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Digitalization of health care in low- and middle-income countries.
Bull World Health Organ
February 2025
Faculty of Bioethics, Universidad Anahuac México, Mexico City, Mexico.
The rising incidence of noncommunicable diseases, combined with the costs of mitigating climate change, sovereign debt and regional conflicts, is undermining global health security and threatening progress towards achieving the sustainable development goals of the United Nations. The negative impact of these polycrises is disproportionately borne by low- and middle-income countries, which have the highest disease burden and lowest health-care spending. Health digitalization is emerging as a promising countermeasure, accelerated by artificial intelligence (AI) software and quantum computing hardware.
View Article and Find Full Text PDFSelf-sovereign management scheme of personal health record with personal data store and decentralized identifier.
Comput Struct Biotechnol J
November 2024
Intellicode Cooperation, Republic of Korea.
Conventional personal health record (PHR) management systems are centralized, making them vulnerable to privacy breaches and single points of failure. Despite progress in standardizing healthcare data with the FHIR format, hospitals often lack efficient platforms for transferring PHRs, leading to redundant tests and delayed treatments. To address these challenges, we propose a decentralized PHR management system leveraging Personal Data Stores (PDS) and Decentralized Identifiers (DIDs) in line with the Web 3.
View Article and Find Full Text PDFDecisions about Medical Treatment and Care, the Legality Assumptions and Sovereign Power - Empowering Patients Out of the State of Bare Life?
J Law Med
November 2024
Menzies Health Institute Queensland, Griffith University, Queensland, Australia.
The framing of patients making decisions about their medical treatment and care as traditional legal decisions, thresholds and formalities is a means to avoid legal liabilities through a rationalisation of decision-making, autonomy and choice. A credible account for the actual place of patients posits the sovereign power (founded in the works of Carl Schmitt and Giorgio Agamben) of the health care professional deciding the state of exception - a discrete legal space where the authority of health care professionals is both lawful and beyond the law. This reveals that dealing with broadly conceived consent issues with more law, more process and procedure but without addressing the inherent legality assumptions that empower health care professionals will always be flawed.
View Article and Find Full Text PDFSoulbound Tokens: Enabler for Privacy-Aware and Decentralized Authentication Mechanism in Medical Data Storage.
Blockchain Healthc Today
August 2024
Department of Computer Science, University of Salerno, Fisciano, Italy.
Context: The digitalization of the healthcare sector faces significant challenges due to the diverse representation of data and their distribution across various hospitals. Moreover, security is a key concern as healthcare-related data are subject to the legal obligations of General Data Protection Regulation (GDPR) and similar data protection legislation. Standardization efforts like Health Level Seven (HL7) have been implemented to enhance data interoperability.
View Article and Find Full Text PDFPUBLIC HEALTH AND MEDICAL CARE CONDITIONS DURING THE GREEK INDEPENDENCE WAR (1821).
Acta Med Hist Adriat
July 2024
Microbiology Department, Medical Faculty & Aretaieio University Hospital, National and Kapodistrian University of Athens, Athens, Greece E-mail:
Τhe 1821 Greek War of Independence, following 400 years under Turkish occupation, resulted, after long-term sacrifices, in the establishment of Greece as a sovereign nation-state, marking the first in the autocratic Europe of the time. The poor public health and the lack of doctors, medical supplies, safe water, food, and sewage favored the outbreak of epidemics. The Greek cause attracted worldwide support, and a great number of philhellenes, physicians, and aristocrats offered services and even their lives on the battlefields.
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