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06.09.2024 | Review

Health Data Sciences and Cardiovascular Diseases in South Asia: Innovations and Challenges in Digital Health

verfasst von: Kartik Gupta, Vashma Junaid, Muhammad Ahmad Qureshi, Abhishek Gupta, Sana Sheikh, Mayank Dalakoti, Salim S. Virani, Adeel Khoja

Erschienen in: Current Atherosclerosis Reports | Ausgabe 11/2024

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Abstract

Purpose of Review

Health data sciences can help mitigate high burden of cardiovascular disease (CVD) management in South Asia by increasing availability and affordability of healthcare services. This review explores the current landscape, challenges, and strategies for leveraging digital health technologies to improve CVD outcomes in the region.

Recent Findings

Several South Asian countries are implementing national digital health strategies that aim to provide unique health account numbers for patients, creating longitudinal digital health records while others aim to digitize healthcare services and improve health outcomes. Significant challenges impede progress, including lack of interoperability, inadequate training of healthcare workers, cultural barriers, and data privacy concerns.

Summary

Leveraging digital health for CVD management involves using big data for early detection, employing artificial intelligence for diagnostics, and integrating multiomics data for health insights. Addressing these challenges through policy frameworks, capacity building, and international cooperation is crucial for improving CVD outcomes in region.

World Population Prospects - Population Division - United Nations. https://population.un.org/wpp/Graphs/. Accessed 19 May 2024.

Mensah GA, Fuster V, Murray CJL, Roth GA. Global burden of cardiovascular diseases and risks, 1990–2022. J Am Coll Cardiol. 2023;82(25):2350–473. https://doi.org/10.1016/j.jacc.2023.11.007.CrossRefPubMedPubMedCentral

Gupta K, Baloch F, Kakar TS, Agarwal H, Rawlley B, Khan UI, et al. The pandemic of coronary heart disease in South Asia: what clinicians need to know. Curr Atheroscler Rep. 2023;25(7):359–72. https://doi.org/10.1007/s11883-023-01110-5.CrossRefPubMed

Ahmed ST, Rehman H, Akeroyd JM, Alam M, Shah T, Kalra A, et al. Premature coronary heart disease in south asians: burden and determinants. Curr Atheroscler Rep. 2018;20(1):6. https://doi.org/10.1007/s11883-018-0706-1.CrossRefPubMed

Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet Lond Engl. 2004;364(9438):937–52.CrossRef

Volgman AS, Palaniappan LS, Aggarwal NT, Gupta M, Khandelwal A, Krishnan AV, et al. Atherosclerotic cardiovascular disease in South Asians in the United States: epidemiology, risk factors, and treatments: a scientific statement from the American Heart Association. Circulation. 2018;138(1):e1-34. https://doi.org/10.1161/cir.0000000000000580.CrossRefPubMed

Hasani WS, Muhamad NA, Hanis TM, Maamor NH, Chen XW, Omar MA, Cheng Kueh Y, AbdKarim Z, Hassan MR, Musa KI. The global estimate of premature cardiovascular mortality: a systematic review and meta-analysis of age-standardized mortality rate. BMC Public Health. 2023;23(1):1561. https://doi.org/10.1186/s12889-023-16466-1.CrossRefPubMedPubMedCentral

Global Big Data in Healthcare Market – Industry Reports. https://www.marketgrowthreports.com/global-big-data-in-healthcare-market-26537326. Accessed 14 May 2024.

WHO guideline Recommendations on Digital Interventions for Health System Strengthening. Geneva: World Health Organization; 2019. (WHO Guidelines Approved by the Guidelines Review Committee). http://www.ncbi.nlm.nih.gov/books/NBK541902/. Accessed 14 May 2024.

10.

Boniol M, Kunjumen T, Nair TS, Siyam A, Campbell J, Diallo K. The global health workforce stock and distribution in 2020 and 2030: a threat to equity and ‘universal’ health coverage? BMJ Glob Health. 2022;7(6):e009316. https://doi.org/10.1136/bmjgh-2022-009316.CrossRefPubMedPubMedCentral

11.

Internet Cost by Country 2024. https://worldpopulationreview.com/country-rankings/internet-cost-by-country. Accessed 19 May 2024.

12.

DataReportal. Global Reports. DataReportal. https://datareportal.com/reports/?tag=Global. Accessed 24 Jul 2024.

13.

Bhavnani SP, Parakh K, Atreja A, Druz R, Graham GN, Hayek SS, et al. 2017 roadmap for innovation—ACC health policy statement on healthcare transformation in the era of digital health, big data, and precision health. J Am Coll Cardiol. 2017;70(21):2696–718. https://doi.org/10.1016/j.jacc.2017.10.018.CrossRefPubMed

14.

Ajibade P. Technology acceptance model limitations and criticisms: exploring the practical applications and use in technology-related studies, mixed-method, and qualitative researches. Libr Philos Pract. 2018. https://digitalcommons.unl.edu/libphilprac/1822/. Accessed 19 May 2024.

15.

