Nothing Special   »   [go: up one dir, main page]

Skip to main content

Advertisement

Log in

Telehealth and ubiquitous computing for bandwidth-constrained rural and remote areas

  • Original Article
  • Published:
Personal and Ubiquitous Computing Aims and scope Submit manuscript

Abstract

The information and communication technology infrastructure available in rural and remote areas may often not have the bandwidth to support all types of telehealth applications; therefore, for example, some traditionally envisaged videoconferencing-based telehealth applications may not be able to be used or not used in their anticipated form at this time. While the level of broadband services available may impose limitations on these types of telehealth applications, in this review article, we identify applications that allow the maximizing of telehealth benefits in the presence of low-bandwidth connectivity and have potential benefits well-matched to rural and remote area healthcare challenges. In particular, we include consideration of how ubiquitous computing might potentially bring non-traditional approaches to telehealth that can also come into usage more immediately in bandwidth-constrained rural and regional areas. In this article, we review the benefits of ubiquitous computing for rural and remote telehealth including social media-based preventative, peer support and public health communication, mobile phone platforms for the detection and notification of emergencies, wearable and ambient biosensors, the utilization of personal health records including in conjunction with mobile and sensor platforms, chronic condition care and management information systems, and mobile device–enabled video consultation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Grundy BL, Crawford P, Jones PK et al (1977) Telemedicine in critical care: an experiment in health care delivery. J Am Coll Emerg Physicians 6(10):439–444

    Article  Google Scholar 

  2. Field MJ (ed) (1996) Telemedicine: a guide to assessing telecommunications in health care. National Academy Press, Washington

    Google Scholar 

  3. Banks G, Togno J (1999) Telehealth in Australia: equitable. health care for older people in rural and remote areas. Paper presented at 5th national rural health conference 14–17 March, Adelaide

  4. Gagnon M-P, Duplantie J, Fortin J-P, Landry R (2006) Implementing telehealth to support medical practice in rural/remote regions: what are the conditions for success? Implement Sci 1(1):18

    Article  Google Scholar 

  5. Moehr JR, Schaafsma J, Anglin C, Pantazi SV, Grimm NA, Anglin S (2006) Success factors for telehealth—a case study. Int J Med Inform 75(10–11):755–763

    Article  Google Scholar 

  6. Jennett PA, Andruchuk K (2001) Telehealth: ‘real life’ implementation issues. Comput Methods Programs Biomed 64(3):169–174

    Article  Google Scholar 

  7. Broens T et al (2007) Determinants of successful telemedicine implementations: a literature study. J Telemed Telecare 13(6):303–309

    Article  Google Scholar 

  8. Whitacre BE, Mills BF (2007) Infrastructure and the rural-urban divide in high-speed residential internet access. Int Reg Sci Rev 30(3):249–273

    Article  Google Scholar 

  9. Brière S, Boissy P, Michaud F (2009) In-home telehealth clinical interaction using a robot. Proceedings of the 4th ACM/IEEE international conference on Human robot interaction. ACM, La Jolla

  10. Çavusoglu MC, Williams W, Tendick F, Sastry SS (2003) Robotics for telesurgery: second generation Berkeley/UCSF laparoscopic telesurgical workstation and looking towards the future applications. Ind Robot Int J 30(1):22–29

    Article  Google Scholar 

  11. Steele R (2011) Social media, mobile devices and sensors: categorizing new techniques for health communication. The 5th international conference on sensing technology, Palmerston North, New Zealand

  12. Lai AM, Kaufman DR, Starren J, Shea S (2009) Evaluation of a remote training approach for teaching seniors to use a telehealth system. Int J Med Inform 78(11):732–744

    Article  Google Scholar 

  13. Wilson LQ, Qiao RY, Li J, Percival T, Stapleton S (2004) Broad band technologies for critical care telehealth. In: Walduck K, Cesnik B, Chu S (eds) HIC 2004: Proceedings. Brunswick East, Vic.: Health Informatics Society of Australia, pp 153–156

  14. American Roentgen Ray Society (2009) Teleradiology offers CT colonography to rural areas. http://www.arrs.org/Pressroom/info.cfm?prID=373

  15. Williams R (2010) Neurology at a distance. Lancet Neurol 9(4):346–347

    Article  Google Scholar 

  16. Bahensky JA, Jaana M, Ward MM (2008) Health care information technology in rural America: electronic medical record adoption status in meeting the national agenda. J Rural Health 24(2):101–105

