Implementing a connected health intervention for remote patient monitoring in Saudi Arabia and Pakistan: explaining ‘the what’ and ‘the how’

Aldahmash, Abdullah; Ahmed, Z.; Qadri, Fatima R; Thapa, Subash; Al-Muammar, Abdulrahman

doi:10.1186/s12992-019-0462-1

Cited by 15 publications

(12 citation statements)

References 23 publications

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“…Many EU programs are still in the trial and pilot stage, while the US has many cases of commercialization [81]. This may be influenced by the respective national health systems, as healthcare in the US tends to be privatized, while that in the EU is relatively publicly funded [83][84]. Many CH practices can be hospital-led rather than government-led, and hospitals can experience commercial pressures.…”

Section: Rolesmentioning

confidence: 99%

“Nomen Omen”: Exploring Connected Healthcare through the Perspective of Name Omen

Chen¹,

Liu²,

Hu³

2020

Preprint

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Background: The evolution of names, from “medical informatics” to “connected health”, implies that the evolvement of technology in health care has been shifted from technology-oriented to healthcare-oriented implementation. Connected healthcare, a healthcare platform of remote monitoring and self-management through technological measures, is suggested to contribute to the efficiency, cost effectiveness, and satisfaction of healthcare recipient enhancement. However, limited understanding of related connected health (CH) terminology may constrain its implementation. Whether CH is a Buzzword only or a practice that can contribute to an ageing society is controversial. Objective: This study aims to distinguish CH-related terminology and to identify the trend of CH through reviewing its definition, initiation, development, and evolvement, in order to offer management insights and implications. The objective is to understand what is connected and who is cared about in the connected health model, so that better applications can be addressed for the benefit of society. Method: This study reviews the evolution of names, from “medical informatics” in the 1970s to “connected health” after 2000, as well as relevant literature of CH, including e-health, telemedicine, telehealth, telecare, and m-health, to discover the trend of technology-related healthcare implementation. The current status and issues facing CH will be presented and its future trends will be explored through reviewing how changes in healthcare are managed, in addition to its operation and practice. Issues of accessibility, quality, and cost will be discussed, as well as its market status. Results: Preconditions and requirements for implementing CH are identified to select a typical case to study. Areas with a complete business ecosystem, including advanced technology and medical services, a payment system, an ageing population, geographic isolation, integrated health, and social care, are prevalent. These findings may be beneficial to designing and establishing comprehensive CH implantation and environments. Conclusion: The evidence and tendency of technological convergence create a demand for innovation and partnering with start-up companies that offer a competitive advantage in innovation. Specifically, it is necessary to innovate both the public and private operation model of the CH ecosystem. This focus will be further explored in future work.

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Section: Rolesmentioning

confidence: 99%

“Nomen Omen”: Exploring Connected Healthcare through the Perspective of Name Omen

Chen¹,

Liu²,

Hu³

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Many EU programs are still in the trial and pilot stage, while the US has many cases of commercialization [81]. This may be influenced by the respective national health systems, as healthcare in the US tends to be privatized, while that in the EU is relatively publicly funded [83]. Many CH practices can be hospital-led rather than government-led, and hospitals can experience commercial pressures.…”

Section: Connected Health In Operation and Practicementioning

confidence: 99%

“Nomen Omen”: Exploring Connected Healthcare through the Perspective of Name Omen

