Digital Transformation Of Healthcare Research Articles

Service Quality and Residents' Preferences for Facilitated Self-Service Fundus Disease Screening: Cross-Sectional Study.

Fundus photography is the most important examination in eye disease screening. A facilitated self-service eye screening pattern based on the fully automatic fundus camera was developed in 2022 in Shanghai, China; it may help solve the problem of insufficient human resources in primary health care institutions. However, the service quality and residents' preference for this new pattern are unclear. This study aimed to compare the service quality and residents' preferences between facilitated self-service eye screening and traditional manual screening and to explore the relationships between the screening service's quality and residents' preferences. We conducted a cross-sectional study in Shanghai, China. Residents who underwent facilitated self-service fundus disease screening at one of the screening sites were assigned to the exposure group; those who were screened with a traditional fundus camera operated by an optometrist at an adjacent site comprised the control group. The primary outcome was the screening service quality, including effectiveness (image quality and screening efficiency), physiological discomfort, safety, convenience, and trustworthiness. The secondary outcome was the participants' preferences. Differences in service quality and the participants' preferences between the 2 groups were compared using chi-square tests separately. Subgroup analyses for exploring the relationships between the screening service's quality and residents' preference were conducted using generalized logit models. A total of 358 residents enrolled; among them, 176 (49.16%) were included in the exposure group and the remaining 182 (50.84%) in the control group. Residents' basic characteristics were balanced between the 2 groups. There was no significant difference in service quality between the 2 groups (image quality pass rate: P=.79; average screening time: P=.57; no physiological discomfort rate: P=.92; safety rate: P=.78; convenience rate: P=.95; trustworthiness rate: P=.20). However, the proportion of participants who were willing to use the same technology for their next screening was significantly lower in the exposure group than in the control group (P<.001). Subgroup analyses suggest that distrust in the facilitated self-service eye screening might increase the probability of refusal to undergo screening (P=.02). This study confirms that the facilitated self-service fundus disease screening pattern could achieve good service quality. However, it was difficult to reverse residents' preferences for manual screening in a short period, especially when the original manual service was already excellent. Therefore, the digital transformation of health care must be cautious. We suggest that attention be paid to the residents' individual needs. More efficient man-machine collaboration and personalized health management solutions based on large language models are both needed.

[Digital Healthcare: Requirements for a Successful Transformation].

Digital transformation of healthcare is the dominating discussion topic for all healthcare stakeholders. Digital transformation encompasses all areas of healthcare and is far more than digital healthcare applications (DiGA), digital care applications (DiPA), telemedicine applications, telematics infrastructure activities, and applications from the fields of eHealth, mHealth, or Telehealth. All existing care processes and structures in the healthcare system are undergoing an inventory in order to transfer analog components of care into a digital context. The digital transformation is not taking place exclusively in economic sectors such as healthcare, but is a process of change throughout society in the collection, use, provision, linking and evaluation of information (=data). For the healthcare sector, it is clear that different technical concepts are used, while digital healthcare takes place in different places and at different times, may include different user (groups) and retains, expands or changes the healthcare context. Established healthcare functions such as diagnostics, therapy, documentation and the management of healthcare services are retained and transferred to a digital context. In addition, new application areas will emerge, such as the overarching access to health data by different actors, real-time-driven monitoring systems of holistic health data, (clinical) decision systems, or the provision of data for health services. Even if the majority of the digital transformation has not yet taken place, it is assumed that these functions and application areas of healthcare will serve to sustainably improve the quality of care and benefit the well-being of all (future) patients. For the transfer of existing processes into a digital context and the establishment of new application areas, there are prerequisites for healthcare institutions and the healthcare system itself.

Цифровая эволюция в сфере здравоохранения: тенденции и правовое регулирование цифро-визации первичной медико-санитарной помощи в Российской Федерации (аналитический обзор).

