1
|
Idoga PE, Toycan M, Nadiri H, Çelebi E. Assessing factors militating against the acceptance and successful implementation of a cloud based health center from the healthcare professionals' perspective: a survey of hospitals in Benue state, northcentral Nigeria. BMC Med Inform Decis Mak 2019; 19:34. [PMID: 30782166 PMCID: PMC6381757 DOI: 10.1186/s12911-019-0751-x] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 02/01/2019] [Indexed: 11/10/2022] Open
Abstract
Background Cloud based health platforms (CBHP) have tremendous capacity to meet patient’s health needs. The benefits inherent in CBHP position it to be relevant for efficient healthcare delivery. Nonetheless, studies have shown that the adoption of new technologies is sometimes a challenge especially in developing nations. This study, therefore, aim to examine, identify and evaluate the factors affecting healthcare professionals’ intention to accept the cloud-based health center (CBHC) in developing countries. The research study focuses on hospitals in North-central of Nigeria. Methods Using questionnaire adopted from related studies, a cross-sectional study was carried out of 300 healthcare professionals selected from medical health institutions in Benue State Nigeria. The study adopted the Unified Theory of Acceptance and use of Technology Extended (UTAUT2). Data analysis was carried out using SPSS (V20.0) and LISREL (V9.30) generally employed in Structural Equation Modeling to examine components and path model. The Socio technical design method was used to develop the CBHC. Results Findings portrays performance expectancy, cloud based health knowledge, IT infrastructure and social influence to have significant effects on the intentions of healthcare professionals to accept and use the CBHC. These findings, agrees with prior related studies. Conclusions Our findings impacts the body of knowledge in that it identifies important areas the studies can be useful, especially, to managers and healthcare policy makers in the planning/implementation of health cloud. Research findings from the theoretical acceptance model identifies the factors and barriers towards sustainable cloud based health center solutions to meet the healthcare needs of people in remote communities.
Collapse
Affiliation(s)
- Patience E Idoga
- Management Information System Department, School of Applied Sciences, Cyprus International University, via Mersin 10, Nicosia, North-Cyprus, Turkey
| | - Mehmet Toycan
- Management Information System Department, School of Applied Sciences, Cyprus International University, via Mersin 10, Nicosia, North-Cyprus, Turkey.
| | - Halil Nadiri
- Business Administration Department, Cyprus International University, via Mersin 10, Nicosia, North-Cyprus, Turkey
| | - Erbuğ Çelebi
- Department of Computer Engineering, Cyprus International University, via Mersin 10, Nicosia, North-Cyprus, Turkey
| |
Collapse
|
2
|
Jain PK, Tiwari AK. Heart monitoring systems--a review. Comput Biol Med 2014; 54:1-13. [PMID: 25194717 DOI: 10.1016/j.compbiomed.2014.08.014] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2014] [Revised: 07/21/2014] [Accepted: 08/12/2014] [Indexed: 11/26/2022]
Abstract
To diagnose health status of the heart, heart monitoring systems use heart signals produced during each cardiac cycle. Many types of signals are acquired to analyze heart functionality and hence several heart monitoring systems such as phonocardiography, electrocardiography, photoplethysmography and seismocardiography are used in practice. Recently, focus on the at-home monitoring of the heart is increasing for long term monitoring, which minimizes risks associated with the patients diagnosed with cardiovascular diseases. It leads to increasing research interest in portable systems having features such as signal transmission capability, unobtrusiveness, and low power consumption. In this paper we intend to provide a detailed review of recent advancements of such heart monitoring systems. We introduce the heart monitoring system in five modules: (1) body sensors, (2) signal conditioning, (3) analog to digital converter (ADC) and compression, (4) wireless transmission, and (5) analysis and classification. In each module, we provide a brief introduction about the function of the module, recent developments, and their limitation and challenges.
