The idea of Artificial Intelligence (AI) has a long history. It turned out, however, that reaching intelligence at human levels is more complicated than originally anticipated. Currently we are experiencing a renewed interest in AI, fueled by an enormous increase in computing power and an even larger increase in data, in combination with improved AI technologies like deep learning. Healthcare is considered the next domain to be revolutionized by Artificial Intelligence. While AI approaches are excellently suited to develop certain algorithms, for biomedical applications there are specific challenges. We propose recommendations to improve AI projects in the biomedical space and especially clinical healthcare.
Massachusetts Institute of Technology（麻省理工学院）；Microsoft Research（微软研究院）；Stanford University（斯坦福大学）；Vector Institute（向量研究院）；New York University（纽约大学）；University of Toronto（多伦多大学）
The use of machine learning (ML) in health care raises numerous ethical concerns, especially as models can amplify existing health inequities. Here, we outline ethical considerations for equitable ML in the advancement of health care. Specifically, we frame ethics of ML in health care through the lens of social justice. We describe ongoing efforts and outline challenges in a proposed pipeline of ethical ML in health, ranging from problem selection to post-deployment considerations. We close by summarizing recommendations to address these challenges.
The Internet of Things promises a connected environment reacting to and addressing our every need, but based on the assumption that all of our movements and words can be recorded and analysed to achieve this end. Ubiquitous surveillance is also a precondition for most dystopian societies, both real and fictional. How our personal data is processed and consumed in an ever more connected world must imperatively be made transparent, and more effective technical solutions than those currently on offer, to manage personal data must urgently be investigated.
Deep learning and other big data technologies have over time become very powerful and accurate. There are algorithms and models developed that have near human accuracy in their task. In health care, the amount of data available is massive and hence, these technologies have a great scope in health care. This paper reviews a few interesting contributions to the field specifically to medical imaging, genomics and patient health records.
Stevens Institute of Technology（史蒂文斯理工学院）；Syracuse University（雪城大学）；Texas Tech University（德克萨斯理工大学）
Objective: A patient medical insurance coverage plays an essential role in determining the post-acute care (PAC) discharge disposition. The prior health insurance authorization process postpones the PAC discharge disposition, increases the inpatient length of stay, and effects patient health. Our study implements predictive analytics for the early prediction of the PAC discharge disposition to reduce the deferments caused by prior health insurance authorization, the inpatient length of stay and inpatient stay expenses. Methodology: We conducted a group discussion involving 25 patient care faci…
For what purposes are crowds being implemented in health care? Which crowdsourcing methods are being used? This work begins to answer these questions by reporting the early results of a systematic literature review of 110 pieces of relevant research. The results of this exploratory research in progress reveals that collective intelligence outcomes are being generated in three broad categories of public health care; health promotion, health research, and health maintenance, using all three known forms of crowdsourcing. Stemming from this fundamental analysis, some potential implications of the …
The health needs of those living in resource-limited settings are a vastly overlooked and understudied area in the intersection of machine learning (ML) and health care. While the use of ML in health care is more recently popularized over the last few years from the advancement of deep learning, low-and-middle income countries (LMICs) have already been undergoing a digital transformation of their own in health care over the last decade, leapfrogging milestones due to the adoption of mobile health (mHealth). With the introduction of new technologies, it is common to start afresh with a top-down…
In this manuscript, we present an argument that machine learning, a subfield of artificial intelligence, can drive improvement in value-based health care through reducing error in clinical decision making. Much of what has been previously published on machine learning in medicine represent single-use or proof-of-concept cases, as well as broad reviews of the advantages and limitations of machine learning. It is timely to look at the broader strategy for artificial intelligence implementation in medicine and emphasize how machine learning can positively influence value-based care.
The Covid-19 outbreak threatens to saturate healthcare systems in most Western countries. We describe how digital technologies may be used to automatically and remotely monitor patients at home. Patients answer simple self-reported questionnaires and their data is transmitted, in real time, to a Command Centre in the nearest reference hospital. Patient reported data are automatically filtered by algorithms to identify those with early warning signs. Open-source code of all software components required to deploy the remote digital monitoring platform and Command Centres is available.
