A review of challenges and barriers implementing RFID technology in the Healthcare sector

© 2020 The Authors. Published by Elsevier B.V.All rights reserved. The healthcare industry is progressively involved in adopting new technologies to provide improved quality of care given to patients. The implementation of RFID technology has globally impacted several industries and this revolution has improved the aspects of service delivery in the healthcare industry as well. The RFID technology has the potential to track medical assets and interact with almost any of the medical devices, pharmaceutical materials, IT equipment, or individual patients, deployed in hospitals all over the world. The motivation behind this paper is to investigate the advantages and obstacles to implement RFID technology in the healthcare sector highlighted in the literature. Further, we highlight the most possible methods or technologies to be adapted to overcome the limitations of implementation

The Ethical Implications of Personal Health Monitoring

Personal Health Monitoring (PHM) uses electronic devices which monitor and record health-related data outside a hospital, usually within the home. This paper examines the ethical issues raised by PHM. Eight themes describing the ethical implications of PHM are identified through a review of 68 academic articles concerning PHM. The identified themes include privacy, autonomy, obtrusiveness and visibility, stigma and identity, medicalisation, social isolation, delivery of care, and safety and technological need. The issues around each of these are discussed. The system / lifeworld perspective of Habermas is applied to develop an understanding of the role of PHMs as mediators of communication between the institutional and the domestic environment. Furthermore, links are established between the ethical issues to demonstrate that the ethics of PHM involves a complex network of ethical interactions. The paper extends the discussion of the critical effect PHMs have on the patient’s identity and concludes that a holistic understanding of the ethical issues surrounding PHMs will help both researchers and practitioners in developing effective PHM implementations

A review of contemporary work on the ethics of ambient assisted living technologies for people with dementia

Ambient assisted living (AAL) technologies can provide assistance and support to persons with dementia. They might allow them the possibility of living at home for longer whilst maintaining their comfort and security as well as offering a way towards reducing the huge economic and personal costs forecast as the incidence of dementia increases worldwide over coming decades. However, the development, introduction and use of AAL technologies also trigger serious ethical issues. This paper is a systematic literature review of the on-going scholarly debate about these issues. More specifically, we look at the ethical issues involved in research and development (R&D), clinical experimentation, and clinical application of AAL technologies for people with dementia and related stakeholders. In the discussion we focus on: 1) the value of the goals of AAL technologies, 2) the special vulnerability of persons with dementia in their private homes, 3) the complex question of informed consent for the usage of AAL technologies

A model for context awareness for mobile applications using multiple-input sources

Context-aware computing enables mobile applications to discover and benefit from valuable context information, such as user location, time of day and current activity. However, determining the users’ context throughout their daily activities is one of the main challenges of context-aware computing. With the increasing number of built-in mobile sensors and other input sources, existing context models do not effectively handle context information related to personal user context. The objective of this research was to develop an improved context-aware model to support the context awareness needs of mobile applications. An existing context-aware model was selected as the most complete model to use as a basis for the proposed model to support context awareness in mobile applications. The existing context-aware model was modified to address the shortcomings of existing models in dealing with context information related to personal user context. The proposed model supports four different context dimensions, namely Physical, User Activity, Health and User Preferences. A prototype, called CoPro was developed, based on the proposed model, to demonstrate the effectiveness of the model. Several experiments were designed and conducted to determine if CoPro was effective, reliable and capable. CoPro was considered effective as it produced low-level context as well as inferred context. The reliability of the model was confirmed by evaluating CoPro using Quality of Context (QoC) metrics such as Accuracy, Freshness, Certainty and Completeness. CoPro was also found to be capable of dealing with the limitations of the mobile computing platform such as limited processing power. The research determined that the proposed context-aware model can be used to successfully support context awareness in mobile applications. Design recommendations were proposed and future work will involve converting the CoPro prototype into middleware in the form of an API to provide easier access to context awareness support in mobile applications

On the Ethical Implications of Personal Health Monitoring

Recent years have seen an influx of medical technologies capable of remotely monitoring the health and behaviours of individuals to detect, manage and prevent health problems. Known collectively as personal health monitoring (PHM), these systems are intended to supplement medical care with health monitoring outside traditional care environments such as hospitals, ranging in complexity from mobile devices to complex networks of sensors measuring physiological parameters and behaviours. This research project assesses the potential ethical implications of PHM as an emerging medical technology, amenable to anticipatory action intended to prevent or mitigate problematic ethical issues in the future. PHM fundamentally changes how medical care can be delivered: patients can be monitored and consulted at a distance, eliminating opportunities for face-to-face actions and potentially undermining the importance of social, emotional and psychological aspects of medical care. The norms evident in this movement may clash with existing standards of ‘good’ medical practice from the perspective of patients, clinicians and institutions. By relating utilitarianism, virtue ethics and theories of surveillance to Habermas’ concept of colonisation of the lifeworld, a conceptual framework is created which can explain how PHM may be allowed to change medicine as a practice in an ethically problematic way. The framework relates the inhibition of virtuous behaviour among practitioners of medicine, understood as a moral practice, to the movement in medicine towards remote monitoring. To assess the explanatory power of the conceptual framework and expand its borders, a qualitative interview empirical study with potential users of PHM in England is carried out. Recognising that the inherent uncertainty of the future undermines the validity of empirical research, a novel epistemological framework based in Habermas’ discourse ethics is created to justify the empirical study. By developing Habermas’ concept of translation into a procedure for assessing the credibility of uncertain normative claims about the future, a novel methodology for empirical ethical assessment of emerging technologies is created and tested. Various methods of analysis are employed, including review of academic discourses, empirical and theoretical analyses of the moral potential of PHM. Recommendations are made concerning ethical issues in the deployment and design of PHM systems, analysis and application of PHM data, and the shortcomings of existing research and protection mechanisms in responding to potential ethical implications of the technology.he research described in this thesis was sponsored and funded by the Centre for Computing and Social Responsibility of De Montfort University, and was linked to the research carried out in FP7 research projects PHM-Ethics (GA 230602) and ETICA (Ethical Issues of Emerging ICT Applications, GA 230318)