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Background
Advanced mobile communications and portable computation are now combined in handheld devices called “smartphones”, which are also capable of running third-party software. The number of smartphone users is growing rapidly, including among healthcare professionals. The purpose of this study was to classify smartphone-based healthcare techn...
Contexts in source publication
Context 1
... combined functionality of a pager, a cell phone and a PDA is now replaced by a single device called a "smartphone", which is becoming very popular among healthcare profes- sionals as well as the general public [12]. Further details on smartphones and their operating-system platforms are discussed in Appendix I. Table 1 in Appendix I illustrates an overview of OS features of smartphone platforms and Table 2 in Appendix I illustrates the support of common features by smartphone OS platforms with the availability of hardware in the device. ...
Context 2
... study performed by comScore demonstrated an increase of 27.7 million smartphone users (from 49.1 million at the end of May 2010 to 76.8 million at the end of May 2011) in the U.S. [4,5]. We discuss 6 major operating systems (OS) for smartphones and their current market share and worldwide market share forecasts for 2015, and compare their features in Table 1 and Table 2 in Appendix I. ...
Context 3
... seven applications are HCSIT, Borboleta, LIFe- reader, Multimedia Paging Based Clinical Alarm, Out- breaks Near Me, H1N1 Swine Flu Update, and WISER. These applications were discussed in six articles [39,52,[72][73][74][75]. Table 10 in Appendix II shows detailed in- formation about these applications. ...
Context 4
... are many smartphone-based applications contain- ing primarily as educational material for medical or nursing students. Seven articles discuss a total of eleven applications [11,17,23,41,47,51,56]. Table 11 in Appendix II lists the eleven applications and provides detailed infor- mation for each. They are I-Surgery Notebook, Eponyms, Netter's Atlas of Human Anatomy, Netter's Anatomy Flash Cards, Blausen Ear Atlas, Oxford Handbook of Clinical Specialties, Dissection, Cranial Nerves, iSilo, Mobipocket Reader, and Instant ECG. ...
Context 5
... Gartner [134] respectively. An overview of OS features of smartphone platforms is illustrated in Table 1. All of the platforms provide stand- ard applications such as organizers, contact lists, e-mail, Web browsers, photo galleries etc. ...
Context 6
... OS had nearly 40% of global market share in 2010 but was forecast to be below 1% by 2015 (Figures 4 and 5), which may be due to Nokia's February 2011 announcement to shift from Symbian OS to Windows Phone 7 [133,134,139]. Symbian OS supports almost every feature listed in Tables 1 and 2 except recent apps, universal search (it supports internal search only), remote wiping, video calling (third-party software may be available), multi- core processor support, and gyroscopes. Stored-data encryption and accelerometers are available on selected devices only. ...
Context 7
... has a small market share in the U.S. with a decreasing trend during 2010-2011 (See Figure 3). Palm supports almost all the features listed in Tables 1 and 2 except recent apps, app folders, widgets, storage-area encryption, video calling, voice commands, and gyro- scopes. Palm provides multi-core processor support but this is currently available in touch-pad devices only, not in smartphone devices. ...
Context 8
... is predicted to be the global market leader in smartphones, acquiring nearly 50% market share by 2015 (Figures 4 and 5). This platform supports all the features listed in Tables 1 and 2, but some features (storage-area encryption, video calling, and multi-core processor support) are available in selected smartphone devices only. The system bar provides a soft- ware navigation button in addition to system status and notifications. ...
Citations
... While global healthcare has rapidly improved over the past three decades [5], and new technologies enable people to maintain their autonomy and function independently for longer in the community, there is a growing need for a well-prepared, diverse, and collaborative primary care workforce [6][7][8]. Global healthcare systems are increasingly required to manage a rapidly ageing population and a growing burden of complex illnesses (e.g., diabetes, chronic kidney disease and cardiovascular disease) [5] in an environment facing substantial health workforce shortages. The need for a skilled workforce to engage in primary and secondary prevention, screening, assessment, triaging and managing activities has never been greater [1,9]. ...