    Article  Google Scholar 

  17. Curran V, Fleet L, Kirby F (2006) Factors influencing rural health care professionals’ access to continuing professional education. Aust J Rural Health 14(2):51–55

    Article  Google Scholar 

  18. Kim Y, Phong L, Park W, Kim K, Rha K (2009) Laboratory-level telesurgery with industrial robots and haptic devices communicating via the internet. Int J Precis Eng Manuf 10(2):25–29

    Article  Google Scholar 

  19. Rayman R, Croome K, Galbraith N et al (2007) Robotic telesurgery: a real-world comparison of ground- and satellite-based internet performance. Int J Med Robot Comp Assist Surg 3(2):111–116

    Article  Google Scholar 

  20. National Broadband Network (2011) http://www.nbn.gov.au/. Accessed 28 Dec 2011

  21. Australian IT (2011) http://www.theaustralian.com.au/australian-it/government/nbn-given-two-year-deadline-extension/story-fn4htb9o-1226027907420. Accessed 28 Dec 2011

  22. WiMAX Forum (2011) http://www.wimaxforum.org/. Accessed July 2011

  23. IEEE 802.20 Working Group (2011) IEEE 802.20 mobile broadband wireless access (MBWA). http://grouper.ieee.org/groups/802/20/Documents.htm. Accessed July 2011

  24. The Regional Telecommunications Independent Review Committee (2008) Framework for the future Canberra, ACT

  25. Australian Bureau of Statistics (2007) Patterns of internet access in Australia, 2006. http://www.abs.gov.au/ausstats/abs@.nsf/mf/8146.0.55.001. Accessed 28 Dec 2011

  26. Statistics Canada (2008) Canadian internet use survey

  27. Rashid U, Woo W (2006) Personal information disclosure management in smart home tele health care. The 4th International Symposium of Ubiquitous VR 93–94

  28. Kumar S, Kambhatla K, Hu F, Lifson M, Xiao Y (2008) Ubiquitous computing for remote cardiac patient monitoring: a survey. Int J Telemed Appl 2008:1–20

    Article  Google Scholar 

  29. Vassis D, Belsis P, Skourlas C, Pantziou G (2010) Providing advanced remote medical treatment services through pervasive environments. Personal Ubiquitous Comput 14(6):563–573

    Google Scholar 

  30. Mynatt ED, Abowd GD, Marykina L, Kientz JA (2010) Chapter two: understanding the potential of ubiquitous computing for chronic disease management. In: Hayes B, Aspray W (eds) Health informatics: a patient centred approach to diabetes. MIT Press, Cambridge

    Google Scholar 

  31. Pan E, Cusack C, Hook J et al (2008) The value of provider-to-provider telehealth. Telemed e-Health 14(5):446–453

    Article  Google Scholar 

  32. Howard A (2001) Clinical call centres: does low-bandwidth video have a place? J Telemed Telecare 7(suppl 2):14–16

    Article  Google Scholar 

  33. Malagodi M, Schmeler MR, Shapcott NG, Pelleschi T (1998) The use of telemedicine in assistive technology service delivery: results of a pilot study. Technol Special Interest Sect Q 8:1–4

    Google Scholar 

  34. Ricketts T (2000) The changing nature of rural health care. Annu Rev Public Health 21:639–657

    Article  Google Scholar 

  35. Bailey JM (2008) The top 10 rural issues for health care reform. Center for rural affairs. http://files.cfra.org/pdf/Ten-Rural-Issues-for-Health-Care-Reform.pdf. Accessed 28 Dec 2011

  36. Parr B 40% of all tweets come from mobile. Mashable, URL: http://mashable.com/2011/01/07/40-of-all-tweets-come-from-mobile/. Accessed 30 June 2011

  37. Evans B (2011) Facebook’s 300m app users. http://www.ben-evans.com/post/14858334056/facebooks-300m-app-users. Accesses 29 Dec 2011

  38. Swan M (2009) Emerging patient-driven health care models: an examination of health social networks, consumer personalized medicine and quantified self-tracking. Int J Environ Res Public Health 6(2):492–525

    Article  Google Scholar 

  39. Brownstein C, Brownstein J, Williams D, Wicks P, Heywood J (2009) The power of social networking in medicine. Nat Biotechnol 27(10):888–890

