Review
BibTex RIS Cite

Sağlık Hizmetlerinin Geleceğinde Metaverse Ekosistemi ve Teknolojileri: Uygulamalar, Fırsatlar ve Zorluklar

Year 2022, Volume: 6 Issue: 1, 12 - 34, 30.06.2022
https://doi.org/10.52148/ehta.1082705

Abstract

COVID-19 pandemisinin yol açtığı kısıtlamalar insanlığın bu gerçeğe uygun bir yaşam biçimi geliştirmesini zorunlu kılmıştır. Özellikle zorunlu ihtiyaçların karşılanması gereken bir sektör olan sağlık hizmetlerinde teknoloji kullanımı bu gereksinime bağlı olarak artış göstermiştir. Bu durum hem insan ihtiyaçlarının güvenle karşılanabileceği hem de fiziksel temas söz konusu olmadan insanların iletişim kurabileceği sanal bir evren olarak Metaverse kavramına olan ilgiyi artırmıştır. Bu çalışmanın amacı pek çok sektörde köklü değişimlere yol açması beklenen Metaverse kavramının sağlık hizmetlerinin geleceğine nasıl yön vereceğinin, sunduğu fırsatların ve barındırdığı zorlukların değerlendirilmesidir. Bu kapsamda Metaverse teknoloji bileşenleri olarak ele alınan genişletilmiş gerçeklik, yapay zeka, blok zincir, bilgisayarlı görü, kullanıcı etkileşimi, ağ, sınır bilişim, robotik ve nesnelerin interneti (IoT) gibi teknolojilerin sağlık hizmetlerindeki mevcut uygulamalarına yer verilmiştir. İlgili teknolojilerin Metaverse entegrasyonu ile birlikte uzaktan sunulabilecek sağlık hizmetleri için damgalama korkusu yaşayan ruh sağlığı ve cinsel yolla bulaşan hastalıkları bulunan hastalar, ileri yaşlılar ve çocuklar potansiyel hedef grupları olarak öngörülmüştür. Metaverse’ün sağlık turizmi, insan kaynağı, sağlık hizmetlerinde tedavi etkinliği, eğitim, hasta memnuniyeti ve veri yönetimi gibi pek çok konuda potansiyel fırsatlar ve avantajlar sunması beklenmektedir. Bununla birlikte Metaverse teknolojilerinin kullanım maliyeti, mahremiyet ihlalleri, veri gizliliği ve güvenliği ile bireylerin bu teknolojileri yoğun olarak kullanması sonucunda ortaya çıkabilecek sanal bağımlılık, sosyal izolasyon, davranış bozuklukları, artan kaygı ve stres gibi zorluklar da çalışmada değerlendirilmiştir.

