Chapter 10
Chapter 10
Chapter 10
Abstract The IoT has broad application in the field of medical care as well as
health care. It has potential to provide ascend to numerous medical services and
applications like remote or distant health monitoring, information tracking,
improved drug usage, device, emergency care, healthcare charting etc. The IoT has
a variety of application area which includes health care. The modern health care is
becoming sophisticated and redesigned by the IoT revolution. Promising techno-
logical, economic, and social prospects promote the revolution in IoT. The IoT is
likely to enable a range of healthcare solutions. In the context of healthcare, service
and application cannot be differentiated objectively and both are interdependent. So,
both IoT services and IoT applications ought to have closer attention. This chapter
addresses various healthcare applications which are IoT-based, along with some
healthcare technologies. Many promising and enabling technologies are nowadays
working for IoT-based healthcare solutions, and thus it is important to put some
lights on those technologies. In this respect, the following analysis focuses on some
core technologies which have the prospective to revolutionize IoT enabled
healthcare services.
Keywords Remote health monitoring Information tracking Improved drug
usage Device Emergency care Healthcare charting
10.1 Introduction
With the advent of modern mobile devices and increase in different feature in the
mobile technology remote health caring is becoming easier nowadays. People at
home can communicate with doctor or any concerned person of nursing home or
hospital very easily with the help of IoT (Internet of Things) and mobile tech-
nologies. These technologies make it simple to control the sick’s fitness situation by
exchanging the data of health to physicians, nurses and specialists. If any guardian
or patient party is busy with other job and cannot go to the nursing home or hospital
to get the information of the patient, then he also gets the patient’s information
remotely.
As nowadays sensor has been made as miniaturized, it can be used in many areas
which can improve the quality of human life. So, it can be easily used in places
which are related to health care. Basically, for a developing country the heath care
services cost seems to be expensive sometimes. Extra money is also needed to take
the information about the patients by the relatives. The knowledge of IoT have been
rapidly utilized to interrelate the existing medical resources and supply smart,
dependable, and actual healthcare facilities to the sick persons. IoT based health
controlling systems can be advantageous to improve the patient’s lifestyle.
The IoT based health monitoring systems generally gather the information for
sensor data through Arduino microcontroller and transmit it to the cloud where it is
developed and evaluated for distant sighting. Feedback achievements depended on
the scrutinized information can be directed to the physicians or custodian through
Email and/or alerts through SMS in the situation of any crises.
10.2.1 Benefits
10.2.2 Challenges
So, even if the dissimilarity of resources is linked; the alteration in their trans-
mission protocol confuses and delays the method of information accumulation. This
non-uniformity of the attached resource’s protocols reduces the entire method and
diminishes the possibility of adaptability of IoT in healthcare.
(c) Data overload and accuracy
Accumulation of information is problematic for the utilization of various trans-
mission protocols and standards. However, IoT resources keep a huge amount of
information. The information gathered by IoT resources are used to achieve vig-
orous visions.
However, the ton of information is so marvelous that analyzing visions from it
are appearing tremendously problematic for physicians which, finally influences
upon the superiority of creating determination. Moreover, this anxiety is growing as
more resources are attached which accumulate a huge amount of information.
(d) Cost
IoT has not created the healthcare facilities inexpensive to the ordinary mankind so
far. The thriving in the Healthcare expenditures is a symbol of anxiety for everyone
particularly the progressed territories.
The condition is such that it provides growth to “Medical Tourism” in which
sick persons with crucial situations acquire healthcare services of the progressing
countries which reduces prices. IoT in healthcare as an idea is an engrossing and
pledging concept.
However, it hasn’t resolved the expenditure problems as of now. To fruitful
accomplishment of optimized IoT, the stakeholders must create its expenditure
effective, otherwise it will be inaccessible to everybody excluding the rich people.
Waiting in the emergency room is one of the boring things in the healthcare system.
