ENDÜSTRİ 4.0 ETKİSİ İLE COVİD 19 PANDEMİSİ'NDE SAĞLIK SEKTÖRÜNDE DİJİTAL DÖNÜŞÜMÜN YANSIMALARI

Yıl 2022, Cilt: 3 Sayı: 2, 136 - 152, 08.12.2022

Şölen Zengin Emel Yontar

https://doi.org/10.56400/tarsusiibfdergisi.1130828

Cited By: 1

Öz

Endüstri 4.0' ın etkisiyle tüm dünya ve ülkemiz dijital bir dönüşüm sürecindedir. İçinde bulunduğumuz Covid-19 pandemi sürecinin etkisiyle sağlıkta dijitalleşme hızla gelişiyor ve büyük önem taşıyor. Bu çalışmada dijital sağlık alanında dijital dönüşümün dört ana konusu, teletıp, e-Sağlık, m-Sağlık, algoritmik tıp, e-nabız ve bu alandaki son gelişmeler tartışılmaktadır. Endüstri 4.0 etkisi ile sağlıkta yaşanan gelişmelere, sağlık sektöründeki yapay zeka uygulamalarına yer verilerek çalışmanın amaçları sunulmuştur. 2019-2021 yılları arasında konuyla ilgili yapılan çalışmalar incelenmiştir. İncelenen çalışmaların sadece %2'sinin literatür çalışması olması ve içinde bulunduğumuz Covid-19 pandemi sürecinin de etkisiyle sağlıkta dijitalleşmenin hızlanması ile mevcut literatür çalışmasına olan ihtiyaç ortaya çıkmıştır. Literatür çalışmasında; güncel uygulama örneklerini içeren çalışmalara yer verilmiş ve sağlıkta dijitalleşmenin mevcut durumu sunulmuştur. Çalışmada sağlıkta dijitalleşmenin hızlı gelişimi ve önemi, Covid-19' un da etkisiyle vurgulanmıştır.

Anahtar Kelimeler

Dijital Teknoloji, Otomasyon, Endüstriyel Gelişme, Yapay Zeka, Covid-19.

REFLECTIONS OF DIGITAL TRANSFORMATION IN THE HEALTH SECTOR IN THE COVID 19 PANDEMIC WITH THE EFFECT OF INDUSTRY 4.0

Öz

With the influence of Industry 4.0, the whole world and our country are in a digital transformation process. With the effect of the Covid-19 pandemic process we are in, digitalization in health is developing rapidly and is of great importance. In this study, the four main topics of digital transformation in the field of digital health, telemedicine, e-Health, m- Health, algorithmic medicine, e-pulse and the latest developments in this field are discussed. The developments in health with the effect of Industry 4.0, artificial intelligence applications in the health sector are given and the aims of the study are presented. Studies on the subject between the years 2019-2021 are examined. With the fact that only 2% of the studies examined are literature studies and the acceleration of digitalization in health with the effect of the Covid- 19 pandemic process we are in, the need for a literature study of current studies has emerged. In the literature study; studies including current application examples are included and the current status of digitalization in health is given. The rapid development and importance of digitalization in health, also with the effect of Covid-19 is emphasized.

Anahtar Kelimeler

Digital Technology, Automation, Industrial Development, Artificial Intelligence, Covid-19

