Development and Testing of the Smart Healthcare Prototype System through COVID-19 Patient Innovation

Chiu, Po-Chih; Su, Kuo-Wei; Wang, Chao-Hung; Ruan, Cong-Wen; Shiao, Zong-Peng; Tsao, Chien‐Han; Huang, Hsin-Hsin

doi:10.3390/healthcare11060847

Cited by 2 publications

(1 citation statement)

References 54 publications

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“…Since the start of the COVID-19 pandemic, there has been a rapid transition to and uptake of telehealth across the United States, primarily involving virtual clinic visits [1]. The promise of telehealth, however, involves more than virtual visits to a clinician and includes sensors and devices surrounding a person in their home and community to facilitate health and well-being [2][3][4][5][6][7][8][9][10]. An ideal state of telehealth is one where environments in which people are born, live, play, work, and grow old are networked and intelligent and automatically promote health and prevent disease in a way that is personalized to each individual within them [11].…”

Section: Introductionmentioning

confidence: 99%

Pathophysiologic Basis of Connected Health Systems

Shaikh,

Gibbons

2023

J Med Internet Res

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Since the start of the COVID-19 pandemic, there has been a rapid transition to telehealth across the United States, primarily involving virtual clinic visits. Additionally, the proliferation of consumer technologies related to health reveals that for many people health and care in the contemporary world extends beyond the boundaries of a clinical interaction and includes sensors and devices that facilitate health in personal environments. The ideal connected environment is networked and intelligent, personalized to promote health and prevent disease. The combination of sensors, devices, and intelligence constitutes a connected health system around an individual that is optimized to improve and maintain health, deliver care, and predict and reduce risk of illness. Just as modern medicine uses the pathophysiology of disease as a framework for the basis of pharmacologic therapy, a similar clinically reasoned approach can be taken to organize and architect technological elements into therapeutic systems. In this work, we introduce a systematic methodology for the design of connected health systems grounded in the pathophysiologic basis of disease. As the digital landscape expands with the ubiquity of health devices, it is pivotal to enable technology-agnostic clinical reasoning to guide the integration of technological innovations into systems of health and care delivery that extend beyond the boundaries of a clinical interaction. Applying clinical reasoning in a repeatable and systematic way to organizing technology into therapeutic systems can yield potential benefits including expanding the study of digital therapeutics from individual devices to networked technologies as therapeutic interventions; empowering physicians who are not technological experts to still play a significant role in using clinical reasoning for architecting therapeutic networks of sensors and devices; and developing platforms to catalog and share combinations of technologies that can form therapeutic networks and connected health systems.

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