{"id":"https://openalex.org/W3164400496","doi":"https://doi.org/10.3233/shti210344","title":"Decentralized Digital Health Services Caught Between the Pressure for Innovation and the Burden of Regulations","display_name":"Decentralized Digital Health Services Caught Between the Pressure for Innovation and the Burden of Regulations","publication_year":2021,"publication_date":"2021-05-27","ids":{"openalex":"https://openalex.org/W3164400496","doi":"https://doi.org/10.3233/shti210344","mag":"3164400496","pmid":"https://pubmed.ncbi.nlm.nih.gov/34042838"},"language":"en","primary_location":{"id":"doi:10.3233/shti210344","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti210344","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI210344","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"book-chapter","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI210344","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008198996","display_name":"Lea Meier","orcid":"https://orcid.org/0000-0002-3915-415X"},"institutions":[{"id":"https://openalex.org/I130692619","display_name":"Bern University of Applied Sciences","ror":"https://ror.org/02bnkt322","country_code":"CH","type":"education","lineage":["https://openalex.org/I130692619"]}],"countries":["CH"],"is_corresponding":true,"raw_author_name":"Lea Meier","raw_affiliation_strings":["Bern University of Applied Sciences, Institute for Medical Informatics I4MI, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bern University of Applied Sciences, Institute for Medical Informatics I4MI, Switzerland","institution_ids":["https://openalex.org/I130692619"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050132170","display_name":"Kevin Tippenhauer","orcid":null},"institutions":[{"id":"https://openalex.org/I130692619","display_name":"Bern University of Applied Sciences","ror":"https://ror.org/02bnkt322","country_code":"CH","type":"education","lineage":["https://openalex.org/I130692619"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Kevin Tippenhauer","raw_affiliation_strings":["Bern University of Applied Sciences, Institute for Medical Informatics I4MI, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bern University of Applied Sciences, Institute for Medical Informatics I4MI, Switzerland","institution_ids":["https://openalex.org/I130692619"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5021788298","display_name":"Murat Sariyar","orcid":"https://orcid.org/0000-0002-5595-689X"},"institutions":[{"id":"https://openalex.org/I130692619","display_name":"Bern University of Applied Sciences","ror":"https://ror.org/02bnkt322","country_code":"CH","type":"education","lineage":["https://openalex.org/I130692619"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Murat Sariyar","raw_affiliation_strings":["Bern University of Applied Sciences, Institute for Medical Informatics I4MI, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bern University of Applied Sciences, Institute for Medical Informatics I4MI, Switzerland","institution_ids":["https://openalex.org/I130692619"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5008198996"],"corresponding_institution_ids":["https://openalex.org/I130692619"],"apc_list":null,"apc_paid":null,"fwci":2.275,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.89954545,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":94},"biblio":{"volume":"281","issue":null,"first_page":"1046","last_page":"1050"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11986","display_name":"Scientific Computing and Data Management","score":0.9607999920845032,"subfield":{"id":"https://openalex.org/subfields/1802","display_name":"Information Systems and Management"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11986","display_name":"Scientific Computing and Data Management","score":0.9607999920845032,"subfield":{"id":"https://openalex.org/subfields/1802","display_name":"Information Systems and Management"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10270","display_name":"Blockchain Technology Applications and Security","score":0.9574999809265137,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":0.9387000203132629,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.5980987548828125},{"id":"https://openalex.org/keywords/third-party","display_name":"Third party","score":0.5850303173065186},{"id":"https://openalex.org/keywords/service","display_name":"Service (business)","score":0.5283482670783997},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4600536525249481},{"id":"https://openalex.org/keywords/digital-health","display_name":"Digital health","score":0.4293520450592041},{"id":"https://openalex.org/keywords/risk-analysis","display_name":"Risk analysis (engineering)","score":0.417094349861145},{"id":"https://openalex.org/keywords/marketing","display_name":"Marketing","score":0.33739838004112244},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.3213599622249603},{"id":"https://openalex.org/keywords/internet-privacy","display_name":"Internet privacy","score":0.2817862629890442},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.26182055473327637},{"id":"https://openalex.org/keywords/economics","display_name":"Economics","score":0.16173136234283447},{"id":"https://openalex.org/keywords/economic-growth","display_name":"Economic