Kaynakça

• Aceto, G., Persico, V., ve Pescapé, A. (2020). Industry 4.0 and Health: Internet of Things, Big Data, and Cloud Computing For Healthcare 4.0. Journal of Industrial Information Integration, 18, 100129. https://doi.org/10.1016/j.jii.2020.100129.
• Akalın, B., ve Veranyurt, Ü. (2020) Sağlıkta Dijitalleşme ve Yapay Zekâ. SDÜ Sağlık Yönetimi Dergisi, 2(2), 128-137. Akalın, B., ve Veranyurt, Ü. (2020). Sağlık Hizmetleri ve Yönetiminde Yapay Zekâ. Acta Infologica, 5(1), 5-6. Doi: 10.26650/acin.850857.
• Aslan, Ş., ve Güzel, Ş. (2019), Endüstri 4.0 Gelişim Süreci ve Sağlıkta Dijital Dönüşüm. Uluslararası Bilimsel Araştırmalar Dergisi (Ibad), 650-659. https://doi.org/10.21733/ibadjournal.584464.
• Bamgboje-Ayodele, A., Short, C. E., Fardell, J. E., Shaw, J., Beatty, L., Higgins, K., & Girgis, A. (2021). Barriers and facilitators to the availability of efficacious self- directed digital health tools for adults living with cancer and their caregivers: A systematic literature review and author survey study. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2021.03.012
• Barnett, M. L., Ray, K. N., Souza, J., ve Mehrotra, A. (2018). Trends in telemedicine use in a large commercially insured population, 2005-2017. Jama, 320(20), 2147- 2149. doi:10.1001/jama.2018.12354.
• Bergier, H., Duron, L., Sordet, C., Kawka, L., Schlencker, A., Chasset, F., & Arnaud, L. (2021). Digital health, big data and smart technologies for the care of patients with systemic autoimmune diseases: Where do we stand? Autoimmunity reviews, 102864. https://doi.org/10.1016/j.autrev.2021.102864.
• Bond, R., & Peace, A. (2021). Towards a digital health future. European Heart Journal- Digital Health. https://doi.org/10.1093/ehjdh/ztab023.
• Büyükgöze, S., & Dereli, E. (2019). Dijital sağlık uygulamalarında yapay zeka. VI. Uluslararası Bilimsel ve Mesleki Çalışmalar Kongresi-Fen ve Sağlık, 07-10.
• Büyükgöze, S., & Dereli, E. (2019). Toplum 5.0 ve Dijital Sağlık. VI. Uluslararası Bilimsel ve Mesleki Çalışmalar Kongresi-Fen ve Sağlık, 07-10.
• Cansever, İ. H. (2021). Covid-19 Sürecinde Türkiye'de Sağlık Politikaları. Başkent Üniversitesi Sağlık Bilimleri Fakültesi Dergisi-BÜSBİD, 6.
• Cao, Y., Li, Q., Chen, J., Guo, X., Miao, C., Yang, H. ve Li, L. (2020). Hospital Emergency Management Plan during the Covıd‐19 Epidemic. Academic Emergency Medicine, 27(4), 309-311. https://doi.org/10.1111/acem.13951.
• Chen, M., Li, W., Hao, Y., Qian, Y., ve Humar, I. (2018). Edge Cognitive Computing based Smart Healthcare System. Future Generation Computer Systems, 86, 403-411. https://doi.org/10.1016/j.future.2018.03.054
• Clay, I. (2020). The Future of Digital Health. Digital Biomarkers, 4(1), 1-2. https://doi.org/10.1159/000511705.
• Cocır. 5th ed. Cocır Ehealth Toolkit: Integrated Care: Breaking the Silos, 2015.
• Dalenogare, L.S., Benitez, G.B., Ayala, N.F., Frank, A.G., 2018. The Expected Contribution of Industry 4.0 Technologies for İndustrial Performance. Int. J. Prod. Econ. 204, 383–394. Https://Doi.Org/10.1016/J.İjpe.2018.08.019.
• Demirci, Ş. (2019). Sağlığın Dijitalleşmesi-Dıgıtalızatıon of Health. Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 10(26), 710-721. https://doi.org/10.20875/makusobed.383071.
• Digital tools for mental health in a crisis (2021), The Lancet Digital Health, Volume 3, Issue 4,Page e204,ISSN 2589-7500,https://doi.org/10.1016/S2589-7500(21)00045-5.
