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Ruotsalainen, Pekka ; Blobel, Bernd

A System Model and Requirements for Transformation to Human-Centric Digital Health

Ruotsalainen, Pekka and Blobel, Bernd (2025) A System Model and Requirements for Transformation to Human-Centric Digital Health. Journal of Medical Internet Research 27, e68661.

Date of publication of this fulltext: 17 Jun 2025 04:26
Article
DOI to cite this document: 10.5283/epub.76886


Abstract

Digital transformation is widely understood as a process where technology is used to modify an organization’s products and services and to create new ones. It is rapidly advancing in all sectors of society. Researchers have shown that it is a multidimensional process determined by human decisions based on ideologies, ideas, beliefs, goals, and the ways in which technology is used. In health care ...

Digital transformation is widely understood as a process where technology is used to modify an organization’s products and services and to create new ones. It is rapidly advancing in all sectors of society. Researchers have shown that it is a multidimensional process determined by human decisions based on ideologies, ideas, beliefs, goals, and the ways in which technology is used. In health care and health, the end result of digital transformation is digital health. In this study, a detailed literature review covering 560 research articles published in major journals was performed, followed by an analysis of ideas, beliefs, and goals guiding digital transformation and their possible consequences for privacy, human rights, dignity, and autonomy in health care and health. Results of literature analyses demonstrated that from the point of view of privacy, dignity, and human rights, the current laws, regulations, and system architectures have major weaknesses. One possible model of digital health is based on the dominant ideas and goals of the business world related to the digital economy and neoliberalism, including privatization of health care services, monetization and commodification of health data, and personal responsibility for health. These ideas represent meaningful risks to human rights, privacy, dignity, and autonomy. In this paper, we present an alternative solution for digital health called human-centric digital health (HCDH). Using system thinking and system modeling methods, we developed a system model for HCDH. It uses 5 views (ideas, health data, principles, regulation, and organizational and technical innovations) to align with human rights and values and support dignity, privacy, and autonomy. To make HCDH future proof, extensions to human rights, the adoption of the principle of restricted informational ownership of health data, and the development of new duties, responsibilities, and laws are needed. Finally, we developed a system-oriented, architecture-centric, ontology-based, and policy-driven approach to represent and manage HCDH ecosystems.



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Details

Item typeArticle
Journal or Publication TitleJournal of Medical Internet Research
Publisher:Healthcare World
Volume:27
Page Range:e68661
Date28 April 2025
InstitutionsMedicine > Zentren des Universitätsklinikums Regensburg > eHealth Competence Center
Identification Number
ValueType
10.2196/68661DOI
40294402PubMed ID
12070013PubMedCentral-ID
Keywordsdigital health; human rights; privacy; dignity; autonomy; digital economy; neoliberalism; modeling; system analysis; artificial intelligence
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-768865
Item ID76886

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