As telehealth plays an even greater role in global health care delivery, it will be increasingly important to develop a strong evidence base of successful, innovative telehealth solutions that can lead to scalable and sustainable telehealth programs. This paper has two aims: (1) to describe the challenges of promoting telehealth implementation to advance adoption and (2) to present a global research agenda for personalized telehealth within chronic disease management. Using evidence from the United States and the European Union, this paper provides a global overview of the current state of telehealth services and benefits, presents fundamental principles that must be addressed to advance the status quo, and provides a framework for current and future research initiatives within telehealth for personalized care, treatment, and prevention. A broad, multinational research agenda can provide a uniform framework for identifying and rapidly replicating best practices, while concurrently fostering global collaboration in the development and rigorous testing of new and emerging telehealth technologies. In this paper, the members of the Transatlantic Telehealth Research Network offer a 12-point research agenda for future telehealth applications within chronic disease management.
The growing phenomena of regional and national Internet Governance Forum (IGF) initiatives offer an opportunity to look into how various interpretations of the multistakeholder model play out in different cultural, political, and economic settings. The variety of ways in which the multistakeholderism is enacted are expressed through the organizational structures and procedures of these events, their funding mechanisms, their agendas and formats, the kind of participation they attract and enable, and their potential influence on the national, regional, or global Internet governance debates. This article is a systematic attempt to map out regional and national IGF initiatives with an emphasis on how the multistakeholder model is playing out in various contexts. This analysis builds on existing dispersed documentation of these initiatives, transcripts from meetings (such as global IGF interregional dialogs), and interviews with individuals engaged in facilitation of regional and national IGF initiatives. The goal of this exercise is to offer an empirically grounded framework for thinking about the emerging models of multistakeholder governance.
Growing awareness of both the demand for artificial intelligence (AI) expertise and of the societal impacts of AI systems has led to calls to integrate learning of ethics alongside learning of technical skills in AI courses and pathways. In this paper, we discuss our experiences developing and piloting the TechHive:AI curriculum for high school youth that integrates AI ethics and technical learning. The design of the curriculum was guided by the following pedagogical goals: (1) to respond to the capacity-building need for critical sociotechnical competencies in AI workforce pathways; and (2) to broaden participation in AI pathways through intentional instructional design to center equity in learning experiences. We provide an overview of the 30-hour learning sequence’s instructional design, and our “4D Framework,” which we use as a heuristic to help students conceptualize and inspect AI systems. We then provide a focused description of one of three 8-hour modules that make up the sequence. Finally, we present evidence of promise from an exploratory study of TechHive:AI with a small sample of students, and discuss insights from implementation, including from our use of established resources for AI learning within the learning sequence as well as those created by our team.
Telecommunication technologies have been used to bring healthcare expertise to the point of care since the 19th century. In 1878, The Lancet reported the use of the telephone to reduce unnecessary physician visits and, in 1910, a tele-stethoscope had already been described.1 During the mid-20th century, NASA (National Aeronautics and Space Administration) used remote monitoring systems to measure astronauts’ physiological functions. The Space Technology Applied to Rural Papago Advanced Health Care project further developed this field with the Papago Indians in the southwestern U.S.2 However, the greatest strides in remote monitoring technologies for telehealth have occurred over the last 10 years, with a growing evidence base showing their effectiveness in the management of chronic disease.
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