References

  • 1. Abdullah, A., Ismael, A., Rashid, A., Abou-ElNour, A., Tarique, M. (2015). Real time wireless health monitoring application using mobile devices. International Journal of Computer Networks & Communications (IJCNC). 7(3), 13-30. https://doi.org/10.5121/ijcnc.2015.7302.
  • 2. AccuVein (tarih yok). AccuVein vein visualization: The future of healthcare is here. https://www.accuvein.com/why-accuvein/ar/, Erişim Tarihi: 22.01.2022.
  • 3. Aguilera-Astudillo, C., Chavez-Campos, M., Gonzalez-Suarez, A., Garcia-Cordero, J.L. (2016). A low-cost 3-D printed stethoscope connected to a smartphone. 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). (pp. 4365-4368). IEEE; Orlando, FL, USA.
  • 4. Ahmed, H., Devoto, L. (2021). The potential of a digital twin in surgery. Surgical Innovation. 28(4), 509-510. https://doi.org/10.1177/1553350620975896.
  • 5. Almusallam, N., Alabdulatif, A., Alarfaj, F. (2021). Analysis of privacy-preserving edge computing and internet of things models in healthcare domain. Computational and Mathematical Methods in Medicine, https://doi.org/10.1155/2021/6834800.
  • 6. Al-Turjman, F., Nawaz, M.H., Ulusar, U.D. (2020). Intelligence in the internet of medical things era: A systematic review of current and future trends. Computer Communications. 150, 644-660.
  • 7. Amisha, P.M., Pathania, M., Rathaur, V.K. (2019). Overview of artificial intelligence in medicine. Journal of Family Medicine and Primary Care. 8(7), 2328-2331.
  • 8. Arman, N., Tarakci, E., Tarakci, D., Kasapcopur, O. (2019). Effects of video games–based task-oriented activity training (Xbox 360 Kinect) on activity performance and participation in patients with juvenile idiopathic arthritis: a randomized clinical trial. American Journal of Physical Medicine & Rehabilitation. 98(3), 174-181. https://10.1097/PHM.0000000000001001.
  • 9. Asadzadeh, A., Samad-Soltani, T., Rezaei-Hachesub, P. (2021). Applications of virtual and augmented reality in infectious disease epidemics with a focus on the COVID-19 outbreak. Informatics in Medicine Unlocked. 24, 100579. https://doi.org/10.1016/j.imu.2021.100579.
  • 10. Awwad, S., Tarvade, S., Piccardi, M., Gattas, D.J. (2019). The use of privacy-protected computer vision to measure the quality of healthcare worker hand hygiene. International Journal for Quality in Health Care. 31(1), 36-42. https://doi.org/10.1093/intqhc/mzy099.
  • 11. Balasubramanian, S. (2021). The next frontier for healthcare: Augmented reality, virtual reality, and the metaverse. Forbes. https://www.forbes.com/sites/saibala/2021/11/29/the-next-frontier-for-healthcare-augmented-reality-virtual-reality-and-the-metaverse/?sh=11b7f67c2894, Erişim Tarihi: 07.02.2022.
  • 12. Barry, D.M., Ogawa, N., Dharmawansa, A., Kanematsu, H., Fukumura, Y., Shirai, T., et al. (2015). Evaluation for students’ learning manner using eye blinking system in metaverse. Procedia Computer Science. 60, 1195-1204. https://doi.org/10.1016/j.procs.2015.08.181.
  • 13. Binance Academy (2021). 4 blockchain and crypto projects in the metaverse. https://academy.binance.com/en/articles/blockchain-and-crypto-projects-in-the-metaverse, Erişim Tarihi: 23.01.2022.
  • 14. Bogost, I. (2021). The metaverse is bad. The Atlantic, https://www.theatlantic.com/technology/archive/2021/10/facebook-metaverse-name-change/620449/, Erişim Tarihi: 21.01.2022.
  • 15. Chamola, V., Hassija, V., Gupta, V., Guizani, M. (2020). A comprehensive review of the COVID-19 pandemic and the role of IoT, drones, AI, blockchain, and 5G in managing its impact. IEEE Access. 8, 90225-90265. https://doi.org/10.1109/ACCESS.2020.2992341.
  • 16. Chen, J., Cremer, J.F., Zarei, K., Segre, A.M., Polgreen, P.M. (2016). Using computer vision and depth sensing to measure healthcare worker-patient contacts and personal protective equipment adherence within hospital rooms. Open Forum Infectious Diseases. 3(1), ofv200. https://doi.org/10.1093/ofid/ofv200.
  • 17. Chunming, Z., He G. (2020). 5G applications help China fight against COVID-19. China Academy of Information and Communications Technology. 1-4.
  • 18. Coombs, B. (2022). CVS files to trademark its pharmacy and health clinics in the metaverse, https://www.cnbc.com/2022/03/04/cvs-files-to-trademark-its-pharmacy-and-health-clinics-in-the-metaverse-.html, Erişim Tarihi: 29.03.2022.
  • 19. Çam, O., Çuhadar, D. (2011). Ruhsal hastalığa sahip bireylerde damgalama süreci ve içselleştirilmiş damgalama. Psikiyatri Hemşireliği Dergisi. 2(3), 136-140.
  • 20. D'Auria, D., Persia, F., Siciliano, B. (2016). Human-computer interaction in healthcare: How to support patients during their wrist rehabilitation. 2016 IEEE Tenth International Conference on Semantic Computing (ICSC). (pp. 324–327). IEEE; Laguna Hills, CA, USA. https://doi.org/10.1109/ICSC.2016.21.
  • 21. Dave, R., Seliya, N., Siddiqui, N. (2021). The benefits of edge computing in healthcare, Smart Cities, and IoT. arXiv preprint arXiv:2112.01250.
  • 22. Dilmen, N. (2019). Radyolojide yapay zekâ. In Melih Bulut vd. (Eds.), Sağlık bilimlerinde yapay zeka (pp. 61-66). Çağlayan Kitabevi, İstanbul.
  • 23. Dorri, M. (2017). Healthcare research: VR and AR. British Dental Journal. 222, 224–225. https://doi.org/10.1038/sj.bdj.2017.145.
  • 24. Duan, Y.Y., Zhang, J.Y., Xie, M., Feng, X. B., Xu, S., Ye, Z.W. (2019). Application of virtual reality technology in disaster medicine. Current medical science, 39(5), 690-694. https://doi.org/10.1007/s11596-019-2093-4.
  • 25. Farzanfar, R., Frishkopf, S., Friedman, R., Ludena, K. (2007). Evaluating an automated mental health care system: making meaning of human–computer interaction. Computers in Human Behavior. 23(3), 1167-1182. https://doi.org/10.1016/j.chb.2004.11.015.
  • 26. Gao, J., Yang, Y., Lin, P., Park, D.S. (2018). Computer vision in healthcare applications. Journal of Healthcare Engineering. 2018, 5157020. https://doi.org/10.1155/2018/5157020.
  • 27. Gençoğlu, F. (2021). Türk Telekom'un 5G bağlantısı ile çevrim içi ameliyat gerçekleştirildi. https://www.aa.com.tr/tr/sirkethaberleri/bilisim/turk-telekomun-5g-baglantisi-ile-cevrim-ici-ameliyat-gerceklestirildi/668281, Erişim Tarihi: 12/01/2022.
