Iomt Solutions For Telemedicine In Pediatric Cardiology And Heart Health – EHealth is defined as the use of information and communication technologies (ICT) to more effectively manage patients and their health to improve the overall quality of care. Healthcare services based on telehealth (or telemedicine) and mobile healthcare (mHealth) are the most popular e-health tools used by healthcare professionals and consumers. These applications enable the exchange of medical data between patients and their doctors or between healthcare professionals, mainly via the Internet, and are used to provide healthcare services remotely (so-called “connected health”). The most popular telemedicine application for hypertension is blood pressure telemonitoring (BPT), which allows blood pressure and various clinical information to be transmitted from patients’ homes or communities to a doctor’s office or hospital. Multiple randomized controlled trials have documented significant reductions in blood pressure associated with intensification and optimization of antihypertensive medication use in patients using BPT combined with remote counseling by a case manager, under the supervision of a physician or community pharmacist (telepharmacy). The main benefits of BPT are generally observed in high-risk patients. BPT can also build on wireless mHealth solutions to provide educational support, medication tracking and reminders, and teleconsultations. In this context, BPT may promote patient self-management by complementing physician intervention and promote patient participation in medical decision-making, resulting in improved blood pressure control and increased treatment adherence. To sum up, e-health solutions, and especially telemedicine, are increasingly taking a key position in the treatment of patients with hypertension, having great potential to improve the quality of care provided, increasing the likelihood of effective treatment. effective prevention of cardiovascular diseases.
Despite advances in the effectiveness of screening, diagnosis, and treatment, elevated blood pressure (BP) remains a major risk factor for death and disability in developed and developing countries (1). Hypertension currently affects approximately one billion people worldwide and is expected to be the leading modifiable risk for noncommunicable diseases over the next two decades (1–3).
Iomt Solutions For Telemedicine In Pediatric Cardiology And Heart Health
Although there has been a steady increase in awareness and control of blood pressure in recent years, one third of adults with hypertension are unaware of the disease, and among those with predominant hypertension, almost half still have uncontrolled blood pressure. (4–6). The significant increase in the incidence of hypertension in recent years, especially among young people (6), recommends more rapid detection and treatment of cardiovascular (CV) risk factors, including blood pressure, in the population, especially in those with limited access to health care. apprehension. Obtaining an accurate blood pressure measurement is also critical to effectively assessing a patient’s blood pressure level and tailoring therapeutic intervention: to achieve this goal, physicians must rely more often on out-of-office blood pressure measurements. The main barriers to the proper detection and treatment of hypertension also include physician inertia and poor patient compliance with therapeutic plans.
Internet Of Medical Things (iomt) Applications In E Health Systems Context
To effectively deal with the problem of hypertension, the traditional healthcare model of hypertension treatment, based on periodic visits to the doctor’s office, must be supplemented with a modern approach that relies on new technologies and sees patient self-management as a way to improve blood pressure control. In this context, digital health or e-health is an emerging field in which health informatics, public health and business interact in complex ways to enable the remote delivery of health services and health-related information and the improvement of health care at scale. .
In this review, we will explore how eHealth can help improve the management of hypertension, focusing in particular on tools used to deliver healthcare services remotely (so-called ‘connected health’). We will present current evidence on the clinical effectiveness of the most thoroughly tested combined health interventions for the treatment of hypertension: blood pressure telemonitoring (BPT) and telepharmacy. We will also discuss how emerging mobile technologies can help improve connections between patients and providers and positively impact the management of hypertension.
According to the contemporary model of hypertension treatment, the central role is played by the patient, not his disease, directly engaged in the management of his health care, in cooperation with the doctor, family and community, entering into various interactions with the doctor, family and community. affect. influence and support health decisions (7). This approach also highlights that patients with the same disease differ from each other due to differences in genetic predispositions and mechanisms underlying hypertension. Therefore, different patients may respond differently to the same antihypertensive treatment, and traditional population-based approaches may not be effective. Rather, an individualized or personalized approach is necessary, in line with the modern medical model, often called “precision medicine” (8).
