DIGITAL TRANSFORMATION IN HEALTHCARE REHABILITATION: A NARRATIVE REVIEW
Abstract
The incorporation of digital technologies into healthcare rehabilitation is fundamentally changing patient care. This narrative study is aimed to explore the changing landscape of digital transformation in healthcare rehabilitation, concentrating on the skills and training needed for healthcare professionals, as well as their impact on patient outcomes. The narrative review progresses by delving into the history of healthcare rehabilitation, the growing role of digital technology, and their impact on rehabilitation methods. It defines the important areas of effect, goes into the applications of digital technology, and dissects the abilities required of healthcare professionals, classifying them as technical, soft, and cognitive. The review emphasizes the importance of interprofessional collaboration and skill exchange among healthcare professionals and technology. Furthermore, empirical evidence is used to examine the direct relationship between the adoption of digital technologies and patient outcomes. Ethical concerns, regulatory barriers, and efforts to bridge the digital gap and improve accessibility are explored. The narrative continues by highlighting the impact of these findings on healthcare professionals, institutions, and policymakers, and highlighting the importance of this research in the ongoing era of digital transformation.
References
Achenbach, S. J. (2020). Telemedicine: benefits, challenges, and its great potential. Health L. & Pol'y Brief, 14, 1.
Ahmad, I., Asghar, Z., Kumar, T., Li, G., Manzoor, A., Mikhaylov, K., Shah, S. A., Höyhtyä, M., Reponen, J., & Huusko, J. (2022). Emerging technologies for next generation remote health care and assisted living. Ieee Access, 10, 56094-56132.
Amjad, A., Kordel, P., & Fernandes, G. (2023). A Review on Innovation in Healthcare Sector (Telehealth) through Artificial Intelligence. Sustainability, 15, 6655.
Azodo, I., Williams, R., Sheikh, A., & Cresswell, K. (2020). Opportunities and challenges surrounding the use of data from wearable sensor devices in health care: qualitative interview study. Journal of Medical Internet Research, 22, e19542.
Babaei, N., Hannani, N., Dabanloo, N. J., & Bahadori, S. (2022). A systematic review of the use of commercial wearable activity trackers for monitoring recovery in individuals undergoing total hip replacement surgery. Cyborg and Bionic Systems.
Baldassarre, A., Mucci, N., Padovan, M., Pellitteri, A., Viscera, S., Lecca, L. I., Galea, R. P., & Arcangeli, G. (2020). The role of electrocardiography in occupational medicine, from Einthoven’s invention to the digital era of wearable devices. International Journal of Environmental Research and Public Health, 17, 4975.
Balikuddembe, J. K., & Reinhardt, J. D. (2020). Can digitization of health care help low-resourced countries provide better community-based rehabilitation services? Physical therapy, 100, 217-224.
Bashshur, R. L., & Shannon, G. W. (2009). History of telemedicine: evolution, context, and transformation, Mary Ann Liebert, Inc., Publishers.
Bhaskar, S., Bradley, S., Chattu, V. K., Adisesh, A., Nurtazina, A., Kyrykbayeva, S., Sakhamuri, S., Moguilner, S., Pandya, S., & Schroeder, S. (2020). Telemedicine as the new outpatient clinic gone digital: position paper from the pandemic health system REsilience PROGRAM (REPROGRAM) international consortium (Part 2). Frontiers in public health, 8, 410.
Bhatt, Y., & Bhatt, C. (2017). Internet of things in healthcare. Internet of things and big data technologies for next generation HealthCare, 13-33.
Bhavnani, S. P., Parakh, K., Atreja, A., Druz, R., Graham, G. N., Hayek, S. S., Krumholz, H. M., Maddox, T. M., Majmudar, M. D., & Rumsfeld, J. S. (2017). 2017 Roadmap for innovation—ACC health policy statement on healthcare transformation in the era of digital health, big data, and precision health: a report of the American College of Cardiology Task Force on Health Policy Statements and Systems of Care. Journal of the American College of Cardiology, 70, 2696-2718.
Bokolo, A. J. (2021). Application of telemedicine and eHealth technology for clinical services in response to COVID‑19 pandemic. Health and technology, 11, 359-366.
Bossen, C., & Bertelsen, P. S. (2023). Digital health care and data work: Who are the data professionals? Health Information Management Journal, 18333583231183083.
