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Can The Internet of Medical Things Actually Improve Healthcare?

2023-11-22 10:09:07
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Illustration: © IoT For All

Today, we have more information about the human body and health than ever before. Developments in AI/ML are improving the research methods, diagnostic tools, and treatments available to medical professionals every day. More inclusive research has resulted in more effective forms of treatment for a wider variety of people. The COVID-19 pandemic has also led to an increased focus on the importance of public and mental health.

Despite this influx of information, awareness, and advancements, the healthcare experience can be negative for many people. The healthcare system as we may know it today faces a multitude of challenges, including the struggle to secure timely appointments, prolonged wait times, delayed delivery of test results and insights, a scarcity of easily accessible and understandable information regarding personal health, and the burden of exceptionally high costs.

So, how can we improve healthcare, medical, and wellness experiences in pursuit of a healthier society? The answer may lie in the ability to harness the power of the Internet of Things (IoT) and connected health devices – also known as the Internet of Medical Things (IoMT).

What are Connected Health Devices?

Connected health devices are small, wireless, often wearable electronic gadgets equipped with sensors that allow users to monitor their physical and mental condition based on physiological health indicators.

These indicators can be as simple as one’s heart rate or temperature, but they can also be complex; some connected health devices use embedded medical testing capabilities to collect data on the chemical composition of the user’s sweat, saliva, and blood.

The data gathered by these devices is typically delivered to an accompanying app, where it is automatically analyzed using artificial intelligence and machine learning (AI/ML). The health insights provided by these analyses can help users track progress toward specific health or fitness goals, monitor chronic health conditions, and even automate medicine delivery.

While such devices may sound futuristic, many exist and are in use today. Patients with diabetes often use wearable devices that perform continuous glucose monitoring (CGM) to manage their blood sugar levels without having to rely on finger pricks or last-minute physical cues. “Smart insulin pens” can use CGM data to calculate the exact dosage of insulin needed and when it should be taken.

Of course, diabetes is not the only area of medicine with uses for connected medical devices. There are also health devices that monitor sleep and track bodily rhythms. Tooth sensors promise to provide another kind of continuous health monitoring based on the information that can be gleaned from saliva. People with digestive problems can swallow a vibrating capsule that simulates stomach contractions to speed up digestion. Various types of smart patches embedded with IoT can adhere to a patient’s skin and monitor physiological signs or even deliver medicine.  The applications for connected health devices are endless.

The Benefits of Connected Health Devices

As demonstrated above, the expanded use of the IoMT and connected health devices could give patients more autonomy when making health-related decisions. Easily accessible data and information – the automated interpretation of which results in immediately actionable insights – could empower patients to easily manage health concerns like chronic illness, periods of recovery following catastrophic health events, and the increased upkeep that comes with aging.

Because the data collected by connected health devices is analyzed in real time, patients may also be able to identify urgent warning signs of sudden health events and seek help in a timely manner. Finally, the possibility for automated dose calculations and drug delivery when using connected health devices can provide peace of mind to patients who have to regularly self-administer medications.

Ultimately, connected health devices can allow patients to better care for themselves, in turn reducing health anxiety and improving overall quality of life.

Connected health devices and the IoMT also have the potential to be exceptionally valuable tools for care providers. Under our current healthcare system, patients typically only interact with their healthcare provider when something is wrong; consequently, modern medicine is mostly reactionary instead of preventative.

When patients do have health complaints, most of the data used to make diagnoses is either self-reported by patients or collected discretely (meaning at spaced-out instances over a long period) and invasively. Taking advantage of connected health technologies would enable physicians to perform preemptive, non-invasive, continuous data collection, which could improve patients’ lived experiences of health, enhance diagnostic processes, and allow for more preventative care.

Furthermore, if more patients were prescribed connected health devices, doctors and researchers would have access to population-level insights, which could have serious public health implications.

More generally, the remarkable potential of connected health devices in a medical setting can be largely attributed to their convenience and relatively low costs. The IoMT can allow patients and doctors to collaborate more efficiently while minimizing in-person interactions and costs, which could ultimately result in higher compliance, reduced financial stress, and fewer expended resources on the care provider’s part.

