Software and robotics expert Dr Antonio Espingardeiro, a member of the Institute of Electrical and Electronics Engineers, explores the need for adaptable infrastructure to cope with health crises and modern healthcare challenges.
Just last year, health secretary Matt Hancock warned that the NHS must adopt new healthcare technology – including Internet of Things (IoT) devices, robots and Artificial Intelligence (AI) – if it is to survive.1 Today, global events have forced the healthcare industry’s hand. We have witnessed the sudden rise of telehealth platforms, the use of AI in diagnosis and realised the importance of ‘secure, reliable and timely data’ enabled by modern telecommunications, as NHSX is used to track and manage the development of COVID-19 in real time.2
Speaking more generally, health tech innovations are essential – but the true potential and capabilities of technology as an aide to the healthcare sector are yet to be fully realised. As this pandemic has shown, there is an urgent need for an adaptable infrastructure to cope with such health crises, both immediately and in years to come.
Before exploring this further, we must acknowledge a challenge that many countries have been facing for many years before this current crisis: an ageing population which is growing exponentially. There has always been demand for scalability and quality within healthcare. With the global population living longer, and many people living with noncommunicable diseases – more than 400 million people across the globe suffer from diabetes alone3 – that require regular medical checks, we must utilise healthcare technology in order to fully democratise healthcare.
AI, IoT and health management
AI is already in use, through the application of machine learning (ML) to enable medical professionals to better understand certain health conditions. For example, through AI programmes, scientists can explore the huge volume of data that makes up the DNA in the blood of cancer patients. With this insight, they can detect specific mutations which will eventually be used to classify those most at risk or identify those that may perhaps require further consultation.4 Through pattern recognition, AI has the potential to enable patients to be screened with greater efficiency and scale and to assist doctors with overall disease management. As a result, they will eventually be able to improve or better coordinate healthcare plans for long term treatment.
Similarly, IoT sensing technologies are allowing us to approach major health threats differently, mainly though forms of supervision. In the consumer market, we are already seeing the adoption of smart watches and other wearables that can track our heartrate or exercise output – but as we begin to realise the potential of these types of technologies, they will be put to even better use in the remote monitoring of patients or improving medical systems of record.
In time, it is possible that we will begin to see sensors dispersed within our bodies – to track everything from glucose, to oxygen to temperature – or smart devices installed in our home with remote access for healthcare professionals. With the broader adoption of IoT devices, daily health measurements will generate vast amounts of biometric readings and naturally, we will require more advanced machine learning algorithms to make sense of this data. Once the data is harvested and computational power is applied through machine learning, clinicians and doctors can begin to identify emerging patterns. The results will then be presented to the patient allowing comprehensive healthcare management and regular reports.
COVID-19: AI and the power of data
All that being said, COVID-19 is brand new territory for us; and as such, we must approach things differently. Again, AI can be used to identify high risk groups and possibly diagnose potential patients: studies show that those with underlying health conditions or chronic illnesses, such as respiratory and cardiovascular disease, obesity or cancer have a greater risk of complications from the virus.5 Technological solutions could even assist in the discovery of a new therapy or vaccine. However, the problem now is that there is not yet enough data relative to COVID-19 that can be used to train machine learning algorithms or broader AI. In fact, IBM estimates that 80% of health data is invisible to current systems because it remains unstructured.6
As the Department of Health and Social Care outlined in a recent post, COVID-19 requires ‘real time information’.7 Once NHS England and NHS Improvement work together to bring multiple data sources into a single data store, we will be able to apply mathematical models and fully utilise AI. This will identify patterns and base predictions that may help us better understand how the virus manifests in certain conditions, or even map its origins.
A final form of AI which may become popular as a result of COVID-19 is the use of chatbots. As many of us self-isolate or continue to stay at home, natural language processing will enable us to better understand people’s mental and physical conditions. Online chatbots or ‘robot doctors’ will eventually be able to collect information, advise on certain conditions and forward cases to medical professionals, delivering the scalability that the NHS needs so that doctors can reach the highest number of people, while ensuring the safety of our nurses and doctors who can perform a diagnosis at a safe distance.
In summary, crises such as this reveal much about our current healthcare systems. Medical professionals will increasingly tackle these problems with new healthcare technology and, in doing so, will adapt our existing infrastructure to meet evolving requirements.
Dr Antonio Espingardeiro
Software and robotics expert
Institute of Electrical and Electronics Engineers (IEEE)
This article is from issue 13 of Health Europa. Click here to get your free subscription today.