Relevance. Digital evolution in the field of healthcare brings significant changes to the provision of primary health care in the Russian Federation. This process requires a comprehensive analysis and adequate legal regulation in order to ensure the effective implementation of innovative technologies, protection of the rights of patients and medical workers. The purpose of the study: is to analyze the current trends in the digitalization of primary health care in the Russian Federation and the existing legal regulation of the digitalization process in the field of primary health care in the Russian Federation. Materials and methods: the review is based on publications on the selected topic in the PubMed and eLibrary databases (n = 56), consideration of Russian regulatory legal acts related to digitalization in healthcare, including PHC, as well as the study of domestic and international experience in this field. Results. The study revealed the main trends and prospects for the development of digitalization of primary health care in the Russian Federation. The analysis of publicly available publications made it possible to identify the main regulatory legal acts that regulate the process of digital transformation in the Russian Federation, including the PHC area. The technologies and services actively implemented in the state healthcare system were studied, and it was revealed that the active dissemination of information via the Internet creates the need to improve the mechanisms for protecting the confidentiality of patients’ medical data. It was also found that in the context of the rapid development of digital technologies in healthcare, various aspects of legal regulation need to be reviewed, including organization, liability measures, guarantees and control. These conclusions emphasize the need for further analysis and improvement of legal regulation in this area to ensure effective and secure digital transformation in the field of primary health care in Russia. Conclusion. Digital transformation of healthcare is an integral part of the modernization of the Russian healthcare system and requires a comprehensive and balanced approach, taking into account all possible risks and benefits. It is worth emphasizing the need to work out effective legal regulation mechanisms to minimize possible risks and ensure maximum safety and efficiency of the digital transformation process in the Russian healthcare sector. The scope of the results. The results of the study can be used to improve legislation in the Russian Federation in the field of digitalization of healthcare, including primary health care, as well as to develop strategies and mechanisms for effective implementation of digital technologies in this area.

Nursing Students’ Perceived Confidence in eHealth Concepts and Willingness to Learn: A Multi-site Cross-sectional Survey in India

Background:: With the digitalization of health care, nurses are required to possess adequate eHealth competence. Aim:: This study aimed to explore the perceived confidence in eHealth concepts and willingness for training among nursing students. Materials and Methods:: A cross-sectional survey was conducted among 572 undergraduate nursing students recruited by convenient sampling technique from two selected nursing colleges in Southern and Northern India. A structured questionnaire was used to collect data. The data was analysed using SPSS. A p-value of less than 0.05 was taken as statistically significant. Results:: A total of 572 students completed the survey. The age of the participants ranged from 18 to 28 years, with a mean of 20.7 (SD 2.0) years. Most of the students (92.5%) used smartphones as their source of internet. More than half (66.1%) of the students were confident in various eHealth concepts. Those who were not confident in a particular eHealth concept were more willing to learn the same concept than those who were confident. Conclusion:: The study recommends preparing future nurses having knowledge of various eHealth concepts using curricular and co-curricular activities to increase their confidence and enable them to work effectively in the era of digital transformation of health care.

Welcoming the “Metaverse” in Integrative and Complementary Medicine: Introductory Overview

The digital transformation of healthcare is accelerating. At the forefront of this revolution is the development of the "metaverse." This multidimensional digital universe, where virtual and physical realities converge, is reshaping the potential of integrative and complementary medicine. In this special edition journal series, we explore how metaverse technologies such as virtual reality, augmented reality, avatars, digital twins, blockchain smart contracts, and more, are poised to revolutionize holistic healthcare. This article serves as a brief introduction to concepts, domains, and technologies of the metaverse, with scope for integrative and complementary medicine applications. It provides a groundwork and invitation for scholars to join this transformative frontier in healthcare, where the metaverse and integrative medicine unite to offer new dimensions for holistic well-being. Together, we explore the endless possibilities of "Welcoming the Metaverse in Integrative and Complementary Medicine," bridging the gap between the digital and the holistic for a more inclusive, diverse, and interconnected future of healthcare and wellbeing.

Guest editorial: “Digital transformation of healthcare and finance: the role of blockchain, fintech and AI”

Guest editorial: “Digital transformation of healthcare and finance: the role of blockchain, fintech and AI”

Digital Health Information Systems in the Member States of the Commonwealth of Independent States: Status and Prospects

This paper examines the status of the development of national digital health information systems (HIS) in Commonwealth of Independent States (CIS) member states. Data for research were collected using a questionnaire adapted from the questionnaire of the WHO’s Third Global Survey on eHealth. The results showed that the digital transformation of HIS was occurring in all seven CIS member states (participating in the study), which were financed by different resources. Laws and regulations on electronic medical records (EMR) use were present in almost all participating CIS member states. Various international standards and classifications were used to support development and the interoperability of digital health information system (d-HIS), including International Classification of Diseases (ICD), Digital Imaging and Communications in Medicine (DICOM), ISO 18308, Logical Observation Identifiers, Names, and Codes (LOINC), Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT), and ISO TC 215. Several CIS member states had adopted a national information security strategy for the safe processing of both personal data and medical confidential information. The digital transformation of healthcare and the Empowerment through Digital Health initiative are taking place in all CIS member states, which are at different stages of introducing electronic medical and health records.