  • 28. Gulliksen, J. (2017). Institutionalizing human-computer interaction for global health. Global Health Action, 10(sup3), 1344003. https://doi.org/10.1080/16549716.2017.1344003.
  • 29. Hartmann, J., Yeh, Y. T., Vogel, D. (2020). AAR: Augmenting a wearable augmented reality display with an actuated head-mounted projector. UIST '20: Proceedings of the 33rd Annual ACM Symposium on User Interface Software and Technology. (pp. 445-458). USA: Virtual Event. https://doi.org/10.1145/3379337.3415849.
  • 30. Hartmann, M., Hashmi, U.S., Imran, A. (2019). Edge computing in smart health care systems: Review, challenges, and research directions. Transactions on Emerging Telecommunications Technologies. e3710. https://doi.org/10.1002/ett.3710.
  • 31. Hashimoto, D.A., Rosman, G., Witkowski, E.R., Stafford, C., Navarrete-Welton, A.J., Rattner, D.W., et al. (2019). Computer vision analysis of intraoperative video: automated recognition of operative steps in laparoscopic sleeve gastrectomy. Annals of surgery. 270(3), 414. https://doi.org/10.1097/SLA.0000000000003460.
  • 32. Hodzic, M., Brennan, J., Enis, D. (2020). Sensor-enabled smart suit electronic IoT design platform with emergency services application. In Fadi Al-Turjman (Eds.), Wireless medical sensor networks for IoT-based eHealth (pp. 2-21). IET Book Series on e-Health Technologies. The Institution of Engineering and Technology, London.
  • 33. Humphries, M. (2019). China performs first 5G remote surgery. https://www.pcmag.com/news/china-performs-first-5g-remote-surgery, Erişim Tarihi: 25/01/2022.
  • 34. Jeon, J.H. (2021). A study on education utilizing metaverse for effective communication in a convergence subject. International Journal of Internet, Broadcasting and Communication. 13(4), 129-134. http://dx.doi.org/10.7236/IJIBC.2021.13.4.129.
  • 35. Kaplan, A.M., Haenlein, M. (2019). Siri, Siri, in my hand: Who's the fairest in the land? On the interpretations, illustrations, and implications of artificial intelligence. Business Horizons. 62 (1), 15-25. https://doi.org/10.1016/j.bushor.2018.08.004.
  • 36. Khan, M.H., Helsper, J., Farid, M.S., Grzegorzek, M. (2018). A computer vision-based system for monitoring Vojta therapy. International journal of medical informatics. 113, 85-95. https://doi.org/10.1016/j.ijmedinf.2018.02.010.
  • 37. Kim, J. (2021a). Advertising in the metaverse: Research. Journal of Interactive Advertising. 21(3): 141-144. https://doi.org/10.1080/15252019.2021.2001273.
  • 38. Kim, S. (2021b). South Korea’s approach to the metaverse. https://thediplomat.com/2021/11/south-koreas-approach-to-the-metaverse/, Erişim Tarihi: 20.01.2022.
  • 39. Kuş, O. (2021). Metaverse: “Dijital büyük patlamada” fırsatlar ve endişelere yönelik algılar. Intermedia International E-Journal. 8(15), 245–266. https://doi.org/10.21645/intermedia.2021.109. 40. Kye, B., Han, N., Kim, E., Park, Y., Jo, S. (2021). Educational applications of metaverse: possibilities and limitations. Journal of Educational Evaluation for Health Professions. 18, 32. https://doi.org/10.3352/jeehp.2021.18.32.
  • 41. Le, D.-N., Le, C., Tromp, J., Nguyen, G. (2018). Emerging technologies for health and medicine- virtual reality, augmented reality, artificial intelligence, internet of things, robotics, industry 4.0. John Wiley & Sons, Hoboken, NJ, USA.
  • 42. Lee, L.-H., Braud, T., Zhou, P., Wang, L., Xu, D., Lin, Z., et al. (2021). All one needs to know about metaverse: A complete survey on technological singularity, virtual ecosystem, and research agenda. Journal of Latex Class Files. 14(8), 1–66. https://doi.org/10.13140/RG.2.2.11200.05124/8.
  • 43. Li, L., Zhou, J. (2016). Virtual reality technology based developmental designs of multiplayer-interaction-supporting exhibits of science museums: taking the exhibit of" virtual experience on an aircraft carrier" in China science and technology museum as an example. VRCAI '16: Proceedings of the 15th ACM SIGGRAPH Conference on Virtual-Reality Continuum and Its Applications in Industry. 1: 409–412. https://doi.org/10.1145/3013971.3014018.
  • 44. Lin, H.T., Li Y.I., Hu W.P., Huang C.C., Du Y.C. (2019). A scoping review of the efficacy of virtual reality and exergaming on patients of musculoskeletal system disorder. Journal of Clinical Medicine. 8(6), 791. https://doi.org/10.3390/jcm8060791.
  • 45. Liu, P., Fels, S., West, N., Görges, M. (2019). Human computer interaction design for mobile devices based on a smart healthcare architecture. arXiv preprint arXiv:1902.03541.
  • 46. Liu, Z., Ren, L., Xiao, C., Zhang, K., Demian, P. (2022). Virtual reality aided therapy towards health 4.0: A two-decade bibliometric analysis. International Journal of Environmental Research and Public Health. 19(3), 1525. https://doi.org/10.3390/ijerph19031525.
  • 47. Logeswaran, A., Munsch, C., Yu Jeat Chong, C., Neil RalphD, N., McCrossnan, J. (2021). Education and training the role of extended reality technology in healthcare education: Towards a learner-centred approach. Future Healthcare Journal. 8(1), e79–8. https://doi.org/10.7861/fhj.2020-0112.
  • 48. Ma, M., Zheng, H. (2011). Virtual reality and serious games in healthcare. In Sheryl Brahnam, Lakhmi C. Jain (Eds.), Advanced computational intelligence paradigms in healthcare 6 (pp. 169–189). Springer, Berlin.
  • 49. Mamun, Q. (2022). Blockchain technology in the future of healthcare. Smart Health. 23: 100223. https://doi.org/10.1016/j.smhl.2021.100223.
  • 50. McGhin, T., Choo, K.K.R., Liu, C.Z., He, D. (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.2019.02.027.
  • 51. Mohammed, Z. (2019). Artificial intelligence definition, ethics and standards. Electronics and Communications: Law, Standards and Practice. 1-10.
  • 52. Nalbant, K.G., Uyanık, Ş. (2021). Computer vision in the metaverse. Journal of Metaverse. 1(1), 9–12.
  • 53. Nazir, M. ve Lui M.C.S. (2016). A brief history of virtual economy. Journal of Virtual Worlds Research. 9 (1), 1-24. https://doi.org/10.4101/jvwr.v9i1.7179.
  • 54. Ning, Z., Dong, P., Wang, X., Hu, X., Guo, L., Hu, B.,Guo, Y., Qiu,T., & Kwok, R. Y. (2021). Mobile edge computing enabled 5G health monitoring for Internet of medical things: A decentralized game theoretic approach. IEEE Journal on Selected Areas in Communications, 39(2), 463-478.
