This weeks blogpost will be a discussion about eHealth in the healthcare area that is the most interesting for me, therefore digitalization in emergency care, mostly in the pre-hospital care area.

This study (Prehospital digital photography and automated image transmission in an emergency medical service 2013) reflects on transmitting information via a digital camera to one hospital department, emergency and accident department or similar department via a broadband that was mounted in the ambulance. With this asset they are able to send information, eg. photos of medicines that was found on the accident scene, different injuries, medicine lists, ECGs or medical reports. (Bergrath et. ali. 2013)

There were some issues regarding the quality of the photos, for instance when the flash interrupted the lightning of the picture when it was used on white papers and surfaces. Furthermore the problem with the size of the photo files that were transmitted. In the test trail that were arranged, they took 314 pictures and 76,4% of them (240 pieces) where considered as clearly identifiable. 45 of them (14,3%) where considered limited quality and 29 of them (9,2%) where considered as not useful. (Bergrath et. ali. 2013)

The issue with this solution of transmitting data from a pre-hospital scene to a hospital is a really good idea, but it has to be better with the “smoothness”, make it easier to identify the patients name, birthdate and when I happened on the picture. Even the solution to send these bigger files with better picture quality. Even the fact that personal information will be transmitted, how can we ensure that the information will not end up at a person that this information isn’t meant to? (Bergrath et. ali. 2013)

As I see this, this is a really good initiative to make crucial decisions together with doctors and other healthcare personal at the hospital. With this conclusion about the importance of good quality of the pictures, it were a good result, but it has to get even better.


References:

Bergrath, Sebastian. Rossaint, Rolf. Lenssen, Niklas. Fitzner, Christina. Skorning, Max. 2013. Prehospital digital photography and automated image transmission in an emergency medical service – an ancillary retrospective analysis of a prospective controlled trial. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2013 21:3.

Open access: https://sjtrem.biomedcentral.com/articles/10.1186/1757-7241-21-3

Retrieved: 29.5 2017.

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This week's blogpost will reflect on one digital solution that already exist in the Finnish Health and Welfare system. There are several different games and devices that are used today and can be used to implant the digitalization in the healthcare sector, for instance a rehabilitation game for children called Rehaboo or devices like Beat2phone that records the users ECG and heart rate.

Beat2phone is a device that measures the users ECG, the ECG will then be sent via Bluetooth to the users phone. This information can then be sent to professionals for further examinations and evaluation. VVT Technical Research Centre of Finland, the company that created this portable ECG device says that it can be used for both pre- and post- surgical patient or for a patient that feel heart related problems, even for active persons to gather information for a healthier Lifestyle. This device will give the concrete effect in efficiency that the patient don’t need to visit the hospital for evaluation or follow up on the disease he or she suffer from.

Beat2phone has been tested and used for 2-3 years in corporation with Turku University Hospital in Finland. The data can be sent to the health professionals.

As an emergency nurse student, I believe this product can be an asset in our work with patients with heart problems, maybe even a more simple way to monitor “heart patients” during the transport to the hosptial. Maybe even easier to send the ECG to the emergency and accident department or the cardiologist to assess the ECG.

Whether this device saves the users information or not, it’s one issue with information saved on servers or in the “digital cloud”. Privacy and confidentiality are two aspect that has to thought through before the healthcare sector start to use it.

References:

http://www.goodnewsfinland.com/beat2phone-does-not-miss-a-heartbeat/

http://beat2phone.com

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Describe the ethical aspect of privacy and confidentialty in e-Health.

With this digitalization that’s going on right now, there are several factors regarding ethics that has to be solved. In the science article Ethical aspect of eHealth – systematic review of open access articles (Miesperä et alii 2013), the writers came up with six different subjects that has to be through thought.

I have chosen to write about privacy and confidentiality as an ethical issue that this digitalization needs to consider. There are some difficulties regarding sharing, storage and transmit patients personal health history. This leads the healthcare providers with the dilemma, which e-program, which program that can be trusted to keep the personal information confidential.

Something as simple as a phone call from healthcare providers to a patient or their relatives, seen in the ethics perspective, can be a factor that interfere with privacy or confidentiality that we have according to the laws of the patients rights. Just because we never know who is on the other phone, if someone can hear what’s said can lead to an information leak that shouldn’t happen.

