記述言語：英語   出版者・発行元：International Exchange and Innovation Conference on Engineering and Sciences  

This review examines the role of digital health technologies in enhancing personalized preventive care in lowincome countries (LICs), where non-communicable diseases continue to rise amidst chronic limitations of healthcare infrastructure, workforce, and data system. It explores telemedicine, open-source electronic health records, AI-driven analytics, and nursing informatics within LIC settings, drawing on recent evidence from 2020–2025. Real-world implementations, such as offline-first platforms and portable health clinics, demonstrate feasibility and clinical impact. However, barriers such as algorithmic bias, fragmented systems, and digital illiteracy persist. The review proposes an integration framework addressing contextual relevance, interoperability, workforce development, and ethical governance. It concludes with actionable strategies to design equitable, sustainable digital solutions for under-resourced healthcare systems.

DOI： 10.5109/7395621

Scopus

CiNii Research

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Computer Methods and Programs in Biomedicine Update  

Background and Objective: One of the primary challenges faced by telehealth systems is the accurate transmission of patient information to remote doctors. In this context, portable medical sensors deployed at the remote patients' end play a crucial role in measuring vital information. There are many sensors available in the market. However, the accuracy of the sensors has been always a concern. The objective of this study is to verify different sensors and create awareness for using accurate sensors to avoid misdiagnosis for the patients’ safety. Methods: This study considered the test result of a Japanese clinical pathology laboratory as the reference gold standard. The clinical pathology laboratory uses 1) Hexokinase UV method for blood glucose, 2) Enzymatic Determination method for cholesterol, 3) Automatic Analyzer (EDTA-2 K) of Hemoglobin, and 4) Uricase POD method for uric acid. To assess the performance of a medical sensor, its test results were compared to the gold standard test results obtained from the laboratory using the same sample. A Normalized Root Mean Square Error (NRMSE) threshold of less than 0.2 was established as the criterion for determining whether the medical sensor's performance fell within an acceptable range. Results: Among the eight most commonly used blood glucose devices in the Asian market, only one device was deemed acceptable with NRMSE less than 0.2. However, all four devices found in the Japanese market showed their acceptability. In the case of cholesterol, hemoglobin, and uric acid devices, only a limited number of items were available in Asian markets. Some of the hemoglobin and uric acid devices were found to be somewhat acceptable, while all the cholesterol sensors were found erroneous. Conclusions: This study has clearly shown the issues with the portable medical sensors and recommends the device approval authority of each country to approve sales of the quality sensors only for patients’ safety.

DOI： 10.1016/j.cmpbup.2024.100147

Scopus

記述言語：英語   掲載種別：研究論文（学術雑誌）  

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Sustainability Switzerland  

In the pursuit of Universal Health Coverage (UHC), developing countries with limited resources face significant hurdles. Traditional top-down approaches, spearheaded by governments, often entail lengthy planning periods and substantial costs to reach underserved communities. This paper proposes a bottom-up, cost-effective, and preventive approach aimed at empowering local human resources and using advanced technology. We call it the Micro Healthcare Entrepreneurship (MHE) model. The MHE model comprises four primary components: (1) utilization of local human resources, (2) disruptive healthcare technology, (3) continuous training, and (4) available funds. Extensive testing of the digital health and social business elements across diverse contexts underscores their efficacy. Furthermore, the viability of social business funds has been established. To solicit feedback and refine the MHE concept, three workshops, conducted in phases, engaged 60 community healthcare service providers. This paper elucidates both the potential advantages and the challenges inherent in implementing the MHE model. By shifting the paradigm toward grassroots empowerment and leveraging existing community assets, this approach offers promise in advancing healthcare accessibility and sustainability in resource-constrained settings to achieve UHC.

DOI： 10.3390/su16062268

Web of Science

Scopus

記述言語：英語   掲載種別：研究論文（国際会議プロシーディングス）   出版者・発行元：Studies in Health Technology and Informatics  

Portable medical sensors play an important role in healthcare services, especially in rural communities. Many telehealth systems use these devices for providing patients' vital information from a distance to remote doctors. Erroneous data will not only mislead the remote doctor for correct diagnosis but it will cause health threats to these unreached community people. Therefore, it is very important to identify good sensors with an acceptable level of accuracy but within the affordable price of the available sensors in the market. This study aims to identify quality portable cholesterol sensors with high accuracy with the reference of the Japanese clinical pathology laboratory as a gold standard. We have considered cholesterol sensors that measure total cholesterol for this study that are commonly used in the developing countries of Asia. We found that out of four, three of them were very much erroneous and cannot be recommended even for primary healthcare.