  • 55. Oran, N.T., & Şenuzun, F. (2008). Toplumda kırılması gereken bir zincir: HIV/AIDS stigması ve baş etme stratejileri. Uluslararası İnsan Bilimleri Dergisi, 5(1), 1-16.
  • 56. Oremus, W. (2021). In 2021, tech talked up ‘the metaverse.’ One problem: It doesn’t exist. The Washington Post.https://www.washingtonpost.com/technology/2021/12/30/metaverse-definition-facebook-horizon-worlds/, Erişim Tarihi: 21.01.2022.
  • 57. Oxford Medical Simulation (2021). What is XR, and How is it transforming healthcare?. https://oxfordmedicalsimulation.com/healthcare-simulation/what-is-xr-and-how-is-it-transforming-healthcare/, Erişim tarihi: 12.02.2021.
  • 58. Özdenizci Köse, B. (2021). Sağlıkta blok zincir. In Nilgün Bozbuğa, Sevinç Gülseçen (Eds.), Tıp ilişimi (pp. 368–397). İstanbul Üniversitesi Yayınevi. https://doi.org/10.26650/B/ET07.2021.003.19.
  • 59. Park, S.M., Kim, Y.G. (2022). A metaverse: Taxonomy, components, applications, and open challenges. IEEE Access. 10, 4209–4251. https://doi.org/10.1109/ACCESS.2021.3140175.
  • 60. Patel, H., Locker, M. (2022). The metaverse explained. Deloitte. User Friendly: Season 6. https://www2.deloitte.com/content/dam/Deloitte/us/Documents/mergers-acqisitions/user-friendly-the-metaverse-explained.pdf, Erişim Tarihi:19.02.2022.
  • 61. Patel, K., Patel, S. (2016). Internet of things-IOT: Definition, characteristics, architecture, enabling technologies, application & future challenges. International Journal of Engineering Science and Computing. 6(5), 6122-6131.
  • 62. Rayan, R., Christos, T., Zafar, I. (2021). IoT-integrated robotics in health sector. In Utku Kose, Jude Hemanth, Omer Deperlioglu (Eds.), Biomedical and robotics healthcare. Oxon: CRC Press is an imprint of Taylor & Francis Group, LLC. https://10.1201/9781003112273-1.
  • 63. Rebbani, Z., Azougagh, D., Bahatti, L., Bouattane, O. (2021). Definitions and applications of augmented/virtual reality: A survey. International Journal of Emerging Trends in Engineering Research. 9(3), 279-285. https://doi.org/10.30534/ijeter/2021/21932021.
  • 64. Rudra, B. (2020). Medical sensor networks impact in smart cities. In Fadi Al-Turjman (Eds.), Wireless Medical Sensor Networks for IoT-based eHealth. IET Book Series on e-Health Technologies. The Institution of Engineering and Technology, London.
  • 65. Sheikh, A.H., Barry, D.S., Gutierrez, H., Cryan, J.F., O'Keeffe, G.W. (2016). Cadaveric anatomy in the future of medical education: What is the surgeons view?. Anatomical Sciences Education. 9(2), 203–208. https://doi.org/10.1002/ase.1560.
  • 66. Sheridan, E., Ng, M., Czura, L., Steiger, A., Vegliante, A., Campagna, A. (2021). Americas technology framing the future of web 3.0 - metaverse edition. https://www.goldmansachs.com/insights/pages/gs-research/framing-the-future-of-web-3.0-metaverse-edition/report.pdf, Erişim tarihi: 10.01.2022.
  • 67. Slater, M., Gonzalez-Liencres, C., Haggard, P., Vinkers, C., Gregory-Clarke, R., Jelley, S., et al. (2020). The ethics of realism in virtual and augmented reality. Frontiers in Virtual Reality. 1(1), 1–13. https://doi.org/10.3389/frvir.2020.00001.
  • 68. Stephenson, N. (1992). Snow Crash. Bantam Books, New York.
  • 69. Thomason, J. (2021a). MetaHealth - how will the metaverse change health care?. Journal of Metaverse. 1(1), 13–16.
  • 70. Thomason, J. (2021b). Big tech, big data and the new world of digital health. Global Health Journal. 5(4), 165–168. https://doi.org/10.1016/j.glohj.2021.11.003.
  • 71. Thomason, J. (2021c). Ethics in the metaverse maximizing benefit and minimizing harm. Corporate Investment Times.12, 67–70.
  • 72. Trost, Z., France, C., Anam, M., Shum, C. (2021). Virtual reality approaches to pain: toward a state of the science. Pain. 162(2), 325-331. https://doi.org/10.1097/j.pain.0000000000002060.
  • 73. Resmi Gazete. (2022). Uzaktan Sağlık Hizmetlerinin Sunumu Hakkında Yönetmelik (Sayı: 31746), https://www.resmigazete.gov.tr/eskiler/2022/02/20220210-2.htm, Erişim Tarihi: 12.02.2022.
  • 74. Veyond Metaverse. (tarih yok). Experience veyond XR technology, transformational breakthrough solutions. https://www.veyondmetaverse.com/xr-products, Erişim Tarihi: 20.01.2022.
  • 75. Wang, C., Vo, H.T., Ni, P. (2015, December). An IoT application for fault diagnosis and prediction. 2015 IEEE International Conference on Data Science and Data Intensive Systems. (pp. 726-731). IEEE; Sydney, NSW, Australia. https://doi.org/10.1109/DSDIS.2015.97.
  • 76. Wendehorst C., Duller, Y. (2021) Biometric recognition and behavioural detection. Policy Department for Citizens’ Rights and Constitutional Affairs EN Directorate-General for Internal Policies.https://www.europarl.europa.eu/RegData/etudes/BRIE/2021/697131/IPOL_BRI(2021)697131_EN.pdf, Erişim Tarihi: 12.02.2022.
  • 77. Yagol, P. Ramos, F.. Trilles, S. Torres-Sospedra, J., Perales, F.J. (2018). New trends in using augmented reality apps for smart city contexts. ISPRS International Journal of Geo-Information. 7(12), 478; https://doi.org/10.3390/ijgi7120478.
  • 78. Yang, Q., Zhao, Y., Huang, H., Zheng, Z. (2022). Fusing blockchain and AI with metaverse: A survey. arXiv preprint. arXiv:2201.03201.
  • 79. Yılmaz, A., Ölçer, İ. (2021). Yapay zekanın cerrahi uygulamalara entegrasyonu. Beykent Üniversitesi Fen ve Mühendislik Bilimleri Dergisi. 13(2), 21-27. https://doi.org/10.20854/bujse.873770.
  • 80. Yun, G., Zhaoyi, P., Qingqing C. (2019). China performs first 5G-based remote surgery on human brain. https://news.cgtn.com/news/3d3d774d7945444e33457a6333566d54/index.html, Erişim Tarihi: 20.01.2022.
  • 81. Zaim Gökbay, İ. (2021). Tıpta yapay zeka uygulamaları - antik çağdan yapay zekaya teşhis ve tedavi yöntemlerinin gelişim sürecinde klinik karar destek sistemlerinin evrimine genel bakış. In Nilgün Bozbuğa, Sevinç Gülseçen (Eds.), Tıp bilişimi (pp. 673–691). İstanbul Üniversitesi Yayınevi. https://doi.org/10.26650/B/ET07.2021.003.
  • 82. Zhou, X.Y., Guo, Y., Shen, M., Yang, G.Z. (2020). Application of artificial intelligence in surgery. Frontiers of medicine. 14(4), 417-430. https://doi.org/10.1007/s11684-020-0770-0.