Background/Objective
Initially established to improve access to healthcare, particularly for primary care, the full potential of the nurse practitioner role is yet to be realised in most countries. Despite this, most countries are working to meet an ageing population’s increasing healthcare needs and reduce healthcare costs and access disparities. Achieving these outcomes requires reform at multiple levels, including nurse practitioner practice pathways, education and regulation, and identifying the barriers and facilitators to optimising their primary care role.
Methods
A rapid scoping review of nurse practitioner practice pathways, education and regulation inclusive of: (1) a systematic search of Medline and CINAHL for peer-reviewed English language articles, including opinion pieces published between January 2015 and February 2022; and (2) a web-based search of nurse practitioner program entry requirements of International Nurse Regulator Collaborative country members with a protected nurse practitioner title and prescribing rights, plus the Netherlands. The individually summarised search data was integrated and synthesised using Popay’s narrative approach.
Results
Emerging evidence from the included nurse practitioner courses (n = 86) and articles (n = 79) suggests nurse practitioners working in primary care provide safe, effective care and improve healthcare efficiencies. However, different regulatory and educational models are required if the primary care nurse practitioner is to meet growing demand.
Conclusions
International variations in entry criteria, curriculum, and regulation shape the global profile of the nurse practitioner primary care workforce and their practice setting. For countries to grow their primary care nurse practitioner workforce to meet unmet needs, different entry requirements, program content and accredited post-registration transitional programs must be urgently considered.
... Advances in the use of the internet, technologies, and informatics in healthcare, 1 including electronic Health (eHealth) 2 or mobile Health (mHealth), 3 have been collectively summarized under the umbrella term digital health, 4 which is defined by the World Health Organization as "[…] development and use of digital technologies to improve health. Digital health expands the concept of eHealth to include digital consumers, with a wider range of smart-devices and connected equipment. ...
Objective
Transitioning from digital health applications to digital health ecosystems, leveraging the advances in technologies and informatics, could be the next revolution in digital health. This includes offering centralized access to various health services and improving citizens’ well-being, delivery, clinical processes, and data management. However, a limited understanding of citizens may impede adaptation. Therefore, this study investigates citizens’ attitudes within digital health ecosystems, differentiated by their characteristics, to support health service-providers and governmental policymakers in establishing user-centered solutions.
Methods
This study follows a three-step sequential mixed method methodology: (1) a literature review. (2) Qualitative thematic analyses based on semi-structured qualitative interviews. (3) Quantitative analyses based on a web-survey (descriptive statistics, one-way analysis of variances, Tukey-honestly, and Cohen's d tests).
Results
N = 15 citizens were interviewed and n = 1289 responded to the web-survey, to our knowledge the largest survey on this topic. Citizens desire a more convenient management of health services and data (M = 5.2, SD = 1.59). Services with peer-to-peer interactions (M = 3.7, SD = 1.81) and lower involvement of health professionals (M = 3.8, SD = 1.75) are less demanded. Data protection is critical (M = 6.2, SD = 1.23). Public payers are mandated as orchestrators (M = 4.3, SD = 1.99), while private companies receive lower acceptance (M = 3.0, SD = 1.42).
Conclusions
Health service-providers could follow a three-staged approach to establish digital health ecosystems: (1) Increasing the convenience for citizens by enabling online management of health services and data. (2) Extending the citizen–healthcare provider partnership through online interactions. (3) Fostering preventative behaviors and quicker recovery by personalizing health services and interactions. Governmental policymakers should integrate an electronic health record.
... Real-time data is urgently needed to fill knowledge gaps and improve the effectiveness of existing fever management recommendations [15]. On the other hand, parents need to be informed in a low-threshold way about the appropriate actions according to the guidelines [16]. ...
