The concept of One Digital Health has swiftly emerged as a unifying structure, showcasing the indispensable role of technology, data, information, and knowledge in fostering the interdisciplinary teamwork fundamental to the One Health paradigm. To date, the primary application areas of One Digital Health involve FAIR data integration and analysis, disease surveillance, antimicrobial stewardship, and environmental monitoring.
The interconnectedness of One Health and One Digital Health provides valuable tools for examining and mitigating global crises. Our proposal involves Learning One Health Systems which can dynamically capture, integrate, examine, and track data application across the biosphere.
One Health, alongside One Digital Health, equip us with potent tools for analyzing and resolving crises facing our world today. Our proposal centers on Learning One Health Systems, which enable the dynamic capture, integration, analysis, and monitoring of data application throughout the biosphere.
In this survey, a scoping review explores the promotion of health equity within clinical research informatics, considering patient impacts and specifically publications from 2021 (and a few from 2022).
Using the methods from the Joanna Briggs Institute Manual as a guide, a scoping review was conducted. The review procedure unfolded in five stages: 1) establishing the study's purpose and research queries, 2) locating and examining existing literature, 3) choosing and filtering applicable sources, 4) extracting the necessary data, and 5) aggregating and documenting the results.
From the 478 papers scrutinized in 2021, pertaining to clinical research informatics and emphasizing health equity from a patient perspective, eight papers aligned with our criteria for inclusion. All the papers presented explored the multifaceted facets of artificial intelligence (AI) technology. Health equity in clinical research informatics was discussed in papers that either showcased disparities in AI-based solutions or used AI to enhance health equity within the delivery of healthcare services. While AI-based health solutions are susceptible to algorithmic bias, negatively impacting health equity, AI has also exposed inequalities in traditional medical treatment and presented effective supplementary and alternative methods that promotes health equity.
Clinical research informatics, despite potential patient benefits, still encounters ethical and clinical value challenges. Nevertheless, when applied judiciously—for the correct objective within the appropriate setting—clinical research informatics can offer potent instruments to advance health equity in the provision of patient care.
The ethical and clinical value considerations of clinical research informatics present ongoing difficulties for patient care. Still, clinical research informatics, when employed thoughtfully—for the right purpose in the right environment—could contribute to effective instruments in working towards health equity in patient care.
Using a selection of the 2022 human and organizational factor (HOF) publications, this paper provides recommendations for the development of a One Digital Health ecosystem.
A portion of PubMed/Medline journals were systematically reviewed to find research involving 'human factors' or 'organization' in either the title or abstract of the articles. Papers, published in 2022, were eligible for inclusion within the survey. For an understanding of digital health interactions spanning micro, meso, and macro systems, selected papers were sorted into categories of structural and behavioral aspects.
The 2022 Hall of Fame literature concerning digital health interactions across systems shows progress, but hurdles still need to be overcome. The scale-up of digital health systems across and beyond organizations necessitates an expansion of HOF research, moving beyond individual users and systems to achieve a larger scope. To forge a cohesive One Digital Health ecosystem, we present five essential considerations based on our findings.
One Digital Health underscores the need for improved coordination, communication, and collaboration between health, environmental, and veterinary professionals. Bone infection Cross-sectoral digital health systems in health, environmental, and veterinary care demand the enhancement of both structural and behavioral capacity across organizational levels, fostering robust and integrated solutions. Within the HOF community lies a plethora of potential and it should play a leading role in creating a unified digital health infrastructure.
To achieve optimal outcomes, One Digital Health necessitates improved coordination, communication, and collaboration across the health, environmental, and veterinary spheres. To bolster the resilience and interconnectedness of digital health systems, we must concurrently enhance their structural and behavioral capacities, both within and beyond organizations, aiming to forge more robust and integrated systems encompassing health, environmental, and veterinary sectors. The HOF community has considerable expertise, and it is imperative that they play a pivotal role in designing a comprehensive digital health system.