Sharma RS, Rohatgi A, Jain S, Singh D. The Ayushman Bharat Digital Mission (ABDM): making of India’s Digital Health Story. CSI Trans ICT. 2023;11(1):3–9. https://doi.org/10.1007/s40012-023-00375-0.CrossRef

16.

UHI Consultation Paper. https://abdm.gov.in:8081/uploads/UHI_Consultation_Paper_60a9201c1d.pdf. Accessed 8 July 2024.

17.

Bangladesh eHealth Standards & Interoperability Framework. https://old.dghs.gov.bd/index.php/en/e-health/our-ehealth-eservices/84-english-root/ehealth-eservice/493-bangladesh-ehealth-standards-interoperability-framework. Accessed 19 May 2024.

18.

National eHealth Strategy and Action Plan. Ministry of Health, Bhutan. https://www.moh.gov.bt/wp-content/uploads/ict-files/2020/12/National_eHealth_Strategy.pdf. Accessed 19 May 2024.

19.

Electronic Health Data Record (EHR) Standards for India. Ministry of Health & Family Welfare; 2016. https://www.nrces.in/standards/ehr-standards-for-india#intro. Accessed 19 May 2024.

20.

THE DIGITAL PERSONAL DATA PROTECTION ACT, 2023. The Gazette of India. 2023 Aug 11. https://www.meity.gov.in/writereaddata/files/Digital%20Personal%20Data%20Protection%20Act%202023.pdf. Accessed 8 July 2024.

21.

Maldives e-health Strategy 2011–2016. Ministry of Health, Maldives. http://saruna.mnu.edu.mv/jspui/bitstream/123456789/1876/1/E-Health_Strategy_2011_2016.pdf. Accessed 19 May 2024.

22.

Health Master Plan 2016 - 2025. Ministry of Health, Republic of Maldives. https://health.gov.mv/en/publications/health-master-plan. Accessed 19 May 2024.

23.

2019 DIGITAL NEPAL FRAMEWORK - Unlocking Nepal’s Growth Potential. Government of Nepal Ministry of Communication and Information Technology; https://nepalindata.com/media/resources/items/15/bEN_Digital_Nepal_Framework_V7.2March2019.pdf. Accessed 19 May 2024.

24.

Nepal e-Health Strategy Implementation Roadmap. https://old.mohp.gov.np/attachments/article/521/E-Health%20Roadmap.pdf. Accessed 19 May 2024.

25.

Pakistan Health Information System (PHIS)-Ministry of National Health Services Regulations and Coordination Government of Pakistan. http://nhsrc.pk/. Accessed 19 May 2024.

26.

Sri Lanka Digital Health Blueprint. Ministry of Health, Sri Lanka. https://www.health.gov.lk/wp-content/uploads/2023/11/Digital-Health-Blue-Print-Full-Book-01.11.2023-Final.pdf. Accessed 19 May 2024.

27.

Wang T, Zhu H, Qian S, Giunti G, Goossens R, Melles M. Designing digital patient experiences: the digital health design framework. Appl Ergon. 2024;1(119):104289. https://doi.org/10.1016/j.apergo.2024.104289.CrossRef

28.

Shams P, Hussain M, Karani S, Mahmood S, Hasan A, Siddiqi S, et al. Can Sound public health policies stem the tide of burgeoning epidemic of cardiovascular disease in South Asians? Curr Cardiol Rep. 2021;23(12):181. https://doi.org/10.1007/s11886-021-01612-1.CrossRefPubMedPubMedCentral

29.

Wei X, Hicks JP, Zhang Z, Haldane V, Pasang P, Li L, et al. Effectiveness of a comprehensive package based on electronic medication monitors at improving treatment outcomes among tuberculosis patients in Tibet: a multicentre randomised controlled trial. Lancet Lond Engl. 2024;403(10430):913–23. https://doi.org/10.1016/s0140-6736(23)02270-5.CrossRef

30.

Kumar AA, De Costa A, Das A, Srinivasa GA, D’Souza G, Rodrigues R. Mobile health for tuberculosis management in South India: is video-based directly observed treatment an acceptable alternative? JMIR MHealth UHealth. 2019;7(4):e11687. https://doi.org/10.2196/11687.CrossRefPubMedPubMedCentral

31.

Aldosari N, Ahmed S, McDermott J, Stanmore E. The use of digital health by South Asian communities: scoping review. J Med Internet Res. 2023;12(25):e40425. https://doi.org/10.2196/40425.CrossRef

32.

Addotey-Delove M, Scott RE, Mars M. Healthcare workers’ perspectives of mHealth adoption factors in the developing world: scoping review. Int J Environ Res Public Health. 2023;20(2):1244. https://doi.org/10.3390/ijerph20021244.CrossRefPubMedPubMedCentral

33.

Borges do Nascimento IJ, Abdulazeem H, Vasanthan LT, Martinez EZ, Zucoloto ML, Østengaard L, et al. Barriers and facilitators to utilizing digital health technologies by healthcare professionals. NPJ Digit Med. 2023;6(1):161. https://doi.org/10.1038/s41746-023-00899-4.CrossRefPubMedPubMedCentral

34.

