The Internet of Things in Health Care in Oxford: Protocol for Proof-of-Concept Projects

BACKGROUND: Demands on health services across are increasing because of the combined challenges of an expanding and aging population, alongside complex comorbidities that transcend the classical boundaries of modern health care. Continuing to provide and coordinate care in the current manner is not...

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Autores principales: Meinert, Edward, Van Velthoven, Michelle, Brindley, David, Alturkistani, Abrar, Foley, Kimberley, Rees, Sian, Wells, Glenn, de Pennington, Nick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299230/
https://www.ncbi.nlm.nih.gov/pubmed/30514695
http://dx.doi.org/10.2196/12077
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author Meinert, Edward
Van Velthoven, Michelle
Brindley, David
Alturkistani, Abrar
Foley, Kimberley
Rees, Sian
Wells, Glenn
de Pennington, Nick
author_facet Meinert, Edward
Van Velthoven, Michelle
Brindley, David
Alturkistani, Abrar
Foley, Kimberley
Rees, Sian
Wells, Glenn
de Pennington, Nick
author_sort Meinert, Edward
collection PubMed
description BACKGROUND: Demands on health services across are increasing because of the combined challenges of an expanding and aging population, alongside complex comorbidities that transcend the classical boundaries of modern health care. Continuing to provide and coordinate care in the current manner is not a viable route to sustain the improvements in health outcomes observed in recent history. To ensure that there continues to be improvement in patient care, prevention of disease, and reduced burden on health systems, it is essential that we adapt our models of delivery. Providers of health and social care are evolving to face these pressures by changing the way they think about the care system and, importantly, how to involve patients in the planning and delivery of services. OBJECTIVE: The objective of this paper is to provide (1) an overview of the current state of Internet of Things (IoT) and key implementation considerations, (2) key use cases demonstrating technology capabilities, (3) an overview of the landscape for health care IoT use in Oxford, and (4) recommendations for promoting the IoT via collaborations between higher education institutions and industry proof-of-concept (PoC) projects. METHODS: This study describes the PoC projects that will be created to explore cost-effectiveness, clinical efficacy, and user adoption of Internet of Medical Things systems. The projects will focus on 3 areas: (1) bring your own device integration, (2) chronic disease management, and (3) personal health records. RESULTS: This study is funded by Research England’s Connecting Capability Fund. The study started in March 2018, and results are expected by the end of 2019. CONCLUSIONS: Embracing digital solutions to support the evolution and transformation of health services is essential. Importantly, this should not simply be undertaken by providers in isolation. It must embrace and exploit the advances being seen in the consumer devices, national rollout of high-speed broadband services, and the rapidly expanding medical device industry centered on mobile and wearable technologies. Oxford University Hospitals and its partner providers, patients, and stakeholders are building on their leading position as an exemplar site for digital maturity in the National Health Service to implement and evaluate technologies and solutions that will capitalize on the IoT. Although early in the application to health, the IoT and the potential it provides to make the patient a partner at the center of decisions about care represent an exciting opportunity. If achieved, a fully connected and interoperable health care environment will enable continuous acquisition and real-time analysis of patient data, offering unprecedented ability to monitor patients, manage disease, and potentially deliver early diagnosis. The clinical benefit of this is clear, but additional patient benefit and value will be gained from being able to provide expert care at home or close to home. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/12077
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spelling pubmed-62992302019-01-16 The Internet of Things in Health Care in Oxford: Protocol for Proof-of-Concept Projects Meinert, Edward Van Velthoven, Michelle Brindley, David Alturkistani, Abrar Foley, Kimberley Rees, Sian Wells, Glenn de Pennington, Nick JMIR Res Protoc Protocol BACKGROUND: Demands on health services across are increasing because of the combined challenges of an expanding and aging population, alongside complex comorbidities that transcend the classical boundaries of modern health care. Continuing to provide and coordinate care in the current manner is not a viable route to sustain the improvements in health outcomes observed in recent history. To ensure that there continues to be improvement in patient care, prevention of disease, and reduced burden on health systems, it is essential that we adapt our models of delivery. Providers of health and social care are evolving to face these pressures by changing the way they think about the care system and, importantly, how to involve patients in the planning and delivery of services. OBJECTIVE: The objective of this paper is to provide (1) an overview of the current state of Internet of Things (IoT) and key implementation considerations, (2) key use cases demonstrating technology capabilities, (3) an overview of the landscape for health care IoT use in Oxford, and (4) recommendations for promoting the IoT via collaborations between higher education institutions and industry proof-of-concept (PoC) projects. METHODS: This study describes the PoC projects that will be created to explore cost-effectiveness, clinical efficacy, and user adoption of Internet of Medical Things systems. The projects will focus on 3 areas: (1) bring your own device integration, (2) chronic disease management, and (3) personal health records. RESULTS: This study is funded by Research England’s Connecting Capability Fund. The study started in March 2018, and results are expected by the end of 2019. CONCLUSIONS: Embracing digital solutions to support the evolution and transformation of health services is essential. Importantly, this should not simply be undertaken by providers in isolation. It must embrace and exploit the advances being seen in the consumer devices, national rollout of high-speed broadband services, and the rapidly expanding medical device industry centered on mobile and wearable technologies. Oxford University Hospitals and its partner providers, patients, and stakeholders are building on their leading position as an exemplar site for digital maturity in the National Health Service to implement and evaluate technologies and solutions that will capitalize on the IoT. Although early in the application to health, the IoT and the potential it provides to make the patient a partner at the center of decisions about care represent an exciting opportunity. If achieved, a fully connected and interoperable health care environment will enable continuous acquisition and real-time analysis of patient data, offering unprecedented ability to monitor patients, manage disease, and potentially deliver early diagnosis. The clinical benefit of this is clear, but additional patient benefit and value will be gained from being able to provide expert care at home or close to home. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/12077 JMIR Publications 2018-12-04 /pmc/articles/PMC6299230/ /pubmed/30514695 http://dx.doi.org/10.2196/12077 Text en ©Edward Meinert, Michelle Van Velthoven, David Brindley, Abrar Alturkistani, Kimberley Foley, Sian Rees, Glenn Wells, Nick de Pennington. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 04.12.2018. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.
spellingShingle Protocol
Meinert, Edward
Van Velthoven, Michelle
Brindley, David
Alturkistani, Abrar
Foley, Kimberley
Rees, Sian
Wells, Glenn
de Pennington, Nick
The Internet of Things in Health Care in Oxford: Protocol for Proof-of-Concept Projects
title The Internet of Things in Health Care in Oxford: Protocol for Proof-of-Concept Projects
title_full The Internet of Things in Health Care in Oxford: Protocol for Proof-of-Concept Projects
title_fullStr The Internet of Things in Health Care in Oxford: Protocol for Proof-of-Concept Projects
title_full_unstemmed The Internet of Things in Health Care in Oxford: Protocol for Proof-of-Concept Projects
title_short The Internet of Things in Health Care in Oxford: Protocol for Proof-of-Concept Projects
title_sort internet of things in health care in oxford: protocol for proof-of-concept projects
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299230/
https://www.ncbi.nlm.nih.gov/pubmed/30514695
http://dx.doi.org/10.2196/12077
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