Hospitals and health care organizations collect large amounts of detailed health care data that is in high demand by researchers. Thus, the possessors of such data are in need of methods that allow for this data to be released without compromising the confidentiality of the individuals to whom it pertains. As the geographic aspect of this data is becoming increasingly relevant for research being conducted, it is important for an \emph{anonymization} process to pay due attention to the geographic attributes of such data. In this paper, a novel system for health care data anonymization is presen…
AP-HP（巴黎公立医院集团）；Inserm（法国国家健康与医学研究院）；Université Paris-Saclay（巴黎萨克雷大学）；Centre Hospitalier Universitaire Grenoble Alpes（格勒诺布尔阿尔卑斯大学中心医院）；School of Clinical Medicine, University of Cambridge（剑桥大学临床医学院）；University College London（伦敦大学学院）
This chapter discusses the existing and future use of robotics and intelligent sensing technology in mental health care. While the use of this technology is nascent in mental health care, it represents a potentially useful tool in the practitioner's toolbox. The goal of this chapter is to provide a brief overview of the field, discuss the recent use of robotics technology in mental health care practice, explore some of the design issues and ethical issues of using robots in this space, and finally to explore the potential of emerging technology.
As AI-enabled robots enter the realm of healthcare and caregiving, it is important to consider how they will address the dimensions of care and how they will interact not just with the direct receivers of assistance, but also with those who provide it (e.g., caregivers, healthcare providers etc.). Caregiving in its best form addresses challenges in a multitude of dimensions of a person's life: from physical, to social-emotional and sometimes even existential dimensions (such as issues surrounding life and death). In this study we use semi-structured qualitative interviews administered to healt…
A Taxonomy of Mental Health and Technology Needs for Alzheimer's and Dementia Caregivers
Siebel School of Computing and Data Science（Siebel计算与数据科学学院）；University of Illinois Urbana-Champaign（伊利诺伊大学厄巴纳-香槟分校）；Department of Psychology（心理学系）；Illinois Neurological Institute（伊利诺伊神经科学研究所）；Department of Human-Centered Computing（以人为中心计算系）；Manning College of Information and Computer Sciences（马歇尔大学信息与计算机科学学院）
The purpose of the present essay is to suggest a possible model to describe the worldwide healthcare crisis, where diseases that have been considered to be eradicated or under our control are re-emerging today.
Industry 4.0 in health care has evolved drastically over the past century. In fact, it is evolving every day, with new tools and strategies being developed by physicians and researchers alike. Health care and technology have been intertwined together with the advancement of cloud computing and big data. This study aims to analyze the impact of industry 4.0 in health care systems. To do so, a systematic literature review was carried out considering peer-reviewed articles extracted from the two popular databases: Scopus and Web of Science (WoS). PRISMA statement 2015 was used to include and excl…
Assessing care quality and performance is essential to improve healthcare processes and population health management. However, due to bad system design and lack of access to required data, this assessment is often delayed or not done at all. The goal of our research is to investigate an advanced analytics platform that enables healthcare quality and performance assessment. We used a user-centered design approach to identify the system requirements and have the concept of episode of care as the building block of information for a key performance indicator analytics system. We implemented archit…
In this paper, we have proposed a new smartphone based system for health care, monitoring and diagnosis, which is specially designed to efficiently increase the public health care system in the distant, rural, unreached areas of the underdeveloped and developing countries. In this all-in-one system, we have digitized the health monitoring and diagnostic devices in a way so that each device works as a minimum `plug and play' sensor module of the total system, reducing the cost radically. Besides, the easy-to-use smartphone application for operating the whole system reduces the necessity of skil…
Objectives: The fee-for-service approach to healthcare leads to the management of a patient's conditions in an independent manner, inducing various negative consequences. It is recognized that a bundled care approach to healthcare-one that manages a collection of health conditions together-may enable greater efficacy and cost savings. However, it is not always evident which sets of conditions should be managed in a bundled program. Study Design: Retrospective inference of clusters of health conditions from an electronic medical record (EMR) system. A survey of healthcare experts to ascertain t…
This study is mainly aimed at evaluating the effectiveness of current health care systems of several representative countries and improving that of the US. To achieve these goals, a people-oriented non-linear evaluation model is designed. It comprises one major evaluation metric and four minor metrics. The major metric is constituted by combining possible factors that most significantly determine or affect the life expectancy of people in this country. The four minor metrics evaluate less important aspects of health care systems and are subordinate to the major one. The authors rank some of th…
A sound performance of health care organizations depends on vigorous financing system, skilled and well paying personnel, trustworthy information, well sustained health services and reliable technologies they used. The management and organization of health care systems and other health care settings can deeply have an effect on health result, excellence of care, and patient pleasure. Environmental assessment of an organization must considered political, technical and environmental aspects. This research is paying attention on dangerous and unresolved issues resulting from waste. The insufficie…
