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Item Telehealth and Precision Prevention: Bridging the Gap for Individualised Health Strategies(Georg Thieme Verlag KG, 2024-08-01) Lau ECH; Rajput VK; Hunter I; Florez-Arango JF; Ranatunga P; Veil KD; Kulatunga G; Gogia S; Kuziemsky C; Ito M; Iqbal U; John S; Iyengar S; Ramachandran A; Basu AINTRODUCTION: Precision prevention has shown an upsurge in popularity among epidemiologists in both developed and developing countries in the past decade. OBJECTIVES: Initially practiced in oncology, this approach is increasingly adopted in public health to guard against other common non-communicable diseases (NCDs), such as diabetes and cardiovascular diseases. It aims to tailor preventive measures according to each individual's unique characteristics, such as genomic data, socio-demographic features, environmental factors, and cultural background. METHODS: Healthcare information technologies, including telehealth and artificial intelligence (AI), have served as a vital catalyst in the expansion of this field in the past decade. Under this framework, real-time contemporaneous clinical data is collected via a wide range of digital health devices, such as telehealth monitors, wearables, etc., and then analyzed by AI or non-AI prediction models, which then generate preventive recommendations. RESULTS: The utilization of telehealth technologies in the precision prevention of cardiovascular diseases (CVDs) is a very illustrative application. This paper explores these topics as well as certain limitations and unintended consequences (UICs) and outlines telehealth as a core enabler of precision prevention as well as public health.Item The impact of ultra-fast broadband on telehealth in New Zealand : a thesis presented in partial fulfilment of the requirements for the degree of Master of Information Sciences in Information Technology at Massey University, Albany, New Zealand [print title](Massey University, 2013) Varnosafaderani, Siamak R.In recent years, many countries around the world have introduced Information and Communications Technologies (ICTs) in their healthcare industry, in a bid to improve their productivity and the effectiveness of their services, triggering the eHealth phenomenon. As a component of eHealth, telehealth– which refers to a set of expertise and methods that integrate the world of ICT with the healthcare sector, providing medical care and education over a distance– is revolutionazing the healthcare sector. One of the most important ICTs used in the provision of telehealth is broadband internet. The bandwidth of the broadband connection determines the speed and quality of communications. Ultra-fast broadband– currently defined as connections with bandwidth greater than 100Mbps for downloads and 50Mbps for uploads– has made possible connections and communications on a scale and of a quality never before possible. The capacity to traverse geographical boundaries in real time and transfer large amounts of information has made ultra-fast broadband a soughtafter tool in many businesses. The main objective of this research is to study the impact of ultra-fast broadband internet on the development and quality of telehealth systems, especially in New Zealand. This thesis provides an overview of current broadband technologies available for running successful telehealth services, and studies the application and importance of broadband internet in the field of healthcare. It also provides a summary of the evolution of the use of ICTs, broadband technologies in particular, by health systems and a brief look at the future of these technologies in healthcare sectors, mainly in New Zealand. This thesis will conclude the importance of broadband internet in telehealth and its related services, and that the provision of telehealth would be near to impossible without ICTs such as broadband. This thesis will also conclude the introduction of ultra-fast broadband into telehealth in New Zealand to be a significant step forward as evident in telehealth projects overseas.Item Telehealth practice and the impact of new technologies (NTs) : a thesis submitted to the Institute of Information and Mathematics Sciences (IIMS) at Massey University in Albany campus in partial fulfilment of the requirements for the degree of Masters of Information Technology, Albany, Auckland, New Zealand(Massey University, 2012) Alghamdi, Rajeh AbdullahTelehealth aims at delivering healthcare services equally to all citizens whether in rural or urban areas. As delivering healthcare services remotely depends substantially upon technology, and with the ever-increasing improvements of new technologies (NTs), telehealth facilities can be distantly, ubiquitously, more rapidly, and cost-effectively delivered to patients to obtain better quality healthcare services. The objective of the study was to identify the impact of NTs on the contemporary telehealth practice as well as briefly evaluating telehealth practice in several developed countries and attempting to propose a proper strategy for developing nations. In addition, advantages and barriers of telehealth were considered. An online survey was carried out and distributed to a convenience sampling which included 49 participants of healthcare professionals to achieve their attitudes and viewpoints about the impact of NTs to the current telehealth practice. However, results demonstrated that modern smart phones and tablets such as iPhones, iPads and Samsung Galaxy taps are of the most used technologies in telehealth practice and participants reported that these technologies are very important in providing quality services. Additionally, almost all participants believed that the use of technological devices will lead to improvements in the quality of care as well as reducing both clinical and travelling costs. Some advantages of using NTs in telehealth and several barriers, that may bound the development of telehealth process, were also mentioned. A suggested telehealth strategy for developing countries was illustrated in this study. It is recommended that effective steps should be taken to remove the barriers that are hindering the progress of modern telehealth practices. As well as, necessary policy changes should be made to cover the cost of telehealth equipments in the health board budgets.Item Telehealth practice in eight countries : New Zealand, Australia, the USA, Canada, UK, Malaysia, China and India : a thesis presented in partial fulfillment of the requirements of degree of Master in Information Science at Massey University, Albany campus, Auckland, New Zealand(Massey University, 2012) Altharthi, Mansour SaeedThis research examines the telehealth adoptions and developments in eight selected countries: New Zealand, Australia, the United States, Canada, UK, Malaysia, China and India. An array of methods has been employed into this research, such as PEST, SWOT, and CSF analysis. Each country has been studied individually and then all eight countries have been discussed together through comparisons from various perspectives. Thereafter, the conclusions summarize the key findings and then some recommendations are offered. The studied countries all have certain needs of telehealth; however, these needs vary due to every country’s particular conditions of demographic features, economic development, social and cultural diversity. The development of telehealth in these countries heavily depends on the countries’ healthcare system, countries’ priorities of healthcare needs, decision makers’ vision in telehealth; as well as the development of telecommunication networks and the training level of end users. It is believed that telehealth will help to improve the healthcare service in all of the eight countries. Through the comparison and discussion, the eight countries are found to share some points in common, which can be highlighted as general CSFs: standardization, legislation and regulation, business modelling and program evaluation, financial constraints, and need of more trained professionals into telehealth. While giving some recommendations to each country’s development of telehealth, this thesis also suggested that future development of telehealth may have three priorities: further and continuous improving design and research in technical perspective, re-examination of the current healthcare system thus adjust it to suit telehealth development, and staying with an international perspective. This topic is suggested for further research, with particular interest in extending to some country/region with very small territory and high population density.
