Adoption of Internet of Medical Things (IoMT) as an opportunity for improving public health in Latin America

Over the past 50 years, public health in Latin America has walked through significant changes on social and economic aspects. Since the 90's, governments from the region have performed different health reforms to improve equity, effectiveness and geographical coverage. Although, positive result...

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Tipo de recurso:
Fecha de publicación:
2018
Institución:
Universidad de Medellín
Repositorio:
Repositorio UDEM
Idioma:
eng
OAI Identifier:
oai:repository.udem.edu.co:11407/4875
Acceso en línea:
http://hdl.handle.net/11407/4875
Palabra clave:
Adoption
Barriers
Challenges
Healthcare
IoMT
Latin-America
Wearable
Cost reduction
Health care
Information management
Information systems
Information use
Public health
Real time systems
Remote patient monitoring
Adoption
Barriers
Challenges
IoMT
Latin America
Wearable
Wearable technology
Rights
License
http://purl.org/coar/access_right/c_16ec
id REPOUDEM2_19e3203e8a37d7846f36647374da55d2
oai_identifier_str oai:repository.udem.edu.co:11407/4875
network_acronym_str REPOUDEM2
network_name_str Repositorio UDEM
repository_id_str
dc.title.spa.fl_str_mv Adoption of Internet of Medical Things (IoMT) as an opportunity for improving public health in Latin America
title Adoption of Internet of Medical Things (IoMT) as an opportunity for improving public health in Latin America
spellingShingle Adoption of Internet of Medical Things (IoMT) as an opportunity for improving public health in Latin America
Adoption
Barriers
Challenges
Healthcare
IoMT
Latin-America
Wearable
Cost reduction
Health care
Information management
Information systems
Information use
Public health
Real time systems
Remote patient monitoring
Adoption
Barriers
Challenges
IoMT
Latin America
Wearable
Wearable technology
title_short Adoption of Internet of Medical Things (IoMT) as an opportunity for improving public health in Latin America
title_full Adoption of Internet of Medical Things (IoMT) as an opportunity for improving public health in Latin America
title_fullStr Adoption of Internet of Medical Things (IoMT) as an opportunity for improving public health in Latin America
title_full_unstemmed Adoption of Internet of Medical Things (IoMT) as an opportunity for improving public health in Latin America
title_sort Adoption of Internet of Medical Things (IoMT) as an opportunity for improving public health in Latin America
dc.contributor.affiliation.spa.fl_str_mv Luna-Delrisco, M., Universidad de Medellín;Palacio, M.G., Telecommunications Engineering Department;Orozco, C.A.A., Universidad de Medellín;Moncada, S.V., Universidad de Medellín;Palacio, L.G., Computer Science Engineering Department;Montealegre, J.J.Q., Telecommunications Engineering Department;Diaz-Forero, I., Servicio Nacional de Aprendizaje - SENA
dc.subject.spa.fl_str_mv Adoption
Barriers
Challenges
Healthcare
IoMT
Latin-America
Wearable
Cost reduction
Health care
Information management
Information systems
Information use
Public health
Real time systems
Remote patient monitoring
Adoption
Barriers
Challenges
IoMT
Latin America
Wearable
Wearable technology
topic Adoption
Barriers
Challenges
Healthcare
IoMT
Latin-America
Wearable
Cost reduction
Health care
Information management
Information systems
Information use
Public health
Real time systems
Remote patient monitoring
Adoption
Barriers
Challenges
IoMT
Latin America
Wearable
Wearable technology
description Over the past 50 years, public health in Latin America has walked through significant changes on social and economic aspects. Since the 90's, governments from the region have performed different health reforms to improve equity, effectiveness and geographical coverage. Although, positive results have been achieved historically, strong and sustainable public health strategies are still needed to guarantee quality service. In that sense, integration of novel devices for monitoring and alerting patients about their physical health stands as a promising option for improving Latin American healthcare systems by upgrading facilities to be able to attend patients remotely, avoid care units overcrowding, guarantee real-time supervision, operational cost reduction, rapid patient attention, and lower investment on expansion of existing areas. Healthcare wearable technology acceptance and adoption barriers were investigated. It was found that most wearables are developed and promoted in developed countries with no headquarters in Latin America. This situation decreasing interest for its adoption by Latin American governments due to poor technical support, high prices, and few distribution channels. Four main barriers for wearable technology adoption were identified as: i) critical data management, security and privacy issues, ii) unreliable results accuracy, iii) unaffordable technology for low-income groups, and iv) lack of clear regulations. Based on the adoption barriers, healthcare wearable technology challenges were identified and presented. The main challenges found were: access to health service, training and distribution of human resources in health, inequalities in health, and financial schemes for health systems. It can be concluded that smart wearables in the healthcare sector could be considered as part of the solution to guarantee proper quality service and coverage in remote areas where no service is currently offered. © 2018 AISTI.