Demand for health care is constantly increasing due to the ongoing demographic change, while at the same time health service providers face difficulties in finding skilled personnel. This creates pressure on health care systems around the world, such that the efficient, nationwide provision of primary health care has become one of society's greatest challenges. Due to the complexity of health care systems, unforeseen future events, and a frequent lack of data, analyzing and optimizing the performance of health care systems means tackling a wicked problem. To support this task for primary care,…
HAPI-FHIR Server Implementation to Enhancing Interoperability among Primary Care Health Information Systems in Sri Lanka: Review of the Technical Use Case
e-Health is a core part of Australias strategy to address rising costs and changing demands for healthcare services. With over $1bn spent and only 6% of Australians registered, the personally controlled electronic health record (PCEHR) suggests user challenges remain. While evidence confirms the benefits from involving users in systems development there is a need for more examples of how to engage effectively in healthcare settings. This research describes the use of an agile development methodology combined with the thinking out loud technique to deliver a solution that exceeded user requirem…
Most recent e-health initiatives perceive customers (patients) as recipients of medical care where they do not have a significant role in the process of health decision making. However, the advancement of Web 2.0 offers patients to have a greater role in the decision making process related to their health as they can be empowered with the ability to access and control information that fits with their personalized needs. However, providing patient empowerment in e-health through Web 2.0 is challenging task because the complexity nature of healthcare business processes. Empowerment closely relat…
The open data movement constitutes an approach to achieving accountability for government organizations, and is aligned with one of the sustainable development goals outlined by the United Nations. In the area of health care, government agencies at the Federal and State levels have released open health data consisting of de-identified patient outcomes, costs and ratings. We have applied big data analytics to understand patterns and trends in open health data. We envision the use of this data by concerned citizens to understand both national and local trends in health expenditures. We have buil…
An Electronic Health Record (EHR) system must enable efficient availability of meaningful, accurate and complete data to assist improved clinical administration through the development, implementation and optimisation of clinical pathways. Therefore data integrity is the driving force in EHR systems and is an essential aspect of service delivery at all levels. However, preserving data integrity in EHR systems has become a major problem because of its consequences in promoting high standards of patient care. In this paper, we review and address the impact of data integrity of the use of EHR sys…
In recent years, personal health technologies have emerged that allow patients to collect a wide range of health-related data outside the clinic. These patient-generated data (PGD) reflect patients everyday behaviors including physical activity, mood, diet, sleep, and symptoms. However, major players and academics alike, have ignored the case where these patients or normal people are women. Is analyzed the eHealth segment of female fertility planning mobile apps (in US called: period trackers) and its possible extensions to other female health care mobile services. The market potential is very…
The Role of Machine Learning in Reducing Healthcare Costs: The Impact of Medication Adherence and Preventive Care on Hospitalization Expenses
The Fu Foundation School of Engineering and Applied Science, Columbia University（哥伦比亚大学傅 Foundation 工程与应用科学学院）；College of Computing, Georgia Institute of Technology（佐治亚理工学院计算学院）
The distribution of health care payments to insurance plans has substantial consequences for social policy. Risk adjustment formulas predict spending in health insurance markets in order to provide fair benefits and health care coverage for all enrollees, regardless of their health status. Unfortunately, current risk adjustment formulas are known to underpredict spending for specific groups of enrollees leading to undercompensated payments to health insurers. This incentivizes insurers to design their plans such that individuals in undercompensated groups will be less likely to enroll, impacti…
Halmstad University（哈尔姆斯塔德大学）；Halland Hospital, Region Halland（哈兰医院，哈兰地区）
A consequence of the fragmented and siloed healthcare landscape is that patient care (and data) is split along multitude of different facilities and computer systems and enabling interoperability between these systems is hard. The lack interoperability not only hinders continuity of care and burdens providers, but also hinders effective application of Machine Learning (ML) algorithms. Thus, most current ML algorithms, designed to understand patient care and facilitate clinical decision-support, are trained on limited datasets. This approach is analogous to the Newtonian paradigm of Reductionis…