Nurses and other healthcare professionals, we have to write under a document that we bind us to keep patients health information confidential. But can todays technology ensure that confidential information wouldn’t leak information persons or companies that don’t have something to do with the patientcare?

To summarize the ethical issues with technology and digitalization, there is many things that has to be thought through. For instance, the digital systems that we use today has to be reliable and secure to use.


References:

Anne, Miesperä. Sanna-Mari, Ahonen. Jarmo, Reponen. 2013. Ethical aspect of eHealth – systematic review of open access articles. Finnish journal of eHealth and eWelfare 3;5(4).

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How do you see that the definitions, strategies and policies that govern digital health and welfare are realistic and possible to execute?

The concept of e-Health isn’t new term, it was first used in the middle of the 90’s (Boogerd et alii 2015). But yet we can’t put a finger on what e-Health exactly means. Due to the internet phenomena when the business and marketing sector stared to use the “e-words“ form to introduce the internet as a platform for the future marketing. (Eysenbach 2001).

e-Health (with all the technic and websites we have access to) will make the healthcare system more efficient and make the healthcare more patient-centred.

As we all know, the health and welfares foundation (and education) are build up on evidence based science, and the future education are build up on online sources (e.g skhole.fi as we use in Arcada, or käypä hoito where we get the latest medical praxis from).

There are several different platforms where patients can find information regarding there health or medicines. For instance 1177.se, that private persons can use and search for symptoms that they have. Or lääkeinfo.fi where they can find information about their medicines. This is a couple of examples about the possibilities for the patient to be a part of their health and healthcare thanks to the digitalization.

I think that if the healthcare system will get more efficient, the government will save both money and resources, and then I hope that they put their resources on other project, maybe invest more in the implanting more technology within the healthcare sector.

But on the other hand, there is much that the developers and the government have to consider regarding patients previous health history, laws around implanting technology and the risks that comes with all the technology. So there is a lot to think about before we establish a healthcare system based on only technology. So this isn't a process that happens over one night, it will take a while.


References:

Eysenbach, Gunther. 2001. What is e-Health? Journal of Medical Internet Research 2001. vol. 3 No. 2.

Available: http://www.jmir.org/2001/2/e20/. Retrieved: 9.5 2017


Boogard, Emiel A. Arts, Tessa. Engelen, JLPG Lucien. Van de belt, Tom H. 2015. What is e-health: Times for an update?

Journal of Medical Internet Research Protoc 2015. vol. 4. iss. 1. e29

Retrieved: 9.5 2017

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This weeks question:

How do you see that digitalization will change the everyday life of individuals and professionals in the field of health and welfare?

As we all know, the technology is growing in a rapid rate. Most of us have a computer, smartphone or a tablet with a connection to the internet. This technology gives us the benefit of sending and store information wirelessly. We can take this technology and adapt it to the healthcare system. I see this as the future of healthcare. Share the information that our devices provides us with to the nurses and doctors, so that we get the help and prevent diseases in an earlier stage.

As Kraft (2014) and Tropol (2010) mentioned, we have access to so many different apps and devices that tracks our lives, everything from a bracelet that monitors our pulse and our physical activities to portable ECG that monitors our heart. Even the possibility to meet a doctor just by log into an app is possible today. I see this as the future of the healthcare system. Furthermore,

I think the technology gives us, civilian people, the chance to monitor ourselves and give our healthcare provider the information that they need to give us better care and even prevent several, or lethal diseases earlier.

As Kraft (2014) stated, the technology will change the traditional healthcare from just discover the illness or disease to the future healthcare where the patient will have the possibility to be in centre of the diagnosis due to the technology.

Tropol had on one slide of his presentation a text, “Mobile devices have made a bigger difference to the live of more people, more quickly than any previous technology”. In my point of view, I believe him, and the original writer of that text, this technology is a step into the future healthcare system, we as healthcare providers need to use the resources that we have access to.

I think the society needs to implant the benefits of todays technic and use it in one way or another to evolve the healthcare system.


References:

Kraft, Daniel. 2014. Next steps in health & medicine : where can technology take us? [www] Available: https://youtu.be/zrW3-yzWt5Q

Retrieved: 6.5 2017


Tropol, Eric. 2010. The wireless future of medicine. [www]

Available: https://www.youtube.com/watch?v=pTZM9X3JfTk&index=2&list=PLbk79weqS9KzwI8CtGuAtzf1k_3BJ3Pw1

Retrieved: 6.5 2017

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