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User-centric Design of Mobile & Remote Health Care and Safety Services and Supporting Technologies for China and Finland www.ubi-serv.org Iiro Jantunen, Timo Korhonen, Jyri Hämäläinen, Mika Husso, Edward Mutafungwa, Maija Pekkola, Xirui Wang, and Zhong Zheng

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Page 1: 7.Jantunen UCD for Mobile and Remote Healthcare · PDF filePage Page 11 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009 User-centric Design of Mobile

Page 1 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009Page 1

User-centric Design of Mobile & Remote Health Care and Safety Services and Supporting Technologies for China and Finlandwww.ubi-serv.org

Iiro Jantunen, Timo Korhonen, Jyri Hämäläinen, Mika Husso, Edward Mutafungwa, Maija Pekkola, Xirui Wang, and Zhong Zheng

Page 2: 7.Jantunen UCD for Mobile and Remote Healthcare · PDF filePage Page 11 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009 User-centric Design of Mobile

Page 2 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

Lost of national income (x109 dollars) due to hearth diseases and diabetes

ChinaChina

IndiaIndia

RussiaRussiaCanada

Richard Wootton, Susan L. Dimmick, Joseph C. Kvedar, April 2006. Home Telehealth

Page 3: 7.Jantunen UCD for Mobile and Remote Healthcare · PDF filePage Page 11 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009 User-centric Design of Mobile

Page 3 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

China-specific challenges in UCD-based services for remote health care

• Bureaucracy! • Protection!• Corruption

• Integration?• Infrastructure

• Technology centric!

• No UCD!• TCM?

• Business models?

• Socio-economics?

Economical Ethics

PoliticalTechnical

UCD: User-centric DesignTCM: Traditional Chinese Medicine

X. Wang, T. Korhonen: Barriers of Implementing Applicable Remote Health Care System In China, ICMCC’09, 7-12 Sept, Munich, Germany, 2009.

Page 4: 7.Jantunen UCD for Mobile and Remote Healthcare · PDF filePage Page 11 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009 User-centric Design of Mobile

Page 4 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

UBI-SERV - Targeting

§ There are needs and there are services & technologies but they often do not match in practice!

§ UBI-SERV: - Investigate services such that they will be truly applicable- Human and economical factors as well as society and

culture greatly differ between China and Finland -> benchmarking is used to reveal new focuses & feature weightings both for services & technology development

- Objectives: Research & develop service & technology solutions for health/well-being & public safety systems

- Target user group: old people

Page 5: 7.Jantunen UCD for Mobile and Remote Healthcare · PDF filePage Page 11 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009 User-centric Design of Mobile

Page 5 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

UBI-SERV project structure

Page 6: 7.Jantunen UCD for Mobile and Remote Healthcare · PDF filePage Page 11 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009 User-centric Design of Mobile

Page 6 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

User-centric design process outline: ISO 13407

requirements

design

qualitycontrol

Constraints: UCD-quality, technology, business, market, organizations

Page 7: 7.Jantunen UCD for Mobile and Remote Healthcare · PDF filePage Page 11 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009 User-centric Design of Mobile

Page 7 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

Element Definition A Template for User Centric Design Scenarios

Scene The applicable scenes are wide and varied: home/residential area, public places, place of work/study, onboard public/private transport etc.

Actors Individuals directly affected by emergency or within emergency incident area, concerned individuals, healthcare workers etc.

Objectives Communication from affected individuals to provide assurance of wellbeing, seek assistance or advice. Communication on behalf of affected individuals on the status of affected individuals

Plans To keep every affected and concerned individual within a particular social network informed in the during or in the aftermath of an emergency incident

Evaluation Increase in level of situation awareness by concerned individuals during an emergency incident

Acts Onset of a small scale (e.g. domestic accident) or large scale (e.g. snow storm, terrorist attack) emergency incident. Multimedia information exchange amongst concerned and affected individuals during emergency incident

Happenings An emergency incident occurs in a particular area. Concerned individuals outside the incident area (unaffected individuals within the area) would like assurance that every individual within their social network is safe. A social networking solution is then used to enable the multimedia information exchange during the emergency incident.

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Page 8 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

Public safety communication services

§ UBI-SERV WP3- Effective interactions between (and among)

senior citizens and authority users (e.g. police, emergency medical services, fire etc.)