Metaverse Ecosystem and Technologies in the Future of Healthcare: Applications, Opportunities, and Challenges

Year 2022, Volume: 6 Issue: 1, 12 - 34, 30.06.2022
https://doi.org/10.52148/ehta.1082705

Abstract

The restrictions caused by the COVID-19 pandemic have made it necessary for humanity to develop a lifestyle based on this reality. The use of technology in healthcare, a sector requiring mandatory needs, has increased in line with this need. This increased the interest in the notion of Metaverse, a virtual universe in which people can safely meet human needs and communicate with no physical contact. This study aims to evaluate how the concept of Metaverse, which is expected to lead to radical changes in many sectors, will shape the future of healthcare, the opportunities it offers and the challenges it contains. In this context, the existing applications in healthcare of technologies such as extended reality, artificial intelligence, blockchain, computer vision, user interactivity, network, edge computing, robotics and internet of things (IoT), which are considered as Metaverse technology components included. With the integration of related technologies into Metaverse, patients with mental health disorders and sexually transmitted diseases, who are afraid of stigmatization, elderly people and children, are foreseen as potential target groups for services qualified as remote health services. Metaverse is expected to offer potential opportunities and advantages in many areas such as health tourism, human resources, treatment effectiveness in healthcare, education, patient satisfaction and data management. On the other hand, the cost of using Metaverse technologies, privacy violations, data privacy and security, and challenges that may arise with the intense use of these technologies by individuals such as virtual addiction, social isolation, behavioral disorders, increased anxiety and stress were also included in this study.

