Método sistémico-transdisciplinar para el diseño de dispositivos eHealth
DOI:
https://doi.org/10.46842/ipn.cien.v24n1a04Palabras clave:
soluciones eHealth, metodología, enfoque de sistemas, factor humano, transdisciplinariedadResumen
eHealth ha permitido mejorar el desempeño de múltiples sistemas de salud alrededor del mundo, a través de estrategias nacionales de integración (estructurada y coordinada) de las Tecnologías de Información y Comunicación (TIC) al sector salud, sin embargo, una vez establecidas las bases para desarrollar e implementar soluciones eHealth, no existe un único camino para que los investigadores, ingenieros, médicos y otros interesados trabajen sobre la creación de soluciones eHealth. Por esta razón, se propone un método con enfoque sistémico-transdisciplinario para el diseño de dispositivos eHealth, con la intención de satisfacer los requerimientos y las necesidades de todos los involucrados en el uso del dispositivo, así como, con la normativa establecida en los diferentes países. A partir del enfoque sistémico y transdisciplinar, se plantea la elaboración de un método que una sinérgicamente distintos métodos sistémicos, que permita la continua colaboración y compartición de experiencias de los involucrados. En consecuencia, el método permitirá el diseño de dispositivos eHealth que, sin importar su uso, estén apegados a las necesidades del usuario, requerimientos del personal que lo utilizará, normativas y reglamentación del país donde se desarrollen y que brinden la satisfacción total en el dispositivo. Finalmente, el diseño de soluciones eHealth a través del pensamiento sistémico permite, a partir del análisis de las necesidades y requerimientos, entregar un producto que satisfaga a todos los involucrados y sea sustentable, a través de la exploración de diversas perspectivas, la observación del contexto, la participación de los involucrados, discusión y concordancia de intereses.
Referencias
N. S. Shivakumar, M. Arora, M. Mani, "A Proposed Design of an Universal Electrochemical Reader Based on a Collated Medical Device Innovation Framework and Systems Thinking," Proc. 4th Int. Conf. Biosignals, Images Instrumentation, ICBSII 2018, no. March, pp. 206-212, 2018.
J. Bedson et al., "Development and validation of a pain monitoring app for patients with musculoskeletal conditions (The Keele pain recorder feasibility study)," BMC Med. Inform. Decis. Mak., vol. 19, no. 1, pp. 1-13, 2019.
S. Vitabile et al., "Medical Data Processing and Analysis for Remote Health and Activities Monitoring," in High-Performance Modelling and Simulation for Big Data Applications, European Cooperation in Science and Technology, Springer Open, 2019, pp. 186-220.
S. Rihana, Medical Devices Design: Vital Sign Monitoring Case Study, Springer, Singapore, 2019, pp. 253-266.
J. Kildea et al., "Design and Development of a Person-Centered Patient Portal Using Participatory Stakeholder Co-Design," J. Med. Internet Res., vol. 21, no. 2, p. e11371, 2019.
World Health Organization, Aplicación del pensamiento sistémico al fortalecimiento de los servicios de salud. Francia: Alianza para la Investigación en Políticas y Sistemas de Salud, 2009.
R. L. Ackoff, J. N. Warfield, "Redesigning the Future, a Systems Approach to Societal Problems," IEEE Trans. Syst. Man. Cybern., vol. 7, no. 10, pp. 759-759, 1977.
P. Checkland, J. Poulter, Learning for Action: A Short Definitive Account of Soft Systems Methodology, and Its Use Practitioners, Teachers and Students. USA: John Wiley & Sons, 2007.
G. Eysenbach, "What is e-health?," J. Med. Internet Res., vol. 3, no. 2, pp. 1-5, 2001.
World Health Organization, "eHealth," eHealth, 2017. [Online]. Available: http://www.emro.who.int/health-topics/ehealth. [Accessed: 22-Mar-2017].
R. E. Scott, M. Mars, "Principles and Framework for eHealth Strategy Development," J. Med. Internet Res., vol. 15, no. 7, p. e155, Jul. 2013.
S. Sauermann et al., eHealth Strategies -Scientific review Report considering national an regional eHealth strategies and results from science, Viena, Austria, 2016.
World Health Organization and International Telecommunication Union, "National eHealth Strategy Toolkit," World Heal. Assem. Resolut. ITU World Telecom Dev. Conf. Resolut., pp. 1-2, 2012.
L. Von Bertalanffy, "The History and Status of General Systems Theory.," Acad. Manag. J., vol. 15, no. 4, pp. 407-426, 1972.
J. de Rosnay, The macroscope: a new world scientific system. California, USA: Harper & Row, 1979.
A. Gay, Los sistemas y el enfoque sistémico, Semin. Iberoam. Estud. Socioeconómicos, p. 12, 1995.
A. Laszlo, S. Krippner, "Systems theories: Their origins, foundations, and development," in Systems Theories and A Priori Aspects of Perception, vol. 126, J.S. Jordan, Amsterdam: Elsevier Science B.V., 1998, pp. 47-74.
R. D. Arnold, J. P. Wade, "A definition of systems thinking: A systems approach," Procedia Comput. Sci., vol. 44, no. C, pp. 669-678, 2015.
J. Piaget, "L'Epistémologie des Relations Interdisciplinaires," L'interdisciplinarité problèmes d'enseignement Rech. dans les Univ., pp. 155-171, 1972.
B. Nicolescu, "Methodology of Transdisciplinarity - Levels of Reality, Logic of the Included Middle and Complexity," Transdiscipl. J. Eng. Sci., vol. 1, no. 1, pp. 19-38, 2010.