• Dorn, S. D. (2015). Digital health: hope, hype, and Amara’s law. Gastroenterology, 149(3), 516-520. DOI: https://doi.org/10.1053/j.gastro.2015.07.024.
• Eysenbachi, G. (2001). What is E-Health? Journal of Medical Internet Research, 3(2), E20 doi:10.2196/jmir.3.2.e20.
• Fahey, R. A., & Hino, A. (2020). COVID-19, digital privacy, and the social limits on data-focused public health responses. International Journal of Information Management, 55, 102181. https://doi.org/10.1016/j.ijinfomgt.2020.102181.
• Finch, T. L., Mort, M., Mair, F. S., ve May, C. R. (2008). Future Patients? Telehealthcare, Roles and Responsibilities. Health ve Social Care in the Community, 16(1), 86-95. https://doi.org/10.1111/j.1365-2524.2007.00726.x.
• G. V. Stam (2021). Digital Health in International Cooperation A Transnational Framework
• Gencer, Z. T., Daşlı, Y., & Biçer, E. B. (2019). Sağlık İletişiminde Yeni Yaklaşımlar: Dijital Medya Kullanımı. Selçuk Üniversitesi Sosyal Bilimler Meslek Yüksekokulu Dergisi, 22(1), 42-52. https://doi.org/10.29249/selcuksbmyd.466855.
• Haggerty, E. (2017). Healthcare and digital transformation. Network Security, 2017(8), 7-11. https://doi.org/10.1016/S1353-4858(17)30081-8.
• Han, J. K., Al-Khatib, S. M., & Albert, C. M. (2021). Changes in the digital health landscape in cardiac electrophysiology: A pre-and peri-pandemic COVID-19 era survey. Cardiovascular Digital Health Journal, 2(1), 55-62. https://doi.org/10.1016/j.cvdhj.2020.12.001.
• Hodson, R. (2019). Digital health. Nature, 573(7775), S97-S97.
• Hofmann, E., & Rüsch, M. (2017). Industry 4.0 and the current status as well as future prospects on logistics. Computers in industry, 89, 23-34. https://doi.org/10.1016/j.compind.2017.04.002
• https://enabiz.gov.tr/Yardim/Index Access Date: 09.02.2022.
• Hudes, M. K. (2017, February). Fostering innovation in Digital Health a new ecosystem. In 2017 Pan Pacific Microelectronics Symposium (Pan Pacific) (pp. 1-6). IEEE.
• Kiel, D., Müller, J.M., Arnold, C., Voigt, K., 2017. Sustainable Industrial Value Creation: Benefits and Challenges of Industry 4.0. Int. J. Innov. Manag. 21 (08), 1740015 Https://Doi.Org/10.1142/9781786347602_0009.
• Korkmaz, S., ve Gedik, Ö. (2020). Endüstri 4.0’ın Sağlık Sektörüne Etkisinde Demografik Özelliklerin Düzenleyici Rolü: Teknoloji Kabul Modeli ile Bir Uygulama. Hacettepe University Journal of Economics ve Administrative Sciences/Hacettepe Üniversitesi Iktisadi ve Idari Bilimler Fakültesi Dergisi, 38(4). https://doi.org/10.17065/huniibf.684717.
• Korngiebel, D. M. (2021). Digital Health Care Disparities. Hastings Center Report, 51(1), inside_front_cover-inside_front_cover. https://doi.org/10.1002/hast.1208.
• Köksalan, N., Doç. Dr. Mustafa Hatipler, (2021). Covıd-19 Salgını Sürecinin Bir Gerçeği Olarak Dijital Göç. Scıences. Lai, L., Wittbold, K. A., Dadabhoy, F. Z., Sato, R., Landman, A. B., Schwamm, L. H., & Zhang, H. M. (2020, December). Digital triage: Novel strategies for population health management in response to the COVID-19 pandemic. In Healthcare (Vol. 8, No. 4, p. 100493). Elsevier. https://doi.org/10.1016/j.hjdsi.2020.100493.
• Levin-Zamir, D., & Parial, L. L. (2020). Digital Health. Journal: Encyclopedia of Gerontology and Population Aging, 1-8. https://doi.org/10.1007/978-3-319-69892-2_1085-1.