Policymakers and practitioners are increasingly focused on achieving health equity and meeting
the specific health needs of diverse populations, including vulnerable groups such as children. To
address these challenges, the Fever App for Parents has emerged as a solution to guide parents
through the complexities of managing fever in their children by improving fever management in
children through real-time data collection and comprehensive educational support. This systematic
approach aims to reduce unnecessary medical interventions and overuse of antibiotics,
thereby improving the overall quality of pediatric care and reducing parental anxiety. In
Germany, almost every second child aged 0-10 is a child with migration status and/or migration
experience. This means that the parents of these children also need to be targeted in fever
management and informed about the correct behavior in case of fever. This information will also
be monitored anonymously to provide a feedback loop on the parent’s experience with the menu
navigation and information design. The FeverApp provides parents with a structured, step-bystep
guide to accurately track their child’s temperature and medication intake to encourage
adherence to established fever management protocols. This study examines how the FeverApp
embodies the principles of social responsibility through its multilingualism and digital development
stages that incorporate user feedback. It shows why this app can be a resource to promote
health equity through social responsibility in medical education and practice for parents, but also
what barriers need to be considered at different stages of app development for parents from
different cultural backgrounds to enable informal medical learning through apps.
... The first wave began in the 1950s, when nascent computerised technologies were used to automate standardised and repetitive tasks,The second wave of digital technology use in healthcare emerged in the 1970s, incorporating the development of health informatics and electronic health card systems.The third wave is emerging in the current era.This wave sees moves towards the digitisation of as many elements of healthcare as possible [8]. These technologies offer a range of features that can support patients in managing their medication regimens, including: 1) Reminders: SMS, phone calls, or app notifications can alert patients when it's time to take their medications [13], [16]. 2) Tracking: Electronic pill bottles or medication management apps can track when and if medications are dispensed, providing valuable data for healthcare providers [3]. 3) Education: DHTs can deliver educational content about medications, their side effects, and the importance of adherence [3]. ...
... b) Medication tracking: Ability to log medication intake times and receive medication refill reminders. c) Educational content: Information modules on hypertension, medication explanations, and the importance of adherence [13], [14]. ...
Patient medication adherence is critical for successful treatment outcomes and cost-effective healthcare delivery. Despite its importance, non-adherence remains a significant challenge. Digital health technologies offer promising solutions through real-time monitoring and personalized interventions. This paper reviews the effectiveness and challenges of digital tools for medication adherence, highlighting diverse interventions such as apps and wearables. Findings indicate varying effectiveness and challenges, including user engagement and privacy concerns. Digital health tech holds promise for improving adherence and health outcomes, but further research is needed for optimal integration into clinical practice.
... Hence, it is obvious that users' apparent qualifications may be useful in comprehending their usage patterns and the actual implications of the medical APPs. Literature around the globe also suggests classifying m-health-based APPs per their users [15][16][17][18][19][20][21][22][23][24][25][26][27]. In this regard, apparent qualifications for following types of APP users segregated into four ways such as Illiterate-no education qualification, Naïve-up to twelfth standard, Moderate-between twelfth to ordinary graduate (e.g., B.A/B. ...
mHealth has been constantly efficiently leveraging healthcare and management-specific tasks since the last decade. The recent accumulation of smartphones, especially the inclusion of APPs is immensely affecting human livelihood in all aspects. This article investigates the impact of smartphone-based APPs, in medicinal knowledge gathering, diagnosis, and search-related activities in mHealth care. 82 APPs were randomly picked and were further given some unique ID (1–82) to make the retrieval, updating, and referencing procedure. The APP selected were further tabulated based on components such as Ownership: Open source/Proprietary; Implementation agency: Private/Government; cost of Service: paid/free; type of user: Naïve/Expert/Moderate/both Moderate and expert; supported platform: Android/iOS/Windows/Android and iOS/Android, iOS and Windows; Expertise, Disease Diagnosis and Information service. Secondly, different categories were formalized such as Stress Management, Baby monitoring (Ehn et al. in JMIR Mhealth Uhealth 6(2):e34, 2018), Post-natal, Cardiac, Search/Online Booking, m-health/Information, Basic Health Management, and Women's Health. 82 APPs selected were thereby placed under the above categories based on their components identified. Thirdly, the APPs were further classified into two categories based on cost of service: Free/Paid. The paid APP was tabulated based on their ID, Name of the APP, and price. The major reason for doing so was to perform the one-sample T-test based on their price as a factor to calculate the mean, Standard deviation, and Standard Error Mean. The results obtained from this study are promising in terms of new information about APP-based deployments per cost, ownership, user, and developing agency. The surveyed APPs are studied per their applicability (segregated into 17 different dominant characters) and 9 specific classes of diseases including stress management, baby monitor, m-Health, post-natal, cardiac, search/online booking, basic health information, women health, and others. Domain-specific percentage-wise comparison is also performed. One sample T-test is performed for analysis of the cost of paid APPs. A few key challenges and future road maps are also prescribed. APP-based health care seems to propagate the agenda of m-Health in a multitude of forms be it medical knowledge gathering, disease diagnosis, or health management. Medical APPs hold the key to changing the current scenario of healthcare into a smart and effective future.
