Renó Breno, Oliveira Edvard Martins, Souza Adler Diniz
Institute of System Engineering and Information Technology (IESTI), Federal University of Itajubá (UNIFEI), Itajubá, MG, Brazil.
Institute of Mathematics and Computing (IMC), Federal University of Itajubá (UNIFEI), Itajubá, MG, Brazil.
J Multidiscip Healthc. 2023 Nov 9;16:3393-3403. doi: 10.2147/JMDH.S429071. eCollection 2023.
The technological advancement of the Internet of Things (IoT) creates opportunities in various social sectors. Patients in clinics or home care have their comfort and safety enhanced with remote monitoring, sensors and applications that control and transfer patient data. These applications must be trustworthy, since they deal with sensitive data.
The purpose of this work is to identify gaps in trustworthiness, availability, effectiveness, security and other attributes. Also, to highlight challenges and opportunities for research and give guidance on choosing the right technology or application based on the resources available to support patients and doctors, protocol of communication and maturity level of these technologies.
This work presents a systematic review of the literature following four steps: Definition of the Research Questions, Conduct Search, Screening of Papers, and Data Extraction and Mapping Process.
Based on the articles studied, it was possible to answer important questions about eHealth applications. The results highlight how eHealth applications can enhance patient care by monitoring health data and supporting doctors' decision-making with a reasonable level of trustworthiness. Additionally, the results demonstrate how applications can notify external caregivers in emergencies and assist in diagnosis and treatment of illnesses. However, these applications still face problems related to sensor lifetime, medical data sharing, interoperability and lack of standardization. Finally, we suggest a literature mapping to support the choice of technologies based on resources available, communication protocol and technological maturity.
This work carries out a systematic literature review to discuss state-of-the-art eHealth applications and gather new information of current research. In this process it was possible to show how these applications work, map out their main technological characteristics to assist the decision-making process for future works and uncover eHealth applications' strengths, future perspectives and challenges, specifically related to the high level of trustworthiness necessary.
物联网（IoT）的技术进步在各个社会领域创造了机遇。诊所或家庭护理中的患者通过远程监测、传感器以及控制和传输患者数据的应用程序，舒适度和安全性得到了提高。这些应用程序必须值得信赖，因为它们处理的是敏感数据。
这项工作的目的是找出在可信度、可用性、有效性、安全性和其他属性方面的差距。此外，突出研究的挑战和机遇，并根据支持患者和医生的可用资源、通信协议以及这些技术的成熟程度，为选择合适的技术或应用程序提供指导。
这项工作按照四个步骤对文献进行了系统综述：研究问题的定义、进行搜索、论文筛选以及数据提取和映射过程。
基于所研究的文章，能够回答有关电子健康应用程序的重要问题。结果突出了电子健康应用程序如何通过监测健康数据并以合理的可信度支持医生的决策来提高患者护理水平。此外，结果还展示了应用程序如何在紧急情况下通知外部护理人员并协助疾病的诊断和治疗。然而，这些应用程序仍然面临与传感器寿命、医疗数据共享、互操作性和缺乏标准化相关的问题。最后，我们建议进行文献映射，以根据可用资源、通信协议和技术成熟度来支持技术选择。
这项工作对文献进行了系统综述，以讨论电子健康应用程序的最新技术，并收集当前研究的新信息。在此过程中，可以展示这些应用程序的工作方式、梳理其主要技术特征以协助未来工作的决策过程，并揭示电子健康应用程序的优势、未来前景和挑战，特别是与所需的高度可信度相关的挑战。
