Integrating Digital Health for Healthcare Transformation Conceptual Model of Smart Healthcare for northern Borneo

Digital health has revolutionised the delivery of healthcare globally. However, integrating digital health in the system for transforming healthcare at a larger scale needs to be contextually relevant. Sabah, a state in northern Borneo, has distinctive public health concerns on thalassaemia, colorectal cancer, ischaemic heart disease, mental health, malaria, tuberculosis, and maternal and child health. Envisioning equal access to healthcare throughout the state, a conceptual model called smart healthcare is conceived for healthcare transformation through digital health integration based on the main clinical niche. The three domains of smart healthcare model is smart hospital, smart wellness and smart uber health. Smart hospital is aimed as the central core for materialising smart healthcare model as it serves as the platform to integrate digital health for diagnostic tools and treatment modalities. The purpose of smart wellness is to ensure uninterrupted healthcare and promotes preventive medicine at home and community setting through the ecosystem feeding by the smart hospital. This ecosystem is connected with smart uber health in order to bring the healthcare services to patients and succesfully overcoming the issue on inaccessibility. Each domain is highlighted with certain niche and related healthcare technology

Citizens’ Juries: When Older Adults Deliberate on the Benefits and Risks of Smart Health and Smart Homes

open access articleBackground: Technology-enabled healthcare or smart health has provided a wealth of products and services to enable older people to monitor and manage their own health conditions at home, thereby maintaining independence, whilst also reducing healthcare costs. However, despite the growing ubiquity of smart health, innovations are often technically driven, and the older user does not often have input into design. The purpose of the current study was to facilitate a debate about the positive and negative perceptions and attitudes towards digital health technologies. Methods: We conducted citizens’ juries to enable a deliberative inquiry into the benefits and risks of smart health technologies and systems. Transcriptions of group discussions were interpreted from a perspective of life-worlds versus systems-worlds. Results: Twenty-three participants of diverse demographics contributed to the debate. Views of older people were felt to be frequently ignored by organisations implementing systems and technologies. Participants demonstrated diverse levels of digital literacy and a range of concerns about misuse of technology. Conclusion: Our interpretation contrasted the life-world of experiences, hopes, and fears with the systems-world of surveillance, e ciencies, and risks. This interpretation o ers new perspectives on involving older people in co-design and governance of smart health and smart homes

A Survey on the Status of Smart Healthcare from the Universal Village Perspective

This survey paper discusses the condition of smart healthcare implementation. It discusses the current healthcare problems and how smart healthcare technologies ease the problems. Our group, Universal Village, realizes that the integration and interaction between parties in a system will maximize the effectiveness and benefit for the system. Based on this idea, this paper considers the smart city system as a whole, and talks about how smart healthcare interacts with infrastructures and functions inside and outside of the smart healthcare field. Then, it analyzes how a more powerful integrated system can be built from the smart healthcare system. In the end, several case studies are listed. Based on our analysis and the case studies, this paper then ended with the future prospects of the smart healthcare.Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Ubiquitous healthcare profile management applying smart card technology

Nowadays, the patient-centric healthcare approach is focused on ubiquitous healthcare services. Furthermore, the adoption of cloud computing technology leads to more efficient ubiquitous healthcare systems. Moreover, the personalization of the delivery of ubiquitous healthcare services is enabled with the introduction of user profiles. In this paper, we propose five generic healthcare profile structures corresponding to the main categories of the participating entities included in a typical ubiquitous healthcare system in a cloud computing environment. In addition, we propose a profile management system incorporating smart card technology to increase its efficiency and the quality of the provided services of the ubiquitous healthcare system

Privacy Mining from IoT-based Smart Homes

Recently, a wide range of smart devices are deployed in a variety of environments to improve the quality of human life. One of the important IoT-based applications is smart homes for healthcare, especially for elders. IoT-based smart homes enable elders' health to be properly monitored and taken care of. However, elders' privacy might be disclosed from smart homes due to non-fully protected network communication or other reasons. To demonstrate how serious this issue is, we introduce in this paper a Privacy Mining Approach (PMA) to mine privacy from smart homes by conducting a series of deductions and analyses on sensor datasets generated by smart homes. The experimental results demonstrate that PMA is able to deduce a global sensor topology for a smart home and disclose elders' privacy in terms of their house layouts.Comment: This paper, which has 11 pages and 7 figures, has been accepted BWCCA 2018 on 13th August 201

Are older people putting themselves at risk when using their walking frames?

Background Walking aids are issued to older adults to prevent falls, however, paradoxically their use has been identified as a risk factor for falling. To prevent falls, walking aids must be used in a stable manner, but it remains unknown to what extent associated clinical guidance is adhered to at home, and whether following guidance facilitates a stable walking pattern. It was the aim of this study to investigate adherence to guidance on walking frame use, and to quantify user stability whilst using walking frames. Additionally, we explored the views of users and healthcare professionals on walking aid use, and regarding the instrumented walking frames (‘Smart Walkers’) utilized in this study. Methods This observational study used Smart Walkers and pressure-sensing insoles to investigate usage patterns of 17 older people in their home environment; corresponding video captured contextual information. Additionally, stability when following, or not, clinical guidance was quantified for a subset of users during walking in an Activities of Daily Living Flat and in a gait laboratory. Two focus groups (users, healthcare professionals) shared their experiences with walking aids and provided feedback on the Smart Walkers. Results Incorrect use was observed for 16% of single support periods and for 29% of dual support periods, and was associated with environmental constraints and a specific frame design feature. Incorrect use was associated with reduced stability. Participants and healthcare professionals perceived the Smart Walker technology positively. Conclusions Clinical guidance cannot easily be adhered to and self-selected strategies reduce stability, hence are placing the user at risk. Current guidance needs to be improved to address environmental constraints whilst facilitating stable walking. The research is highly relevant considering the rising number of walking aid users, their increased falls-risk, and the costs of falls. Trial Registration Not applicable

Proposed Framework for Smart Healthcare Services

Smart healthcare is of great interest to researchers and governments due to the increasing development of new smart cities. However, there is no current standard practice to format the cloud computing infrastructure and to assist the healthcare system architect in designing a comprehensive solution for the basic services that are required by the healthcare users while taking into consideration a balanced approach towards their specific functional and non-functional needs such as openness, scalability, concurrency, interoperability and security factors. The integration of smart healthcare services with cloud computing needs a concrete framework. The main objective of this paper is to analyze the different frameworks that discuss smart healthcare services and reach to a conclusion of the common factors to arrive at a unified and smart framework