publishDate 2018
dc.date.accessioned.none.fl_str_mv 2018-10-31T13:44:20Z
dc.date.available.none.fl_str_mv 2018-10-31T13:44:20Z
dc.date.created.none.fl_str_mv 2018
dc.type.eng.fl_str_mv Conference Paper
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dc.identifier.isbn.none.fl_str_mv 9789899843486
dc.identifier.issn.none.fl_str_mv 21660727
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/11407/4875
dc.identifier.doi.none.fl_str_mv 10.23919/CISTI.2018.8399181
identifier_str_mv 9789899843486
21660727
10.23919/CISTI.2018.8399181
url http://hdl.handle.net/11407/4875
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dc.relation.citationvolume.spa.fl_str_mv 2018-June
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dc.relation.citationendpage.spa.fl_str_mv 5
dc.relation.ispartofes.spa.fl_str_mv Iberian Conference on Information Systems and Technologies, CISTI
dc.relation.references.spa.fl_str_mv "Piwek, L., Ellis, D.A., Andrews, S., Joinson, A., The rise of consumer health wearables: Promises and barriers (2016) PLoS Med., 13 (2), p. e1001953. , Feb;Hibbard, J.H., Greene, J., Sacks, R.M., Overton, V., Parrotta, C., Improving population health management strategies: Identifying patients who are more likely to be users of avoidable costly care and those more likely to develop a new chronic disease (2017) Health Serv. Res., 52 (4), pp. 1297-1309. , Aug;Chen, M., Ma, Y., Song, J., Lai, C.-F., Hu, B., Smart clothing: Connecting human with clouds and big data for sustainable health monitoring (2016) Mob. Networks Appl., 21 (5), pp. 825-845. , Oct;Rashid, A., Thomas, V., Shaw, T., Leng, G., Patient and public involvement in the development of healthcare guidance: An overview of current methods and future challenges (2017) Patient-Patient-Centered Outcomes Res., 10 (3), pp. 277-282. , Jun;Jakovljevic, M., Groot, W., Souliotis, K., Editorial: Health care financing and affordability in the emerging global markets (2016) Front. Public Heal., 4, p. 2. , Jan;Kenry, J., Yeo, J.C., Lim, C.T., Emerging flexible and wearable physical sensing platforms for healthcare and biomedical applications (2016) Microsystems Nanoeng., 2 (1), p. 16043. , Dec;Metcalf, D., Milliard, S.T.J., Gomez, M., Schwartz, M., Wearables and the internet of things for health: Wearable, interconnected devices promise more efficient and comprehensive health care (2016) IEEE Pulse, 7 (5), pp. 35-39. , Sep;Reynolds, H.L., Jones, C.A., (2016) Health Information Crossroad: An Opportunity to Deliver Real Measurable Outcomes for Better Health and Well Being, pp. 235-241. , Springer, Cham;Munos, B., Mobile health: The power of wearables, sensors, and apps to transform clinical trials (2016) Ann. N. Y. Acad. Sci., 1375 (1), pp. 3-18. , Jul;Kumari, P., Mathew, L., Syal, P., Increasing trend of wearables and multimodal interface for human activity monitoring: A review (2017) Biosens. Bioelectron., 90, pp. 298-307. , Apr;Dimitrov, D.V., Medical internet of things and big data in healthcare (2016) Healthc. Inform. Res., 22 (3), p. 156. , Jul;Milani, R.V., Franklin, N.C., The role of technology in healthy living medicine (2017) Prog. Cardiovasc. Dis., 59 (5), pp. 487-491. , Mar;Mertz, L., Convergence revolution comes to wearables: Multiple advances are taking biosensor networks to the next level in health care (2016) IEEE Pulse, 7 (1), pp. 13-17. , Jan;Báscolo, E.P., Yavich, N., Denis, J.