References

  • 1. Abdullah, A., Ismael, A., Rashid, A., Abou-ElNour, A., Tarique, M. (2015). Real time wireless health monitoring application using mobile devices. International Journal of Computer Networks & Communications (IJCNC). 7(3), 13-30. https://doi.org/10.5121/ijcnc.2015.7302.
  • 2. AccuVein (tarih yok). AccuVein vein visualization: The future of healthcare is here. https://www.accuvein.com/why-accuvein/ar/, Erişim Tarihi: 22.01.2022.
  • 3. Aguilera-Astudillo, C., Chavez-Campos, M., Gonzalez-Suarez, A., Garcia-Cordero, J.L. (2016). A low-cost 3-D printed stethoscope connected to a smartphone. 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). (pp. 4365-4368). IEEE; Orlando, FL, USA.
  • 4. Ahmed, H., Devoto, L. (2021). The potential of a digital twin in surgery. Surgical Innovation. 28(4), 509-510. https://doi.org/10.1177/1553350620975896.
  • 5. Almusallam, N., Alabdulatif, A., Alarfaj, F. (2021). Analysis of privacy-preserving edge computing and internet of things models in healthcare domain. Computational and Mathematical Methods in Medicine, https://doi.org/10.1155/2021/6834800.
  • 6. Al-Turjman, F., Nawaz, M.H., Ulusar, U.D. (2020). Intelligence in the internet of medical things era: A systematic review of current and future trends. Computer Communications. 150, 644-660.
  • 7. Amisha, P.M., Pathania, M., Rathaur, V.K. (2019). Overview of artificial intelligence in medicine. Journal of Family Medicine and Primary Care. 8(7), 2328-2331.
  • 8. Arman, N., Tarakci, E., Tarakci, D., Kasapcopur, O. (2019). Effects of video games–based task-oriented activity training (Xbox 360 Kinect) on activity performance and participation in patients with juvenile idiopathic arthritis: a randomized clinical trial. American Journal of Physical Medicine & Rehabilitation. 98(3), 174-181. https://10.1097/PHM.0000000000001001.
  • 9. Asadzadeh, A., Samad-Soltani, T., Rezaei-Hachesub, P. (2021). Applications of virtual and augmented reality in infectious disease epidemics with a focus on the COVID-19 outbreak. Informatics in Medicine Unlocked. 24, 100579. https://doi.org/10.1016/j.imu.2021.100579.
  • 10. Awwad, S., Tarvade, S., Piccardi, M., Gattas, D.J. (2019). The use of privacy-protected computer vision to measure the quality of healthcare worker hand hygiene. International Journal for Quality in Health Care. 31(1), 36-42. https://doi.org/10.1093/intqhc/mzy099.
  • 11. Balasubramanian, S. (2021). The next frontier for healthcare: Augmented reality, virtual reality, and the metaverse. Forbes. https://www.forbes.com/sites/saibala/2021/11/29/the-next-frontier-for-healthcare-augmented-reality-virtual-reality-and-the-metaverse/?sh=11b7f67c2894, Erişim Tarihi: 07.02.2022.
  • 12. Barry, D.M., Ogawa, N., Dharmawansa, A., Kanematsu, H., Fukumura, Y., Shirai, T., et al. (2015). Evaluation for students’ learning manner using eye blinking system in metaverse. Procedia Computer Science. 60, 1195-1204. https://doi.org/10.1016/j.procs.2015.08.181.
  • 13. Binance Academy (2021). 4 blockchain and crypto projects in the metaverse. https://academy.binance.com/en/articles/blockchain-and-crypto-projects-in-the-metaverse, Erişim Tarihi: 23.01.2022.
  • 14. Bogost, I. (2021). The metaverse is bad. The Atlantic, https://www.theatlantic.com/technology/archive/2021/10/facebook-metaverse-name-change/620449/, Erişim Tarihi: 21.01.2022.
  • 15. Chamola, V., Hassija, V., Gupta, V., Guizani, M. (2020). A comprehensive review of the COVID-19 pandemic and the role of IoT, drones, AI, blockchain, and 5G in managing its impact. IEEE Access. 8, 90225-90265. https://doi.org/10.1109/ACCESS.2020.2992341.
  • 16. Chen, J., Cremer, J.F., Zarei, K., Segre, A.M., Polgreen, P.M. (2016). Using computer vision and depth sensing to measure healthcare worker-patient contacts and personal protective equipment adherence within hospital rooms. Open Forum Infectious Diseases. 3(1), ofv200. https://doi.org/10.1093/ofid/ofv200.
  • 17. Chunming, Z., He G. (2020). 5G applications help China fight against COVID-19. China Academy of Information and Communications Technology. 1-4.
  • 18. Coombs, B. (2022). CVS files to trademark its pharmacy and health clinics in the metaverse, https://www.cnbc.com/2022/03/04/cvs-files-to-trademark-its-pharmacy-and-health-clinics-in-the-metaverse-.html, Erişim Tarihi: 29.03.2022.
  • 19. Çam, O., Çuhadar, D. (2011). Ruhsal hastalığa sahip bireylerde damgalama süreci ve içselleştirilmiş damgalama. Psikiyatri Hemşireliği Dergisi. 2(3), 136-140.
  • 20. D'Auria, D., Persia, F., Siciliano, B. (2016). Human-computer interaction in healthcare: How to support patients during their wrist rehabilitation. 2016 IEEE Tenth International Conference on Semantic Computing (ICSC). (pp. 324–327). IEEE; Laguna Hills, CA, USA. https://doi.org/10.1109/ICSC.2016.21.
  • 21. Dave, R., Seliya, N., Siddiqui, N. (2021). The benefits of edge computing in healthcare, Smart Cities, and IoT. arXiv preprint arXiv:2112.01250.
  • 22. Dilmen, N. (2019). Radyolojide yapay zekâ. In Melih Bulut vd. (Eds.), Sağlık bilimlerinde yapay zeka (pp. 61-66). Çağlayan Kitabevi, İstanbul.
  • 23. Dorri, M. (2017). Healthcare research: VR and AR. British Dental Journal. 222, 224–225. https://doi.org/10.1038/sj.bdj.2017.145.
  • 24. Duan, Y.Y., Zhang, J.Y., Xie, M., Feng, X. B., Xu, S., Ye, Z.W. (2019). Application of virtual reality technology in disaster medicine. Current medical science, 39(5), 690-694. https://doi.org/10.1007/s11596-019-2093-4.
  • 25. Farzanfar, R., Frishkopf, S., Friedman, R., Ludena, K. (2007). Evaluating an automated mental health care system: making meaning of human–computer interaction. Computers in Human Behavior. 23(3), 1167-1182. https://doi.org/10.1016/j.chb.2004.11.015.
  • 26. Gao, J., Yang, Y., Lin, P., Park, D.S. (2018). Computer vision in healthcare applications. Journal of Healthcare Engineering. 2018, 5157020. https://doi.org/10.1155/2018/5157020.
  • 27. Gençoğlu, F. (2021). Türk Telekom'un 5G bağlantısı ile çevrim içi ameliyat gerçekleştirildi. https://www.aa.com.tr/tr/sirkethaberleri/bilisim/turk-telekomun-5g-baglantisi-ile-cevrim-ici-ameliyat-gerceklestirildi/668281, Erişim Tarihi: 12/01/2022.
  • 28. Gulliksen, J. (2017). Institutionalizing human-computer interaction for global health. Global Health Action, 10(sup3), 1344003. https://doi.org/10.1080/16549716.2017.1344003.
  • 29. Hartmann, J., Yeh, Y. T., Vogel, D. (2020). AAR: Augmenting a wearable augmented reality display with an actuated head-mounted projector. UIST '20: Proceedings of the 33rd Annual ACM Symposium on User Interface Software and Technology. (pp. 445-458). USA: Virtual Event. https://doi.org/10.1145/3379337.3415849.