DOI： 10.3233/SHTI230977

Web of Science

Scopus

PubMed

Poverty, Rurality and Disability are three major vulnerabilities to deliver quality healthcare services and ensure universal healthcare coverage (UHC). Disruptive technologies and a social business model can deliver healthcare services to non-UHC communities in a faster, affordable and sustainable manner. This chapter of the book investigates the status of UHC in Bangladesh, categorizing out of coverage communities. Kyushu University and Grameen Communications have developed an affordable, user-friendly, and sustainable digital healthcare delivery system, which we call Portable Health Clinic (PHC). A community-based micro healthcare entrepreneur can take the PHC to visit an elderly person, pregnant woman, or person with disability at their doorstep, and provide real-time primary health services connected to licensed healthcare professionals. Annual health checkups are a long-standing institutional practice in Japan, but not as prevalent in emerging countries including Bangladesh. Small organizations cannot afford a health center at their premises, thereby remaining out of coverage of healthcare services. Health insurance is not prevalent, which exposes not only well-being but savings or assets to risk in catastrophic situations. Regular health checkups are known to provide an early alert of any diseases, which can reduce health risks, save medical costs and increase productivity. We categorize five different rural and urban communities in which PHC pilot studies have been carried out over the last 12 years. We have designed five different delivery models and evaluated their financial sustainability, as well as social impact. This chapter describes this experience and identifies major challenges with the purpose of ensuring that UHC approaches can assimilate advanced technologies, mainstream them in national healthcare policy in the country, and train healthcare workers.

DOI： 10.1007/978-981-19-8171-5_3

Scopus

A doctor needs to know the patients’ medical history to investigate the root cause of symptoms. Traditionally it is done by a questionnaire at the clinic’s reception desk, or the doctor asks a series of questions to obtain a relevant medical history. An incomplete or wrong medical history affects the doctor’s decision. The challenge for a busy doctor is to obtain all the relevant medical history in a short period of time accurately and without missing any important history. Affordable clinics employ an assistant or junior doctor to sort out all the paper-based medical history and mark the important points. It increases doctors’ work performance by saving doctors time and making rooms for consulting more patients. But not all the small clinics can afford such assistants. This paper lists the technical requirements to develop a personal medical history visualization tool to increase doctors’ productivity.

DOI： 10.54941/ahfe1002772

Scopus

Millions of small clinics and pharmacies in developing countries are still using paperbased health records. The clinics do not have the technical expertise to deploy electronic health record (EHR) systems nor can they maintain these systems on their own. Standards such as Health Level Seven (HL7), openEHR, Systematized Nomenclature of Medicine (SNOMED) Clinical Terms, International Classification of Diseases (ICD-11) etc. are becoming more reliable and usable yet they do not reach these clinics. This paper proposes a simple and affordable digital healthcare management system to support such small clinics. The proposed architecture provides lightweight, simple, and low-cost front-end applications. The applications also allow individual patients to store and view their own health data independently. Aside from clinical usage, the system also supports secondary use of stored health data for medical research. To maintain privacy protection, patients can give different levels of health data sharing consent, and only anonymized and consented data are shared with researchers through the platform. To add another layer of privacy protection, health data is stored and managed separately by an openEHR compliant server in the platform. All the other data is stored and managed by a FHIR compliant server. For the implementation, we used open-source software for all components of the platform and deployed the platform using Docker on a local computer. We prepared three applications that can register new patients, record health data, and store them respectively. An application that transforms and stores existing non-standard compliant health data is also prepared. We prepared an application that displays consented health data. In our experiment, we tested three major functions-(a) whether personal and clinical data are separately stored at FHIR and openEHR servers (b) whether non-standard compliant data can be fetched and stored to HaaS (c) whether patients’ data privacy is maintained. This implementation showed that the platform works as designed and is configurable to fit different local needs while maintaining privacy. Future tasks include testing the platform with different small clinics and collecting their views to evaluate the effectiveness of the system.

DOI： 10.54941/ahfe1002786

Scopus

担当ページ：(to be published)   記述言語：英語   著書種別：学術書

担当ページ：Global Telehealth 2020 eBook (to be published)   記述言語：英語   著書種別：学術書

開催年月日： 2021年10月

記述言語：英語  

開催地：Online   国名：オーストラリア連邦  

開催年月日： 2021年8月 - 2021年10月

記述言語：英語  

開催地：Online   国名：オーストラリア連邦  

開催年月日： 2021年4月

記述言語：英語  

開催地：Online   国名：インド  

開催年月日： 2020年11月

記述言語：英語  

開催地：Hamamatsu   国名：日本国  

記述言語：英語