Informatics for devices within telehealth systems for monitoring chronic diseases

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dc.contributor.advisorAlcock, Jeffrey R.
dc.contributor.advisorTiwari, Ashutosh
dc.contributor.authorAdeogun, Oluseun
dc.date.accessioned2011-10-20T09:10:03Z
dc.date.available2011-10-20T09:10:03Z
dc.date.issued2011-04
dc.description.abstractPreliminary 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.identifier.urihttp://dspace.lib.cranfield.ac.uk/handle/1826/6493
dc.language.isoenen_UK
dc.publisherCranfield Universityen_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.subjectPoint-of-careen_UK
dc.subjectnformaticsen_UK
dc.subjectdata processingen_UK
dc.subjectlong term conditions careen_UK
dc.subjectchronic careen_UK
dc.subjectpoint-of-care testingen_UK
dc.subjectmedical deviceen_UK
dc.subjectPSSen_UK
dc.subjectproduct-service systemen_UK
dc.subjectglucometersen_UK
dc.subjectinformation exchangeen_UK
dc.subjectmodelen_UK
dc.subjecttelehealthen_UK
dc.subjectcapabilityen_UK
dc.subjectcapabilitiesen_UK
dc.subjectfunctionalityen_UK
dc.subjectsystemen_UK
dc.subjectchronic diseasesen_UK
dc.subjectactor-centricen_UK
dc.subjectcategoriesen_UK
dc.subjectdiabetesen_UK
dc.subjectadviceen_UK
dc.subjectintermediate deviceen_UK
dc.subjecttypesen_UK
dc.subjectlocationen_UK
dc.subjectuseren_UK
dc.subjecthealthcareen_UK
dc.subjectpolicyen_UK
dc.titleInformatics for devices within telehealth systems for monitoring chronic diseasesen_UK
dc.typeThesis or dissertationen_UK
dc.type.qualificationlevelDoctoralen_UK
dc.type.qualificationnamePhDen_UK

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