The Challenges of Connected Health Devices

Despite all the benefits that connected health devices could bring to both patients and providers, they are rarely used in formal healthcare settings today. This is because three significant challenges stand in the way of mass implementation:

Security and Privacy

Developing SoCs that can reliably encrypt data and detect vulnerabilities while remaining compatible with an ever-expanding IoT is a top priority for providers. This endeavor is especially important for connected health devices due to the sensitive nature of the data being collected and the potentially drastic consequences of a hacked connected health device not working properly.

Regulatory Requirements

The hardware associated with connected health devices is rigorously tested to ensure that it is safe and reliable. For most electronic devices, that process of testing is all that would be required before they could be brought to market; however, any device that claims to help diagnose, treat, or manage a disease or anything else related to the user’s health must also receive FDA approval.

While FDA requirements exist to protect consumers and healthcare providers by ensuring that only trusted tools are being used when stakes are high, the process of getting approval is long, tedious, and expensive, which can significantly delay the rollout of new connected health devices.

Scalability

Questions surrounding how connected health devices can be set up for mass use in a way that is practical, ethical, equitable, and safe must be grappled with before the technology can be rolled out. What hardware and software updates will hospitals need to support connected health device use? What do patients need to know about connected health devices to provide informed consent? Where will public healthcare institutions get funding for connected health device infrastructure? What are the limitations of connected health devices as diagnostic and treatment tools? Healthcare providers often hesitate to recommend connected health devices to patients while these questions remain unanswered.

Looking to the Future

While the formal use of connected health devices in healthcare settings is mostly aspirational at this point, it is by no means a pipe dream. The technology exists and is getting better every day. Many products compatible with the IoMT have already sought and received FDA approval, and many others are in the process.

Though still developing, security concerns are mostly solved for the time being. The only true remaining hurdle is designing a system that supports the use of connected health devices at scale and putting it into effect.

Connected health devices can function as tools to improve the patient experience, harness the power of continuous data collection for improved diagnosis and treatment, and dramatically reduce the costs and inconveniences associated with healthcare. In the years to come, we’ll continue to witness how connected health devices can fundamentally alter our healthcare system for the better.

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  • Healthcare
  • Connectivity
  • Device Management
  • Medical Devices