    Article  Google Scholar 

  40. Frost J, Massagli M (2008) Social uses of personal health information within PatientsLikeMe, an online patient community: what can happen when patients have access to one another’s data. J Med Internet Res 10(3):e15

    Article  Google Scholar 

  41. Kwak H, Lee C, Park H and Moon S (2010) What is twitter, a social network or a news media? Int’l World Wide Web Conference (WWW 2010)

  42. Whitelaw B (2011) NHS Direct considers targeted ads on Facebook and Twitter. http://www.guardian.co.uk/healthcare-network/2011/jun/17/nhs-direct-facebook-status-twitter-advertising. Accessed 30 June 2011

  43. Scanfeld D, Scanfeld V, Larson E (2011) Dissemination of health information through social networks: Twitter and antibiotics. Am J Infect Control 38(3):182–188

    Article  Google Scholar 

  44. Chatterjee S, Price A (2009) Healthy living with persuasive technologies: framework, issues and challenges. J Am Med Inform Assoc 16:171

    Article  Google Scholar 

  45. Petersen S, Peto V, Rayner M (2004) Coronary heart disease statistics 2004. British Heart Foundation, London

    Google Scholar 

  46. Dabiri F, Massey T, Noshadi H, Hagopian H, Lin CK, Tan R, Schmidt J, Sarrafzadeh M (2009) A telehealth architecture for networked embedded systems: a case study in in vivo health monitoring. IEEE Trans Inf Technol Biomed 13(3):351–359

    Article  Google Scholar 

  47. Steele R, Lo A, Secombe C, Wong YK (2009) Elderly persons’ perception and acceptance of using wireless sensor networks to assist healthcare. Int J Med Inf 78(12):788–801

    Article  Google Scholar 

  48. Jara A, Zamora M, Skarmeta A (2011) An internet of things-based personal device for diabetes therapy management in ambient assisted living (AAL). Pers Ubiquit Comput 15(4):431–440

    Article  Google Scholar 

  49. Varshney U (2007) Pervasive healthcare and wireless health monitoring. Mobile Netw Appl 12:113–127

    Article  Google Scholar 

  50. Lo B, Thiemjarus S, King R, Yang GZ (2005) Body sensor network—a wireless sensor platform for pervasive healthcare monitoring. In: Adjunct proceedings of the 3rd international conference on pervasive computing, May 2005

  51. Lam SCK, Wong KL, Wong KL, Mow WH (2009) A smartphone centric platform for personal health monitoring using wireless wearable biosensors. Inf Commun Signal Process 8–10:1–7

    Google Scholar 

  52. Marshall A, Medvedev O, Antonov A (2008) Use of a smartphone for improved self management of pulmonary rehabilitation. Int J Telemed Appl 2:1–2:5

    Google Scholar 

  53. Yavuz G et al. (2010) A smartphone based fall detector with online location support. In PhoneSense’10

  54. Thompson C, White J, Dougherty B, Albright A, Schmidt D (2010) Using smartphones to detect car accidents and provide situational awareness to emergency responders. Mob Wirel Middleware Oper Syst Appl 48(1):29–42

    Article  Google Scholar 

  55. Ko J, Lu C, Srivastava M, Stankovic J, Terzis A, Welsh M (2010) Wireless sensor networks for healthcare. Proc IEEE 98(11):1947–1960

    Article  Google Scholar 

  56. Pantelopoulos A, Bourbakis NG (2010) A survey on wearable sensor-based systems for health monitoring and prognosis. IEEE Trans Syst Man Cybern Part C 40(1):1–12

    Article  Google Scholar 

  57. Steele R, Min K, Lo A (2012) Personal health record architectures: technology infrastructure implications and dependencies. J Am Soc Inf Sci Technol (forthcoming)

  58. Steele R, Garder W, Chandra D, Dillon TS (2007) Framework and prototype for a secure XML-based electronic health record system. Int J Electronic Healthc 3(2):151–174

    Article  Google Scholar 

  59. Dellifraine J, Dansky K (2008) Home-based telehealth: a review and meta-analysis. J Telemed Telecare 14(2):62–66

    Article  Google Scholar 

  60. Wartzek T, Eilbrecht B, Lem J, Lindner HJ, Leonhardt S, Walter M (2011) ECG on the road: robust and unobtrusive estimation of heart rate. IEEE Trans Biomed Eng 58(11):3112–3120