Calvo-Paniagua, J., Díaz-Arribas, M. J., Valera-Calero, J. A., Gallardo-Vidal, M. I., Fernández-De-Las-Peñas, C., López-De-Uralde-Villanueva, I., Del Corral, T., & Plaza-Manzano, G. (2022). A tele-health primary care rehabilitation program improves self-perceived exertion in COVID-19 survivors experiencing Post-COVID fatigue and dyspnea: A quasi-experimental study. PloS one, 17, e0271802.
Choukou, M.-A., Shortly, T., Leclerc, N., Freier, D., Lessard, G., Demers, L., & Auger, C. (2021). Evaluating the acceptance of ambient assisted living technology (AALT) in rehabilitation: A scoping review. International journal of medical informatics, 150, 104461.
Chu, E. C.-P., Yun, S. M. H., Hau, K. H. Y., & Piong, S. Z. (2022). Smart rehabilitation clinic. Journal of Contemporary Chiropractic, 5, 7-12.
Correia, F. D., Nogueira, A., Magalhães, I., Guimarães, J., Moreira, M., Barradas, I., Molinos, M., Teixeira, L., Pires, J., & Seabra, R. (2019). Digital versus conventional rehabilitation after total hip arthroplasty: a single-center, parallel-group pilot study. JMIR rehabilitation and assistive technologies, 6, e14523.
Da Cruz, M. M. A., Ricci-Vitor, A. L., Borges, G. L. B., Da Silva, P. F., Turri-Silva, N., Takahashi, C., Grace, S. L., & Vanderlei, L. C. M. (2021). A randomized, controlled, crossover trial of virtual reality in maintenance cardiovascular rehabilitation in a low-resource setting: impact on adherence, motivation, and engagement. Physical therapy, 101, pzab071.
Domazet, I., Zubović, J., & Lazić, M. (2018). Driving factors of Serbian competitiveness: Digital economy and ICT. Strategic management, 23(1), 20-28.
Galea, M. D. (2019). Telemedicine in rehabilitation. Physical Medicine and Rehabilitation Clinics, 30, 473-483.
Grande, D., Marti, X. L., Feuerstein-Simon, R., Merchant, R. M., Asch, D. A., Lewson, A., & Cannuscio, C. C. (2020). Health policy and privacy challenges associated with digital technology. JAMA network open, 3, e208285-e208285.
Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors international, 2, 100117.
Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2022). Medical 4.0 technologies for healthcare: Features, capabilities, and applications. Internet of Things and Cyber-Physical Systems, 2, 12-30.
Hannan, A. L., Harders, M. P., Hing, W., Climstein, M., Coombes, J. S., & Furness, J. (2019). Impact of wearable physical activity monitoring devices with exercise prescription or advice in the maintenance phase of cardiac rehabilitation: systematic review and meta-analysis. BMC Sports Science, Medicine and Rehabilitation, 11, 1-21.
Holloway, C. & Barbareschi, G. (2022). Disability interactions: creating inclusive innovations, Springer Nature.
Hughes, A., Shandhi, M. M. H., Master, H., Dunn, J., & Brittain, E. (2023). Wearable devices in cardiovascular medicine. Circulation Research, 132, 652-670.
Huhn, S., Axt, M., Gunga, H.-C., Maggioni, M. A., Munga, S., Obor, D., Sié, A., Boudo, V., Bunker, A., & Sauerborn, R. (2022). The impact of wearable technologies in health research: scoping review. JMIR mHealth and uHealth, 10, e34384.
Hwei, L. R. Y., & Octavius, G. S. (2021). Potential advantages and disadvantages of telemedicine: A literature review from the perspectives of patients, medical personnel, and hospitals. Journal of Community Empowerment for Health, 4, 228.
Jarva, E., Oikarinen, A., Andersson, J., Tuomikoski, A. M., Kääriäinen, M., Meriläinen, M., & Mikkonen, K. (2022). Healthcare professionals' perceptions of digital health competence: A qualitative descriptive study. Nursing Open, 9, 1379-1393.
Johnson, K. B., Neuss, M. J., & Detmer, D. E. (2021). Electronic health records and clinician burnout: a story of three eras. Journal of the American Medical Informatics Association, 28, 967-973.
Kaplan, B. (2020). Revisiting health information technology ethical, legal, and social issues and evaluation: telehealth/telemedicine and COVID-19. International journal of medical informatics, 143, 104239.
Karimi, H. (2020). Exploring the Soft Skills Gap of Undergraduate STEM Students Entering the Healthcare Industry: Employer Perspectives and Strategies for Improvement. Sullivan University.
Kaur, H. (2021). Digitally Enabled, Wearable Remote Patient Monitoring of Clinical Trials to Assess Patient Reported Outcomes-A Systematic Review: Shifting Paradigm from Site-Centric to Patient Centric Health Care.
