A full-STAC remedy for global digital health transformation: open standards, technologies, architectures and content

Author:

Mehl Garrett L1ORCID,Seneviratne Martin G2,Berg Matt L3,Bidani Suhel4,Distler Rebecca L5,Gorgens Marelize6,Kallander Karin E7,Labrique Alain B1,Landry Mark S8,Leitner Carl1,Lubell-Doughtie Peter B3,Marcelo Alvin D9ORCID,Matias Yossi10,Nelson Jennifer11,Nguyen Von12,Nsengimana Jean Philbert13,Orton Maeghan14,Otzoy Garcia Daniel R15,Oyaole Daniel R16,Ratanaprayul Natschja1,Roth Susann17,Schaefer Merrick P18,Settle Dykki19,Tang Jing2,Tien-Wahser Barakissa20,Wanyee Steven21,Hersch Fred22

Affiliation:

1. World Health Organization Digital Health and Innovation, , 20 Avenue Appia, 1211 Geneva, Switzerland

2. Google Inc Google Health, , Belgrave House, 76 Buckingham Palace Road, London SW1W, UK

3. Ona, 2nd floor, George Padmore Ln , Nairobi, Kenya

4. Bill and Melinda Gates Foundation India Country Office, , Capital Court, The, 5th Floor, Olof Palme Marg, Munirka, New Delhi, Delhi 110067, India

5. The Patrick J. McGovern Foundation , PO Box 171536 Boston, MA 02117-3375, USA

6. World Bank Group Health, Nutrition and Population Global Practice, , 1818 H Street NW, Washington, DC 20433, USA

7. UNICEF Health Programme Group, , 3 UN Plaza, New York, NY 10017, USA

8. The Global Fund to Fight AIDS, Tuberculosis and Malaria MECA, , Chem. du Pommier 40, 1218 Le Grand-Saconnex, Switzerland

9. University of the Philippines Medical Informatics Unit, , 547 Pedro Gil Street, Ermita Manila, Philippines

10. Google Inc Google Research, , 98 Alon Yigal TEL AVIV-JAFFA, 6789141, Israel

11. Inter-American Development Bank Social Protection and Health, , USA

12. Google Inc Google Health, , 1105 West Peachtree St View, Atlanta, Georgia, USA

13. Africa Centres for Disease Control and Prevention African Union Commission , Roosevelt Street W21 K19, P.O. Box 3243, Addis Ababa, Ethiopia

14. University of Edinburgh Global Health Academy, Old Medical School (Doorway 3), Teviot QuadTeviot Place, , Edinburgh EH8 9AG, Scotland, UK

15. RECAINSA RECAINSA, , 23 calle 14-58 zona 4 de Mixco Penthouse Edificio Crece Torre 1 Oficina 1104, Guatemala City, Guatemala

16. GAVI Vaccine Alliance Digital Health, , Chem. du Pommier 40, 1218 Le Grand-Saconnex, Switzerland

17. Asian Development Bank , 6 ADB Avenue, Mandaluyong City 1550, Metro Manila, Philippines

18. United States Agency for International Development Digital Health, , 1300 Pennsylvania Ave, NW. Washington DC 20004, USA

19. PATH , 2201 Westlake Ave Suite 200, Seattle, WA 98121, USA

20. Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH Sector Initiative Global Health, , Bonn, Germany

21. University of Ghana Health Informatics in Africa (HELINA), Department of Biostatistics, School of Public Health, , Legon, Accra P.O Box LG 13 Legon Accra, GA/R, Ghana

22. Google Inc Google Health, , 70 Pasir Panjang Rd, #03-71 Mapletree Business City II, 117371, Singapore

Abstract

Abstract The global digital health ecosystem is project-centric: point solutions are developed for vertical health programs and financed through vertical funding allocations. This results in data fragmentation and technology lock-in, compromising health care delivery. A convergence of trends enabled by interoperability and digital governance makes possible a shift towards person-focused health. Together, open Standards, open Technologies, open Architectures and open Content represent a next-generation ‘full-STAC’ remedy for digital health transformation. Local developers and implementers can avoid reinventing the wheel, and instead build digital tools suited to local needs—where data travels with an individual over time, evidence-based practice is easily integrated, and insights are gleaned from harmonized data. This is the culmination of the vision endorsed by 194 WHO Member States in the Global Strategy on Digital Health 2020 to 2025.

Publisher

Oxford University Press (OUP)

Reference54 articles.

1. Argentina FHIR Core profile;Argentina Ministry of Health,2021

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