-L., Analysis of the enablers of capacities to produce primary health care-based reforms in Latin America: A multiple case study (2016) Fam. Pract., 33 (3), pp. 207-218. , Jun;Lavinas, L., Simões, A., Lavinas, L., Simões, A., SOcial policy and structural heterogeneity in Latin america: The turning point of the 21st century (2017) Rev. Econ. Contemp., 21 (2). , Dec;Bin Zaman, S., Hossain, N., Universal health coverage: A burning need for developing countries (2017) J. Med. Res. Innov., 1 (1), pp. 18-20. , Apr;Atun, R., Health-system reform and universal health coverage in Latin America (2015) Lancet, 385 (9974), pp. 1230-1247. , Mar;Cotlear, D., Overcoming social segregation in health care in Latin America (2015) Lancet, 385 (9974), pp. 1248-1259. , Mar;Dmytraczenko, T., Almeida, G., And World Bank Group, Toward Universal Health Coverage and Equity in Latin America and the Caribbean : Evidence from Selected Countries;De Andrade, L.O.M., Social determinants of health, universal health coverage, and sustainable development: Case studies from Latin American countries (2015) Lancet, 385 (9975), pp. 1343-1351. , Apr;Latin america wearable sensors market by type (health sensors, environmental sensors, mems sensors, motion sensors), device (wristwear, bodywear and footwear), application (health and wellness, safety monitoring, home rehabilitation), geography, trends, forecast (2017-2022) (2017) Mordor Intelligence, , http://www.orbisresearch.com/reports/index/latin-america-wearablesensors-market-by-type-health-sensors-environmental-sensorsmems-sensors-motion-sensors-device-wristwear-bodywear-andfootwear-application-health-and-wellness-safety-monitoring-homerehabil, Orbis Research, [Accessed: 10-Feb-2018];Foroudi, P., Gupta, S., Sivarajah, U., Broderick, A., Investigating the effects of smart technology on customer dynamics and customer experience (2018) Comput. Human Behav., 80, pp. 271-282. , Mar;Olshansky, S.J., The Future of Smart Health."";Fritz, T., Huang, E.M., Murphy, G.C., Zimmermann, T., Persuasive technology in the real world (2014) Proceedings of the 32nd Annual ACM Conference on Human Factors in Computing Systems-CHI '14, pp. 487-496;Kim, K.J., Shin, D.-H., An acceptance model for smart watches (2015) Internet Res., 25 (4), pp. 527-541. , Aug;Terry, N.P., Will the internet of things transform healthcare (2016) Vanderbilt J. Entertain. Technol. Law, 19;Karahanoglu, A., Erbug, C., Perceived qualities of smart wearables (2011) Proceedings of the 2011 Conference on Designing Pleasurable Products and Interfaces-DPPI '11, p. 1;Park, S., Jayaraman, S., A transdisciplinary approach to wearables, big data and quality of life (2014) 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, pp. 4155-4158;Kankanhalli, A., Hahn, J., Tan, S., Gao, G., Big data and analytics in healthcare: Introduction to the special section (2016) Inf. Syst. Front., 18 (2), pp. 233-235. , Apr;Thierer, A.D., The internet of things & wearable technology: Addressing privacy & security concerns without derailing innovation (2014) SSRN Electron. J., , Feb;Liu, J., Sun, W., Smart attacks against intelligent wearables in people-centric internet of things (2016) IEEE Commun. Mag., 54 (12), pp. 44-49. , Dec;Mantua, J., Gravel, N., Spencer, R., Reliability of sleep measures from four personal health monitoring devices compared to research-based actigraphy and polysomnography (2016) Sensors, 16 (12), p. 646. , May;Tana, J., Forss, M., Hellstén, T., (2017) The Use of Wearables in Healthcare-challenges and Opportunities;Jung, Y., Kim, S., Choi, B., Consumer valuation of the wearables: The case of smartwatches (2016) Comput. Human Behav., 63, pp. 899-905. , Oct;Heredia, N., Laurell, A.C., Feo, O., Noronha, J., González-Guzmán, R., Torres-Tovar, M., The right to health: What model for Latin America (2015) Lancet (London, England), 385 (9975), pp. e34-e37. , Apr;Becerra-Posada, F., Minayo, M., Quental, C., De Haan, S., National research for health systems in Latin america and the caribbean: Moving towards the right direction (2014) Heal. Res. Policy Syst., 12 (1), p. 13. , Dec;BMI Research: Industry Research, Emerging Markets Analysis., , https://www.bmiresearch.com, [Accessed: 10-Feb-2018];Kripalani, S., Theobald, C.N., Anctil, B., Vasilevskis, E.E., Reducing hospital readmission rates: Current strategies and future directions (2014) Annu. Rev. Med., 65 (1), pp. 471-485. , Jan"