Kerr, D., Butler-Henderson, K., & Sahama, T. (2019). Security, privacy, and ownership issues with the use of wearable health technologies. Cyber Law, Privacy, and Security: Concepts, Methodologies, Tools, and Applications. IGI Global.
Khan, Z. F. & Alotaibi, S. R. (2020). Applications of artificial intelligence and big data analytics in m-health: a healthcare system perspective. Journal of healthcare engineering, 2020, 1-15.
Lang, C. E., Barth, J., Holleran, C. L., Konrad, J. D., & Bland, M. D. (2020). Implementation of wearable sensing technology for movement: pushing forward into the routine physical rehabilitation care field. Sensors, 20, 5744.
Le, D.-N., Van Le, C., Tromp, J. G., & Nguyen, G. N. (2018). Emerging technologies for health and medicine: virtual reality, augmented reality, artificial intelligence, internet of things, robotics, industry 4.0.
Liao, Y., Thompson, C., Peterson, S., Mandrola, J., & Beg, M. S. (2019). The future of wearable technologies and remote monitoring in health care. American Society of Clinical Oncology Educational Book, 39, 115-121.
Liu, Z., Ren, L., Xiao, C., Zhang, K., & Demian, P. (2022). Virtual reality aided therapy towards health 4.0: A two-decade bibliometric analysis. International journal of environmental research and public health, 19, 1525.
Lu, L., Zhang, J., Xie, Y., Gao, F., Xu, S., Wu, X., & Ye, Z. (2020). Wearable health devices in health care: narrative systematic review. JMIR mHealth and uHealth, 8, e18907.
Luis-Martínez, R., Monje, M. H., Antonini, A., Sánchez-Ferro, Á., & Mestre, T. A. (2020). Technology-enabled care: integrating multidisciplinary care in Parkinson's disease through digital technology. Frontiers in Neurology, 11, 575975.
Lv, Z., & Singh, A. K. (2023). Edge-Cloud-Based Wearable Computing for Automation Empowered Virtual Rehabilitation. IEEE Transactions on Automation Science and Engineering.
Mani, U. A., Kumar, M., Abbas, H., & Gupta, P. (2021). Stroke Rehabilitation and the Role of AI Tools in Physical Recovery. Hypertension Journal, 7, 153-157.
Matamala-Gomez, M., Bottiroli, S., Realdon, O., Riva, G., Galvagni, L., Platz, T., Sandrini, G., De Icco, R., & Tassorelli, C. (2021). Telemedicine and virtual reality at time of COVID-19 pandemic: an overview for future perspectives in neurorehabilitation. Frontiers in Neurology, 12, 646902.
Mishra, R. K. K. P. K., & Kumar, C. S. S. (2023). Artificial Intelligence IoT and Blockchain for Rehabilitation Sciences, Blue Rose Publishers.
Mitchell, M., & Kan, L. (2019). Digital technology and the future of health systems. Health Systems & Reform, 5, 113-120.
Mukhopadhyay, S. C., Tyagi, S. K. S., Suryadevara, N. K., Piuri, V., Scotti, F., & Zeadally, S. (2021). Artificial intelligence-based sensors for next generation IoT applications: A review. IEEE Sensors Journal, 21, 24920-24932.
Murad, A. U. (2019). Critical success factors of technology transfer: an investigation into the health sector of Bangladesh.
Odetunde, M. O., Binuyo, O. T., Maruf, F. A., Ayenowowon, S. O., Okonji, A. M., Odetunde, N. A., & Mbada, C. E. (2020). Development and feasibility testing of video home based telerehabilitation for stroke survivors in resource limited settings. International journal of telerehabilitation, 12, 125.
Opele, J. K. (2017). Knowledge management practices, interprofessional collaboration, information technology application and quality health service delivery in Federal Tertiary Hospitals in Nigerian. Doctoral Thesis Submitted to the Department of Information Resources ….
Palozzi, G., & Ranalli, F. (2023). Telemedicine Implementation Between Innovation and Sustainability: An Operating Model for Designing Patient-Centered Healthcare. Human-Centered Service Design for Healthcare Transformation: Development, Innovation, Change. Springer.
Patrício, L., Sangiorgi, D., Mahr, D., Čaić, M., Kalantari, S., & Sundar, S. (2020). Leveraging service design for healthcare transformation: Toward people-centered, integrated, and technology-enabled healthcare systems. Journal of Service Management, 31, 889-909.