  • 30. Hartmann, M., Hashmi, U.S., Imran, A. (2019). Edge computing in smart health care systems: Review, challenges, and research directions. Transactions on Emerging Telecommunications Technologies. e3710. https://doi.org/10.1002/ett.3710.
  • 31. Hashimoto, D.A., Rosman, G., Witkowski, E.R., Stafford, C., Navarrete-Welton, A.J., Rattner, D.W., et al. (2019). Computer vision analysis of intraoperative video: automated recognition of operative steps in laparoscopic sleeve gastrectomy. Annals of surgery. 270(3), 414. https://doi.org/10.1097/SLA.0000000000003460.
  • 32. Hodzic, M., Brennan, J., Enis, D. (2020). Sensor-enabled smart suit electronic IoT design platform with emergency services application. In Fadi Al-Turjman (Eds.), Wireless medical sensor networks for IoT-based eHealth (pp. 2-21). IET Book Series on e-Health Technologies. The Institution of Engineering and Technology, London.
  • 33. Humphries, M. (2019). China performs first 5G remote surgery. https://www.pcmag.com/news/china-performs-first-5g-remote-surgery, Erişim Tarihi: 25/01/2022.
  • 34. Jeon, J.H. (2021). A study on education utilizing metaverse for effective communication in a convergence subject. International Journal of Internet, Broadcasting and Communication. 13(4), 129-134. http://dx.doi.org/10.7236/IJIBC.2021.13.4.129.
  • 35. Kaplan, A.M., Haenlein, M. (2019). Siri, Siri, in my hand: Who's the fairest in the land? On the interpretations, illustrations, and implications of artificial intelligence. Business Horizons. 62 (1), 15-25. https://doi.org/10.1016/j.bushor.2018.08.004.
  • 36. Khan, M.H., Helsper, J., Farid, M.S., Grzegorzek, M. (2018). A computer vision-based system for monitoring Vojta therapy. International journal of medical informatics. 113, 85-95. https://doi.org/10.1016/j.ijmedinf.2018.02.010.
  • 37. Kim, J. (2021a). Advertising in the metaverse: Research. Journal of Interactive Advertising. 21(3): 141-144. https://doi.org/10.1080/15252019.2021.2001273.
  • 38. Kim, S. (2021b). South Korea’s approach to the metaverse. https://thediplomat.com/2021/11/south-koreas-approach-to-the-metaverse/, Erişim Tarihi: 20.01.2022.
  • 39. Kuş, O. (2021). Metaverse: “Dijital büyük patlamada” fırsatlar ve endişelere yönelik algılar. Intermedia International E-Journal. 8(15), 245–266. https://doi.org/10.21645/intermedia.2021.109. 40. Kye, B., Han, N., Kim, E., Park, Y., Jo, S. (2021). Educational applications of metaverse: possibilities and limitations. Journal of Educational Evaluation for Health Professions. 18, 32. https://doi.org/10.3352/jeehp.2021.18.32.
  • 41. Le, D.-N., Le, C., Tromp, J., Nguyen, G. (2018). Emerging technologies for health and medicine- virtual reality, augmented reality, artificial intelligence, internet of things, robotics, industry 4.0. John Wiley & Sons, Hoboken, NJ, USA.
  • 42. Lee, L.-H., Braud, T., Zhou, P., Wang, L., Xu, D., Lin, Z., et al. (2021). All one needs to know about metaverse: A complete survey on technological singularity, virtual ecosystem, and research agenda. Journal of Latex Class Files. 14(8), 1–66. https://doi.org/10.13140/RG.2.2.11200.05124/8.
  • 43. Li, L., Zhou, J. (2016). Virtual reality technology based developmental designs of multiplayer-interaction-supporting exhibits of science museums: taking the exhibit of" virtual experience on an aircraft carrier" in China science and technology museum as an example. VRCAI '16: Proceedings of the 15th ACM SIGGRAPH Conference on Virtual-Reality Continuum and Its Applications in Industry. 1: 409–412. https://doi.org/10.1145/3013971.3014018.
  • 44. Lin, H.T., Li Y.I., Hu W.P., Huang C.C., Du Y.C. (2019). A scoping review of the efficacy of virtual reality and exergaming on patients of musculoskeletal system disorder. Journal of Clinical Medicine. 8(6), 791. https://doi.org/10.3390/jcm8060791.
  • 45. Liu, P., Fels, S., West, N., Görges, M. (2019). Human computer interaction design for mobile devices based on a smart healthcare architecture. arXiv preprint arXiv:1902.03541.
  • 46. Liu, Z., Ren, L., Xiao, C., Zhang, K., Demian, P. (2022). Virtual reality aided therapy towards health 4.0: A two-decade bibliometric analysis. International Journal of Environmental Research and Public Health. 19(3), 1525. https://doi.org/10.3390/ijerph19031525.
  • 47. Logeswaran, A., Munsch, C., Yu Jeat Chong, C., Neil RalphD, N., McCrossnan, J. (2021). Education and training the role of extended reality technology in healthcare education: Towards a learner-centred approach. Future Healthcare Journal. 8(1), e79–8. https://doi.org/10.7861/fhj.2020-0112.
  • 48. Ma, M., Zheng, H. (2011). Virtual reality and serious games in healthcare. In Sheryl Brahnam, Lakhmi C. Jain (Eds.), Advanced computational intelligence paradigms in healthcare 6 (pp. 169–189). Springer, Berlin.
  • 49. Mamun, Q. (2022). Blockchain technology in the future of healthcare. Smart Health. 23: 100223. https://doi.org/10.1016/j.smhl.2021.100223.
  • 50. McGhin, T., Choo, K.K.R., Liu, C.Z., He, D. (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.2019.02.027.
  • 51. Mohammed, Z. (2019). Artificial intelligence definition, ethics and standards. Electronics and Communications: Law, Standards and Practice. 1-10.
  • 52. Nalbant, K.G., Uyanık, Ş. (2021). Computer vision in the metaverse. Journal of Metaverse. 1(1), 9–12.
  • 53. Nazir, M. ve Lui M.C.S. (2016). A brief history of virtual economy. Journal of Virtual Worlds Research. 9 (1), 1-24. https://doi.org/10.4101/jvwr.v9i1.7179.
  • 54. Ning, Z., Dong, P., Wang, X., Hu, X., Guo, L., Hu, B.,Guo, Y., Qiu,T., & Kwok, R. Y. (2021). Mobile edge computing enabled 5G health monitoring for Internet of medical things: A decentralized game theoretic approach. IEEE Journal on Selected Areas in Communications, 39(2), 463-478.
  • 55. Oran, N.T., & Şenuzun, F. (2008). Toplumda kırılması gereken bir zincir: HIV/AIDS stigması ve baş etme stratejileri. Uluslararası İnsan Bilimleri Dergisi, 5(1), 1-16.
  • 56. Oremus, W. (2021). In 2021, tech talked up ‘the metaverse.’ One problem: It doesn’t exist. The Washington Post.https://www.washingtonpost.com/technology/2021/12/30/metaverse-definition-facebook-horizon-worlds/, Erişim Tarihi: 21.01.2022.
  • 57. Oxford Medical Simulation (2021). What is XR, and How is it transforming healthcare?. https://oxfordmedicalsimulation.com/healthcare-simulation/what-is-xr-and-how-is-it-transforming-healthcare/, Erişim tarihi: 12.02.2021.