• Lowery, C. (2020). What is digital health and what do I need to know about it?. Obstetrics and Gynecology Clinics of North America, 47(2), 215-225. Doi:https://doi.org/10.1016/j.ogc.2020.02.011.
• Lu, Y., 2017. Industry 4.0: A Survey on Technologies, Applications and Open Research İssues. J. Ind. Inf. Integr. 6, 1–10. M. J. (2020). The future of digital health with federated learning. NPJ digital medicine, 3(1), 1-7.
• Marent, B., & Henwood, F. (2021). Digital health. Routledge international handbook of critical issues in health and illness. Routledge.
• Marsch, L. A. (2020). Digital Health and Addiction. Current opinion in systems biology https://doi.org/10.1016/j.coisb.2020.07.004.
• Mastronardo, C., Muddle, L. S., Grace, S., Engel, R. M., & Fazalbhoy, A. (2021). Digital health technologies for osteopaths and allied healthcare service providers: A scoping review. International Journal of Osteopathic Medicine. https://doi.org/10.1016/j.ijosm.2021.05.002.
• Ministry Of Health the General Directorate Of Health Information Systems personal Health Records https://Kisiselveri.Saglik.Gov.Tr/?_Dil=2 Access Date: 09.02.2022.
• Murray, E. J. (2020). Epidemiology's time of need: COVID-19 calls for epidemic- related economics. Journal of Economic Perspectives, 34(4), 105-20. DOI: 10.1257/jep.34.4.105
• O;reilly-Jacob, M., Mohr, P., Ellen, M., Petersen, C., Sarkisian, C., Attipoe, S., ve Rich, E. (2021, June). Digital Health ve Low-Value Care. In Healthcare (Vol. 9, No. 2, P. 100533). Elsevier. https://doi.org/10.1016/j.hjdsi.2021.100533.
• Obermeyer, Z., & Emanuel, E. J. (2016). Predicting the future—big data, machine learning, and clinical medicine. The New England journal of medicine, 375(13), 1216. doi: 10.1056/NEJMp1606181.
• Platin Dergisi, (2015). 50 En İyi Giyilebilir Teknoloji, (Aralık), S. 89.
• Popkova, E. G., ve Sergi, B. S. (2021). Digital Public Health: Automation Based on New Datasets and the Internet of Things. Socio-Economic Planning Sciences, 101039. https://doi.org/10.1016/j.seps.2021.101039.
• Pwc. 2019. AI and Robotics are Transforming Healthcare(Tarihinde Https://www.Pwc.Com/Gx/En/Industries/Healthcare/Publications/Ai-Robotics-New- Health/Transforming-Healthcare.Html. Access Date: 19/10/2021)
• R. Maguire (2020). Digital Health December Seminars in Oncology Nursing 36(6):151085. DOI: 10.1016/j.soncn.2020.151085
• Rieke, N., Hancox, J., Li, W., Milletari, F., Roth, H. R., Albarqouni, S., ... & Cardoso, Ruckenstein, M., & Schüll, N. D. (2017). The datafication of health. Annual Review of Anthropology, 46, 261-278. https://doi.org/10.1146/annurev-anthro-102116-041244.
• S. Barbosa, P.A. Abbott, G. Sasso. Nursing in the Digital Health Era. DOI: 10.1111/jnu.12620. January 2021Journal of Nursing Scholarship 53(1):1
• Sağlık Bakanlığı Dijital Hastane Değerlendirme Çalışmaları (2012-2014) http://dijitalhastane.saglik.gov.tr) (Access Date:15.06.2021).
• Sayilgan, E., ve İşler, Y. (2017). Medical Devices Sector in Medical İndustry 4.0. In Medical Technologies National Congress (Tıptekno), 2017 (Pp. 1-4). Ieee. Doi: 10.1109/Tiptekno.2017.8238036.
• Schroeder, A., Ziaee Bigdeli, A.Z., Galera-Zarco, C., Baines, T., 2019. Capturing The Benefits of Industry 4.0: A Business Network Perspective. Prod. Plan. Control 30 (16), 1305–1321. https://doi.org/10.1080/09537287.2019.1612111.