To evaluate recent research concerning health information exchange (HIE), five nations—the United States of America, the United Kingdom, Germany, Israel, and Portugal—will serve as case studies, concentrating on their policy approaches. The analysis will synthesize insights gained, leading to recommendations for future research.
Each nation's HIE policy framework is reviewed narratively, along with their current situation and projected future HIE strategies.
Crucial themes that surfaced were the interplay of central decision-making with local innovation, the complexities and multiplicity of issues associated with broad HIE implementation, and the variable contributions of HIEs in diverse national healthcare structures.
The more prevalent use of electronic health records (EHRs) and the shift towards digital care delivery procedures amplify the need for HIE as a critical capability and a significant policy priority. In every one of the five case study nations, some level of HIE implementation has taken place; however, the quality and readiness of their data-sharing infrastructure and maturity differ considerably, with each country employing a distinct policy approach. Despite the difficulty in identifying universally applicable strategies in diverse global healthcare systems, several consistent themes surface in successful health information exchange policy frameworks, prominently the commitment of the central government to enabling data sharing. In conclusion, we present key recommendations for future research, with a goal of increasing the richness and depth of the literature on HIE and empowering future decision-making by both policymakers and practitioners.
The increased prevalence of electronic health records (EHRs) and the digital transformation of healthcare delivery highlight the importance of HIE (Health Information Exchange) as a critical capability and policy priority. In spite of the adoption of HIE by each of the five case study nations, there are notable differences in their levels of data-sharing infrastructure and their advancement, each with a unique policy approach. cyclic immunostaining Across diverse international healthcare information exchange (HIE) systems, pinpointing universal strategies presents a considerable hurdle, yet several consistent themes emerge in successful policy frameworks. A key commonality is the central government's strong emphasis on facilitating data sharing. In the final analysis, we offer several recommendations for future research aimed at improving the depth and comprehensiveness of research on HIE, and providing valuable direction for policymakers and practitioners.
This review of the literature compiles pertinent studies from 2020 through 2022, focusing on clinical decision support (CDS) and its effects on health disparities and the digital divide. This survey identifies current trends and merges evidence-based recommendations and considerations to inform future CDS tools' development and implementation.
Our PubMed search encompassed articles published between the years 2020 and 2022. The search strategy we developed integrated the MEDLINE/PubMed Health Disparities and Minority Health Search Strategy, alongside relevant MeSH terms and phrases from the CDS database. Our analysis of the studies involved extracting data pertaining to priority populations, the areas of influence on the addressed disparity, and the kinds of CDS implemented. Along with noting studies referencing the digital divide, we subsequently sorted the comments under key themes, employing group discussion strategies.
After a comprehensive search, 520 studies were discovered, and, ultimately, 45 were included in our final analysis following the screening phase. The review's findings indicate that point-of-care alerts/reminders represented the most frequent CDS type, constituting 333%. The health care system demonstrated the most significant domain influence (711%), and Black and African American individuals featured as the most prevalent priority population (422%). The extant literature highlighted four recurring themes: the digital divide, access to healthcare, the reliability of technology, and technological understanding. β-Nicotinamide Periodic reviews of literary works incorporating CDS and focusing on health disparities can aid in identifying innovative approaches and trends to improve healthcare systems.
From our search, 520 studies were identified, and 45 met the criteria after the screening process was concluded. A noteworthy observation in this review is that point-of-care alerts/reminders (333%) surfaced as the most common CDS type. The prevalence of the health care system as an influential domain was 711%, while Blacks/African Americans were highlighted as the most frequently prioritized population group, appearing 422 times. Examining the academic literature, we discovered four major concepts surrounding the digital gap: the difficulty accessing technology, healthcare availability, technology reliability, and technological awareness. Literature reviews concerning CDS and its connection to health disparities can yield new strategies and recurring patterns which can benefit healthcare.