Pereira, M. F., Prahm, C., Kolbenschlag, J., Oliveira, E., & Rodrigues, N. F. (2020). Application of AR and VR in hand rehabilitation: A systematic review. Journal of Biomedical Informatics, 111, 103584.
Pillai, A. S., & Mathew, P. S. (2019). Impact Of Virtual Reality In Healthcare: A Review. Virtual And Augmented Reality In Mental Health Treatment, 17-31.
Rose, T., Nam, C. S., & Chen, K. B. (2018). Immersion of virtual reality for rehabilitation - Review. Applied Ergonomics, 153-161.
Rubin, D. S., Severin, R., Arena, R., & Bond, S. (2021). Leveraging technology to move more and sit less. Progress in Cardiovascular Diseases, 64, 55-63.
Santosh, K. & Gaur, L. (2022). Artificial intelligence and machine learning in public healthcare: Opportunities and societal impact. Springer Nature.
Shaikh, T. A., Dar, T. R., & Sofi, S. (2022). A data-centric artificial intelligent and extended reality technology in smart healthcare systems. Social Network Analysis and Mining, 12, 122.
Small, C. L. (2019). Restorative virtual environments for rehabilitation: interactive technologies for enhanced recovery following critical illness and injury. University of Birmingham.
Socha-Dietrich, K. (2021). Empowering the health workforce to make the most of the digital revolution.
Sun, C., Chrysikou, E., Savvopoulou, E., Garcia, E. H., & Schieck , A. F. (2023). Healthcare Built Environment and Telemedicine Practice for Social and Environmental Sustainability. Sustainbility, 1-15.
Sun, R., Blayney, D. W., & Hernandez-Boussard, T. (2021). Health management via telemedicine: Learning from the COVID-19 experience. Journal of the American Medical Informatics Association, 28, 2536-2540.
Tiitola, V., Marek, M., Korhonen, T., & Laine, T. (2023). Enabling value-in-use with digital healthcare technologies: combining service logic and pragmatic constructivism. Journal of Management and Governance, 27, 841-871.
Van Berkel, N., Bellio, M., Skov, M. B., & Blandford, A. (2023). Measurements, algorithms, and presentations of reality: Framing interactions with AI-enabled decision support. ACM Transactions on Computer-Human Interaction, 30, 1-33.
Vasic, M. (2020). Challenges of teleworking during the COVID-19 pandemic. Anali Ekonomskog fakulteta u Subotici, 56(44), 63-79.
Vijayan, V., Connolly, J. P., Condell, J., Mckelvey, N., & Gardiner, P. (2021). Review of wearable devices and data collection considerations for connected health. Sensors, 21, 5589.
Vučenović, S. (2018). Internet of Things as innovative technology in retailing. Anali Ekonomskog fakulteta u Subotici, (39), 249-256.he evolution of digital health technologies in cardiovascular. Digital Medicine.
Vuković, B., Tica, T., & Jakšić, D. (2023). Challenges of using digital technologies in audit. Anali Ekonomskog fakulteta u Subotici.
Wisk, D. F. (2022). Digital Tools as Optimising Enablers of Quantitative Medicine and Value-Based Healthcare in a SARS-CoV-2/COVID-19 Pandemic World. Digital Disruption in Healthcare. Springer.
Wu, M., & Luo, J. (2019). Wearable technology applications in healthcare: a literature review. Online J. Nurs. Inform, 23.
Xie, Y., Lu, L., Gao, F., He, S.-J., Zhao, H.-J., Fang, Y., Yang, J.-M., An, Y., Ye, Z.-W., & Dong, Z. (2021). Integration of artificial intelligence, blockchain, and wearable technology for chronic disease management: a new paradigm in smart healthcare. Current Medical Science, 41, 1123-1133.
Zahid, A., Poulsen, J. K., Sharma, R., & Wingreen, S. C. (2021). A systematic review of emerging information technologies for sustainable data-centric health-care. International Journal of Medical Informatics, 149, 104420.
Zaree, A., Dev, S., Khan, I. Y., Arain, M., Rasool, S., Rana, M. A. K., Kanwal, K., Bhagat, R., Prachi, F., & Puri, P. (2023). Cardiac rehabilitation in the modern era: optimizing recovery and reducing recurrence. Cureus, 15.
Zwack, C. C., Haghan, M., Hollings, M., Zhang, L., Gauci, S., Gallagher, R., & Redfern, J. (2023). T Rakovic, L., Sakal, M., & Matkovic, P. (2022). Digital workplace–advantages and challenges. Anali Ekonomskog fakulteta u Subotici, 58(47), 65-78.