WHO Guideline Recommendations on Digital Interventions for Health System Strengthening. World Health Organization; 2019. http://www.ncbi.nlm.nih.gov/books/NBK541902/. Accessed 19 May 2024.

35.

Leong DP, Joseph PG, McKee M, Anand SS, Teo KK, Schwalm JD, et al. Reducing the global burden of cardiovascular disease, part 2: prevention and treatment of cardiovascular disease. Circ Res. 2017;121(6):695–710. https://doi.org/10.1161/circresaha.117.311849.CrossRefPubMed

36.

LeFevre AE, Shah N, Bashingwa JJH, George AS, Mohan D. Does women’s mobile phone ownership matter for health? Evidence from 15 countries. BMJ Glob Health. 2020;5(5):e002524. https://doi.org/10.1136/bmjgh-2020-002524.CrossRefPubMedPubMedCentral

37.

Healthcare Data Breach Statistics. https://www.hipaajournal.com/healthcare-data-breach-statistics/. Accessed 19 May 2024.

38.

Batalova JBMH and J. migrationpolicy.org. 202. Immigrants from Asia in the United States. https://www.migrationpolicy.org/article/immigrants-asia-united-states-2020. Accessed 19 May 2024.

39.

Hoodbhoy Z, Chunara R, Waljee AK, AbuBakar A, Samad Z. Is there a need for graduate-level programmes in health data science? A perspective from Pakistan. Lancet Glob Health. 2023;11(1):e23–5. https://doi.org/10.1016/s2214-109x(22)00459-4.CrossRefPubMed

40.

Addissouky TA, El Tantawy El Sayed I, Ali MMA, Wang Y, El Baz A, Elarabany N, et al. Shaping the future of cardiac wellness: exploring revolutionary approaches in disease management and prevention. J Clin Cardiol. 2024;5(1):6–29. https://doi.org/10.33696/cardiology.5.048.CrossRef

41.

Sandhu AT, Rodriguez F, Ngo S, Patel BN, Mastrodicasa D, Eng D, et al. Incidental coronary artery calcium: opportunistic screening of previous nongated chest computed tomography scans to improve statin rates (NOTIFY-1 Project). Circulation. 2023;147(9):703–14. https://doi.org/10.1161/circulationaha.122.062746.CrossRefPubMed

42.

Fanaroff AC, Huang Q, Clark K, Norton LA, Kellum WE, Eichelberger D, et al. Two randomized controlled trials of nudges to encourage referrals to centralized pharmacy services for evidence-based statin initiation in high-risk patients: rationale and design of the SUPER LIPID program. Am Heart J. 2024;S0002–8703(24):00099–101. https://doi.org/10.1016/j.ahj.2024.04.013.CrossRef

43.

Bazoukis G, Hall J, Loscalzo J, Antman EM, Fuster V, Armoundas AA. The inclusion of augmented intelligence in medicine: a framework for successful implementation. Cell Rep Med. 2022;3(1):100485. https://doi.org/10.1016/j.xcrm.2021.100485.CrossRefPubMedPubMedCentral

44.

Islam SMS, Talukder A, Awal MA, Siddiqui MMU, Ahamad MM, Ahammed B, et al. Machine learning approaches for predicting hypertension and its associated factors using population-level data from three South Asian countries. Front Cardiovasc Med. 2022;9:839379. https://doi.org/10.3389/fcvm.2022.839379.CrossRefPubMedPubMedCentral

45.

Abdul-Rahman T, Ghosh S, Lukman L, Bamigbade GB, Oladipo OV, Amarachi OR, et al. Inaccessibility and low maintenance of medical data archive in low-middle income countries: mystery behind public health statistics and measures. J Infect Public Health. 2023;16(10):1556–61. https://doi.org/10.1016/j.jiph.2023.07.001.CrossRefPubMed

46.

Maddox TM, Albert NM, Borden WB, Curtis LH, Ferguson TB, Kao DP, et al. The learning healthcare system and cardiovascular care: a scientific statement from the American Heart Association. Circulation. 2017;135(14). https://doi.org/10.1161/CIR.0000000000000480.

47.

Maddula R, MacLeod J, McLeish T, Painter S, Steward A, Berman G, et al. The role of digital health in the cardiovascular learning healthcare system. Front Cardiovasc Med. 2022;9:1008575. https://doi.org/10.3389/fcvm.2022.1008575.CrossRefPubMedPubMedCentral

Titel: Health Data Sciences and Cardiovascular Diseases in South Asia: Innovations and Challenges in Digital Health
verfasst von: Kartik Gupta
Vashma Junaid
Muhammad Ahmad Qureshi
Abhishek Gupta
Sana Sheikh
Mayank Dalakoti
Salim S. Virani
Adeel Khoja
Publikationsdatum: 06.09.2024
Verlag: Springer US
Erschienen in: Current Atherosclerosis Reports / Ausgabe 11/2024
Print ISSN: 1523-3804
Elektronische ISSN: 1534-6242
DOI: https://doi.org/10.1007/s11883-024-01233-3

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Health Data Sciences and Cardiovascular Diseases in South Asia: Innovations and Challenges in Digital Health