Abstract
In Smart Cities , there is a need to reduce overcrowding in hospitals and healthcare institutions, improve the lifestyle of people with chronic disease; promote patient self-management, and independence of patients. All of these can be promoted through connected health services . Current connected health technologies are transforming health care and empowering patients as they are assuming greater responsibility for their own healthcare decisions. This chapter presents connected health solutions to improve healthcare services in smart cities. The aim of the chapter is to present different types and applications of connected health services. It also aims to discuss standards related to health informatics. Examples of connected health applications to improve healthcare services for cardiology, obstetrics and blood donation are also presented. Moreover, this chapter presents requirements for sustainable connected health services to improve their large-scale adoption . These requirements are based on the main related software engineering standards, e-health technology standards, and literature and they cover the individual , social , environmental, and technical dimensions of sustainability .
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Taylor K (2015) Connected health: how digital technology is transforming health and social care. Deloitte Centre for Healthcare Solutions, London
Solanas A, Patsakis C, Conti M, Vlachos IS, Ramos V, Falcone F, Postolache O, Pérez-Martínez PA, Di Pietro R, Perrea DN, Martinez-Balleste A (2014) Smart health: a context-aware health paradigm within smart cities. IEEE Commun Mag 52(8):74–81
Steinhubl SR, Muse ED, Topol EJ (2013) Can mobile health technologies transform health care? JAMA 310(22):2395–2396
Mirza F, Norris T, Stockdale R (2008) Mobile technologies and the holistic management of chronic diseases. Health Inf J 14(4):309–321
Norris AC, Stockdale RS, Sharma S (2009) A strategic approach to m-health. Health Inf J 15(3):244–253
DuBenske LL, Gustafson DH, Shaw BR, Cleary JF (2010) Web-based cancer communication and decision making systems: connecting patients, caregivers, and clinicians for improved health outcomes. Med Decis Making 30(6):732–744
Ouhbi S, Fernández-Alemán JL, Toval A, Idri A, Pozo JR (2015) Free blood donation mobile applications. J Med Syst 39(5):52
Kuijpers W, Groen WG, Oldenburg HS, Wouters MW, Aaronson NK, van Harten WH (2016) Ehealth for breast cancer survivors: use, feasibility and impact of an interactive portal. JMIR cancer 2(1):e3
Kim SC, Shah DV, Namkoong K, McTavish FM, Gustafson DH (2013) Predictors of online health information seeking among women with breast cancer: The role of social support perception and emotional well-being. J Comput Med Commun 18(2):98–118
Salonen A, Ryhänen AM, Leino-Kilpi H (2014) Educational benefits of Internet and computer-based programmes for prostate cancer patients: a systematic review. Patient Educ Couns 94(1):10–19
Swan M (2009) Emerging patient-driven health care models: an examination of health social networks, consumer personalized medicine and quantified self-tracking. Int J Environ Res Pub Health 6(2):492–525
Jha AK, DesRoches CM, Campbell EG, Donelan K, Rao SR, Ferris TG, Shields A, Rosenbaum S, Blumenthal D (2009) Use of electronic health records in US hospitals. N Engl J Med 360(16):1628–1638
Mettler T, Eurich M (2012) A “design-pattern”-based approach for analyzing e-health business models. Health Policy Technol 1(2):77–85
Caulfield BM, Donnelly SC (2013) What is connected health and why will it change your practice? QJM: Int J Med 106(8):703–707
Lorig KR, Ritter P, Stewart AL, Sobel DS, Brown BW Jr, Bandura A, Gonzalez VM, Laurent DD, Holman HR et al (2001) Chronic disease self-management program: 2-year health status and health care utilization outcomes. Med Care 39(11):1217–1223
Fu D, Fu H, McGowan P, Shen Y-E, Zhu L, Yang H, Mao J, Zhu S, Ding Y, Wei Z (2003) Implementation and quantitative evaluation of chronic disease self-management programme in Shanghai, China: randomized controlled trial. Bull World Health Organ 81(3):174–182
Walsh MN, Albert NM, Curtis AB, Gheorghiade M, Heywood JT, Liu Y, Mehra MR, O’Connor CM, Reynolds D, Yancy CW et al (2012) Lack of association between electronic health record systems and improvement in use of evidence-based heart failure therapies in outpatient Cardiology practices. Clin Cardiol 35(3):187–196
American Academy of Family Physicians (2017) http://www.aafp.org/home.html. Accessed Sep 2017
Society for Vascular Surgery (ed) (2013) Electronic medical records/Health information technology: background information and resources, SVS Clinical Practice Council
Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ (2006) Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption. J Am Med Inform Assoc 13(2):121–126
Señor IC, Alemán JLF, Toval A (2012) Personal health records: new means to safely handle health data? Computer 45(11):27–33
Ouhbi S, Idri A, Fernández-Alemán JL, Toval A, Benjelloun H (2014) Electronic health records for Cardiovascular medicine. In: 36th annual international conference of the IEEE engineering in medicine and biology society (EMBC), pp 1354–1357
Maloney FL, Wright A (2010) USB-based personal health records: an analysis of features and functionality. Int J Med Inform 79(2):97–111
Fernández-Alemán JL, Seva-Llor CL, Toval A, Ouhbi S, Fernández-Luque L (2013) Free web-based personal health records: an analysis of functionality. J Med Syst 37(6):9990
Kharrazi H, Chisholm R, VanNasdale D, Thompson B (2012) Mobile personal health records: an evaluation of features and functionality. Int J Med Inform 81(9):579–593
Bouri N, Ravi S (2014) Going mobile: how mobile personal health records can improve health care during emergencies. JMIR mHealth uHealth 2(1):e8
Chang IC, Hsiao SJ, Hsu HM, Chen TH (2010, June) Building mPHR to assist diabetics in self-healthcare management. In: 7th international conference on service systems and service management (ICSSSM), pp 1–5
Castaneda C, Nalley K, Mannion C, Bhattacharyya P, Blake P, Pecora A, Goy A, Suh KS (2015) Clinical decision support systems for improving diagnostic accuracy and achieving precision medicine. J Clin Bioinform 5(1):4
Osheroff JA, Teich JM, Middleton B, Steen EB, Wright A, Detmer DE (2007) A roadmap for national action on clinical decision support. J Am Med Inform Assoc 14(2):141–145
Romano MJ, Stafford RS (2011) Electronic health records and clinical decision support systems: impact on national ambulatory care quality. Arch Intern Med 171(10):897–903
Castillo RS, Kelemen A (2013) Considerations for a successful clinical decision support system. CIN: Comput Inf Nurs 31(7):319–326
Berner S (ed) (2007) Clinical decision support systems. Springer, New York, NY
Wyatt JC (2000) Decision support systems. J R Soc Med Dec 93:629–633
Clinical and Laboratory Standards Institute (CLSI) (2017) http://www.clsi.org. Accessed Sep 2017
ITU-T. ITU Telecommunication Standardization Sector (2017) http://www.itu.int/ITU-T/. Accessed Sep 2017
eHSCG. eHealth Standardization Coordination Group (2017) www.itu.int/en/ITU-T/studygroups/com16/ehscg. Accessed Sep 2017
DICOM. Digital Imaging and Communications in Medicine (2017) http://medical.nema.org/. Accessed Sep 2017
OASIS (2017) Organization for the advancement of structured information standards. https://www.oasis-open.org/org. Accessed Sep 2017
European Committee for Standardization (2017) CEN/TC 251. http://www.cen.eu. Accessed Sep 2017
International Organization for Standardization (2017) ISO/TC 215. http://www.iso.org/iso/. Accessed Sep 2017
IEEE 1073 Standard for Medical Device Communications (1998)
International Electrotechnical Commission (2017) IEC/TC 62. http://www.iec.ch/. Accessed Sep 2017
ISO/TR 20514:2005 (2005) Health informatics—electronic health record—definition, scope and context
Pagidipati NJ, Gaziano TA (2013) Estimating deaths from cardiovascular disease: a review of global methodologies of mortality measurement. Circulation 127(6):749–756
Verdecchia P, Schillaci G, Borgioni C, Ciucci A, Pede S, Porcellati C (1998) Ambulatory pulse pressure. Hypertension 32(6):983–988
Prevention & Treatment of Arrhythmia. American Heart Association (2017) http://www.heart.org/HEARTORG/Conditions/Arrhythmia/PreventionTreatmentofArrhythmia/Prevention-Treatment-of-Arrhythmia_UCM_002026_Article.jsp#.WWLgPHfMzHg. Accessed Sep 2017
Franklin SS, Khan SA, Wong ND, Larson MG, Levy D (1999) Is pulse pressure useful in predicting risk for coronary heart disease? Circulation 100(4):354–360
Palatini P (2007) Heart rate as an independent risk factor for cardiovascular disease. Drugs 67(2):3–13
Reynoldson C, Stones C, Allsop M, Gardner P, Bennett MI, Closs SJ, Jones R, Knapp P (2014) Assessing the quality and usability of smartphone apps for pain self-management. Pain Med 15(6):898–909
Lahrmann H, Rocha I, Struhal W, Thijs RD, Hilz M (2011) Diagnosing autonomic nervous system disorders-existing guidelines and future perspectives. Eur Neurol Rev 6(1):52–56
Struhal W, Russell JW (2014) Autonomic nervous system. In: Atlas of neuromuscular diseases. Springer, pp 291–297
Hampton JR, Harrison MJ, Mitchell JR, Prichard JS, Seymour C (1975) Relative contributions of history-taking, physical examination, and laboratory investigation to diagnosis and management of medical outpatients. Br Med J 2(5969):486–489
