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Review
. 2023 Nov 9:16:3393-3403.
doi: 10.2147/JMDH.S429071. eCollection 2023.

A Systematic Literature Review on Trustworthiness for Applications Used in eHealth Environments

Breno Renó  1 , Edvard Martins Oliveira  1 , Adler Diniz Souza  2
Affiliations
Review

A Systematic Literature Review on Trustworthiness for Applications Used in eHealth Environments

Breno Renó et al. J Multidiscip Healthc. .

Abstract

Context: The technological advancement of the Internet of Things (IoT) creates opportunities in various social sectors. Patients in clinics or home care have their comfort and safety enhanced with remote monitoring, sensors and applications that control and transfer patient data. These applications must be trustworthy, since they deal with sensitive data.

Purpose: The purpose of this work is to identify gaps in trustworthiness, availability, effectiveness, security and other attributes. Also, to highlight challenges and opportunities for research and give guidance on choosing the right technology or application based on the resources available to support patients and doctors, protocol of communication and maturity level of these technologies.

Methodology: This work presents a systematic review of the literature following four steps: Definition of the Research Questions, Conduct Search, Screening of Papers, and Data Extraction and Mapping Process.

Results: Based on the articles studied, it was possible to answer important questions about eHealth applications. The results highlight how eHealth applications can enhance patient care by monitoring health data and supporting doctors' decision-making with a reasonable level of trustworthiness. Additionally, the results demonstrate how applications can notify external caregivers in emergencies and assist in diagnosis and treatment of illnesses. However, these applications still face problems related to sensor lifetime, medical data sharing, interoperability and lack of standardization. Finally, we suggest a literature mapping to support the choice of technologies based on resources available, communication protocol and technological maturity.

Conclusion: This work carries out a systematic literature review to discuss state-of-the-art eHealth applications and gather new information of current research. In this process it was possible to show how these applications work, map out their main technological characteristics to assist the decision-making process for future works and uncover eHealth applications' strengths, future perspectives and challenges, specifically related to the high level of trustworthiness necessary.

Keywords: IoT; decision making; healthcare; internet of things; remote monitoring.

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Conflict of interest statement

Research developed under a scholarship provided by the Minas Gerais State Research Support Foundation (FAPEMIG). This work was supported by Universidade Federal de Itajubá (UNIFEI) [Grant Support for Young Researchers, Grant Support to Scientific Communication]. The authors report no other conflicts of interest in this work.

Figures

Figure 1
Figure 1
Search protocol model adopted.
Figure 2
Figure 2
Systematic mapping.
Figure 3
Figure 3
Papers per database.
Figure 4
Figure 4
Papers per year.
Figure 5
Figure 5
Example of system modeling found in the literature. Overall scheme of remote personal or group monitoring platform.
See this image and copyright information in PMC

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