... A growing number of works and publications are focused on the use of smartphone as a portable sensing device, namely temperature measurement [3][4][5], document security [2,8], spectral [6,7], color analysis [8,9], luminescence lifetime measurements [10,11], chemical analysis [12], etc. The areas of application vary from biology, medicine and healthcare [5,[13][14][15][16][17][18][19]. As smartphones can analyze both spectra and color proportions, biosensors using popular SPR based on spectral shifts in the visible for cortisol [20] or glucose [21] detection can be adapted for mobile phone spectral [22] or color [23] interrogation. ...
In the present paper we study the spectral and time responses of Eu and Dy doped strontium aluminates and compare the results obtained by means of a standard spectrometer and a smartphone. The advantages of each measurement tool are outlined. It is shown that smartphones equipped with simple transmission diffraction grating can efficiently be used in contactless sensing applications and as measurements tools for the study of the spectral and time dependent responses of phosphors. We also show that smartphones are up to an order of magnitude faster in measuring rise and decay time responses and allow a more detailed analysis of luminescence dynamics compared to spectrometers. A method of duty cycle scanning of the time responses is proposed to study the spectrally and time dependent luminescence structure dynamics which is related to the individual distribution of traps in the phosphors. These smartphone capabilities justify their use as affordable interrogation instruments for time-decay encoded phosphorescent sensors.
... A column chart illustrated the percentages of pediatricians reporting acute cardiac presentation required Smart technology consultations on an acute basis. [5,32]. Of participants in the current work, only 2.35% chose computers or laptops. ...
Objectives
Smart technology (ST) is starting to be integrated into cardiology medical practice. Therefore, this work aims to assess the extent of ST utilization among young pediatricians in acute pediatric cardiology consultations.
Methods
Between December 2021 and May 2022, a survey was distributed online to pediatricians linked to emergency services regarding pediatric cardiology consultations. The questionnaire was formulated to gather demographic data of participants, ST devices, and applications used. Questions explored cardiac diseases and acute presentations where ST was used. Pediatrician’s perspective of the benefits, outcome, limitations, and drawbacks of this consultation form was investigated.
Results
Smartphones were the most used ST device 83/85 (97.65%) for acute cardiac consultation in pediatrics, especially messaging applications such as WhatsApp (92.94%); none of participants chose emails or simple short message service. The most accurately transferred data were vitals, laboratory results, and electrocardiogram. Arrhythmia was reported as the disease benefits the most from ST consultations. Starting supportive therapy was the highest immediate benefit from pediatricians’ perspectives. Although it could not impact mortality, ST was thought to shorten the waiting time for consultations by 65 (76.47%). The major ST limitation was network coverage difficulties (50.58%), and possible consultation delay was the significant drawback in acute settings.
Conclusion
Smartphones are widely utilized for pediatric cardiac consultations in acute conditions, especially messaging applications. Most acute cardiac consultations are performed for heart failure and arrhythmia in children with the high benefit of shortening the waiting time for preliminary cardiac specialized opinion. However, several concerns about the limitations and drawbacks of ST use in acute cardiac specialty consultations warrant further research and organization.
... The study focuses on existing methods for delivering medications and materials that are critical for treating a variety of medical conditions. Current medications can be made safer and more effective by employing techniques such as dose optimization and personalized therapy [2]. The three categories into which research contributions are classified are continuous, controlled, and targeted medication delivery systems. ...
