Informatics for devices within telehealth systems for monitoring chronic diseases

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dc.contributor.advisor Alcock, Jeffrey R.
dc.contributor.advisor Tiwari, Ashutosh Adeogun, Oluseun 2011-10-20T09:10:03Z 2011-10-20T09:10:03Z 2011-04
dc.description.abstract Preliminary investigation at the beginning of this research showed that informatics on point-of-care (POC) devices was limited to basic data generation and processing. This thesis is based on publications of several studies during the course of the research. The aim of the research is to model and analyse information generation and exchange in telehealth systems and to identify and analyse the capabilities of these systems in managing chronic diseases which utilise point-of-care devices. The objectives to meet the aim are as follows: (i) to review the state-of-the-art in informatics and decision support on point-of-care devices. (ii) to assess the current level of servitization of POC devices used within the home environment. (iii) to identify current models of information generation and exchange for POC devices using a telehealth perspective. (iv) to identify the capabilities of telehealth systems. (v) to evaluate key components of telehealth systems (i.e. POC devices and intermediate devices). (vi) to analyse the capabilities of telehealth systems as enablers to a healthcare policy. The literature review showed that data transfer from devices is an important part of generating information. The implication of this is that future designs of devices should have efficient ways of transferring data to minimise the errors that may be introduced through manual data entry/transfer. The full impact of a servitized model for point-of-care devices is possible within a telehealth system, since capabilities of interpreting data for the patient will be offered as a service (c.f. NHS Direct). This research helped to deduce components of telehealth systems which are important in supporting informatics and decision making for actors of the system. These included actors and devices. Telehealth systems also help facilitate the exchange of data to help decision making to be faster for all actors concerned. This research has shown that a large number of capability categories existed for the patients and health professionals. There were no capabilities related to the caregiver that had a direct impact on the patient and health professional. This was not surprising since the numbers of caregivers in current telehealth systems was low. Two types of intermediate devices were identified in telehealth systems: generic and proprietary. Patients and caregivers used both types, while health professionals only used generic devices. However, there was a higher incidence of proprietary devices used by patients. Proprietary devices possess features to support patients better thus promoting their independence in managing their chronic condition. This research developed a six-step methodology for working from government objectives to appropriate telehealth capability categories. This helped to determine objectives for which a telehealth system is suitable. en_UK
dc.language.iso en en_UK
dc.publisher Cranfield University en_UK
dc.rights © Cranfield University 2011. All rights reserved. No part of this publication may be reproduced without the written permission of the copyright owner. en_UK
dc.subject Point-of-care en_UK
dc.subject nformatics en_UK
dc.subject data processing en_UK
dc.subject long term conditions care en_UK
dc.subject chronic care en_UK
dc.subject point-of-care testing en_UK
dc.subject medical device en_UK
dc.subject PSS en_UK
dc.subject product-service system en_UK
dc.subject glucometers en_UK
dc.subject information exchange en_UK
dc.subject model en_UK
dc.subject telehealth en_UK
dc.subject capability en_UK
dc.subject capabilities en_UK
dc.subject functionality en_UK
dc.subject system en_UK
dc.subject chronic diseases en_UK
dc.subject actor-centric en_UK
dc.subject categories en_UK
dc.subject diabetes en_UK
dc.subject advice en_UK
dc.subject intermediate device en_UK
dc.subject types en_UK
dc.subject location en_UK
dc.subject user en_UK
dc.subject healthcare en_UK
dc.subject policy en_UK
dc.title Informatics for devices within telehealth systems for monitoring chronic diseases en_UK
dc.type Thesis or dissertation en_UK
dc.type.qualificationlevel Doctoral en_UK
dc.type.qualificationname PhD en_UK

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