Apart from the different medical demands and expenditure, big amount of time are
wasted for emergency room visits. With the help of IoT some hospital or medical
organization reduces this waiting time. One example which can be shared is that
50% of waiting time of patients who needs urgent care in emergency room is
slashed down at Mt. Sinai Medical Center in New York City. It’s made possible
with their partnership with GE Healthcare and one IoT-driven software, which
is known as AutoBed that tracks occupancy among 1200 units and factors in 15
different metrics to assess the needs of individual patients.
It’s a highly efficient system that highlights the more inventive and electrifying
uses of the IoT.
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10.3.2 Telehealth
As our society is moving very fast with new technologies, modern hospitals need
different software and hardware which are capable to perform with next generation’s
demands. Some of these IOT driven solution even helped to save or prolong human
life. Like all electronic devices, this equipment is also prone to frequent risks—from
power outages to system failures—that could be a matter of life or death. But different
IoT driven solution are being invented to solve this type of problem. For example,
Philips has designed a solution, called e-Alert which aims to solve that problem.
Instead of waiting for a device to fail, Philips’ new system takes a proactive
approach by virtually monitoring medical hardware and alerting hospital staff
members if there’s a problem.
Safety and security are the extreme concern of each healthcare organization—or at
least it should be. So it’s very important to track assets—staff members, patients and
hardware—throughout the building or campus. It is very hard to maintain the
maximum amount of security without the ability to track the resource.
In smaller organization this task can be easily achieved. But if there are multiple
structures and campuses with large number of patients as well as staff members then
it is a matter of concern.
For asset tracking many organizations are moving towards the IoT based and
real-time location systems. It is a cutting-edge technology which is very effective
and inexpensive.
One of the most exciting breakthroughs regarding healthcare and IoT comes in new
forms of prescription for medication.
10 Application of IoT in Healthcare 269
It uses pills which contains microscopic sensors that are of the size of a grain of
rice, can send a signal to an external device, usually a patch worn on the body, to
ensure proper dosage and usage.
10.3.6 Devices
Devices are not beyond the good fortune of IoT. They normally offer fewer benefits
and qualities that an IoT system offers. But current devices are improving in their
power, precision, and availability. IoT has a great potential to unlock existing
technology, and lead us towards better healthcare and medical device solutions.
10.3.6.1 Hearables
New-age hearing aids are called hearables with which people who suffered from
audible range loss can interact with the world in a better way than before. It has
completely transformed the interaction methods. Nowadays, hearables are com-
patible with Bluetooth which syncs your smart phone with it. Real-world sounds
can be filtered, equalized and added with layered features.
These sensors are also a fortunate thing for a diabetic patient as it would help in
curbing symptoms and provide with an early warning for diseases. Proteus Digital
Health is one such example.
10.3.6.3 Moodables
Moodables are most interesting devices which can enhance our mood. This mood
enhancing devices can help in improving our mood throughout the day. It may
sound like science fiction, but it’s not far from reality.
10.3.6.4 Drones
Computer vision technology along with AI has given rise to drone technology
which aims to mimic visual perception and hence decision making based on it.
Drones like Skydio use computer vision technology to detect obstacles and to
navigate around them. This technology can also be used for visually impaired
people to navigate efficiently.
270 P. Rakshit et al.
Patient charting is one of the important works of doctor which takes a lot of time.
IoT devices can reduce this charting time by discarding manual work which a
doctor has to do. It is powered by voice commands and captures the patient’s data.
It makes the patient’s data readily accessible for review. It saves around 15 h per
week of doctor’s job. One such a device is Audemix.
Limited resources are one of the reasons for having problem in the emergency
support services. Sometimes, this is also disconnected from the base facility. The
advanced automation and analytics of IoT cater to this problem in the healthcare
sector. From a far distance places or rather miles away an emergent situation in
healthcare can be analyzed. The service providers get hold of access to the patient’s
profiles way before their arrival and that is the reason they can deliver indispensable
care to the patients on right time. In this way, associated losses are reduced, and
emergency health care is improved.
