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Concludes that there is little uptake of psychological interventions for depression. Strategies currently in development that could change this include single session interventions and task sharing which involves using lay counsellors to deliver the intervention. Digital interventions could improve access to treatment and have shown some positive outcomes.
This study examines whether a mobile health patient reported outcome app integrated in the electronic health record (EHR) can reduce visit volume for rheumatoid arthritis. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Digital health was given impetus by the COVID-19 pandemic and demonstrated its potential for the delivery of safe care in the community. ... Continued attention is required to meet the needs of those without access to digital technology and its use.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Digital technologies can change how health and care organisations are structured and how they work. They can have an impact on who leaders or staff can reach and hear from: staff can be engaged over longer periods of time and across wider groups of colleagues, and leaders can quantify perceptions of services and reduce their dependency on anecdotal information.
Although search engines sometimes highlight specific search results relevant to health, many resources remain underpromoted.5 AI assistants may have a greater responsibility to provide actionable information, given their single-response design. Partnerships between public health agencies and AI companies must be established to promote public health resources with demonstrated effectiveness. For instance, public health agencies could disseminate a database of recommended resources, especially since AI companies potentially lack subject matter expertise to make these recommendations, and these resources could be incorporated into fine-tuning responses to public health questions. New regulations, such as limiting liability for AI companies who implement these recommendations, since they may not be protected by 47 US Code § 230, could encourage adoption of government recommended resources by AI companies.
For health and social care to benefit from digital technologies there needs to be a vibrant ecosystem with innovations that are problem-led and rapid to implement, while using the best evidence-based technology. The evolution of the ecosystem is far from this ideal and risks being shaped by dysfunction.
The design, development, implementation and use of digital technologies in health and care can be considered to be an ecosystem made up of provider organisations, staff, patients, carers, innovators, regulators, researchers, charities and suppliers. It’s a complex ecosystem with many interacting parts, each one with different incentives and aspirations that can make them pull in slightly different directions. If the ecosystem is healthy, it should create a number of benefits for all parts of the system.
“The real differentiator here is the acquisition strategy, with a lot of competition -- a lot of ‘fly before you buy’ -- built in,” CSIS' Tom Karako says. “The relatively longer NGI development timeline for homeland ballistic missile defense can be mitigated by near-term improvements” in ground missile defense.
J. Abbate. MIT Press, Cambridge, MA, (1999)Provides a good overview over the history of the Internet.
Use of the Internet has grown tremendously in a very short time and we take much of it for granted. We shop online, bank online, purchase airline tickets and make hotel reservations online, all at the click of a mouse through the World Wide Web, a graphical application for using the Internet. But how did the Internet get its start?
In Inventing the Internet, Janet Abbate tells the tale of the creation and evolution of the Internet beginning in the late 1960s with the development of a revolutionary concept for transferring data called packet switching developed simultaneously by Paul Baran of the Rand Corporation in the U.S. and Donald Davies of the National Physics Laboratory in Great Britain.
Abbate discusses the challenges faced by the Advanced Research Projects Agency (ARPA) in creating ARPANET, the first wide-scale computer network. ARPA's challenges ranged from utilizing the new and unproven technique of packet switching to connecting a wide variety of incompatible computers to the fledgling network. Packet switching proved to be a success but as Abbate points out, it is hard to say if packet switching made ARPANET a success or if ARPANET made packet switching a success. Abbate explains the efforts of several organizations that went into developing international standards that were necessary for the Internet to become as successful as it has become.
Abbate also explores the social issues surrounding the creation and development of the Internet; issues such as the cooperation necessary between the builders and the users of ARPANET in the 1970s and 80s that made ARPANET more user friendly to how the users themselves saved the ARPANET and ultimately the Internet through the popularization of an unlikely application. Abbate states 'had the ARPANET's only value been as a tool for resource sharing, the network might be remembered today as a minor failure rather than a spectacular success. But the network users unexpectedly came up with a new focus for network activity: electronic mail.'
Abbate delves into the popularization of the Internet through such applications such as the World Wide Web and how private enterprises including Internet service providers such as America Online, CompuServe and Prodigy quickly transformed the Internet from a dull, text-only entity to a glitzy, graphically oriented medium. The World Wide Web exponentially added to this popularization by providing an application that was not only easy to use but also wildly entertaining to both expert and novice users alike.
Abbate presents this history of the Internet in an easy-to-read style that is both entertaining and informative. Inventing the Internet is well documented with extensive chapter notes and an excellent bibliography..