The progress of monitored medicine delivery technology and its importance to healthcare is significantly noticeable. It draws attention to the expansion of the market for these systems, especially oral controlled-dose different versions. These innovations give patients more complete and precise control over the administration of medications, which lowers negative consequences. The proposed system, “Medi2Home” mobile application, is a revolutionary solution for medication collection and delivery. It allows patients to upload doctor’s prescriptions, which are reviewed by experts for precise selection and dosage determination. The system directs the delivery process, ensuring the authenticity of the medication and preventing the distribution of fake pharmaceuticals. The application also enhances patient observance to their prescribed medicines, providing timely notifications and encouraging prescription refills. This approach could significantly improve health outcomes and overall well-being. By combining technology and a patient-centric focus, “Medi2Home” could transform medication appropriation and commitment, fostering a healthier and more obedient patient population.
... In the past decade, there have been profound changes in the types of digital technologies that have become available to support chronic disease management [80]. Mobile digital devices such as smartphones, tablets and smart watches can now connect to the Internet from almost any location [81,82]; and are capable of reliably monitoring and assessing in real-time, crucial health indicators that could be used to support successful PR management. ...
Purpose of Review
This critical review begins by presenting the history of Juvenile Idiopathic Arthritis (JIA) management. To move the conversation forward in addressing the current shortcomings that exist in the clinical management of children living with JIA, we argue that to date, the advancement of successful treatments for JIA has been historically slow. Factors implicated in this situation include a lack of rigorous research, JIA being considered a rare disease, and JIA’s idiopathic and complex pathophysiology.
Recent Findings
Despite the well-intended legislative changes to increase paediatric research, and the major advancements seen in molecular medicine over the last 30 years, globally, paediatric rheumatology services are still failing to meet the current benchmarks of best practice. Provoking questions on how the longstanding health care disparities of poor access and delayed treatment for children living with JIA can be improved, to improve healthcare outcomes.
Summary
Globally, paediatric rheumatology services are failing to meet the current benchmarks of best practice. Raising awareness of the barriers hindering JIA management is the first step in reducing the current health inequalities experienced by children living with JIA. Action must be taken now, to train and well-equip the paediatric rheumatology interdisciplinary workforce. We propose, a resource-efficient way to improve the quality of care provided could be achieved by embedding digital health into clinical practice, to create an integrative care model between the children, general practice and the paediatric rheumatology team. To improve fragmented service delivery and the coordination of interdisciplinary care, across the healthcare system.
... Previous studies proved that using electronic devices that involve frequent use and movement of the thumb results in a higher prevalence of musculoskeletal disorders [14][15][16]. Smartphones have significant applications in medical education, enabling doctors and students to access resources that support better decisionmaking in patient care [17][18][19][20]. Besides its benefits, overuse can result in various physical effects, including neck and wrist pain, sleep disturbance, and anxiety [21,22]. ...
Background: The term "text neck" can be defined as repetitive strain injury and pain due to excessive viewing and texting on a smartphone for a prolonged duration. Long-term untreated text neck results in inflammation of ligaments and muscles, which can lead to permanent arthritic changes. Many smart phone users experience thumb/wrist pain, but some people who develop pain are smart phone addicts. The present study checks the prevalence and awareness of text neck and thumb text syndrome in young adults. Methods: A cross-sectional study was conducted with 200 volunteers between 18-25 years age who have been using mobile phone in the last 5 years. A structured questionnaire was created, validated, and used for the study. Descriptive statistics was used to assess responses received from participants. The prevalence of text neck syndrome and thumb text syndrome has been established. Results: About 50.3% of the participants were unaware of text neck syndrome and 57.1% of text thumb syndrome. Maximum mobile phone usage included texting and calls. About 45.2% of the participants use their right thumb and index finger to text. 33% of people have a head forward posture when using mobile phones. An analysis of pain, discomfort, and duration during mobile phone use was done and will be presented at a forum. Conclusion: The prevalence of text neck and thumb text syndrome in the young adult population indicates the need to plan future pain management strategies and increase user awareness