Jakarta is a metropolitan city and among the most dense city in Indonesia. Jakarta has 12 major indicators of standardize health care delivery (Standard Pelayanan Minimum or SPM) derivates from Ministry of Health consists of services related to maternal and neonatal health, school-aged population, working-age population, elderly population, some specific conditions (hypertension, diabetes, tuberculosis, HIV), and also mental health. We planned to construct a data warehouse to provide a single integrated data center. In the first phase (2021), we improve the system by giving responsibility to t…
Digital technology is everywhere for the benefit of our daily and professional life. It strongly impacts our life and was crucial to maintain professional and social activities during the COVID19 crisis. Similarly, digital technologies are key within biomedical engineering research topics. Innovations have been generated and introduced over the last 40 years, demonstrating how computing and digital technologies have impacted health care. Although the benefits of digital technology are obvious now, we are at the convergence of several issues which makes us aware about social, societal and envir…
Adopting a good health information system (HIS) is essential for providing high-quality healthcare. With rapid advances in technology in the healthcare industry in recent years, healthcare providers seek effective options to deal with numerous diseases and a growing number of patients, adopting advanced HIS such as for clinical decision support. While the clinical decision support systems (CDSS) can help medical personnel make better decisions, they may bring negative results due to a lack of understanding of the elements that influence GP's adoption of CDSS. This paper focuses on discovering …
We aim to review available literature related to the telemonitoring of maternal health care for a comprehensive understanding of the roles of Medical Cyber-Physical-Systems (MCPS) as cutting edge technology in maternal risk factor management, and for understanding the possible research gap in the domain. In this regard, we search literature through google scholar and PubMed databases for published studies that focus on maternal telemonitoring systems using sensors, Cyber-Physical-System (CPS) and information decision systems for addressing risk factors We extract 1340 articles relevant to mate…
Telemedicine refers to the use of information and communication technology to provide and support health care mainly for the purpose of providing consultation. It is also a way to provide medical procedures or examinations to remote locations. It has the potential to improve both the quality and the access to health care services delivery while lowering costs even in the scarcity of resources. Understanding the potentiality of telemedicine, many developing countries are implementing telemedicine to provide health care facility to remote area where health care facilities are deficient. Banglade…
University of Toronto（多伦多大学）；Vector Institute（向量研究所）
Machine learning models in health care are often deployed in settings where it is important to protect patient privacy. In such settings, methods for differentially private (DP) learning provide a general-purpose approach to learn models with privacy guarantees. Modern methods for DP learning ensure privacy through mechanisms that censor information judged as too unique. The resulting privacy-preserving models, therefore, neglect information from the tails of a data distribution, resulting in a loss of accuracy that can disproportionately affect small groups. In this paper, we study the effect…
Managing health-care records and information is an imperative necessity. Most patient health records are stored in separate systems and there are still huge paper trails of records that health-care providers must keep to comply with different regulations. This paper proposes an RFID-based system, named SIMOPAC, that integrate RFID technology in health care in order to make patient emergency care as efficient and risk-free as possible, by providing doctors with as much information about a patient as quickly as possible. Every hospital could use SIMOPAC with their existing system in order to pro…
What is a system? Is one of those questions that is yet not clear to most individuals in this world. A system is an assemblage of interacting, interrelated and interdependent components forming a complex and integrated whole with an unambiguous and common goal. This paper emphasizes on the fact that all components of a complex system are inter-related and interdependent in some way and the behavior of that system depends on these independences. A health care system as portrayed in this article is widespread and complex. This encompasses not only hospitals but also governing bodies like the FDA…
DUET（达卡工程技术大学）；EUB（欧洲孟加拉大学）；JNU（贾汉吉尔纳加尔大学）；Daffodil International University（达福迪尔国际大学）；BUP（孟加拉国国父和平大学）
Nearly 30% of the people in the rural areas of Bangladesh are below the poverty level. Moreover, due to the unavailability of modernized healthcare-related technology, nursing and diagnosis facilities are limited for rural people. Therefore, rural people are deprived of proper healthcare. In this perspective, modern technology can be facilitated to mitigate their health problems. ECG sensing tools are interfaced with the human chest, and requisite cardiovascular data is collected through an IoT device. These data are stored in the cloud incorporates with the MQTT and HTTP servers. An innovativ…
In Todays real world technology has become a domiant crucial component in every industry including healthcare industry. The benefits of storing electronically the records of patients have increased the productivity of patient care and easy accessibility and usage. The recent technological innovations in the health care is the invention of cloud based Technology. But many fears and security measures regarding patient records storing remotely is a concern for many in health care industry. One needs to understand the benefits and fears of implementation of cloud computing its advantages and disad…