Yoshiya I, Shimada Y, Tanaka K (1980) Spectrophotometric monitoring of arterial oxygen saturation in the fingertip. Med Biol Eng Comput 18(1):27–32
Allen J (2007) Photoplethysmography and its application in clinical physiological measurement. Physiol Meas 28(3):R1
Gil E, Orini M, Bailón R, Vergara JM, Mainardi L, Laguna P (2010) Photoplethysmography pulse rate variability as a surrogate measurement of heart rate variability during non-stationary conditions. Physiol Meas 31(9):1271
World Health Organization: world blood donor day: safe blood for saving mothers (2017) http://www.who.int/campaigns/world-blood-donor-day/2014/event/en/. Accessed Sep 2017
World Health Organization: Global database on blood safety. Summary report 2011. http://www.who.int/bloodsafety/global_database/en/. Accessed Sep 2017
Williamson LM, Devine DV (2013) Challenges in the management of the blood supply. The Lancet 381(9880):1866–1875
Tagny CT, Owusu-Ofori S, Mbanya D, Deneys V (2010) The blood donor in sub-Saharan Africa: a review. Transfus Med 20(1):1–10
France CR, France JL, Kowalsky JM, Cornett TL (2010) Education in donation coping strategies encourages individuals to give blood: further evaluation of a donor recruitment brochure. Transfusion 50(1):85–91
France CR, France JL, Wissel ME, Kowalsky JM, Bolinger EM, Huckins JL (2011) Enhancing blood donation intentions using multimedia donor education materials. Transfusion 51(8):1796–1801
Ylipulli J, Suopajärvi T, Ojala T, Kostakos V, Kukka H (2014) Municipal WiFi and interactive displays: appropriation of new technologies in public urban spaces. Technol Forecast Soc Chang 89:145–160
Ouhbi S, Fernández-Alemán JL, Pozo JR, El Bajta M, Toval A, Idri A (2015) Compliance of blood donation apps with mobile OS usability guidelines. J Med Syst 39(6):63
Sayyedi VK (2014) A personal health record module for pregnant women: system development and user adoption study. Master thesis. McMaster University Hamilton, Ontario, p 85. http://hdl.handle.net/11375/13981. Accessed Sep 2017
Gibbins J, Thomson AM (2001) Women’s expectations and experiences of childbirth. Midwifery 17(4):302–313
Shaw E et al (2008) Access to web-based personalized antenatal health records for pregnant women: a randomized controlled trial. J Obstet Gynaecol Can: JOGC 30(1):38–43
Idri A, Bachiri M, Fernández-Alemán JL (2016) A framework for evaluating the software product quality of pregnancy monitoring mobile personal health records. J Med Syst 40(3):1–17
Ahern DK, Kreslake JM, Phalen JM (2006) What is eHealth (6): perspectives on the evolution of eHealth research. J Med Internet Res 8(1):e4
Carroll N (2016) Key success factors for smart and connected health software solutions. Computer 49(11):22–28
Ouhbi S, Fernández-Alemán JL, Toval A, Pozo JR, Idri A (2017) Sustainability requirements for connected health applications. J Softw Evol Process (under review)
Durdik Z, Klatt B, Koziolek H, Krogmann K, Stammel J, Weiss R (2012) Sustainability guidelines for long-living software systems. In: 28th IEEE international conference on software maintenance (ICSM). IEEE, pp 517–526
Erdelyi K (2013) Special factors of development of green software supporting eco sustainability. In: IEEE 11th international symposium on intelligent systems and informatics (SISY). IEEE, pp 337–340
Penzenstadler B (2014) Infusing green: requirements engineering for green in and through software systems. In: Workshop on requirements engineering for sustainable systems, pp 44–53
Penzenstadler B, Fleischmann A (2011) Teach sustainability in software engineering? In: 24th IEEE-CS conference on software engineering education and training (CSEE&T). IEEE, pp 454–458
Horizons 2020 (2017) Health, demographic change and wellbeing. http://ec.europa.eu/programmes/horizon2020/en/h2020-section/health-demographic-change-and-wellbeing. Accessed Sep 2017
Ouhbi S, Fernández-Alemán JL, Idri A, Pozo JR (2015, October) Are mobile blood donation applications green? In: 10th international conference on intelligent systems: theories and applications (SITA). IEEE, pp 1–6
ISO/IEC 25010 Standard (2011) Systems and software engineering—systems and software quality requirements and evaluation (SQuaRE)—system and software quality models
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Ouhbi, S., Idri, A., Fernández-Alemán, J.L. (2018). Standards-Based Sustainability Requirements for Healthcare Services in Smart Cities. In: Mahmood, Z. (eds) Smart Cities. Computer Communications and Networks. Springer, Cham. https://doi.org/10.1007/978-3-319-76669-0_13
Download citation
DOI: https://doi.org/10.1007/978-3-319-76669-0_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-76668-3
Online ISBN: 978-3-319-76669-0
eBook Packages: Computer ScienceComputer Science (R0)