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dc.publisher.spa.fl_str_mv IEEE Computer Society
dc.publisher.program.spa.fl_str_mv Ingeniería en Energía;Ingeniería de Sistemas
dc.publisher.faculty.spa.fl_str_mv Facultad de Ingenierías
dc.source.spa.fl_str_mv Scopus
institution Universidad de Medellín
repository.name.fl_str_mv Repositorio Institucional Universidad de Medellin
repository.mail.fl_str_mv repositorio@udem.edu.co
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spelling 2018-10-31T13:44:20Z2018-10-31T13:44:20Z2018978989984348621660727http://hdl.handle.net/11407/487510.23919/CISTI.2018.8399181Over the past 50 years, public health in Latin America has walked through significant changes on social and economic aspects. Since the 90's, governments from the region have performed different health reforms to improve equity, effectiveness and geographical coverage. Although, positive results have been achieved historically, strong and sustainable public health strategies are still needed to guarantee quality service. In that sense, integration of novel devices for monitoring and alerting patients about their physical health stands as a promising option for improving Latin American healthcare systems by upgrading facilities to be able to attend patients remotely, avoid care units overcrowding, guarantee real-time supervision, operational cost reduction, rapid patient attention, and lower investment on expansion of existing areas. Healthcare wearable technology acceptance and adoption barriers were investigated. It was found that most wearables are developed and promoted in developed countries with no headquarters in Latin America. This situation decreasing interest for its adoption by Latin American governments due to poor technical support, high prices, and few distribution channels. Four main barriers for wearable technology adoption were identified as: i) critical data management, security and privacy issues, ii) unreliable results accuracy, iii) unaffordable technology for low-income groups, and iv) lack of clear regulations. Based on the adoption barriers, healthcare wearable technology challenges were identified and presented. The main challenges found were: access to health service, training and distribution of human resources in health, inequalities in health, and financial schemes for health systems. It can be concluded that smart wearables in the healthcare sector could be considered as part of the solution to guarantee proper quality service and coverage in remote areas where no service is currently offered. © 2018 AISTI.engIEEE Computer SocietyIngeniería en Energía;Ingeniería de SistemasFacultad de Ingenieríashttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85049886353&doi=10.23919%2fCISTI.2018.8399181&partnerID=40&md5=07b4c60b83616914a1edda47f948925d2018-June15Iberian Conference on Information Systems and Technologies, CISTI"Piwek, L., Ellis, D.A., Andrews, S., Joinson, A., The rise of consumer health wearables: Promises and barriers (2016) PLoS Med., 13 (2), p. e1001953. , Feb;Hibbard, J.H., Greene, J., Sacks, R.M., Overton, V., Parrotta, C., Improving population health management strategies: Identifying patients who are more likely to be users of avoidable costly care and those more likely to develop a new chronic disease (2017) Health Serv. Res., 52 (4), pp. 1297-1309. , Aug;Chen, M., Ma, Y., Song, J., Lai, C.