  • 58. Özdenizci Köse, B. (2021). Sağlıkta blok zincir. In Nilgün Bozbuğa, Sevinç Gülseçen (Eds.), Tıp ilişimi (pp. 368–397). İstanbul Üniversitesi Yayınevi. https://doi.org/10.26650/B/ET07.2021.003.19.
  • 59. Park, S.M., Kim, Y.G. (2022). A metaverse: Taxonomy, components, applications, and open challenges. IEEE Access. 10, 4209–4251. https://doi.org/10.1109/ACCESS.2021.3140175.
  • 60. Patel, H., Locker, M. (2022). The metaverse explained. Deloitte. User Friendly: Season 6. https://www2.deloitte.com/content/dam/Deloitte/us/Documents/mergers-acqisitions/user-friendly-the-metaverse-explained.pdf, Erişim Tarihi:19.02.2022.
  • 61. Patel, K., Patel, S. (2016). Internet of things-IOT: Definition, characteristics, architecture, enabling technologies, application & future challenges. International Journal of Engineering Science and Computing. 6(5), 6122-6131.
  • 62. Rayan, R., Christos, T., Zafar, I. (2021). IoT-integrated robotics in health sector. In Utku Kose, Jude Hemanth, Omer Deperlioglu (Eds.), Biomedical and robotics healthcare. Oxon: CRC Press is an imprint of Taylor & Francis Group, LLC. https://10.1201/9781003112273-1.
  • 63. Rebbani, Z., Azougagh, D., Bahatti, L., Bouattane, O. (2021). Definitions and applications of augmented/virtual reality: A survey. International Journal of Emerging Trends in Engineering Research. 9(3), 279-285. https://doi.org/10.30534/ijeter/2021/21932021.
  • 64. Rudra, B. (2020). Medical sensor networks impact in smart cities. In Fadi Al-Turjman (Eds.), Wireless Medical Sensor Networks for IoT-based eHealth. IET Book Series on e-Health Technologies. The Institution of Engineering and Technology, London.
  • 65. Sheikh, A.H., Barry, D.S., Gutierrez, H., Cryan, J.F., O'Keeffe, G.W. (2016). Cadaveric anatomy in the future of medical education: What is the surgeons view?. Anatomical Sciences Education. 9(2), 203–208. https://doi.org/10.1002/ase.1560.
  • 66. Sheridan, E., Ng, M., Czura, L., Steiger, A., Vegliante, A., Campagna, A. (2021). Americas technology framing the future of web 3.0 - metaverse edition. https://www.goldmansachs.com/insights/pages/gs-research/framing-the-future-of-web-3.0-metaverse-edition/report.pdf, Erişim tarihi: 10.01.2022.
  • 67. Slater, M., Gonzalez-Liencres, C., Haggard, P., Vinkers, C., Gregory-Clarke, R., Jelley, S., et al. (2020). The ethics of realism in virtual and augmented reality. Frontiers in Virtual Reality. 1(1), 1–13. https://doi.org/10.3389/frvir.2020.00001.
  • 68. Stephenson, N. (1992). Snow Crash. Bantam Books, New York.
  • 69. Thomason, J. (2021a). MetaHealth - how will the metaverse change health care?. Journal of Metaverse. 1(1), 13–16.
  • 70. Thomason, J. (2021b). Big tech, big data and the new world of digital health. Global Health Journal. 5(4), 165–168. https://doi.org/10.1016/j.glohj.2021.11.003.
  • 71. Thomason, J. (2021c). Ethics in the metaverse maximizing benefit and minimizing harm. Corporate Investment Times.12, 67–70.
  • 72. Trost, Z., France, C., Anam, M., Shum, C. (2021). Virtual reality approaches to pain: toward a state of the science. Pain. 162(2), 325-331. https://doi.org/10.1097/j.pain.0000000000002060.
  • 73. Resmi Gazete. (2022). Uzaktan Sağlık Hizmetlerinin Sunumu Hakkında Yönetmelik (Sayı: 31746), https://www.resmigazete.gov.tr/eskiler/2022/02/20220210-2.htm, Erişim Tarihi: 12.02.2022.
  • 74. Veyond Metaverse. (tarih yok). Experience veyond XR technology, transformational breakthrough solutions. https://www.veyondmetaverse.com/xr-products, Erişim Tarihi: 20.01.2022.
  • 75. Wang, C., Vo, H.T., Ni, P. (2015, December). An IoT application for fault diagnosis and prediction. 2015 IEEE International Conference on Data Science and Data Intensive Systems. (pp. 726-731). IEEE; Sydney, NSW, Australia. https://doi.org/10.1109/DSDIS.2015.97.
  • 76. Wendehorst C., Duller, Y. (2021) Biometric recognition and behavioural detection. Policy Department for Citizens’ Rights and Constitutional Affairs EN Directorate-General for Internal Policies.https://www.europarl.europa.eu/RegData/etudes/BRIE/2021/697131/IPOL_BRI(2021)697131_EN.pdf, Erişim Tarihi: 12.02.2022.
  • 77. Yagol, P. Ramos, F.. Trilles, S. Torres-Sospedra, J., Perales, F.J. (2018). New trends in using augmented reality apps for smart city contexts. ISPRS International Journal of Geo-Information. 7(12), 478; https://doi.org/10.3390/ijgi7120478.
  • 78. Yang, Q., Zhao, Y., Huang, H., Zheng, Z. (2022). Fusing blockchain and AI with metaverse: A survey. arXiv preprint. arXiv:2201.03201.
  • 79. Yılmaz, A., Ölçer, İ. (2021). Yapay zekanın cerrahi uygulamalara entegrasyonu. Beykent Üniversitesi Fen ve Mühendislik Bilimleri Dergisi. 13(2), 21-27. https://doi.org/10.20854/bujse.873770.
  • 80. Yun, G., Zhaoyi, P., Qingqing C. (2019). China performs first 5G-based remote surgery on human brain. https://news.cgtn.com/news/3d3d774d7945444e33457a6333566d54/index.html, Erişim Tarihi: 20.01.2022.
  • 81. Zaim Gökbay, İ. (2021). Tıpta yapay zeka uygulamaları - antik çağdan yapay zekaya teşhis ve tedavi yöntemlerinin gelişim sürecinde klinik karar destek sistemlerinin evrimine genel bakış. In Nilgün Bozbuğa, Sevinç Gülseçen (Eds.), Tıp bilişimi (pp. 673–691). İstanbul Üniversitesi Yayınevi. https://doi.org/10.26650/B/ET07.2021.003.
  • 82. Zhou, X.Y., Guo, Y., Shen, M., Yang, G.Z. (2020). Application of artificial intelligence in surgery. Frontiers of medicine. 14(4), 417-430. https://doi.org/10.1007/s11684-020-0770-0.
There are 81 citations in total.

Details

Primary Language Turkish
Subjects Health Policy
Journal Section Articles
Authors

Faruk Yılmaz 0000-0001-7398-8302

Anı Hande Mete 0000-0002-4077-2895

Buse Fidan Türkön 0000-0002-6978-6377

Özgür İnce 0000-0002-6875-9115

Publication Date June 30, 2022
Published in Issue Year 2022 Volume: 6 Issue: 1

Cite

APA Yılmaz, F., Mete, A. H., Fidan Türkön, B., İnce, Ö. (2022). Sağlık Hizmetlerinin Geleceğinde Metaverse Ekosistemi ve Teknolojileri: Uygulamalar, Fırsatlar ve Zorluklar. Eurasian Journal of Health Technology Assessment, 6(1), 12-34. https://doi.org/10.52148/ehta.1082705

It is an open access and double-blinded peer-reviewed journal.

The journal context is provided free of charge to all users.
The scientific responsibility of the articles in the journal belongs to the authors.
The articles that had been published in the journal are not allowed to be used without citation.
© Republic of Turkey, Ministry of Health, General Directorate of Health Services, R&D and Health Technology Assessment Department
All rights are reserved to Republic of Turkey, Ministry of Health, General Directorate of Health Services.