Chen

Liu

et al. 2020

Healthcare

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Background: The evolution of names, from “medical informatics” to “connected health”, implies that the evolvement of technology in health care has been shifted from technology-oriented to healthcare-oriented implementation. Connected healthcare, a healthcare platform of remote monitoring and self-management through technological measures, is suggested to contribute to the efficiency, cost-effectiveness, and satisfaction of healthcare recipient enhancement. However, limited understanding of related connected health (CH) terminology may constrain its implementation. Whether CH is a buzzword only or a practice that can contribute to an aging society is controversial. Objective: This study aims to distinguish CH-related terminology and to identify the trend of CH through reviewing its definition, initiation, development, and evolvement, in order to offer management insights and implications. The objective is to understand what is connected and who is cared about in the connected health model so that better applications can be addressed for the benefit of society. Method: This study reviews the evolution of names, from “medical informatics” in the 1970s to “connected health” after 2000, as well as relevant literature of CH, including e-health, telemedicine, telehealth, telecare, and m-health, to discover the trend of technology-related healthcare innovations. Results: The current status and issues facing accessibility, quality, and cost were presented. Its future trends will be explored through reviewing how changes in healthcare are managed, in addition to its operation and practice. Pre-conditions and requirements for implementing CH are identified to select a typical case to study. Findings suggest that areas with a complete business ecosystem—isolated locations, advanced information technology, aging in population, integrated health, and social care system—are prevalent for designing friendly CH environments. Conclusion: The evidence and tendency of technological convergence create a demand for innovation and partnering with start-up companies that offer a competitive advantage in innovation.

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“…This is especially relevant in the context of HHC services for vulnerable groups such as patients who are chronically and terminally ill that require longstanding treatment and management and often have complex unmet health care needs [ 26 ]. Information regarding the unique cultural factors of the patients and caregivers that influence the successful application and adoption of health technology will enable program managers and health care providers to design and deliver culturally sensitive digital health interventions for use in the local context [ 27 ]. This is especially vital in light of Saudi Arabia’s Vision 2030 National Transformation Program (2018-2020) that has reinforced the role of patient-centered telemedicine and digital health technology as a means of driving major developments in the health care sector and improving health care outreach [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Culture-Specific Observations in a Saudi Arabian Digital Home Health Care Program: Focus Group Discussions With Patients and Their Caregivers

Alodhayani¹,

Hassounah²,

Qadri³

et al. 2021

J Med Internet Res

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Background There is growing evidence of the need to consider cultural factors in the design and implementation of digital health interventions. However, there is still inadequate knowledge pertaining to the aspects of the Saudi Arabian culture that need to be considered in the design and implementation of digital health programs, especially in the context of home health care services for patients who are chronically and terminally ill. Objective This study aims to explore the specific cultural factors related to patients and their caregivers from the perspective of physicians, nurses, and trainers that have influenced the pilot implementation of Remotely Accessible Healthcare At Home, a connected health program in the Home Health Care department at King Saud University Medical City, Riyadh, Saudi Arabia. Methods A qualitative study design was adopted to conduct a focus group discussion in July 2019 using a semistructured interview guide with 3 female and 4 male participants working as nurses, family physicians, and information technologists. Qualitative data obtained were analyzed using a thematic framework analysis. Results A total of 2 categories emerged from the focus group discussion that influenced the experiences of digital health program intervention: first, culture-related factors including language and communication, cultural views on using cameras during consultation, nonadherence to web-based consultations, and family role and commitment and second, caregiver characteristics in telemedicine that includes their skills and education and electronic literacy. Participants of this study revealed that indirect contact with patients and their family members may work as a barrier to proper communication through the Remotely Accessible Healthcare At Home program. Conclusions We recommend exploring the use of interpreters in digital health, creating awareness among the local population regarding privacy in digital health, and actively involving direct family members with the health care providers.

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Implementing a connected health intervention for remote patient monitoring in Saudi Arabia and Pakistan: explaining ‘the what’ and ‘the how’

Cited by 15 publications

References 23 publications

“Nomen Omen”: Exploring Connected Healthcare through the Perspective of Name Omen

“Nomen Omen”: Exploring Connected Healthcare through the Perspective of Name Omen

“Nomen Omen”: Exploring Connected Healthcare through the Perspective of Name Omen

Culture-Specific Observations in a Saudi Arabian Digital Home Health Care Program: Focus Group Discussions With Patients and Their Caregivers

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