Artificial intelligence and digital medicine for integrated home care services in Italy: Opportunities and limits

Cingolani, Mariano; Scendoni, Roberto; Fedeli, Piergiorgio; Cembrani, Fabio

doi:10.3389/fpubh.2022.1095001

Cited by 31 publications

(13 citation statements)

References 30 publications

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“… 26 - 29 In addition, artificial intelligence as exemplified in the evaluation of swallowing sound in patients with amyotrophic lateral sclerosis in a study, 30 can be used for remote assessment. 31 Increasing research deals with the feasibility and validity of assessment methods and the specific tools used for assessment in diverse health conditions. A scoping review aimed at identifying outcome measures used for remote assessment of motor function and participation in neurological disorders listed a considerable number of measures ranging from range of motion, upper and lower extremity function, spasticity, and balance to a variety of assessment tools using diverse methods including virtual reality and wearable sensors, asynchronous mobile applications, synchronous videoconferencing, and others.…”

Section: Resultsmentioning

confidence: 99%

“…9. It is recommended, if the patient agrees, that PRM physicians use different advanced technologies including robotic systems that make precise, cost-effective, and repeatable measurements 26 , 28 , 29 as well as artificial intelligence 30 , 31 for functional assessment [SoE: IV; 26 - 31 SoR: B].…”

Section: Recommendations For Prm Professional Practice In Telerehabil...mentioning

confidence: 99%

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Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section)

ZAMPOLINI,

ORAL,

BAROTSIS

et al. 2024

Eur J Phys Rehabil Med

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INTRODUCTION The evidence on the utility and effectiveness of rehabilitation interventions delivered via telerehabilitation is growing rapidly. Telerehabilitation is expected to have a key role in rehabilitation in the future. AIM The aim of this evidence-based position paper (EBPP) is to improve PRM physicians’ professional practice in telerehabilitation to be delivered to improve functioning and to reduce activity limitations and/or participation restrictions in individuals with a variety of disabling health conditions. METHODS To produce recommendations for PRM physicians on telerehabilitation, a systematic review of the literature and a consensus procedure by means of a Delphi process have been performed involving the delegates of all European countries represented in the UEMS PRM Section. RESULTS The systematic literature review is reported together with the 32 recommendations resulting from the Delphi procedure. CONCLUSIONS It is recommended that PRM physicians deliver rehabilitation services remotely, via digital means or using communication technologies to eligible individuals, whenever required and feasible in a variety of health conditions in favor of the patient and his/her family, based on evidence of effectiveness and in compliance with relevant regulations. This EBPP represents the official position of the European Union through the UEMS PRM Section and designates the professional role of PRM physicians in telerehabilitation.

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Section: Resultsmentioning

confidence: 99%

Section: Recommendations For Prm Professional Practice In Telerehabil...mentioning

confidence: 99%

Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section)

ZAMPOLINI,

ORAL,

BAROTSIS

et al. 2024

Eur J Phys Rehabil Med

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“…Despite this, videoconferences may interfere with fluent communication because of connection problems and they can hinder natural human interactions, as well as inhibit some non-verbal communication that is also relevant for qualitative studies. Therefore, although digitalization tools in general have proven to mitigate the burden of care for caregivers ( 49 ), they may have damaged the quality of social interaction that we pursued in this intervention.…”

Section: Discussionmentioning

confidence: 99%

Building community engagement with caregivers through online interaction and a salutogenic approach in a period of isolation

Mas-Casadesús,

de la Torre-Pérez,

Reig-Garcia

et al. 2024

Front. Med.

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BackgroundInformal caregivers are essential figures that deal with the effects of dependence in the elderly. However, they suffer from poorer health-related quality of life, particularly regarding mental health. Social support is crucial, but this was suspended or dramatically reduced during the Covid-19 pandemic. Salutogenesis theory explores the contributing factors for the promotion and maintenance of health. Considering all these, we offered caregivers the opportunity to join a participatory project aimed at creating communication spaces where they could share experiences, think together about potential solutions, and explore which salutogenic actions they used in their daily basis and how they had changed during Covid-19 restrictions.MethodsWe used a qualitative methodology with a socio-constructivist and phenomenological approach and purposive sampling. We organized two focus groups consisting of online semi-structured discussions with seven participants in total. Conversations were videotaped and transcribed and we conducted content thematic analyses using the NVivo software.ResultsCaregiving in our setting are primarily women with high levels of education that do not always feel comfortable with this load because it interferes with their personal and professional lives. The pandemic increased caregivers feelings of loneliness, resignation, and burden, directly affecting their mental health. Furthermore, the disappearance of prevention programs and the difficulties to access healthcare services produced negative consequences on the already fragile elderly and their family caregivers.ConclusionThe pandemic and its restrictions exacerbated the problematics affecting informal caregivers. Although these people are aware of their situation and have valued knowledge of how to improve their health, they cannot always put it into practice. We call policymakers to reframe interventions aimed at caregivers by introducing the voice of the community in the planning and to rethink the management of vulnerable people and their carers in other potential health crises.

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“…In addition, AI-driven natural language processing systems could facilitate remote monitoring of FVCA patients. There is evidence that AI-supported telemedicine helps improve patientreported outcomes in chronic disease care (e.g., diabetes mellitus type II, malignancies) (92,93). Currently, at least 23 U.S. institutions have established FVCA programs with some patients traveling long-distance for pre-and postoperative clinic visits (94).…”

Section: Discussionmentioning

confidence: 99%

Application possibilities of artificial intelligence in facial vascularized composite allotransplantation—a narrative review

Knoedler,

Allam

et al. 2023

Front. Surg.

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Facial vascularized composite allotransplantation (FVCA) is an emerging field of reconstructive surgery that represents a dogmatic shift in the surgical treatment of patients with severe facial disfigurements. While conventional reconstructive strategies were previously considered the goldstandard for patients with devastating facial trauma, FVCA has demonstrated promising short- and long-term outcomes. Yet, there remain several obstacles that complicate the integration of FVCA procedures into the standard workflow for facial trauma patients. Artificial intelligence (AI) has been shown to provide targeted and resource-effective solutions for persisting clinical challenges in various specialties. However, there is a paucity of studies elucidating the combination of FVCA and AI to overcome such hurdles. Here, we delineate the application possibilities of AI in the field of FVCA and discuss the use of AI technology for FVCA outcome simulation, diagnosis and prediction of rejection episodes, and malignancy screening. This line of research may serve as a fundament for future studies linking these two revolutionary biotechnologies.

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Artificial intelligence and digital medicine for integrated home care services in Italy: Opportunities and limits

Cited by 31 publications

References 30 publications

Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section)

Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section)

Building community engagement with caregivers through online interaction and a salutogenic approach in a period of isolation

Application possibilities of artificial intelligence in facial vascularized composite allotransplantation—a narrative review

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