Aiiomt: Iomt Based System Enabled Artificial Intelligence For Enhanced Smart Healthcare Systems
An important point in the effective treatment of hypertension and comprehensive care for the whole person based on a personalized, patient-centered care model is the use of health information technologies, which can help create networks that connect different health care professionals (e.g., doctor, nurse). , pharmacist) and can improve communication between the medical team and the patient, which has a beneficial effect on the patient’s health, which we will discuss later in our literature review.
EHealth covers a broad group of activities that use communication and information technologies (ICT) to store, retrieve, share and exchange health-related information for the purposes of prevention, diagnosis, treatment, monitoring, education and administration (9). Technological developments over the last twenty years have broadened the meaning of the concept of e-health, which was originally limited to activities performed locally, and has also extended it to include electronic or digital health care processes using the Internet and the delivery of health care via the Internet. period of time. distance (better defined as telehealth or telemedicine). The most typical services that can be delivered using eHealth and related digital models are summarized in Table 1.
The most widely used e-health tool is the Electronic Health Record (EHR), which is software used to store a patient’s clinical history (test results, medications, and overall clinical history) and share it online with other providers outside the practice. they enable the exchange of patient data between different healthcare professionals and support clinical activities. In some settings, such as hospitals and primary care facilities, EHRs are integrated with patient information systems (PIS) and are used to support both administrative and clinical activities.
Digital Healthcare And Its Recent Trends
Recently, the development of the Internet has contributed to the spread of online e-health services, such as interactive educational and disease prevention programs and online discussion groups for patients.
Health services can be provided to patients and other health care professionals through virtual clinics that enable teleconsultations and videoconferencing, sharing of diagnostic images, and in some cases computer-assisted surgery. Finally, e-health can also be used to support medical research by leveraging network technologies that enable powerful computing and data management capabilities to process large amounts of heterogeneous data.
The most popular e-health services among health care professionals and consumers are telehealth-based services and mobile health care, i.e. applications limited to remote health care.
Iot Based Telemedicine For Disease Prevention And Health Promotion: State Of The Art
Telehealth generally refers to the use of ICT to deliver health care, clinical services, and medical education from one location to another to provide faster and more effective diagnoses and clinical care (10). The term telemedicine is generally considered synonymous with telemedicine (and we will use these two terms interchangeably in our review, as suggested by the American Telemedicine Association) (11). When mobile communication devices (e.g., smartphones or tablets) are used to exchange data or information between physicians and patients, the term “mobile health” (mHealth) is used and this category is considered a subset of telehealth (12). Typically, mHealth apps are used to track and process large amounts of information about lifestyle and well-being.
An example diagram of telehealth services and their course is presented in Figure 1. Currently, the most popular mechanism for providing telehealth is connecting users with health care institutions via the Internet. The use of a common online platform promotes shared care and interaction between stakeholders, in line with the closed-loop healthcare model. Also called the Internet of Medical Things (IoMT), an interconnected infrastructure of healthcare systems and services designed to identify problems before they become critical and enable healthcare providers to intervene early (13). Dedicated high-speed connections between centers (point-to-point connection) are an alternative to the more modern, Internet-based approach to telehealth; However, these solutions are now less popular than in the past and are used for specific applications such as radiological image transmission, stroke assessment, mental health care and intensive care.
Figure 1. Diagram of the most popular telehealth services and their processes. EPD, electronic patient file; NFC, short field communication; PDA, personal digital assistant; IoMT, Internet of Medical Things.
Overview Of The Internet Of Medical Things (iomt)
Unfortunately, exact estimates of telehealth users and market size vary widely. However, there is no doubt that telehealth is a rapidly growing part of healthcare worldwide and has not yet reached the tipping point due to current poor implementation, financial challenges and lack of physician support. Globally, 7 million patients are treated using telehealth solutions, but these numbers may be underestimates. The most popular applications of telehealth are in radiology and
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