Transforming Healthcare: The Rise and Impact of Wearable Medical Devices in Remote Health Monitoring
The
past few years have seen a major shift in the healthcare sector, propelled by
rapid technological growth and a strengthening focus on care tailored to the
individual patient. Wearable medical devices—once the stuff of science
fiction—have, in recent times, become entirely commonplace, and they occupy a
critical role in the remote monitoring of human health (Lewis, 2020; Baig et
al., 2017). Medical professionals have at their disposal not only a suite of
facts and figures that describe a patient's condition but also a willful
patient capable of helping them keep tabs on all manners of medical maladies.
In this article, we describe the several recent advancements in these devices,
wherein "recent" is a term that generally means "within this
decade."
Evolution of Wearable Medical Devices
Medical
devices that can be worn on the body have come a long way from the simple forms
of fitness trackers to the highly sophisticated systems we encounter today
(Patel et al., 2012). These were mostly basic health devices of the past: If
you wanted to track your steps, you'd wear a pedometer; if you wanted to keep
an eye on your heart rate, you'd wear a heart rate monitor. And the next big
thing was the advent of smartwatches that were able to keep time in smart ways
while also measuring your pulse.
Technological
Advancements
The
move toward smaller, more efficient sensors has been a game-changer for the
wearable medical devices market (Teng et al., 2014). Today's sensors not only
take up less room but are also more precise, measuring vitals like heart rate,
blood pressure, and even glucose levels with medical-grade accuracy (Heikenfeld
et al., 2018). The sensors work well in some of the most tightly packed and
miniaturized environments in electronics—inside smartwatches, fitness bands,
and other accessories that you can just about wear. On top of the
miniaturization, today's devices can also communicate in real-time with your
doctor, sending data over your cellular or Wi-Fi network so they can keep an
eye on your condition and catch any worrying trends (Gao et al., 2016). Artificial
intelligence (AI) and machine learning (ML) are now revolutionizing the
analysis of health data collected from wearables. They can recognize patterns
and spot anomalies in this data, allowing them to offer AI/ML insights into the
health of patients using these devices (Gao et al., 2015). The ingenuity of the
developers of wearable health technology is also evident in the innovation of
batteries that last longer than the devices themselves. This is vital for the
function of remote monitoring, as just the act of "wearing" a
monitoring device necessitates a certain amount of freedom from the day-to-day
actions of a patient's life (Penders et al., 2015).
Impact
on Chronic Illness Management
Medical
devices that can be worn on the body are employed throughout many health and
medical applications, and they are improving just about everything in patient
care (Bonato, 2010). One of the most important domains where these devices are
making a significant impact is chronic illness management. People with chronic
diseases like diabetes, hypertension, and heart disease live with the knowledge
that their health is at perpetual risk. Even with these serious threats,
ongoing health monitoring and management is possible, thanks to the use of
wearable medical devices endowed with specialized sensors that can track a
variety of health metrics (Lee et al., 2017).
Remote
Patient Monitoring (RPM)
The
COVID-19 pandemic has spurred the adoption of a new model of care called remote
patient monitoring (RPM). This "near telehealth" allows healthcare
providers to track the vital signs of patients who are not physically present
in a medical office (Bhatia et al., 2021). The most basic implementation of RPM
is almost as futuristic as the Flintstones. It involves a healthcare provider
asking a patient to check their own vital signs—watching to see if the patient
suddenly takes a turn for the worse. Over recent years, though, the technology
behind patient monitoring has advanced considerably. RPM has gained in
popularity, particularly for use with the elderly, those in rural areas, and
post-surgical patients (Schweitzer et al., 2022).
Wellness
and Preventive Care
Even
though their main focus is on medical applications, wearable devices can
promote overall wellness and preventive care (Mittelstadt et al., 2019). These
gizmos can monitor our physical activities, sleep, and even the amount of
stress we're under—all in real time. And this data can become part of our daily
lives, just like hearing from a doctor after a physical. The kinds of things we
would talk to a doctor about can now be shared, in an ongoing way, with the
devices we wear. Some of the early research on this notion is rather striking.
Physiological markers such as heart rate variability and even our sleep can
offer important insights into our mental health (Pellegrini et al., 2012).
Integration
into Healthcare Systems
Including
medical gadgets in the healthcare system extends the numerous benefits we have
to enjoy both in the meeting of our health needs and in the providing of our
health services. They are indeed empowering. They help us take back our health
from the way it was absconded to when we were surprised by its downturn (Piwek
et al., 2016). The devices offer us a level of intimacy with our health that we
never had before. And who knows us better than the health professionals we
trust to help us find our way back to health? These devices allow for the early
detection of signs and the untimely not taking of a second (Weenk et al.,
2017).
Challenges
and Hurdles
Cost savings in healthcare can be realized when the need for hospitalizations and in-person visits is reduced. Remote health monitoring can achieve these results (Kayyali et al., 2017). Enabling early intervention, wearable devices can head off many a problem that otherwise might require costly treatment to set right. Complications can be expensive; collecting the data that wearable devices provide can help avert many of them. When we use the data collected by these devices, we have the opportunity to develop a more individualized approach to our care. These devices, then, have the potential to really make a difference in the lives of two kinds of patients: those with chronic illnesses and those whose access to healthcare is limited (Wu et al., 2015). Although health-monitoring wearables offer many advantages, they do not come without some significant hurdles to overcome if we are to adopt them on a large scale. For one, collecting and sending large amounts of delicate and vital health information raises the specter of privacy and security concerns. Who will make sure that our health data is safe from breach and unauthorized access? Keeping our health data protected will be the foundation on which any trusting relationship between health monitoring patients and electrical health record owners will stand. Or not, as the case may be (Swan, 2012). After all, no one would trust EHRs that didn't have algorithms built into them for detecting breaches for trusted EHRs' owners to know what was going on at all times. Beyond private security, health monitoring wearables have to traverse a smoggy regulatory landscape. Wearable health monitors can only be as good as their accurate, real-time readings. Maintaining the health of the intricate sensors embedded within these monitors, along with keeping the monitors free of external contaminants, is necessary to ensure accurate readings (Gao et al., 2016). However, even with proper maintenance and a contamination-free environment, wearable monitors can still lead to misinterpretation of data. This can happen if the user is not adequately engaged or informed to understand what the data means for their personal health (Morrison et al., 2017). Finally, there is the divide between the users of these monitors and the non-users, which is influenced by the patient's ability to adopt new "technologies" and also by the patient's perceived value of the technology (Thatcher et al., 2019).
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