-F., Hu, B., Smart clothing: Connecting human with clouds and big data for sustainable health monitoring (2016) Mob. Networks Appl., 21 (5), pp. 825-845. , Oct;Rashid, A., Thomas, V., Shaw, T., Leng, G., Patient and public involvement in the development of healthcare guidance: An overview of current methods and future challenges (2017) Patient-Patient-Centered Outcomes Res., 10 (3), pp. 277-282. , Jun;Jakovljevic, M., Groot, W., Souliotis, K., Editorial: Health care financing and affordability in the emerging global markets (2016) Front. Public Heal., 4, p. 2. , Jan;Kenry, J., Yeo, J.C., Lim, C.T., Emerging flexible and wearable physical sensing platforms for healthcare and biomedical applications (2016) Microsystems Nanoeng., 2 (1), p. 16043. , Dec;Metcalf, D., Milliard, S.T.J., Gomez, M., Schwartz, M., Wearables and the internet of things for health: Wearable, interconnected devices promise more efficient and comprehensive health care (2016) IEEE Pulse, 7 (5), pp. 35-39. , Sep;Reynolds, H.L., Jones, C.A., (2016) Health Information Crossroad: An Opportunity to Deliver Real Measurable Outcomes for Better Health and Well Being, pp. 235-241. , Springer, Cham;Munos, B., Mobile health: The power of wearables, sensors, and apps to transform clinical trials (2016) Ann. N. Y. Acad. Sci., 1375 (1), pp. 3-18. , Jul;Kumari, P., Mathew, L., Syal, P., Increasing trend of wearables and multimodal interface for human activity monitoring: A review (2017) Biosens. Bioelectron., 90, pp. 298-307. , Apr;Dimitrov, D.V., Medical internet of things and big data in healthcare (2016) Healthc. Inform. Res., 22 (3), p. 156. , Jul;Milani, R.V., Franklin, N.C., The role of technology in healthy living medicine (2017) Prog. Cardiovasc. Dis., 59 (5), pp. 487-491. , Mar;Mertz, L., Convergence revolution comes to wearables: Multiple advances are taking biosensor networks to the next level in health care (2016) IEEE Pulse, 7 (1), pp. 13-17. , Jan;Báscolo, E.P., Yavich, N., Denis, J.-L., Analysis of the enablers of capacities to produce primary health care-based reforms in Latin America: A multiple case study (2016) Fam. Pract., 33 (3), pp. 207-218. , Jun;Lavinas, L., Simões, A., Lavinas, L., Simões, A., SOcial policy and structural heterogeneity in Latin america: The turning point of the 21st century (2017) Rev. Econ. Contemp., 21 (2). , Dec;Bin Zaman, S., Hossain, N., Universal health coverage: A burning need for developing countries (2017) J. Med. Res. Innov., 1 (1), pp. 18-20. , Apr;Atun, R., Health-system reform and universal health coverage in Latin America (2015) Lancet, 385 (9974), pp. 1230-1247. , Mar;Cotlear, D., Overcoming social segregation in health care in Latin America (2015) Lancet, 385 (9974), pp. 1248-1259. , Mar;Dmytraczenko, T., Almeida, G., And World Bank Group, Toward Universal Health Coverage and Equity in Latin America and the Caribbean : Evidence from Selected Countries;De Andrade, L.O.M., Social determinants of health, universal health coverage, and sustainable development: Case studies from Latin American countries (2015) Lancet, 385 (9975), pp. 1343-1351. , Apr;Latin america wearable sensors market by type (health sensors, environmental sensors, mems sensors, motion sensors), device (wristwear, bodywear and footwear), application (health and wellness, safety monitoring, home rehabilitation), geography, trends, forecast (2017-2022) (2017) Mordor Intelligence, , http://www.orbisresearch.com/reports/index/latin-america-wearablesensors-market-by-type-health-sensors-environmental-sensorsmems-sensors-motion-sensors-device-wristwear-bodywear-andfootwear-application-health-and-wellness-safety-monitoring-homerehabil, Orbis Research, [Accessed: 10-Feb-2018];Foroudi, P., Gupta, S., Sivarajah, U., Broderick, A., Investigating the effects of smart technology on customer dynamics and customer experience (2018) Comput. Human Behav., 80, pp. 271-282. , Mar;Olshansky, S.J., The Future of Smart Health."";Fritz, T., Huang, E.M., Murphy, G.C., Zimmermann, T., Persuasive technology in the real world (2014) Proceedings of the 32nd Annual ACM Conference on Human Factors in Computing Systems-CHI '14, pp. 487-496;Kim, K.J., Shin, D.