There is a mounting crisis in delivering affordable healthcare in the US. For decades, key decision makers in the public and private sectors have considered cost-effectiveness in healthcare a top priority. Their actions have focused on putting a limit on fees, services, or care options. However, they have met with limited success as costs have increased rapidly while the quality isn't commensurate with the high costs. A new approach is needed. Here we provide eight scientifically-based steps for improving the healthcare system. The core of the approach is promoting the best use of resources by…
Technology adoption in healthcare services has resulted in advancing care delivery services and improving the experiences of patients. This paper presents research that aims to find the important requirements for a remote monitoring system for patients with COVID-19. As this pandemic is growing more and more, there is a critical need for such systems. In this paper, the requirements and the value are determined for the proposed system, which integrates a smart bracelet that helps to signal patient vital signs. (376) participants completed the online quantitative survey. According to the study …
Stepwise regression building procedures are commonly used applied statistical tools, despite their well-known drawbacks. While many of their limitations have been widely discussed in the literature, other aspects of the use of individual statistical fit measures, especially in high-dimensional stepwise regression settings, have not. Giving primacy to individual fit, as is done with p-values and $R^2$, when group fit may be the larger concern, can lead to misguided decision making. One of the most consequential uses of stepwise regression is in health care, where these tools allocate hundreds o…
This paper introduces a reliable health care system for diabetic patients based on the Internet of Things technology. A diabetic health care system with a hardware implementation is presented. The proposed work employs Alaris 8100 infusion pump, Keil LPC-1768 board, and IoT-cloud to monitor the diabetic patients. The security of diabetic data over the cloud and the communication channel between health care system components are considered as part of the main contributions of this work. Moreover, an easy way to control and monitor the diabetic insulin pump is implemented. The \mbox{patient\text…
Background: COVID-19 has become a challenge worldwide and properly planning of medical resources is the key to combating COVID-19. In the US Veteran Affairs Health Care System (VA), many of the enrollees are susceptible to COVID-19. Predicting the COVID-19 to allocate medical resources promptly becomes a critical issue. When the VA enrollees have COVID-19 symptoms, it is recommended that their first step should be to call the VA Call Center. For confirmed COVID-19 patients, the median time from the first symptom to hospital admission was seven days. By predicting the number of COVID-19 related…
The US federal government spends more than a trillion dollars per year on health care, largely provided by private third parties and reimbursed by the government. A major concern in this system is overbilling, waste and fraud by providers, who face incentives to misreport on their claims in order to receive higher payments. In this paper, we develop novel machine learning tools to identify providers that overbill Medicare, the US federal health insurance program for elderly adults and the disabled. Using large-scale Medicare claims data, we identify patterns consistent with fraud or overbillin…
Large-scale networked environments, such as the Internet, possess the characteristics of centralised data, centralised access and centralised control; this gives the user a powerful mechanism for building and integrating large repositories of centralised information from diverse resources set. However, a centralised network system with GSM Networks development for a hospital information systems or a health care information portal is still in its infancy. The shortcomings of the currently available tools have made the use of mobile devices more appealing. In mobile computing, the issues such as…
Test-Time Learning and Inference-Time Deliberation for Efficiency-First Offline Reinforcement Learning in Care Coordination and Population Health Management
The International Classification of Functioning, Disability, and Health for Children and Youth (ICF-CY) is a scaffold for designating and systematizing data on functioning and disability. It offers a standard semantic and a theoretical foundation for the demarcation and extent of wellbeing and infirmity. The multidimensional layout of ICF-CY comprehends a plethora of information with about 1400 categories making it difficult to analyze. Our research proposes a predictive model that classify self-care problems on Self-Care Activities Dataset based on the ICF- CY. The data used in this study res…
Dissecting Medical Referral Mechanisms in Health Services: Role of Physician Professional Networks
Instituto Superior Técnico, University of Lisbon（里斯本大学高等技术学院）；Nova School of Business and Economics, Universidade Nova de Lisboa（新里斯本大学诺瓦商业与经济学院）；Nova School of Science and Technology, Universidade Nova de Lisboa（新里斯本大学诺瓦科学与技术学院）
Standardisation of healthcare has been the focus of hospital management and clinicians since the 1990's. Electronic health records were already intended to provide clinicians with real-time access to clinical knowledge and care plans while also recording and storing vast amounts of patient data. It took more than three decades for electronic health records to start to become ubiquitous in all aspects of healthcare. Learning health systems are the next stage in health information systems whose potential benefits have been promoted for more than a decade - yet few are seen in clinical practice. …