Digital transformation of healthcare through the prism of trends, challenges and principles

Based on the theoretical research method perspective, we present the complex topic of digitalizing the healthcare domain. We start withthe elaboration of the keywords connected to digitalization and continue with a slight overview of principles, trends, and challenges. Thepaper is limited only to the digital transformation processes and thus excludes insights into technology-related topics like nanomedicine,bioengineering, etc. While presenting the trends, we try to emphasize the key novel technologies currently being used to supporthealthcare digitalization endeavors. We conclude by highlighting the most important actions and initiatives (focusing on the EU market),which are and will be of high importance for the healthcare domain in the future.

Educational Concepts of Digital Competence Development for Older Adults-A Scoping Review.

The digital transformation of healthcare and nursing is becoming increasingly important due to demographic change and the growing shortage of skilled workers. In order to ensure the participation of senior citizens in digital assistive technologies, educational concepts and support services are needed to promote digital skills in older adults. Therefore, the specific needs and prerequisites of this target group have to be taken into consideration. This paper asks how educational programs for the support of digital competences of older adults are designed and implemented. A scoping review was conducted to systematically extract existing findings from the literature. Four databases (Cinahl, PubMed, Web of Science Social Sciences Citation Index (SSCI), ERIC) were searched using an exploratory strategy to identify studies that address educational concepts promoting digital competences for older adults. A total of 47 publications were included in the qualitative analysis and show a variety of strategies to deal with the promotion of digital competences for elderly people. In conclusion, programs dealing with the promotion of digital competences for elderly people should be flexibly adapted to the target group with its specific needs and challenges such as fears, lack of previous experience, or physical limitations. For successful implementation, social support is of outstanding importance.

Telemedicine and mHealth Applications for Health Monitoring in Rural Communities in Colombia: A Systematic Review

INTRODUCTION: Telemedicine and mHealth applications constitute a central pillar in the digital transformation of healthcare. OBJECTIVE: To describe the efficacy, applicability, and impact of telemedicine and mHealth applications on the monitoring and improvement of health in rural communities in Colombia. METHODS: This research was carried out as a systematic review, a type of study that allows for a thorough and replicable evaluation of the existing literature in the databases PubMed, Scopus, Embase, Web of Science, Cochrane Library, CINAHL, and ERIC. RESULTS: A total of 14 studies were included, which encompassed different types of research designs: two case-control studies, two randomized trials, four cross-sectional studies, two qualitative investigations, one consensus study, one retrospective cohort study, and two reviews. The sample size varied significantly among the studies, from 16 participants in the consensus study to 313,897 patients in one of the cross-sectional studies. CONCLUSIONS: Telemedicine and mHealth applications are transforming the way medical care is delivered to rural communities in Colombia. These tools have proven to be valuable in improving the detection and management of chronic diseases such as cognitive decline and cardiovascular diseases. At the same time, the implementation of these technologies has shown to be effective in improving the quality of medical care, providing greater access to specialized medical services, and reducing the sense of isolation among health professionals in rural areas.

Nanosensor technologies and the digital transformation of healthcare.

Nanosensors are nanoscale devices that measure physical attributes and convert these signals into analyzable information. In preparation, for the impending reality of nanosensors in clinical practice, we confront important questions regarding the evidence supporting widespread device use. Our objectives are to demonstrate the value and implications for new nanosensors as they relate to the next phase of remote patient monitoring and to apply lessons learned from digital health devices through real-world examples.

The Digital Transformation of Healthcare in The Digital Economy: A Systematic Review

This review article aimed to assess the existing literature regarding the digital transformation of healthcare in the digital economy. The review employed narrative synthesis. Moreover, this systematic review made use of a number of databases, including EBSCO, Google Scholar, Scopus, Web of Science, and ScienceDirect. The documentary method and content analysis were used via systematic review to analyze the data. The review of literature suggested that digital technologies have the potential to improve healthcare delivery, enhance patient outcomes, and increase access to healthcare services. The studies reviewed in this article demonstrate that digital transformation in healthcare can lead to improved efficiency, reduced costs, increased patient satisfaction, and better patient outcomes. The use of digital technologies such as telemedicine, electronic health records, wearables, and mobile health applications has already started to revolutionize healthcare delivery. However, the adoption of these technologies is not without its challenges, including privacy and security concerns, regulatory barriers, and resistance from healthcare providers. It is therefore important for healthcare organizations and policymakers to address these challenges and implement strategies to ensure the effective integration of digital technologies into the healthcare system. Overall, the findings suggest that the digital transformation of healthcare is a critical area of research that has the potential to significantly transform the healthcare industry and improve health outcomes for individuals and communities.