- Life-critical, stringent requirements on QoS, reliability, security, usability under high-pressure

§ Femtocells present a range of new opportunities for improved public safety communications- Reliable broadband gateway between local

(residential) and global networks- Self-deployed by user typically in their homes- User owned device but Operator managed

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Page 9 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

Authority-to-Citizens Communications Research in UBI-SERV§ Early warning dissemination from authorities-to-senior citizens via femtocells

- Avoid SMS delivery delays or non-delivery in conventional macrocellular network- Significant per UE throughput gain compared to macrocell only case ⇒ rich multimedia messaging- Idea presented at NGenSafe Workshop, ICC 2009, June 2009, Dresden, Germany

Figure: Early warning dissemination via conventional and femtocellular networks

Page 10: 7.Jantunen UCD for Mobile and Remote Healthcare · PDF filePage Page 11 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009 User-centric Design of Mobile

Page 10 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

Authority-to-Authority Communications

§ Case Study: Emergency telemedicine- Exploiting local femtocellular resources for transmission of biosignal data, image scans and interactive videocall traffic

between senior citizens residence and receiving hospital

Page 11: 7.Jantunen UCD for Mobile and Remote Healthcare · PDF filePage Page 11 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009 User-centric Design of Mobile

Page 11 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

§Techno-economic analysis- Economic model evaluation

- Investment analysis

- Operator vs. customer perspective

§Femtocell applications- Healtcare & public safety (UBISERV -project)

Femtocell analysis

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Page 12 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

Femtocell use case study on mobile emergency teletrauma service§ Emergency teletrauma service delivered by 3G femtocell from

patient apartment

§ Offer on-site personnel with videoconferencing and other rich multimedia medical data transfer from remote surgeon

§ Mobile equipment uses nearby femtocell base station either in own apartment or in neighbor apartment

§With a certain level of femtocell penetration ratio, the service can be delivered with sufficient low outage rate

§At least an order of magnitude reduction in service outage rates when femtocells are utilized, in the comparison to the macrocellular case

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Page 13 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

Mobile-phone-based service platform

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Page 14 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 200919.05.2009 14

Wireless monitoring systemPeking University (PKU)

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Page 15 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009 15

Networked ECG system (PKU)

home

home

hospital

Home terminal

Home terminal

Hospital terminal

Hospital terminal

Hospital terminal

Access point

Nurse terminal

Server

Normal monitor

SMS Alarm

Data base

Doctor terminal

Data collecting

Data Processing

Monitering

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Page 16 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

Example scenario: Medication compliance

§ Patient is given the medication in a smart pill box and phone software

§ The pill box wirelessly informs the phone when the cap is opened

§ The phone can do bookkeeping and in case of forgotten medication time, notify the patient

§ If the medication is neglected for longer time, health center can be informed via Internet or SMS

§ Sensor, Bluetooth, mobile phone, SMS/Internet

§ Software for user’s own phone or a phone provided by health center

§ Smart pill box reusable

§ Spans from EU 6th FP MINAmI research

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Page 17 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

Extending the view of users for ethical assessment

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Page 18 UBI-SERV Overview, OASIS 1st International Conference, Firenze, Italy, Nov 4 2009

UBI-HEALTH’10

§ International Workshop on Ubiquitous Healthcare and Welfare Services and Supporting Technologies (UBI-HEALTH’10)

§May 31 – June 2, 2010Nordic Centre Fudan University, Shanghai, PRC

§See WWW.UBI-HEALTH10.ORG for CFP

§Feel free to propose tutorials, keynote presentations or submit research papers!

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Publications ’09 ->

§ M. Husso, J. Hämäläinen, R. Jäntti, J. Li, E. Mutafungwa, R. Wichman, Z. Zheng, and A. Wyglinski, Interference Suppression by Practical Transmit Beamforming Methods in Closed Femtocells, submitted.

§ M. Santiago, J. Sierra, I. Jantunen, E. Kaasinen, H. Kaaja, M. Müllenborn, N. Tille, and J. Virtanen, User Evaluation of Mobile Phone as a Platform for Healthcare Applications, submitted.

§ E. Mutafungwa, Z. Zheng, and J. Hämäläinen, Exploiting Femtocellular Networks for Emergency Telemedicine Applications in Multiple DwellingUnits, submitted.

§ I. Jantunen, J. Hämäläinen, T. Korhonen, H. Kaaja, S. Boldyrev, and J. Jantunen, System Architecture for Mobile-phone-readable RF Memory Tags, submitted.

§ E. Kaasinen, M. Niemelä, T. Tuomisto, P. Välkkynen, I. Jantunen, J. Sierra, M. Santiago, and H. Kaaja, Ubimedia Based on Readable and Writable Memory Tags, Multimedia Systems, in press.

§ X. Wang, and T. Korhonen, Barriers of Implementing Applicable Remote Health Care System in China, in World Congress on Medical Physics and Biomedical Engineering, (Munich, Germany), 2009.

§ E. Mutafungwa, and J. Hämäläinen, Leveraging Femtocells for Dissemination of Early Warning Messages, presentation at Next Generation Public Safety Communication Networks and Technologies (NGenSafe'09), workshop of ICC 2009, (Dresden, Germany), 2009.

§ Y. Têtu, I. Jantunen, B. Gomez, and S. Robinet, Mobile-phone-readable 2.45GHz Passive Digital Sensor Tag, in IEEE RFID 2009, (Orlando, USA), 2009.

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Thank you!www.ubi-serv.org