Internet of Things is the set of resources that are attached to the internet to
accomplish the service that help our initial necessities, finances, fitness and atmo-
sphere [1–4]. Cloud computing is an epitome, in which dynamical, accessible and
virtualized supplies are provided as assistances via internet. Cloud computing in
addition with the IoT will improve the ability to perform well and capacity to store
highest resources. So, cloud computing is utilized as a forward-facing terminal to
entree IoT. The healthcare industry is growing quickly which enables mankind to
reside better living by utilizing associated and linked resources such as tablets,
wearables and hand-held resources. IoT is a fast-growing skill that bonds the
interoperation among various provocations to totally alteration of the technique in
which healthcare will be transmitted, providing better results, improving effec-
tiveness and creating healthcare inexpensive. IoT provides mankind essential and
fundamental technology to supply improved outcomes. The healthcare industry is
rapidly growing in the direction of cheap, reachable and standard health services.
All private and govt. sectors are endeavoring scarcely to construct transmission
affinity among the wide range of devices that have handled separately. IoT and
adopt IoT driven methods have the capability to model this type of healthcare,
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which depends upon active involvement of sick persons. This will thereafter
enhance the healthcare which is being supplied. IoT is here to reside, and will
endure to grow quick, conducting to effective and improved alterations for all
stakeholders in the area of healthcare. The innovative ideas of the IoT are rapidly
finding out its path to solve problems in our present life, pointing out to improve the
excellence of livings by attaching with various smart devices, technologies, and
resources. Moreover, the IoT would permit for the computerization of the whole
surrounding with us. Presently scientists have searched out that there is a possible
implementation of IoT to the healthcare trade. We can use a prototype that operates
upon the difficulties of sick persons using essential gathering of collected infor-
mation by facilitating the physicians to identify and notice the matters related with
sick persons.
The innovative view points for fitness care controlling is given rise to the expansion
of IoT and Big data, and the abundant quality of small bio sensors [5]. Several
challenges have yet to be presented to make a reliable and stretchy scheme for
health care controlling. IoT based health care controlling scheme consist of
“Internet of health sensor things”. These belongings generate a large volume of
information that could not be monitored by the doctors. The vital anxiety of a
doctor is that they require to create crucial choices about their sick’s problems
related with diseases from these large amount of health data. He/she has to separate
the data about one specific sick person from the large amount of health care data
272 P. Rakshit et al.
collected from the gigantic count of sick persons. Intel Galileo Gen 2 is performing
as IoT representative and is utilized to organize the data about sick person’s health
into the Cloud. The Cloud could handle the growing amount of health information,
ingeniously exchange the data through the healthcare models and supply capability
for Big data analytics. The warning of data related with bad health of a sick person
at proper time is a crucial effort in Big data which is very important. The Big health
sensor are evaluated using the Hadoop model.
Ambient Intelligence with IoT systems is a developing research area and there is
normally a shortage to realize the appropriate methods to take care in this area. The
achievement of IoT systems relays on the effective combination of its resources,
sensors and information management methods. Ambient Intelligence (AmI) is an
innovative method in information technology focused at permitting mankind’s
abilities using the modern digital techniques those are adjustable and responsive to
necessities, practices, motions, and feelings of mankind. This innovative idea of
every day’s need will empower us with new mankind-machine interactions char-
acterized by prevalent, unremarkable and preventive transmissions. Such new
interaction models create ambient intelligence technology an appropriate applicant
for constructing different real-life explanations, together with the area of health care
technology. We deliberate the importance of AmI technology in the health care
area, with the aim to supply the researchers with the required circumstantial. We
evaluate the setup and techniques needed for receiving the idea of ambient intel-
ligence, such as smart surroundings and costumery pharmaceutical resources. We
review the advanced techniques based on AI (Artificial Intelligence) utilized for
constructing AmI scheme in the health care area with different studying methods
(for studying from customer communication), cognitive methods (for thinking and
understanding about customers’ achievements and wishes) and drafting methods
(for designing operations and communications). We deliberate how AmI techniques
may help mankind who are suffering from different physical or mental inabilities or
long-lasting sickness.
