Technological Aspects of Telemedicine
Mustafa ALTUNSOYa
aGazi University Faculty of Medicine, Department of Public Health, Ankara, Türkiye
ABSTRACT
The chapter ”Technological Aspects of Telemedicine” delves into the profound transformation of healthcare brought about by digital technology, focusing on its implications for telemedicine and public health. Beginning with an evaluation of technology’s evolution in telemedicine, the chapter explores the impact of digital technology on healthcare delivery. It discusses the critical role of mobile devices and apps in expanding access to health services and the Internet of Things’ (IoT) potential in facilitating remote patient monitoring and data collection. The chapter further elucidates how wearable and implantable technologies are reshaping patient care and health behavior, leading to more personalized and preventive care. It underscores the growing influence of Artificial Intelligence and Machine Learning in telemedicine, ranging from patient triage to diagnosis and treatment. The role of big data in deriving meaningful insights for patient care and public health interventions is also addressed. The chapter also touches upon the transformative potential of Virtual and Augmented Reality technologies in healthcare delivery and medical training. Despite the promising advances, the chapter underscores the technological barriers and challenges in telemedicine, such as the digital divide, infrastructure challenges, interoperability issues, and cybersecurity threats. Looking towards the future, it anticipates further integration of AI, blockchain technology, VR/AR, and advancements in wireless technology in telemedicine. The chapter concludes by emphasizing the need for comprehensive policies and regulations to guide the ethical and effective use of these technologies in telemedicine.
Keywords: Telemedicine; digital technology; public health
Referanslar
- Kahn JM. Virtual visits--confronting the challenges of telemedicine. N Engl J Med. 2015;372(18):1684-5. [Crossref] [PubMed]
- Doarn CR, Merrell RC. Telemedicine and e-health in disaster response. Telemed J E Health. 2014;20(7):605-6. [Crossref] [PubMed] [PMC]
- Zundel KM. Telemedicine: history, applications, and impact on librarianship. Bull Med Libr Assoc. 1996;84(1):71-9.
- Stanberry B. Legal and ethical aspects of telemedicine. J Telemed Telecare. 2006;12(4):166-75. [Crossref] [PubMed]
- Kumar S, Nilsen WJ, Abernethy A, Atienza A, Patrick K, Pavel M, et al. Mobile health technology evaluation: the mHealth evidence workshop. Am J Prev Med. 2013;45(2):228-36. [Crossref] [PubMed] [PMC]
- Jiang F, Jiang Y, Zhi H, Dong Y, Li H, Ma S, et al. Artificial intelligence in healthcare: past, present and future. Stroke Vasc Neurol. 2017;2(4):230-43. [Crossref] [PubMed] [PMC]
- Menachemi N, Collum TH. Benefits and drawbacks of electronic health record systems. Risk Manag Healthc Policy. 2011;4:47-55. [Crossref] [PubMed] [PMC]
- Dorsey ER, Topol EJ. State of Telehealth. N Engl J Med. 2016;375(2):154-61. [Crossref] [PubMed]
- Piwek L, Ellis DA, Andrews S, Joinson A. The Rise of Consumer Health Wearables: Promises and Barriers. PLoS Med. 2016;13(2):e1001953. [Crossref] [PubMed] [PMC]
- Holtz B, Lauckner C. Diabetes management via mobile phones: a systematic review. Telemed J E Health. 2012;18(3):175-84. [Crossref] [PubMed]
- Ohannessian R, Duong TA, Odone A. Global Telemedicine Implementation and Integration Within Health Systems to Fight the COVID-19 Pandemic: A Call to Action. JMIR Public Health Surveill. 2020;6(2):e18810. [Crossref] [PubMed] [PMC]
- Islam SMR, Kwak D, Kabir MH, Hossain M, Kwak KS. The Internet of Things for Health Care: A Comprehensive Survey. IEEE Access. 2015;3:678-708. [Crossref]
- Datta SK, Bonnet C, Haerri J. Fog Computing architecture to enable consumer centric Internet of Things services. 2015:1-2. [Crossref] [PubMed]
- Rocha NP, Dias A, Santinha G, Rodrigues M, Queirós A, Rodrigues C. Smart Cities and Public Health: A Systematic Review. Procedia Computer Science. 2019;164:516-23. [Crossref]
- Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M, et al. Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2015;38(1):140-9. [Crossref] [PubMed]
- Esteva A, Robicquet A, Ramsundar B, Kuleshov V, DePristo M, Chou K, et al. A guide to deep learning in healthcare. Nat Med. 2019;25(1):24-29. [Crossref] [PubMed]
- Chen JH, Asch SM. Machine Learning and Prediction in Medicine - Beyond the Peak of Inflated Expectations. N Engl J Med. 2017;376(26):2507-9. [Crossref] [PubMed] [PMC]
- Raghupathi W, Raghupathi V. Big data analytics in healthcare: promise and potential. Health Inf Sci Syst. 2014;2:3. [Crossref] [PubMed] [PMC]
- Belle A, Thiagarajan R, Soroushmehr SM, Navidi F, Beard DA, Najarian K. Big Data Analytics in Healthcare. Biomed Res Int. 2015;2015:370194. [Crossref] [PubMed] [PMC]
- Rizzo A, Shilling R, Forbell E, Scherer S, Gratch J, Morency LP. Chapter 3 - Autonomous Virtual Human Agents for Healthcare Information Support and Clinical Interviewing. In: Luxton DD, ed. Artificial Intelligence in Behavioral and Mental Health Care. Academic Press; 2016. p.53-79. [Crossref]
- Sutherland J, Belec J, Sheikh A, Chepelev L, Althobaity W, Chow BJW, et al. Applying Modern Virtual and Augmented Reality Technologies to Medical Images and Models. J Digit Imaging. 2019;32(1):38-53. [Crossref] [PubMed] [PMC]
- van Deursen AJ, van Dijk JA. The first-level digital divide shifts from inequalities in physical access to inequalities in material access. New Media Soc. 2019;21(2):354-75. [Crossref] [PubMed] [PMC]
- Perednia DA, Allen A. Telemedicine technology and clinical applications. JAMA. 1995;273(6):483-8. [Crossref]
- Zhang X, Saltman R. Impact of Electronic Health Record Interoperability on Telehealth Service Outcomes. JMIR Med Inform. 2022;10(1):e31837. [Crossref] [PubMed] [PMC]
- Jalali MS, Razak S, Gordon W, Perakslis E, Madnick S. Health Care and Cybersecurity: Bibliometric Analysis of the Literature. J Med Internet Res. 2019;21(2):e12644. [Crossref] [PubMed] [PMC]
- Reddy S, Fox J, Purohit MP. Artificial intelligence-enabled healthcare delivery. J R Soc Med. 2019;112(1):22-8. [Crossref] [PubMed] [PMC]
- Yeung K. The Health Care Sector's Experience of Blockchain: A Cross-disciplinary Investigation of Its Real Transformative Potential. J Med Internet Res. 2021;23(12):e24109. [Crossref] [PubMed] [PMC]