• Silva, G. S., & Schwamm, L. H. (2021). Advances in Stroke: Digital Health. Stroke, 52(1), 351-355. https://doi.org/10.1161/STROKEAHA.120.033239.
• Siriwardhana, Y., Gür, G., Ylianttila, M., & Liyanage, M. (2020). The role of 5G for digital healthcare against COVID-19 pandemic: Opportunities and challenges. ICT Express. https://doi.org/10.1016/j.icte.2020.10.002.
• Staples, L., Nielssen, O., Kayrouz, R., Cross, S., Karin, E., Ryan, K., & Titov, N. (2021). Rapid Report 3: Mental health symptoms, characteristics, and regional variation, for users of an Australian digital mental health service during the first 8 months of COVID-19. Internet Interventions, 24, 100378. https://doi.org/10.1016/j.invent.2021.100378.
• Şahinol M., & Başkavak, G. (2020). Türkiye’de Biyomedikalizasyon: Sağlığın Dijitalleşmesi ve Öz-Takip Pratikleri. Türkiye’de STS: Bilim ve Teknoloji Çalışmalarına Giriş içinde, 103-117.
• Şahinol, M., & Başkavak, G. (2021). Contested Daily Routines, Contested Care. Children with Type 1 Diabetes in Covid-19 Times. Childhood Vulnerability Journal, 1-18. Doi: 10.1007/s41255-021-00017-0.
• Şimşek, P., & Karaismailoğlu, D. (2021). Sağlık Hizmetlerinde Dijital Teknolojilerin Kullanımı ve Hasta Güvenliği.
• Thomas, P., Baldwin, C., Bissett, B., Boden, I., Gosselink, R., Granger, C. L., ... ve Van Der Lee, L. (2020). Physiotherapy Management for Covıd-19 In The Acute Hospital Setting: Clinical Practice Recommendations. Journal of Physiotherapy, 66(2), 73-82.
• Thuemmler, C., ve Bai, C. (2017). Health 4.0: Application of Industry 4.0 Design Principles in Future Asthma Management. In Health 4.0: How Virtualization and Big Data are Revolutionizing Healthcare (Pp. 23-37). Springer, Cham.
• Tomak Ö. (2018). Derin Öğrenme Algoritmalarının Ekg Aritmilerinin Sınıflandırılmasında Değerlendirilmesi, Doktora Tezi.
• Tortorella, G.L., Fogliatto, F.S., Vergara, A.M.C., Vassolo, R., Sawhney, R, 2020a. Healthcare 4.0: Trends, Challenges and Research Directions. Prod. Plan. Control 31, 1245–1260. https://doi.org/10.1080/09537287.2019.1702226.
• Uysal, B., & Ulusinan, E. (2020). “Güncel Dijital Sağlık Uygulamalarının İncelenmesi. Selçuk Sağlık Dergisi, S, 1(1). Van de Wiel, L. (2019). The datafication of reproduction: time‐lapse embryo imaging and the commercial isation of IVF. Sociology of health & illness, 41, 193-209. https://doi.org/10.1111/1467-9566.12881.
• Who. M- health: New Horizons for Health Through Mobile Technologies: Second Global Survey (2011). World Health Organization Telemedicine, Global Observatory for E-health Series- Volume 2, S.8- 10, Who 2010.
• Wosik, J., Fudim, M., Cameron, B., Gellad, Z. F., Cho, A., Phinney, D., ... ve Tcheng, J. (2020). Telehealth transformation: COVID-19 and the rise of virtual care. Journal of the American Medical Informatics Association, 27(6), 957-962. https://doi.org/10.1093/jamia/ocaa067.
• Xu, L.D., Xu, E.L., Li, L., 2018. Industry 4.0: State of the Art and Future Trends. Int. J. Prod. Res. 56 (8), 2941–2962. https://doi.org/10.1080/00207543.2018.1444806.
• Yıldırım, J. G., Baran, Z., Çetin, D., ve Ardahan, M. (2021) Kendi Kendine İlaç Yönetiminde Tele- Sağlık Uygulamaları: Sistematik Derleme. Sağlık Akademisi. https://doi.org/10.25279/sak.731200.