B. Nicolescu, "Methodology of transdisciplinarity," World Futures, vol. 70, no. 3-4, pp. 186-199, 2014.
J. H. Bernstein, Transdisciplinarity?: A Review of Its Origins, Development, and Current Issues, 2016.
M. C. Jackson, Critical Systems Thinking and the Management of Complexity. Chichester, UK: Wiley & Sons, 2019.
A. Tariq, A. Tanwani, M. Farooq, "User Centered Design of E-Health Applications for Remote Patient Management," Hum. Factors, June, 2009.
L. Van Velsen, J. Wentzel, J. E. Van Gemert-Pijnen, "Designing eHealth that Matters via a Multidisciplinary Requirements Development Approach," JMIR Res. Protoc., vol. 2, no. 1, p. e21, Jun. 2013.
N. Celik, W. Balachandran, N. Manivannan, E. M. Winter, B. Schnalzer, H. Burgsteiner, "Wearable mobile ear-based ECG monitoring device using graphene-coated sensors," Proc. IEEE Sensors, vol. December, pp. 1-3, 2017.
B. Verhees, K. Van Kuijk, and L. Simonse, "Care model design for E-health: Integration of point-of-care testing at dutch general practices," Int. J. Environ. Res. Public Health, vol. 15, no. 1, pp. 1-16, 2018.
A. M. P. Almeida, H. S. Almeida, M. Figueiredo-Braga, "Mobile solutions in depression: Enhancing communication with patients using an SMS-based intervention," Procedia Comput. Sci., vol. 138, pp. 89-96, 2018.
M. Sousa et al., "A platform to support the care and assistance of community-dwelling older adults," Procedia Comput. Sci., vol. 138, pp. 197-202, 2018.
K. Monteiro, E. Rocha, E. Silva, G. L. Santos, W. Santos, P. T. Endo, "Developing an e-health system based on IoT, Fog and cloud computing," Proc. - 11th IEEE/ACM Int. Conf. Util. Cloud Comput. Companion, UCC Companion 2018, pp. 17-18, 2019.
F. Shanin et al., "Portable and Centralised E-Health Record System for Patient Monitoring Using Internet of Things (IoT)," 2018 Int. CET Conf. Control. Commun. Comput. IC4 2018, pp. 165-170, 2018.
J. L. B. Monton, A. Martinez-Millana, W. Han, C. Fernandez-Llatas, Y. Sun, V. Traver, "Wearable sensors integrated with internet of things for advancing ehealth care," Sensors (Switzerland), vol. 18, no. 6, pp. 1-18, 2018.
M. Shokrekhodaei, S. Quinones, R. Martinek, H. Nazeran, "A robust PPG-based heart rate monitor for fitness and ehealth applications," 2018 IEEE 20th Int. Conf. e-Health Networking, Appl. Serv. Heal. 2018, pp. 1-5, 2018.
L. García, J. Tomás, L. Parra, J. Lloret, "An m-health application for cerebral stroke detection and monitoring using cloud services," Int. J. Inf. Manage., vol. 45, no. May 2018, pp. 319-327, 2018.
A. Celesti et al., "How to Develop IoT Cloud e-Health Systems Based on FIWARE: A Lesson Learnt," J. Sens. Actuator Networks, vol. 8, no. 1, p. 7, Jan. 2019.
D. M. Vossebeld, E. C. N. Puik, J. E. N. Jaspers, M. J. Schuurmans, "Development process of a mobile electronic medical record for nurses: A single case study," BMC Med. Inform. Decis. Mak., vol. 19, no. 1, pp. 1-12, 2019.
P. Pierleoni et al., "A eHealth System for Atrial Fibrillation Monitoring," in Ambient Assisted Living, vol. 544, A. Leone, A. Caroppo, G. Rescio, G. Diraco, and P. Siciliano, Eds. Cham: Springer International Publishing, 2019, pp. 229-241.
M. F. Domingues et al., "Insole Optical Fiber Sensor Architecture for Remote Gait Analysis - An e-Health Solution," IEEE Internet Things J., vol. 6, no. 1, pp. 207-214, 2019.
F. S. Mair, C. May, C. O'Donnell, T. Finch, F. Sullivan, E. Murray, "Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review," Bull. World Health Organ., vol. 90, no. 5, pp. 357-364, May 2012.
J. Ross, F. Stevenson, R. Lau, E. Murray, "Factors that influence the implementation of e-health: A systematic review of systematic reviews (an update)," Implement. Sci., vol. 11, no. 1, pp. 1-12, 2016.
C. Granja, W. Janssen, M. A. Johansen, "Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature," J. Med. Internet Res., vol. 20, no. 5, p. e10235, May 2018.
M. B. Privitera, M. Evans, and D. Southee, "Human factors in the design of medical devices - Approaches to meeting international standards in the European Union and USA," Appl. Ergon., vol. 59, pp. 251-263, 2017.
C. Bach, M. Tamsin, "The Design of Medical Devices," Int. J. Innov. Sci. Res., vol. 1, no. 2, pp. 127-134, 2014.
B. L. Gilman, J. E. Brewer, M. W. Kroll, "Medical device design process," Proc. 31st Annu. Int. Conf. IEEE Eng. Med. Biol. Soc. Eng. Futur. Biomed. EMBC 2009, no. September, pp. 5609-5612, 2009.
A. Çetin, "Applying Product Design Methods to Medical Device Design With a Case Study on Home Care Devices," Izmir Institute of Technology, 2004.
J. L. Martin, B. J. Norris, E. Murphy, J. A, "Medical Device Development: The Challenge for Ergonomics," Appl. Ergon., vol. 39, no. 3, pp. 271-283, 2008.
A. I. Böhmer, A. M. Zöllner, E. Kuhl, and U. Lindemann, "Medical device design process: A medical engineering perspective," Proc. Int. Des. Conf. Des., pp. 749-758, 2014.
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