Augmented reality (AR) improves your opinion to the real world by covering and
showing digital content [6, 7]. Except marketing and entertaining objectives, AR is
also achieving importance in the healthcare area. This growing technology is
assisting this field in acquiring innovative schemes that returns back to the
invention to existing health care systems, nourishment of the sick persons, appa-
ratus conservation and helping doctors in their training and exercise daily.
Google Glass is one of the widespread platforms in supplying AR solutions in
healthcare. Although it fails miserably in the mainstream market, this wearable
technology is searching customers in healthcare. There are many companies whose
objectives are to supply innovative AR solutions to healthcare.
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Just a few years ago, medical practitioners were closely watching the development
of IoT and thinking to make it a part of their future. Today, it’s not only a reality,
but also making life easier for healthcare providers and patients also.
Now it is the most important question that how far we have come with IoT and
where will IoT go in future? The increasing development in AI and interface of AI
and IoT [8–16] is likely to acquire more intelligent IoT devices which can have the
ability to perform activities autonomously in the healthcare sector. This could
include medical devices that react to triggers or recognize the patient and interact
with them based on their treatment plan. And also the use of autonomous drones to
deliver drugs and other facilities in need are the near future of IOT in healthcare. It
is almost in use but not in full bloom.
Artificial intelligence is the most vital area which can be explored more and
more in this field. Healthcare robots are being used today but it will be used more in
near future than today. To be futuristic, It may seem that, there will be a 50%
increase in the use of robots by 2020. In fact, these robots perform simple, auto-
mated tasks such as delivering medications, food and lab results. Internet of medical
things (IoMT) devices can also directly feed data into larger AI-driven healthcare
analytics systems. These systems can diagnose heart disease, and detect blood
infections and even certain types of cancer. These IoMT devices are being more
improved and will be able to diagnose more diseases in future.
Next-generation IoT devices will bring intelligent services as part of their
offering, allowing for real-time data which enables some actions to be executed by
the device if necessary, and then send back data to the patient and their clinical
teams.
Future Uses of IoT in Healthcare
• Remote Monitoring
Real time medical card reader devices and customized software will read data of
patients and help doctors to conduct a better analysis of patient’s health.
• Wearables
Several types of gadgets are obtainable in the market that can constantly monitor
daily activities of the patients and store the data. These devices notify patients
regarding their physical activities. They can also assist in preventing emergency, as
patient’s information would be sent to the doctor without delay.
• Asset Monitoring
IoT can help in providing functions and controllers to various essential equipments
in the hospital. As the equipments are vital while treatment, any defect in them can
be fatal. Connecting these devices will enable the staff to monitor their working
easily. It can reduce the possibility of inappropriate treatment by figuring out the
defects in the devices in real time.
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Applications that IoT has to offer are not fully developed yet. The widespread of
connected devices in the healthcare structure is also incomplete. IoT and healthcare
together will radically change the service offerings in the hospitals. The digital-
ization in healthcare will be brought by the IoT.
10.6 Conclusion
IoT changes the approach of the facilities which are designed and delivered to the
healthcare industry. These technologies improve the product, causing a larger effect
by bringing together minor changes. Rather than just creating tools, IoT tries and
fills gaps between the way we deliver healthcare and the equipment by creating a
system.
IoT tools and devices are revolutionizing medical care. Notably, remote patient
monitoring devices enable innovative new ways of tracking a patient’s health.
Devices like glucose monitors, pulse oximeters and blood pressure monitors are
fueling growth expected to reach a compound annual growth rate of 17%. Cloud
computing and virtual infrastructure also provide caregivers real-time information
and enable evidence-based treatment.
In this chapter benefit, challenges, technologies, different healthcare applications
and future of IoT are covered and how IoT is beneficial for healthcare is explored.
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