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Pandit JA, Pawelek JB, Leff B, Topol EJ. The hospital at home in the USA: current status and future prospects. NPJ Digit Med 2024; 7:48. [PMID: 38413704 PMCID: PMC10899639 DOI: 10.1038/s41746-024-01040-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 02/14/2024] [Indexed: 02/29/2024] Open
Abstract
The annual cost of hospital care services in the US has risen to over $1 trillion despite relatively worse health outcomes compared to similar nations. These trends accentuate a growing need for innovative care delivery models that reduce costs and improve outcomes. HaH-a program that provides patients acute-level hospital care at home-has made significant progress over the past two decades. Technological advancements in remote patient monitoring, wearable sensors, health information technology infrastructure, and multimodal health data processing have contributed to its rise across hospitals. More recently, the COVID-19 pandemic brought HaH into the mainstream, especially in the US, with reimbursement waivers that made the model financially acceptable for hospitals and payors. However, HaH continues to face serious challenges to gain widespread adoption. In this review, we evaluate the peer-reviewed evidence and discuss the promises, challenges, and what it would take to tap into the future potential of HaH.
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Affiliation(s)
- Jay A Pandit
- Scripps Translational Research Institute, Scripps Research, La Jolla, CA, USA.
| | - Jeff B Pawelek
- Scripps Translational Research Institute, Scripps Research, La Jolla, CA, USA
| | - Bruce Leff
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Eric J Topol
- Scripps Translational Research Institute, Scripps Research, La Jolla, CA, USA
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Ramalingam M, Jaisankar A, Cheng L, Krishnan S, Lan L, Hassan A, Sasmazel HT, Kaji H, Deigner HP, Pedraz JL, Kim HW, Shi Z, Marrazza G. Impact of nanotechnology on conventional and artificial intelligence-based biosensing strategies for the detection of viruses. DISCOVER NANO 2023; 18:58. [PMID: 37032711 PMCID: PMC10066940 DOI: 10.1186/s11671-023-03842-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Accepted: 03/28/2023] [Indexed: 04/05/2023]
Abstract
Recent years have witnessed the emergence of several viruses and other pathogens. Some of these infectious diseases have spread globally, resulting in pandemics. Although biosensors of various types have been utilized for virus detection, their limited sensitivity remains an issue. Therefore, the development of better diagnostic tools that facilitate the more efficient detection of viruses and other pathogens has become important. Nanotechnology has been recognized as a powerful tool for the detection of viruses, and it is expected to change the landscape of virus detection and analysis. Recently, nanomaterials have gained enormous attention for their value in improving biosensor performance owing to their high surface-to-volume ratio and quantum size effects. This article reviews the impact of nanotechnology on the design, development, and performance of sensors for the detection of viruses. Special attention has been paid to nanoscale materials, various types of nanobiosensors, the internet of medical things, and artificial intelligence-based viral diagnostic techniques.
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Affiliation(s)
- Murugan Ramalingam
- grid.411292.d0000 0004 1798 8975School of Basic Medical Sciences, Clinical Medical College & Affiliated Hospital, Chengdu University, Chengdu, 610106 China
- grid.411982.70000 0001 0705 4288Institute of Tissue Regeneration Engineering, Dankook University, Cheonan, 31116 Republic of Korea
- grid.411982.70000 0001 0705 4288Department of Nanobiomedical Science, Dankook University, Cheonan, 31116 Republic of Korea
- grid.411982.70000 0001 0705 4288BK21 NBM Global Research Center for Regenerative Medicine, Dankook University, Cheonan, 31116 Republic of Korea
- grid.411982.70000 0001 0705 4288Mechanobiology Dental Medicine Research Center, Dankook University, Cheonan, 31116 Republic of Korea
- grid.411982.70000 0001 0705 4288UCL Eastman-Korea Dental Medicine Innovation Centre, Dankook University, Cheonan, 31116 South Korea
- grid.440424.20000 0004 0595 4604Department of Metallurgical and Materials Engineering, Faculty of Engineering, Atilim University, 06836 Ankara, Turkey
| | - Abinaya Jaisankar
- grid.412813.d0000 0001 0687 4946Centre for Biomaterials, Cellular and Molecular Theranostics, School of Mechanical Engineering, Vellore Institute of Technology, Vellore, 632014 India
| | - Lijia Cheng
- grid.411292.d0000 0004 1798 8975School of Basic Medical Sciences, Clinical Medical College & Affiliated Hospital, Chengdu University, Chengdu, 610106 China
| | - Sasirekha Krishnan
- grid.412813.d0000 0001 0687 4946Centre for Biomaterials, Cellular and Molecular Theranostics, School of Mechanical Engineering, Vellore Institute of Technology, Vellore, 632014 India
| | - Liang Lan
- grid.411292.d0000 0004 1798 8975School of Basic Medical Sciences, Clinical Medical College & Affiliated Hospital, Chengdu University, Chengdu, 610106 China
| | - Anwarul Hassan
- grid.412603.20000 0004 0634 1084Department of Mechanical and Industrial Engineering, Biomedical Research Center, Qatar University, 2713, Doha, Qatar
| | - Hilal Turkoglu Sasmazel
- grid.440424.20000 0004 0595 4604Department of Metallurgical and Materials Engineering, Faculty of Engineering, Atilim University, 06836 Ankara, Turkey
| | - Hirokazu Kaji
- grid.265073.50000 0001 1014 9130Department of Biomechanics, Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental University, Tokyo, 101-0062 Japan
| | - Hans-Peter Deigner
- grid.21051.370000 0001 0601 6589Institute of Precision Medicine, Medical and Life Sciences Faculty, Furtwangen University, 78054 Villingen-Schwenningen, Germany
| | - Jose Luis Pedraz
- grid.11480.3c0000000121671098NanoBioCel Group, Laboratory of Pharmaceutics, School of Pharmacy, University of the Basque Country, 01006 Vitoria-Gasteiz, Spain
- Biomedical Research Networking Centre in Bioengineering, Biomaterials and Nanomedicine, 28029 Madrid, Spain
| | - Hae-Won Kim
- grid.411982.70000 0001 0705 4288Institute of Tissue Regeneration Engineering, Dankook University, Cheonan, 31116 Republic of Korea
- grid.411982.70000 0001 0705 4288Department of Nanobiomedical Science, Dankook University, Cheonan, 31116 Republic of Korea
- grid.411982.70000 0001 0705 4288BK21 NBM Global Research Center for Regenerative Medicine, Dankook University, Cheonan, 31116 Republic of Korea
- grid.411982.70000 0001 0705 4288Mechanobiology Dental Medicine Research Center, Dankook University, Cheonan, 31116 Republic of Korea
- grid.411982.70000 0001 0705 4288UCL Eastman-Korea Dental Medicine Innovation Centre, Dankook University, Cheonan, 31116 South Korea
| | - Zheng Shi
- grid.411292.d0000 0004 1798 8975School of Basic Medical Sciences, Clinical Medical College & Affiliated Hospital, Chengdu University, Chengdu, 610106 China
| | - Giovanna Marrazza
- grid.8404.80000 0004 1757 2304Department of Chemistry “Ugo Schiff”, University of Florence, 50019 Sesto Fiorentino, Florence, Italy
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