Preparedness of healthcare professionals towards a new crisis: a short review of experiences, challenges, and lessons from the covid-19 pandemic

Background: The healthcare professionals have had to adapt their current practices and implement new strategies, to ensure a safe patient care environment during the COVID-19 pandemic. In addition, their training in the new conditions of the pandemic has been challenging. Aim: The aim of this short review is to provide a brief record of the experiences and challenges faced by healthcare professionals and how these can constitute lessons for a new health crisis. Method and Material: We conducted literature research in two electronic databases for the period from 2020 to 2022, using keywords. The collected material was classified based on the objectives set. A selection of literature sources was made, followed by a review with the creation of note cards. Results: The review of the selected sources reveals challenges in the practice of healthcare professionals, the continuation of professional development and research activities, as well as the adoption of digital technologies and tools for communication, information and training. The lack of experience of healthcare professionals from a previous pandemic crisis and the delay in the digital transformation of healthcare are some of the obstacles, which can become lessons for the preparedness of the healthcare systems towards a new health crisis. Conclusions: The findings highlight the essential role of a well-trained and well-informed healthcare workforce, to adequately face a health crisis. The analysis of these findings can contribute to the detection and identification of emerging needs of healthcare professionals, allowing policymakers to implement effective interventions for the continuing development of the workforce.

The evolution of digital medicine. World and domestic experience

It is known that the healthcare system is currently under serious strain in all countries of the world. Despite the expansion of the number of services and the improvement of the quality of medical care, the industry cannot cope with the existing burden: due to the increase in the number and life expectancy of the population, the spread of epidemiological morbidity and the growth of public expectations for more personalized and comfortable services the population. A significant number of current problems of the healthcare system can be solved with the help of widespread introduction of digital technologies. The global COVID-19 pandemic has led to accelerated innovation and the transition of processes from informatization to digital transformation. Digital transformation of healthcare is an absolute global trend. The development of digital technologies is aimed both at solving national problems and at implementing the national strategy of the healthcare system. The digital healthcare market is growing due to the development of electronic medical records (EHR), mobile healthcare (mhealth) capabilities, telemedicine and medical analytics. According to the Statista agency, the volume of the global digital medicine market in 2019 amounted to $ 106 billion, analysts predict its growth to $639 billion, that is, more than 6 times. Th e introduction of digital technologies into the healthcare system is a process that concerns all participants: the state, medical professionals, developers of IT solutions and new medical technologies, citizens. The article presents an analysis of foreign and domestic experience of technological transformation of healthcare, depending on the level of development of telemedicine.

Critical Success Factors for Successful Implementation of Healthcare 4.0: A Literature Review and Future Research Agenda.

The digitization of healthcare services is a major shift in the manner in which healthcare services are offered and managed in the modern era. The COVID-19 pandemic has speeded up the use of digital technologies in the healthcare sector. Healthcare 4.0 (H4.0) is much more than the adoption of digital tools, however; going beyond that, it is the digital transformation of healthcare. The successful implementation of H 4.0 presents a challenge as social and technical factors must be considered. This study, through a systematic literature review, expounds ten critical success factors for the successful implementation of H 4.0. Bibliometric analysis of existing articles is also carried out to understand the development of knowledge in this domain. H 4.0 is rapidly gaining prominence, and a comprehensive review of critical success factors in this area has yet to be conducted. Conducting such a review makes a valuable contribution to the body of knowledge in healthcare operations management. Furthermore, this study will also help healthcare practitioners and policymakers to develop strategies to manage the ten critical success factors while implementing H 4.0.

5G Technology in the Digital Transformation of Healthcare, a Systematic Review

The world is currently facing one of the biggest problems related to health and the quality of healthcare. According to the goals outlined by WHO in the blueprint for sustainable development (SDG3), one of its objectives is to achieve universal health coverage and ensure a healthy lifestyle. In this regard, it is important to monitor and track the impact of applications that help address this problem. This systematic review provides an analysis of the impact of the 5G network on the use of apps to improve healthcare. An analysis of 343 articles was performed, obtaining 66 relevant articles, the articles were categorized into research conducted with fiber optic backbone network as well as future research. The main medical applications were identified as: telesurgery, mobile ultrasound, biosensor technology, robotic surgery and connected ambulance. In addition, it is classified and answer questions such as the most used to improve medical care and health quality, 5G-based applications used in media to improve medical care and health quality, databases and programming languages in telemedicine are the most used in 5G-based applications, the functionality available for telemedicine based on the use of 5G-based applications.

