A Transaction Cost Assessment of a Pervasive Technology Solution for Gestational Diabetes

Wickramasinghe, Nilmini; Troshani, Indrit; Hill, Sally Rao; Hague, William; Goldberg, Steve

doi:10.4018/jhisi.2011100104

Cited by 8 publications

(5 citation statements)

References 52 publications

(72 reference statements)

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“…Pervasive health care can be defined as: "healthcare to anyone, anytime, and anywhere by removing locational, time and other restraints while increasing both the coverage and the quality of healthcare" [27] Recent developments in ICT and emerging trends in health sector like the rise in non-communicable and chronic diseases have facilitated the application of ubiquitous computing in health services [28].These developments have also resulted in a paradigm shift which encouraged the move from doctor centric to patient centric health care system [29].The envisioning and implementation of pervasive health systems is a daunting task because, health care activities are complex in nature and they are characterized by multidimensional and multidirectional information exchanges from wide range of entities spanning from practitioners and health facilities to policy makers [30].…”

Section: Pervasive Healthmentioning

confidence: 99%

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Ubiquitous Computing in the context of developing countries

Eblewongel¹,

Amanuel²,

Mekuria³

et al. 2016

Proccedings of the ICAIIT2016

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Abstract.Ubiquitous computing is an ultra-interdisciplinary field. Because of its capacity to affect every sphere of human life, it is endowed with a wide range of characteristics and features. This paper attempts to describe the more salient and diverse features of Pervasive Computing in an organized manner that appreciates the multi-disciplinary nature of the field. Five categories: Setup, design, architecture, deployment and operations; interface; security; engineering and socio-economic; are used to systematically outline the current characteristics of Ubiquitous computing. Sample applications from the field of Ubicomp are also discussed to illustrate some of the characteristics of pervasive computing. Moreover, we have also tried to highlight the challenges and opportunities for implementing Pervasive Computing in the context of developing countries. .

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Section: Pervasive Healthmentioning

confidence: 99%

“…A more holistic view of pervasive health is proposed by Wickramasinghe [28]. Whereby, pervasive health is envisioned as a coordination of collective activities.…”

Section: Pervasive Healthmentioning

confidence: 99%

Ubiquitous Computing in the context of developing countries

Eblewongel¹,

Amanuel²,

Mekuria³

et al. 2016

Proccedings of the ICAIIT2016

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“…(2) Type II diabetes, also known as adult-onset diabetes, generally starts as insulin resistance and, as the need for insulin increases in the body, the pancreas tends to lose its capability to produce the hormone, and (3) Gestational diabetes, which afflicts women during pregnancy and is characterized by glucose intolerance [66,67].…”

Section: Diamond-case Vignettementioning

confidence: 99%

A regulatory framework for pervasive e-health: A case study

Troshani

Goldberg²,

Wickramasinghe

2012

Health Policy and Technology

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“…Early detection and proactive management of diabetes is essential [10,11]. A critical treatment imperative is to provide patients with diabetes appropriate monitoring to enable better assessment and control of blood glucose and prevent further complications [12]. It is also essential that a cost-effective solution convenient to patients and clinicians and least disruptive to the patient lifestyle be adopted [13].…”

Section: Introductionmentioning

confidence: 99%

“…The solution uses pervasive mobile technology to transfer critical information between patient and providers, ensuing in superior monitoring. This solution has proved successful in assisting to lower hemoglobin A 1c (the universally recognized marker for diabetes) in trials in Canada and the United States [12].…”

Section: Introductionmentioning

confidence: 99%

Achieving Value-Based Care in Chronic Disease Management: Intervention Study

Wickramasinghe¹,

John²,

George³

et al. 2019

JMIR Diabetes

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Background The World Health Organization notes that diabetes, a chronic disease, is a silent epidemic, and by 2020 there will be a 54% rise in the total number of individuals diagnosed with this disease. These are alarming figures that have significant repercussions for the quality of life of individuals and their families as well as for the financial stress of health care systems globally. Early detection and proactive management of diabetes is essential. The Diamond solution provides diabetes self-management by enabling patients to send details about their blood sugar readings at specific times to their nominated care coordinator to receive recommendations for diet and exercise and insulin titration. Objective The aim of the study was to assess the usability, acceptability, and fidelity of the Diamond diabetes monitoring device for patients with gestational diabetes mellitus (GDM). Specifically assessed were (1) patient compliance, (2) patient satisfaction, (3) level of glycemic control achieved, and (4) health professional satisfaction. Methods Using a design science research perspective, the Diamond diabetes monitoring device solution was adapted to the Australian health care environment. Once the solution was deemed fit for purpose by the director of the OB/GYN clinical institute and on securing all relevant ethics approvals, a 2-period 2-arm nonblinded crossover clinical trial was conducted for 8 weeks total time with crossover at 4 weeks to establish proof of concept, usability, and fidelity. The patient perspective was assessed by using structured questionnaires at 4 specific stages of the project, while the clinician perspective was captured via semistructured interviews and unstructured questionnaires. Results The 10 patients studied reported preferring standard care with the technology solution to standard care alone. Further, all clinicians involved concurred that the technology solution greatly assisted their ability to provide higher value patient-centered care. They also noted that it was extremely helpful for assisting in systematically monitoring glucose levels and any/all changes and trends. Conclusions Based on these initial findings, we offer a holistic pervasive approach to enable the achievement of value-based, patient-centered care in chronic disease management. Key lessons include the importance when designing such solutions to focus on the two primary user groups (patients and clinicians).

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A Transaction Cost Assessment of a Pervasive Technology Solution for Gestational Diabetes

Cited by 8 publications

References 52 publications

Ubiquitous Computing in the context of developing countries

Ubiquitous Computing in the context of developing countries

A regulatory framework for pervasive e-health: A case study

Achieving Value-Based Care in Chronic Disease Management: Intervention Study

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