  • Healthcare
  • Connectivity
  • Device Management
  • Medical Devices

参考译文
医疗物联网真能改善医疗服务吗?
插图:© IoT For All --> 今天,我们拥有关于人体和健康的比以往任何时候都更多的信息。人工智能(AI)/机器学习(ML)的发展正在改善医疗专业人士每日可用的研究方法、诊断工具和治疗方法。更加包容性的研究带来了对更广泛人群都有效的治疗形式。新冠疫情大流行也促使人们更加关注公共卫生和心理健康的重要性。尽管信息、意识和进步不断涌入,但医疗体验对于许多人来说仍然是负面的。我们今天所熟知的医疗体系面临诸多挑战,包括难以预约及时的医疗服务、漫长的等待时间、检测结果和洞察的延迟、缺乏易于获取且易于理解的个人健康信息,以及异常高昂的费用负担。那么,我们如何改善医疗、医疗保健和健康体验,以追求一个更加健康的社呢?答案或许在于充分利用物联网(IoT)和连接式健康设备的力量——也被称为医疗物联网(IoMT)。什么是连接式健康设备?连接式健康设备是小型的、无线的、通常是可穿戴的电子设备,配有传感器,允许用户根据生理健康指标监测自己的身体和心理状况。这些指标可以是简单的心率或体温,也可以是复杂的,有些连接式健康设备使用内置的医疗检测功能,收集用户汗水、唾液和血液的化学成分数据。这些设备收集的数据通常会被传输到配套的应用程序中,并通过人工智能和机器学习(AI/ML)进行自动分析。这些分析所获得的健康洞察可以帮助用户跟踪特定健康或健身目标的进展、监测慢性健康状况,甚至自动进行药物配送。虽然这些设备听起来似乎像是未来科技,但其中许多已经存在,并正在使用中。糖尿病患者常常使用连续血糖监测(CGM)可穿戴设备来管理血糖水平,而无需依赖指尖刺破或最后时刻的身体提示。 “智能胰岛素笔”可以利用CGM数据计算精确的胰岛素剂量以及服用时间。当然,糖尿病并不是唯一可以利用连接式医疗设备的医学领域。还有一些健康设备用于监测睡眠和身体节律。牙齿传感器有望根据唾液中可获得的信息,提供另一种形式的连续健康监测。消化系统有问题的人可以吞服一个振动胶囊,模拟胃部收缩以加快消化。各种嵌入物联网的智能贴片可以附着在患者皮肤上,监测生理指标,甚至递送药物。连接式健康设备的应用可以说是无穷无尽。连接式健康设备的好处如上所述,医疗物联网(IoMT)和连接式健康设备的广泛应用可以使患者在做出健康相关决策时拥有更多的自主权。易于获取的数据和信息——其自动解读可产生立即可采取的洞察——可以赋权患者轻松管理健康问题,如慢性病、重大健康事件后的恢复期,以及与衰老相关的更高维护需求。由于连接式健康设备收集的数据是实时分析的,患者也可能能够识别突发健康事件的紧急预警信号,并及时寻求帮助。此外,使用连接式健康设备时,自动剂量计算和药物递送的可能性可以为必须定期自行服药的患者提供安心。最终,连接式健康设备可以让患者更好地照顾自己,从而减少健康焦虑并提高整体生活质量。连接式健康设备和医疗物联网(IoMT)也可能成为护理提供者极为有价值的工具。在我们当前的医疗体系下,患者通常只有在出现问题时才会与他们的医疗提供者互动;因此,现代医学大多是反应性的而不是预防性的。当患者确实出现健康问题时,用于诊断的大部分数据要么是患者自述的,要么是在很长一段时间内离散收集的(意味着间隔多次),而且具有侵入性。利用连接式健康技术将使医生能够进行提前、非侵入性、连续的数据收集,这可以改善患者的健康体验,增强诊断过程,并实现更多预防性护理。此外,如果为更多患者开具连接式健康设备,医生和研究人员将能够获得群体层面的洞察,这可能对公共卫生产生重大影响。更广泛地说,连接式健康设备在医疗环境中的巨大潜力,主要归功于它们的便利性和相对较低的成本。医疗物联网(IoMT)可以允许患者和医生更有效地协作,同时减少面对面的互动和成本,这最终可能导致更高的依从性、减少的财务压力以及护理提供者更少的资源消耗。连接式健康设备的挑战尽管连接式健康设备可以为患者和提供者带来诸多好处,但它们在正式医疗环境中很少被使用。这是因为有三个重大挑战阻碍了大规模实施:安全与隐私开发能够可靠地加密数据并检测漏洞,同时与不断扩展的物联网兼容的安全芯片(SoC),是提供者的首要任务。对于连接式健康设备来说,这一努力尤为重要,因为所收集的数据具有敏感性,如果连接式健康设备被黑客攻击且无法正常工作,可能会产生严重后果。监管要求与连接式健康设备相关的硬件会经过严格测试,以确保其安全可靠。对于大多数电子设备,测试过程就是它们进入市场前所需的全部步骤;然而,任何声称能帮助诊断、治疗或管理疾病或其他与用户健康相关的设备,还必须获得美国食品药品监督管理局(FDA)的批准。虽然FDA的要求是为了保护消费者和医疗提供者,确保只有经过验证的工具在关键时刻被使用,但获得批准的过程漫长、繁琐且昂贵,这可能会大大延迟新型连接式健康设备的推出。可扩展性在将连接式健康设备大规模部署之前,必须解决如何以实用、伦理、公平和安全的方式设置它们的问题。医院需要什么样的硬件和软件更新来支持连接式健康设备的使用?患者需要了解哪些关于连接式健康设备的信息以提供知情同意?公共医疗保健机构将从哪里获得连接式健康设备基础设施的资金?连接式健康设备作为诊断和治疗工具的局限性是什么?在这些问题尚未解答之前,医疗服务提供者通常不愿向患者推荐连接式健康设备。展望未来尽管目前连接式健康设备在医疗环境中的正式使用还主要是一种愿望,但这绝不是天方夜谭。技术已经存在,并且每天都在变得更好。许多与医疗物联网兼容的产品已经寻求并获得了FDA批准,许多其他产品正在审批过程中。虽然安全性问题仍在发展中,但目前大部分问题已得到解决。唯一真正剩余的障碍是设计一个可以支持大规模使用连接式健康设备的系统并将其实施。连接式健康设备可以作为改善患者体验的工具,利用连续数据收集的力量提高诊断和治疗的准确性,并显著降低与医疗相关的成本和不便。在未来的几年里,我们将继续见证连接式健康设备如何从根本上改善我们的医疗体系。推文分享分享电子邮件医疗连通性设备管理医疗设备 --> 医疗连通性设备管理医疗设备
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