Digital Health: Transforming Ecuadorian Healthcare Through Digital Technologies

Review Article

Authors

DOI:

https://doi.org/10.33936/riemat.v9i2.7038

Keywords:

Digital health, Digital transformation, Telemedicine, Health technology, Electronic health records, Ecuador

Abstract

The integration of digital technologies is revolutionizing healthcare in Ecuador, significantly elevating the quality and accessibility of health services. This research aims to evaluate the impact of these technological innovations on the Ecuadorian healthcare system, identifying both benefits and associated challenges. Utilizing an exploratory-descriptive methodology, based on desk research and reviews of reports and studies from scientific databases and international organizations, the results indicate that telemedicine has notably improved access to medical services in rural areas, and electronic health records have optimized the management and coordination of care. During COVID-19, telemedicine and mobile applications facilitated consultations and monitoring, while geolocation and blockchain ensured the integrity of medical data. Despite the critical Agenda for Digital Health Transformation 2023-2027, challenges such as the digital divide between urban and rural areas and the need to improve internet infrastructure persist. The integration of artificial intelligence and data analysis has enhanced diagnostics and personalized treatments. This study highlights the importance of addressing challenges within the Ecuadorian health system to maximize the transformative potential of digital technologies and move towards a more resilient, equitable system adapted to contemporary health demands. Ultimately, the integration of digital technologies is reshaping healthcare in Ecuador, yielding significant benefits and presenting challenges that require solutions to fully realize their transformative potential.

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References

Aguilar-Rojas, O., Moreno, M., & Sanchez, G. (2020). Electronic health records and the pandemic: COVID-19 and beyond. International Journal of Medical Informatics, 140, 104239. https://doi.org/10.1016/j.ijmedinf.2020.104239

Astobiza, A. (2020). Innovaciones tecnológicas en la biomedicina. Revista de Biotecnología y Salud, 15(4), 89-95. https://www.revistabiotec.com/innovaciones-tecnologicas-en-biomedicina

Azaria, A., Ekblaw, A., Vieira, T., & Lippman, A. (2016). MedRec: Using Blockchain for Medical Data Access and Permission Management. In 2016 2nd International Conference on Open and Big Data (OBD) (pp. 25-30). IEEE.

Balthazar, P., Harri, P., Prater, A., & Safdar, N. M. (2018). Protecting your patients' interests in the era of big data, artificial intelligence, and predictive analytics. Journal of the American College of Radiology, 15(3), 580-586. https://doi.org/10.1016/j.jacr.2017.12.021

Banco Interamericano de Desarrollo (BID). (2020). Digital health in Latin America and the Caribbean. https://publications.iadb.org/es/la-gran-oportunidad-de-la-salud-digital-en-america-latina-y-el-caribe

Comisión Económica para América Latina y el Caribe (CEPAL). (2020). La transformación digital en América Latina y el Caribe: Agenda para el desarrollo sostenible. https://repositorio.cepal.org/handle/11362/46956

De Carvalho, R. R., Vieira, L., & Silva, T. (2022). Enhancing patient safety through telemedicine. Journal of Telehealth, 4(5), 322-330. https://doi.org/10.1177/1357633X211054321

Farias, R., Gomes, F., & Martins, A. (2023). Impact of digital health initiatives on healthcare quality. Journal of Health Informatics, 9(7), 204-214. https://doi.org/10.2147/jhi.v9i7.291982

GEOSALUD, Información Georreferenciada del Ministerio de Salud Pública del Ecuador. (2012-2024). https://geosalud.msp.gob.ec/geovisualizador/

Golinelli, D., Boetto, E., Carullo, G., Nuzzolese, A. G., Landini, M. P., & Fantini, M. P. (2020). Adoption of digital technologies in health care during the COVID-19 pandemic: Systematic review of early scientific literature. Journal of Medical Internet Research, 22(11), e22280. https://doi.org/10.2196/22280

Gutiérrez, M., & López, C. (2022). Nanotechnology applications in medical devices. Journal of Biomedical Nanotechnology, 18(3), 456-478. https://doi.org/10.1166/jbn.2022.3213

INEC. (2023). Encuesta Nacional de Empleo, Desempleo y Subempleo. Quito, Ecuador.

Jiang, F., Jiang, Y., Zhi, H., Dong, Y., Li, H., Ma, S., Wang, Y., Dong, Q., Shen, H., & Wang, Y. (2017). Artificial intelligence in healthcare: Past, present and future. Stroke and Vascular Neurology, 2(4), 230-243. https://doi.org/10.1136/svn-2017-000101

Kruse, C. S., Stein, A., Thomas, H., Kaur, H., & Gaarder, K. (2018). The use of electronic health records to support population health: A systematic review of the literature. Journal of Medical Systems, 42(11), 214. https://doi.org/10.1007/s10916-018-1075-6

Kvedar, J., Coye, M. J., & Everett, W. (2020). Connected health: Improving care, safety, and efficiency with wearables and IoT solutions. Health Affairs, 39(2), 201-205. https://doi.org/10.1377/hlthaff.2019.0179

López-Ramos, D., & Vizcarra-Cueva, P. (2023). Impacto de las innovaciones en dispositivos médicos portátiles en la promoción de la salud digital en Ecuador. Revista Polo del Conocimiento, 8(4), 1419. https://dialnet.unirioja.es/descarga/articulo/9152209.pdf

McGhin, T., Choo, K. R., Zhuang, Y., & Njang, Y. (2019). Blockchain in healthcare applications: Research challenges and opportunities. Journal of Network and Computer Applications, 135, 62-75. https://doi.org/10.1016/j.jnca.2019.01.006

Mesko, B. (2017). My health: Upgraded: Revolutionary technologies to bring a healthier future. Webicina Kft.

Ministerio de Salud Pública de Ecuador. (2023). Agenda de Transformación Digital de Salud 2023-2027. https://www.salud.gob.ec/msp-presento-la-agenda-de-transformacion-digital-de-salud-2023-2027/

MINTEL. (2022). Informe Sectorial de Telecomunicaciones. Quito, Ecuador.

MINTEL. (2023). Plan Nacional de Conectividad 2023-2027. Quito, Ecuador.

Moreno, A., Pérez, M., & González, L. (2020). Artificial intelligence in healthcare: Hype or reality? A scoping review. BMJ Health & Care Informatics, 27(1), e100200. https://doi.org/10.1136/bmjhci-2019-100200

Organización Panamericana de la Salud (OPS). (2021). Informe anual. https://iris.paho.org/handle/10665.2/56338

Rodríguez, J. A., Clark, C. R., & Bates, D. W. (2018). Digital health equity as a necessity in the 21st-century cures act era. JAMA, 319(19), 1977-1 https://pubmed.ncbi.nlm.nih.gov/32463421/

Smith, A. C., Thomas, E., Snoswell, C. L., Haydon, H., Mehrotra, A., Clemensen, J., & Caffery, L. J. (2020). Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of Telemedicine and Telecare, 26(5), 309-313. https://doi.org/10.1177/1357633X20916567

Topol, E. (2019). Deep medicine: How artificial intelligence can make healthcare human again. Basic Books.

World Bank. (2021). Gestión de la crisis de COVID-19 en América Latina y el Caribe. https://www.worldbank.org/en/who-we-are/news/coronavirus-covid19

World Health Organization (WHO). (2019). Digital Health in the 21st century. https://apps.who.int/iris/handle/10665/311941

World Health Organization (WHO). (2020). Digital health: Transforming and scaling up health services. https://www.who.int/docs/defaultsource/documents/gs4dhdaa2a9f352b0445bafbc79ca799dce4d.pdf

Published

2024-10-01