growth","score":0.0813930332660675}],"concepts":[{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5980987548828125},{"id":"https://openalex.org/C2983583741","wikidata":"https://www.wikidata.org/wiki/Q16785388","display_name":"Third party","level":2,"score":0.5850303173065186},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.5283482670783997},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4600536525249481},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.4293520450592041},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.417094349861145},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.33739838004112244},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3213599622249603},{"id":"https://openalex.org/C108827166","wikidata":"https://www.wikidata.org/wiki/Q175975","display_name":"Internet privacy","level":1,"score":0.2817862629890442},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.26182055473327637},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.16173136234283447},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0813930332660675}],"mesh":[{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006296","descriptor_name":"Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006296","descriptor_name":"Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006296","descriptor_name":"Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012984","descriptor_name":"Software","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012984","descriptor_name":"Software","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012984","descriptor_name":"Software","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.3233/shti210344","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti210344","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI210344","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:34042838","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34042838","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null},{"id":"pmh:oai:arbor.bfh.ch:15949","is_oa":true,"landing_page_url":"https://arbor.bfh.ch/15949/","pdf_url":null,"source":{"id":"https://openalex.org/S4406922806","display_name":"ARBOR - Bern University of Applied Sciences Repository","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Meier, Lea; Tippenhauer, Kevin; Sariyar, Murat (2021). Decentralized Digital Health Services Caught Between the Pressure for Innovation and the Burden of Regulations Studies in Health Technology and Informatics, 281, pp. 1046-1050. IOS Press 10.3233/SHTI210344 &lt;http://dx.doi.org/10.3233/SHTI210344&gt;","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.3233/shti210344","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti210344","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI210344","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[{"display_name":"Industry, innovation and infrastructure","id":"https://metadata.un.org/sdg/9","score":0.47999998927116394}],"awards":[],"funders":[{"id":"https://openalex.org/F4320321862","display_name":"Gebert R\u00fcf Stiftung","ror":"https://ror.org/04mbctq18"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3164400496.pdf","grobid_xml":"https://content.openalex.org/works/W3164400496.grobid-xml"},"referenced_works_count":8,"referenced_works":["https://openalex.org/W2161303266","https://openalex.org/W2747836226","https://openalex.org/W2766009600","https://openalex.org/W2951130331","https://openalex.org/W2967422231","https://openalex.org/W3035159701","https://openalex.org/W3035965284","https://openalex.org/W3038331917"],"related_works":["https://openalex.org/W2379108073","https://openalex.org/W2362707961","https://openalex.org/W1510587694","https://openalex.org/W2376764082","https://openalex.org/W2364657023","https://openalex.org/W2392476128","https://openalex.org/W2029619873","https://openalex.org/W2351563136","https://openalex.org/W305019099","https://openalex.org/W2378937284"],"abstract_inverted_index":{"Multiple":[0],"challenges":[1],"await":[2],"third-party":[3,61,84],"digital":[4,56],"health":[5,12],"services":[6,18,85],"when":[7],"trying":[8],"to":[9,43,54,69,88],"enter":[10],"the":[11,110],"market.":[13],"Prominent":[14],"examples":[15],"of":[16],"such":[17],"are":[19,49],"clinical":[20],"decision":[21,72],"support":[22,73],"systems":[23],"provided":[24],"as":[25,33,35,59],"external":[26],"software.":[27],"Uncertainty":[28],"about":[29],"their":[30],"challenges,":[31],"technical":[32,91],"well":[34],"legal,":[36],"pose":[37],"serious":[38],"hurdles":[39],"for":[40,83],"many":[41,50],"innovations":[42],"be":[44,97],"adopted":[45],"early":[46],"on.":[47],"There":[48],"options":[51],"and":[52,80,90,94,107],"trade-offs":[53],"provide":[55],"healthcare":[57,111],"solutions":[58],"a":[60,70],"service.":[62,74],"This":[63],"paper":[64],"discusses":[65],"them":[66],"by":[67],"referring":[68],"pharmacogenetic":[71],"By":[75],"providing":[76],"best-practices,":[77],"scenario":[78],"descriptions":[79],"templates":[81],"designed":[82],"with":[86],"respect":[87],"legal":[89],"issues,":[92],"obstacles":[93],"uncertainties":[95],"can":[96],"reduced,":[98],"which":[99],"will":[100],"have":[101],"an":[102],"impact":[103],"on":[104],"better":[105],"diagnoses":[106],"treatments":[108],"in":[109],"system.":[112]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1}],"updated_date":"2026-05-21T06:26:12.895304","created_date":"2025-10-10T00:00:00"}
