The Need for Developing Technology-Enabled, Safe, and Ethical Workforce for Healthcare Delivery

Sarbadhikari, Suptendra Nath; Pradhan, Keerti Bhusan

doi:10.1016/j.shaw.2020.08.003

Cited by 16 publications

(14 citation statements)

References 12 publications

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“…It must be ensured that an ethical and safe approach is adopted to develop and use digital health technology and appropriate training is imparted, to enhance the capacity of the human resources for health, leading to an overall health system strengthening. 41 As primary healthcare is being built back better postpandemic, video consultation platforms could serve a complementary role. Embedding machine-learning algorithms into the video consultation platform could facilitate the automation of triage, particularly for responding to queries and identifying those at risk using a symptom checklist and interactive voice interface that uses natural language processing capabilities.…”

Section: Ethics Regulatory and Futuristic Telehealthmentioning

confidence: 99%

Telemedicine supported strengthening of primary care in WHO South East Asia region: lessons from the COVID-19 pandemic experiences

et al. 2021

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The COVID-19 pandemic has exposed the fragmentation of the healthcare delivery systems and highlighted the role of resilient primary healthcare systems for a robust public health response during health emergencies. Primary care while being the first point of contact between the citizens and the health systems has received scant attention or targeted investments over the past several decades. Through this narrative review, we aim to outline the potential role of telehealth in augmenting health systems capacity. While teleconsultations have increased exponentially during the pandemic, evidence suggests that utilisation of primary care for non-emergency and non-COVID-19 conditions such as chronic medical conditions has significantly decreased, suggesting that most telemedicine utilisation has been to address an immediate crisis. In countries with pre-existing national digital health framework and enabling regulatory environments, telehealth interventions while strengthening the public health response to COVID-19 also supported the continuum of care at the primary care level. Even after COVID-19 is controlled, telemedicine has the potential to address persistent obstacles to primary care in the South East Asia region, including scarcity of trained healthcare workers, access challenges and costs associated with in-person care. Telemedicine holds promise in strengthening primary care and has the potential to catalyse achieving universal health coverage.

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Section: Ethics Regulatory and Futuristic Telehealthmentioning

confidence: 99%

Telemedicine supported strengthening of primary care in WHO South East Asia region: lessons from the COVID-19 pandemic experiences

et al. 2021

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“…Drones are also being used as delivery platforms as they provide three-dimensional modality. Drone-based healthcare service implementation have been very common in this pandemic [121] , [122] , [123] . The system in [124] delivers goods (food, medical supplies, etc.)…”

Section: Robotics and Ai Technologies In Covid-19 Healthcarementioning

confidence: 99%

Robotics and artificial intelligence in healthcare during COVID-19 pandemic: A systematic review

Sarker

Jamal

Ahmed

et al. 2021

Robotics and Autonomous Systems

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The outbreak of the COVID-19 pandemic is unarguably the biggest catastrophe of the 21st century, probably the most significant global crisis after the second world war. The rapid spreading capability of the virus has compelled the world population to maintain strict preventive measures. The outrage of the virus has rampaged through the healthcare sector tremendously. This pandemic created a huge demand for necessary healthcare equipment, medicines along with the requirement for advanced robotics and artificial intelligence-based applications. The intelligent robot systems have great potential to render service in diagnosis, risk assessment, monitoring, telehealthcare, disinfection, and several other operations during this pandemic which has helped reduce the workload of the frontline workers remarkably. The long-awaited vaccine discovery of this deadly virus has also been greatly accelerated with AI-empowered tools. In addition to that, many robotics and Robotics Process Automation platforms have substantially facilitated the distribution of the vaccine in many arrangements pertaining to it. These forefront technologies have also aided in giving comfort to the people dealing with less addressed mental health complicacies. This paper investigates the use of robotics and artificial intelligence-based technologies and their applications in healthcare to fight against the COVID-19 pandemic. A systematic search following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method is conducted to accumulate such literature, and an extensive review on 147 selected records is performed.

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“…In the absence of demonstrated public health or clinical utility, process and algorithmic transparency will be key. 79 The NDHM framework places consent at the centre of all exchange. The asynchronous authentication process permitted by the consent manager may in fact allow such consent to be non-coercive and meaningful if its scope and limits are transparently and effectively communicated to India's diverse range of users.…”

Section: Bmj Global Healthmentioning

confidence: 99%

Rebooting consent in the digital age: a governance framework for health data exchange

Saksena¹,

Matthan

Bhan

et al. 2021

BMJ Glob Health

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In August 2020, India announced its vision for the National Digital Health Mission (NDHM), a federated national digital health exchange where digitised data generated by healthcare providers will be exported via application programme interfaces to the patient’s electronic personal health record. The NDHM architecture is initially expected to be a claims platform for the national health insurance programme ‘Ayushman Bharat’ that serves 500 million people. Such large-scale digitisation and mobility of health data will have significant ramifications on care delivery, population health planning, as well as on the rights and privacy of individuals. Traditional mechanisms that seek to protect individual autonomy through patient consent will be inadequate in a digitised ecosystem where processed data can travel near instantaneously across various nodes in the system and be combined, aggregated, or even re-identified.In this paper we explore the limitations of ‘informed’ consent that is sought either when data are collected or when they are ported across the system. We examine the merits and limitations of proposed alternatives like the fiduciary framework that imposes accountability on those that use the data; privacy by design principles that rely on technological safeguards against abuse; or regulations. Our recommendations combine complementary approaches in light of the evolving jurisprudence in India and provide a generalisable framework for health data exchange that balances individual rights with advances in data science.

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The Need for Developing Technology-Enabled, Safe, and Ethical Workforce for Healthcare Delivery

Cited by 16 publications

References 12 publications

Telemedicine supported strengthening of primary care in WHO South East Asia region: lessons from the COVID-19 pandemic experiences

Telemedicine supported strengthening of primary care in WHO South East Asia region: lessons from the COVID-19 pandemic experiences

Robotics and artificial intelligence in healthcare during COVID-19 pandemic: A systematic review

Rebooting consent in the digital age: a governance framework for health data exchange

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