Collapse
Affiliation(s)
- Puneet Kumar Jain
- Center of Excellence in Information and Communication Technology, Indian Institute of Technology Jodhpur, Rajasthan, India.
| | - Anil Kumar Tiwari
- Center of Excellence in Information and Communication Technology, Indian Institute of Technology Jodhpur, Rajasthan, India.
| |
Collapse
|
3
|
Cuvillon P, Boisson C. [Teletherapeutic drug administration by long distance via Internet control: back to the future?]. ACTA ACUST UNITED AC 2014; 33:8-9. [PMID: 24439497 DOI: 10.1016/j.annfar.2013.12.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- P Cuvillon
- Institut cancérologie Montpellier, pôle anesthésie-chirurgie, CRLC Val-d'Aurelle, 221, avenue des Apothicaires, 34000 Montpellier, France.
| | - C Boisson
- Pôle anesthésie-réanimation-douleur-urgence, CHU hôpital Carémeau, place du Professeur-Debré, 30000 Nîmes, France
| |
Collapse
|
4
|
Baig MM, Gholamhosseini H. Smart health monitoring systems: an overview of design and modeling. J Med Syst 2013; 37:9898. [PMID: 23321968 DOI: 10.1007/s10916-012-9898-z] [Citation(s) in RCA: 102] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2012] [Accepted: 09/18/2012] [Indexed: 11/25/2022]
Abstract
Health monitoring systems have rapidly evolved during the past two decades and have the potential to change the way health care is currently delivered. Although smart health monitoring systems automate patient monitoring tasks and, thereby improve the patient workflow management, their efficiency in clinical settings is still debatable. This paper presents a review of smart health monitoring systems and an overview of their design and modeling. Furthermore, a critical analysis of the efficiency, clinical acceptability, strategies and recommendations on improving current health monitoring systems will be presented. The main aim is to review current state of the art monitoring systems and to perform extensive and an in-depth analysis of the findings in the area of smart health monitoring systems. In order to achieve this, over fifty different monitoring systems have been selected, categorized, classified and compared. Finally, major advances in the system design level have been discussed, current issues facing health care providers, as well as the potential challenges to health monitoring field will be identified and compared to other similar systems.
Collapse
Affiliation(s)
- Mirza Mansoor Baig
- Department of Electrical and Electronic Engineering, School of Engineering, Auckland University of Technology, Private Bag 92006, Auckland, 1142, New Zealand,
| | | |
Collapse
|
5
|
Nag BN, Siegal M. Data Warehousing and Decision Support in Mobile Wireless Patient Monitoring. Mach Learn 2012. [DOI: 10.4018/978-1-60960-818-7.ch608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The recent advances in wireless communication technologies have made possible the development of wireless systems for monitoring the health and disease status of patients, in both in-patient hospital settings and outside. The volume of patient monitoring data requires Data Warehousing technologies for storage intended for analysis. The analysis is performed by Decision Support Systems (DSS) that provide clinical diagnoses and treatment methodology consistent with the urgency. The clinical DSS is critical in the analysis of a volume of data beyond the capabilities of a healthcare professional, and is effective in reducing workload, saving money, and providing better care for patients. This chapter also analyzes the technical aspects of the process.
Collapse
|
6
|
Whitten P, Bergman A, Meese MA, Bridwell K, Jule K. St. Vincent's Home telehealth for congestive heart failure patients. Telemed J E Health 2010; 15:148-53. [PMID: 19292623 DOI: 10.1089/tmj.2008.0087] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
St. Vincent's Homecare implemented a remote monitoring project in which researchers studied whether the telehome health patients exhibit enhanced clinical outcomes and patient perceptions of telehome healthcare. Fifty congestive heart failure patients (n = 50) participated in this program. Data collection included pre and post Outcome and Assessment Information Set items, 12-Item Short-Form Health Survey and Minnesota Living with Heart Failure Questionnaire, and data from patient charts were used to capture demographic information. In addition, interviews were conducted in order to assess overall perceptions and attitudes. Results indicate significant changes occurring among respondents in three important aspects that impact their quality of life, namely, physical, behavioral, and emotional improvements. Specifically, statistical significance was documented at the 0.05 level regarding improvement for home telehealth patients in shortness of breath, management of oral medications, ability to engage in moderate activities, amount of energy, swelling in legs/ankles, need to sit/lie down during day, fatigue, need for hospitalization, side effects from treatment, and worry. Additionally, patients found the service easy to use and perceived the care they received via telehealth to be as good as regular in-person care.
