ex Machina (DEM): Symbiotic technology for societal efficiency gains -NORTE-01-0145-FEDER-000026

How 5G wireless (and concomitant technologies) will revolutionize healthcare?

The need to have equitable access to quality healthcare is enshrined in the United Nations (UN) Sustainable Development Goals (SDGs), which defines the developmental agenda of the UN for the next 15 years. In particular, the third SDG focuses on the need to “ensure healthy lives and promote well-being for all at all ages”. In this paper, we build the case that 5G wireless technology, along with concomitant emerging technologies (such as IoT, big data, artificial intelligence and machine learning), will transform global healthcare systems in the near future. Our optimism around 5G-enabled healthcare stems from a confluence of significant technical pushes that are already at play: apart from the availability of high-throughput low-latency wireless connectivity, other significant factors include the democratization of computing through cloud computing; the democratization of Artificial Intelligence (AI) and cognitive computing (e.g., IBM Watson); and the commoditization of data through crowdsourcing and digital exhaust. These technologies together can finally crack a dysfunctional healthcare system that has largely been impervious to technological innovations. We highlight the persistent deficiencies of the current healthcare system and then demonstrate how the 5G-enabled healthcare revolution can fix these deficiencies. We also highlight open technical research challenges, and potential pitfalls, that may hinder the development of such a 5G-enabled health revolution

The E-health Strategic Research Orientation at the Centre for Telematics and Information Technology

This report gives an overview of research themes, research groups and research partners of the E-Health Strategic Research Orientation (SRO) at the University of Twente

Alcuni abstract di articoli che trattano argomenti relativi all'eHealth

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Mobihealth: mobile health services based on body area networks

In this chapter we describe the concept of MobiHealth and the approach developed during the MobiHealth project (MobiHealth, 2002). The concept was to bring together the technologies of Body Area Networks (BANs), wireless broadband communications and wearable medical devices to provide mobile healthcare services for patients and health professionals. These technologies enable remote patient care services such as management of chronic conditions and detection of health emergencies. Because the patient is free to move anywhere whilst wearing the MobiHealth BAN, patient mobility is maximised. The vision is that patients can enjoy enhanced freedom and quality of life through avoidance or reduction of hospital stays. For the health services it means that pressure on overstretched hospital services can be alleviated