M-health review: joining up healthcare in a wireless world

In recent years, there has been a huge increase in the use of information and communication technologies (ICT) to deliver health and social care. This trend is bound to continue as providers (whether public or private) strive to deliver better care to more people under conditions of severe budgetary constraint

Use of Mobile Devices to Access Resources Among Health Professions Students: A Systematic Review

This systematic review examines types of mobile devices used by health professions students, kinds of resources and tools accessed via mobile devices, and reasons for using the devices to access the resources and tools. The review included 20 studies selected from articles published in English between January 2010 and April 2015, retrieved from PubMed and other sources. Data extracted included participants, study designs, mobile devices used, mobile resources/apps accessed, outcome measures, and advantages of and barriers to using mobile devices. The review indicates significant variability across the studies in terms of research methods, types of mobile programs implemented, resources accessed, and outcomes. There were beneficial effects of using mobile devices to access resources as well as conspicuous challenges or barriers in using mobile devices

The Development of a Point of Care Clinical Guidelines Mobile Application Following a User-Centred Design Approach

This paper describes the development of a point of care clinical guidelines mobile application. A user-centred design approach was utilised to inform the design of a smartphone application, this included: Observations; a survey; focus groups and an analysis of popular apps utilised by clinicians in a UK NHS Trust. Usability testing was conducted to inform iterations of the application, which presents clinicians with a variety of integrated tools to aid in decision making and information retrieval. The study found that clinicians use a mixture of technology to retrieve information, which is often inefficient or has poor usability. It also shows that smartphone application development for use in UK hospitals needs to consider the variety of users and their clinical knowledge and work pattern. This study highlights the need for applying user-centred design methods in the design of information presented to clinicians and the need for clinical information delivery that is efficient and easy to use at the bedside

The Impact of Information and Communication Technology (ICT) on the efficiency of healthcare delivery at Radiology department of Inkosi Albert Luthuli Hospital.

Masters Degree. University of KwaZulu-Natal, Durban.Healthcare service provision is undoubtedly a major priority for any governmental policy makers and society at large. Access to quality health care is declared a basic human right globally, yet there are many factors that still make it hard for countries to make this a reality. Issues such as shortage of skilled healthcare workers, high costs of healthcare provision and poor economic outlooks are some of the major contributors to gaps in provision of equitable healthcare services. Information and Communication Technology (ICT) has become an integral part of our daily life. The study aimed to investigate the role that ICT can play in improving the efficiency of healthcare delivery processes and spreading access to communities that are left behind in the provision of this basic human need. A quantitative methodology was used to evaluate the perception of professionals with regards to the adoption of ICT and its impact on healthcare services delivery at the radiology department. The target population was made up of administrators, radiographers and radiologists at the radiology department of Inkosi Albert Luthuli Central Hospital. Data was collected through questionnaires which were physically administered on site. A convenience sampling technique was used to identify and recruit study participants. The results revealed that 70% of respondents agree that ICT adoption does indeed increase efficiency of healthcare service delivery. The study did not find significant relationship between users’ attitude towards ICT adoption and the ability of ICT to improve efficiency in a healthcare facility. It is recommended that healthcare facilities adopting ICT should invest more time and resources in training and offering technical support to end users. The study can benefit healthcare facilities who seek to improve the quality, speed, accuracy of healthcare services by using ICT systems

A Research on the Classification and Applicability of the Mobile Health Applications

Mobile health applications are applied for different purposes. Healthcare professionals and other users can use this type of mobile applications for specific tasks, such as diagnosis, information, prevention, treatment, and communication. This paper presents an analysis of mobile health applications used by healthcare professionals and their patients. A secondary objective of this article is to evaluate the scientific validation of these mobile health applications and to verify if the results provided by these applications have an underlying sound scientific foundation. This study also analyzed literature references and the use of mobile health applications available in online application stores. In general, a large part of these mobile health applications provides information about scientific validation. However, some mobile health applications are not validated. Therefore, the main contribution of this paper is to provide a comprehensive analysis of the usability and user-perceived quality of mobile health applications and the challenges related to scientific validation of these mobile applications.This work was funded by FCT/MCTES through national funds and when applicable co-funded EU funds under the project UIDB/EEA/50008/2020 (Este trabalho é financiado pela FCT/MCTES através de fundos nacionais e quando aplicável cofinanciado por fundos comunitários no âmbito do projeto UIDB/EEA/50008/2020)