Digitalisierung im Gesundheitswesen: heute und in Zukunft

Although Germany continues to struggle with the digital transformation of healthcare, there is reason for optimism. The political will to improve healthcare with digital technologies has been underpinned by numerous legal initiatives since 2018. In addition, there is growing acceptance among healthcare providers and the population. The latter has clearly been driven by the corona pandemic, which underscored the need for more digitized care.Digitalization in healthcare has three key drivers: the rapid technological development in data processing, the ever-improving understanding of the biological basis of human life, and growing patient sovereignty coupled with agrowing desire for transparency. Prerequisites for digital medicine are data interoperability and the establishment of anetworking (telematics) infrastructure (TI). The status of the most important digital TI applications affecting German healthcare are described: the electronic patient record (ePA) as its core as well as electronic prescriptions, medication plans, and communication tools such as Communication in Medicine (KIM) and TI Messenger (TIM). In addition, various telemedical offerings are discussed as well as the introduction of digital health applications (DiGA) into the statutory healthcare system, which Germany has pioneered. Furthermore, the use of medical data as the basis for artificial intelligence (AI) algorithms is discussed. While helpful and capable of improving diagnostics as well as medical therapy, such AI tools will not replace doctors and nurses.

Экономическая оценка рынка цифрового здравоохранения РФ

The article presents the results of the economic assessment of the digital health care market in the Russian Federation through interpretation of commercial relations in the field of telemedicine. The introduction of digital technologies is a fundamental development direction of all spheres of modern socio-economic system without any exception. The use of digital platform solutions actively affects health care system. The pandemic, which formed the objective imperatives of remote communications, became the trigger for intensification of digital transformations in health care. Telemedicine has become a significant manifestation of digital transformation of health care. The dominant part of its services is sold for money. In this regard, it is relevant to study the key dynamic and structural indicators of telemedicine market development, which will allow giving the answer about its economic capacity, investment attractiveness and potential commercial efficiency. The results of economic assessment of telemedicine market are important from the point of view of developing national mechanisms for its regulation and correction of competitive environment, since besides its commercial component there are also social effects that should be taken into account to manage the state of public opinion. The purpose of the study is to conduct economic assessment of the state and development of digital health care market in the Russian Federation. The research methodology was based on the use of the following methods: statistical, comparative, analytical, dialectical, graphical, and logical. The dynamics of cost capacity of telemedicine market, the volume of telemedicine services market per capita, the revenue of the leading companies in domestic telemedicine market, the level of investment activity, as well as the degree of popularity and economic accessibility of digital health care services were analyzed, as a part of economic assessment of digital health care market in Russia. The author's team reveals the essence, prerequisites and prospects of digital transformation of health care system, presents the results of analytical diagnostics of key dynamic and structural indicators of domestic telemedicine market functioning, and substantiates the potential of commercial development and investment attractiveness of the Russian digital health care market.

Questões da saúde digital para o SUS: a “saúde móvel” e a automação algorítmica do saber-poder da medicina

Abstract The current pandemic has accelerated digital health transformation. One of its faces refers to the progressive use of mobile applications dedicated to care, disease prevention, and health promotion - e.g., mHealth. However, many gaps in the knowledge and questions about digital health to support its use and implementation persist in the scope of Public Health. With that in mind, this study aims to contribute to their assistance, social, political, legal, and ethical characterizations and analyses. The hypothesis we intend to test is that the digital transformation of health care leads, for better or for worse, to the algorithmic automation of the knowledge-power of medicine. To conduct this study, we carried out an extensive literature review and investigated and described mHealth apps based on the critical studies of digital health proposed by Deborah Lupton.

Digital transformation of healthcare and job roles changes

Changes in the healthcare system are triggered by, among other things, technological developments. As such, have a correlative effect on changes in the approach to task performance of healthcare professionals. One of the other reasons for changes affecting individuals among health care personnel is also the sense of transformation of the roles undertaken by them from classically accepted to being oriented by current needs and situations. This paper presents the results of a study related to such situation in the Polish healthcare system based on quantitative results of questionnaire survey distributed to staff at selected healthcare facilities countrywide.