    Article  Google Scholar 

  61. Steele R, Min K (2010) HealthPass: Fine-grained access control to portable personal health records. 24th IEEE international conference on advanced information networking and applications. Perth, 20–23 April 2010

  62. Steele R, Tao W (2008) MobiPass: a passport for mobile business. Pers Ubiquit Comput 11(3):157–169

    Article  Google Scholar 

  63. Clarke A, Steele R (2011) How personal fitness data can be re-used by smart cities. the seventh international conference on intelligent sensors, sensor networks and information processing (ISSNIP 2011), Adelaide, 6–9 Dec 2011

  64. Steele R, Lo A (2009) Future personal health records as a foundation for computational health. computational science and its applications—ICCSA 2009, Lecture notes in computer science, vol 5593, pp 719–733

  65. Kohlhoff C, Steele R (2004) Evaluating soap for high performance applications in capital markets. Int J Comp Syst Sci Eng 19(4):241–251

    Google Scholar 

  66. Bringewatt R (1998) Healthcare’s next big hurdle. Healthc Forum J, 1 Sep 1998. http://www.healthforum.com. Accessed 30 Jun 2011

  67. Center for Disease Control (2011) Chronic diseases: the power to prevent, the call to control: at a glance 2009. http://www.cdc.gov/chronicdisease/resources/publications/AAG/chronic.htm. Accessed 30th June 2011

  68. Estrin D, Sim I (2010) Open Health architecture: an engine for health care innovation. Science 330:759–760

    Article  Google Scholar 

  69. Lyles CR, Harris LT, Le T, Flowers J, Tufano J, Britt D et al (2011) Qualitative evaluation of a mobile phone and web-based collaborative care intervention for patients with type 2 diabetes. Diabetes Technol Ther 13(5):563–569

    Article  Google Scholar 

  70. Duncan JM et al (2011) PDA+: a personal digital assistant for obesity treatment—an RCT testing the use of technology to enhance weight loss treatment for veterans. BMC Public Health 2011(11):223

    Article  Google Scholar 

  71. Obermayer JL, Riley WT, Asif O, Jean-Mary J (2004) College smoking-cessation using cell phone text messaging. J Am College Health 53:71–78

    Article  Google Scholar 

  72. McKethan A, Graham-Jones P, Fatami P (2011) New mobile app will use texting for diabetes management. http://www.healthit.gov/buzz-blog/beacon-community-program/mobile-app-texting-diabetes-management/. Accessed 28 Dec 2011

  73. Armstrong D et al (2011) FaceTime for physicians: using real time mobile phone-based videoconferencing to augment diagnosis and care in telemedicine. Eplasty 11:e23

    MathSciNet  Google Scholar 

  74. Technology News. Apple iPhone 4 Facetime uses 3MB per minute. http://2tech.org/071157/apple-iphone-4-facetime-uses-3mb-per-minute/. Accessed 30 Dec 2011

  75. Hartmann D (2009) Telepresence bandwidth requirements. http://globalknowledgeblog.com/technology/unified-communications/telepresence-bandwidth-requirements/. Accessed 28 Dec 2011

  76. Access Economics (2010) Financial and externality impacts of high-speed broadband for telehealth. In: Department of Broadband Communications and the Digital Economy (ed) 2010

  77. Fostering independence through technology act of 2011 http://www.govtrack.us/congress/bill.xpd?bill=s112-501. Accessed 28 Dec 2011

  78. USDA awards 34 rural telemedicine grants. http://www.govhealthit.com/news/usda-awards-34-rural-telemedicine-grants. Accessed 28 Dec 2011

  79. Australian telehealth network launches its video consultation services in partnership with BCS Global and Vidyo. http://www.sfgate.com/cgi-bin/article.cgi?f=/g/a/2011/12/13/prweb9033259.DTL. Accessed 30 Dec 2011

  80. Medicare Telehealth (2011) Australian government, Department of Human Services. http://www.medicareaustralia.gov.au/provider/incentives/telehealth.jsp. Accessed 30 Dec 2011

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Robert Steele.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Steele, R., Lo, A. Telehealth and ubiquitous computing for bandwidth-constrained rural and remote areas. Pers Ubiquit Comput 17, 533–543 (2013). https://doi.org/10.1007/s00779-012-0506-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00779-012-0506-5

Keywords

Navigation