Use of Mobile Devices to Access Resources Among Health Professions Students: A Systematic Review

La désertification, les changements climatiques et la perte de la diversité biologique sont des problématiques cruciales pour les régions sèches d’Afrique où ils conjuguent leurs effets pour éprouver les efforts de développement des pays et concomitamment les moyens de vie des populations les plus pauvres de la planète. En effet, nul doute que les écosystèmes ont une influence sur le climat, et  réciproquement, les changements climatiques exercent des impacts considérables sur le climat local, accroissant la désertification, la dégradation des terres et la perte de la diversité biologique. Aujourd’hui, alors que le concept de changements climatiques est une référence constante, la désertification, en dépit de nombreuses études scientifiques qui lui sont consacrées, intéresse peu les décideurs politiques. Pourtant, aucune passerelle, ni scientifique, ni politique à travers la synergie des conventions internationales sur l’environnement, n’est réellement construite sur les liens évidents entre désertification, changement climatique et diversité biologique. L’adaptation aux variabilités et changements climatiques, question centrale dans les récents travaux du Groupe Intergouvernemental sur l’Evolution du Climat (GIEC), constitue un enjeu capital pour les régions sèches affectées par la désertification et soumises à la variabilité et aux extrêmes climatiques. Les expériences de lutte contre la désertification et de conservation de la biodiversité pourraient constituer un point de départ judicieux pour l’étude et la compréhension de l’adaptation aux changements climatiques. Le présent article propose une analyse conjointe de la désertification, du changement climatique et la diversité biologique à la fois au plan scientifique à travers les définitions et les manifestations de ces phénomènes dans les régions sèches d’Afrique, mais aussi au plan institutionnel par l’examen des textes, des outils et des décisions relatives aux conventions internationales qui leur sont dédiées.Desertification, climate change and loss of biodiversity, currently the most compelling issues in African drylands, are compromising development efforts and jeopardising the livelihoods of the poor. A growing amount of evidence is confirming the linkages between  desertification and climate change. One illustration of these linkages is that ecosystems influence the climate, and reciprocally the global climate change affects the local climate, thus exacerbating desertification, land degradation and loss of biodiversity. While the concept of climate change is an ubiquitous theme in the international meetings, desertification suffers a chronic lack of interest on the part of decision-makers. Hitherto, there are no scientific and political links through the synergy between the international environmental conventions. Climate change adaptation is crucial to addressing both issues in the context of drylands. The experience gained in combating desertification and biodiversity conservation could be an entry point for studying and understanding adaptation to climate change in Africa. This article aims to propose an integrated scientific analysis of desertification, climate change and biodiversity, in the light of the three phenomena’s definitions and manifestations in Africa’s drylands. At the institutional level, the examination of the tools and decisions taken through the multilateral conventions dedicated to climate change (UNFCCC), desertification (UNCCD) and biodiversity (UNCBD) is required

The Medical Authority of AI: A Study of AI-enabled Consumer-facing Health Technology

Recently, consumer-facing health technologies such as Artificial Intelligence (AI)-based symptom checkers (AISCs) have sprung up in everyday healthcare practice. AISCs solicit symptom information from users and provide medical suggestions and possible diagnoses, a responsibility that people usually entrust with real-person authorities such as physicians and expert patients. Thus, the advent of AISCs begs a question of whether and how they transform the notion of medical authority in everyday healthcare practice. To answer this question, we conducted an interview study with thirty AISC users. We found that users assess the medical authority of AISCs using various factors including automated decisions and interaction design patterns of AISC apps, associations with established medical authorities like hospitals, and comparisons with other health technologies. We reveal how AISCs are used in healthcare delivery, discuss how AI transforms conventional understandings of medical authority, and derive implications for designing AI-enabled health technology