Collapse
Affiliation(s)
- Pamela Whitten
- College of Communication Arts and Sciences, Michigan State University, East Lansing, Michigan 48824, USA.
| | | | | | | | | |
Collapse
|
7
|
Tsujimura S, Yamagishi H, Sankai Y. Development of data communication system with ultra high frequency radio wave for implantable artificial hearts. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2009; 2009:4110-4115. [PMID: 19964616 DOI: 10.1109/iembs.2009.5334021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
In order to minimize infection risks of patients with artificial hearts, wireless data transmission methods with electromagnetic induction or light have been developed. However, these methods tend to become difficult to transmit data if the external data transmission unit moves from its proper position. To resolve this serious problem, the purpose of this study is to develop a prototype wireless data communication system with ultra high frequency radio wave and confirm its performance. Due to its high-speed communication rate, low power consumption, high tolerance to electromagnetic disturbances, and secure wireless communication, we adopted Bluetooth radio wave technology for our system. The system consists of an internal data transmission unit and an external data transmission unit (53 by 64 by 16 mm, each), and each has a Bluetooth module (radio field intensity: 4 dBm, receiver sensitivity: -80 dBm). The internal unit also has a micro controller with an 8-channel 10-bit A/D converter, and the external unit also has a RS-232C converter. We experimented with the internal unit implanted into pig meat, and carried out data transmission tests to evaluate the performance of this system in tissue thickness of up to 3 mm. As a result, data transfer speeds of about 20 kbps were achieved within the communication distance of 10 m. In conclusion, we confirmed that the system can wirelessly transmit the data from the inside of the body to the outside, and it promises to resolve unstable data transmission due to accidental movements of an external data transmission unit.
Collapse
Affiliation(s)
- Shinichi Tsujimura
- Cybernics Laboratory, Systems and Information Engineering, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8573, Japan.
| | | | | |
Collapse
|
8
|
Kumar S, Kambhatla K, Hu F, Lifson M, Xiao Y. Ubiquitous computing for remote cardiac patient monitoring: a survey. Int J Telemed Appl 2008; 2008:459185. [PMID: 18604301 PMCID: PMC2442250 DOI: 10.1155/2008/459185] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2008] [Accepted: 04/22/2008] [Indexed: 11/18/2022] Open
Abstract
New wireless technologies, such as wireless LAN and sensor networks, for telecardiology purposes give new possibilities for monitoring vital parameters with wearable biomedical sensors, and give patients the freedom to be mobile and still be under continuous monitoring and thereby better quality of patient care. This paper will detail the architecture and quality-of-service (QoS) characteristics in integrated wireless telecardiology platforms. It will also discuss the current promising hardware/software platforms for wireless cardiac monitoring. The design methodology and challenges are provided for realistic implementation.
Collapse
Affiliation(s)
- Sunil Kumar
- Department of Electrical and Computer Engineering, San Diego State University, San Diego, CA 92182, USA
| | - Kashyap Kambhatla
- Department of Electrical and Computer Engineering, San Diego State University, San Diego, CA 92182, USA
- Computational Science Research Center, San Diego State University, San Diego, CA 92182, USA
| | - Fei Hu
- Department of Electrical and Computer Engineering, The University of Alabama, Tuscaloosa, AL 35487, USA
| | - Mark Lifson
- Department of Computer Engineering, Rochester Institute of Technology, Rochester, NY 14623, USA
| | - Yang Xiao
- Department of Computer Science, The University of Alabama, Tuscaloosa, AL 35487, USA
| |
Collapse
|
9
|
Patil SG, Gale TJ. Preliminary design of remotely used and monitored medication dispenser. CONFERENCE PROCEEDINGS : ... ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL CONFERENCE 2006; 2006:3616-3619. [PMID: 17947044 DOI: 10.1109/iembs.2006.260419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Physicians are often considered as the final pathway for nearly all professional decisions about the use of health resources. Yet with respect to drugs, pharmacists are in many cases the final link between the medication and the patient. This approach of medication intake can be hazardous to the patient. Several mechanical as well as automatic medication dispensers incorporating alarm and automatic opening and closing mechanisms have been developed in the past. Current automatic dispensers incorporate features such as alarms, dose missed indicators followed by the access to the next dose, and simultaneous access to medication of different types. We are developing medication dispensing methods suitable for use in remote dispensing for opioid dependent patients. These include remote patient monitoring, facial image processing, and background processing techniques for monitoring and assessing the patient.
Collapse
|