-H., An acceptance model for smart watches (2015) Internet Res., 25 (4), pp. 527-541. , Aug;Terry, N.P., Will the internet of things transform healthcare (2016) Vanderbilt J. Entertain. Technol. Law, 19;Karahanoglu, A., Erbug, C., Perceived qualities of smart wearables (2011) Proceedings of the 2011 Conference on Designing Pleasurable Products and Interfaces-DPPI '11, p. 1;Park, S., Jayaraman, S., A transdisciplinary approach to wearables, big data and quality of life (2014) 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, pp. 4155-4158;Kankanhalli, A., Hahn, J., Tan, S., Gao, G., Big data and analytics in healthcare: Introduction to the special section (2016) Inf. Syst. Front., 18 (2), pp. 233-235. , Apr;Thierer, A.D., The internet of things & wearable technology: Addressing privacy & security concerns without derailing innovation (2014) SSRN Electron. J., , Feb;Liu, J., Sun, W., Smart attacks against intelligent wearables in people-centric internet of things (2016) IEEE Commun. Mag., 54 (12), pp. 44-49. , Dec;Mantua, J., Gravel, N., Spencer, R., Reliability of sleep measures from four personal health monitoring devices compared to research-based actigraphy and polysomnography (2016) Sensors, 16 (12), p. 646. , May;Tana, J., Forss, M., Hellstén, T., (2017) The Use of Wearables in Healthcare-challenges and Opportunities;Jung, Y., Kim, S., Choi, B., Consumer valuation of the wearables: The case of smartwatches (2016) Comput. Human Behav., 63, pp. 899-905. , Oct;Heredia, N., Laurell, A.C., Feo, O., Noronha, J., González-Guzmán, R., Torres-Tovar, M., The right to health: What model for Latin America (2015) Lancet (London, England), 385 (9975), pp. e34-e37. , Apr;Becerra-Posada, F., Minayo, M., Quental, C., De Haan, S., National research for health systems in Latin america and the caribbean: Moving towards the right direction (2014) Heal. Res. Policy Syst., 12 (1), p. 13. , Dec;BMI Research: Industry Research, Emerging Markets Analysis., , https://www.bmiresearch.com, [Accessed: 10-Feb-2018];Kripalani, S., Theobald, C.N., Anctil, B., Vasilevskis, E.E., Reducing hospital readmission rates: Current strategies and future directions (2014) Annu. Rev. Med., 65 (1), pp. 471-485. , Jan"ScopusAdoptionBarriersChallengesHealthcareIoMTLatin-AmericaWearableCost reductionHealth careInformation managementInformation systemsInformation usePublic healthReal time systemsRemote patient monitoringAdoptionBarriersChallengesIoMTLatin AmericaWearableWearable technologyAdoption of Internet of Medical Things (IoMT) as an opportunity for improving public health in Latin AmericaConference Paperinfo:eu-repo/semantics/conferenceObjecthttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_c94fLuna-Delrisco, M., Universidad de Medellín;Palacio, M.G., Telecommunications Engineering Department;Orozco, C.A.A., Universidad de Medellín;Moncada, S.V., Universidad de Medellín;Palacio, L.G., Computer Science Engineering Department;Montealegre, J.J.Q., Telecommunications Engineering Department;Diaz-Forero, I., Servicio Nacional de Aprendizaje - SENALuna-Delrisco M.Palacio M.G.Orozco C.A.A.Moncada S.V.Palacio L.G.Montealegre J.J.Q.Diaz-Forero I.http://purl.org/coar/access_right/c_16ec11407/4875oai:repository.udem.edu.co:11407/48752020-05-27 18:25:22.958Repositorio Institucional Universidad de Medellinrepositorio@udem.edu.co