The Next Generation of eHealth: A Multidisciplinary Survey

Abstract

Over the past two years, the spread of COVID-19 has spurred the use of information and communication technologies (ICT) in aid of healthcare. The need to guarantee continuity to care has promoted research and industry activities aimed at developing solutions for the digitalization of the procedures to be performed to provide health services, even in emergency scenarios. Digital collection, transmission, and processing of health data represent the starting point for fulfilling this innovation process but also bring heterogeneous challenges. These motivations led to the elaboration of this work, which analyzes innovative and technological tools for the development of digital health (eHealth) through the collection of multisectoral literature, produced thanks to the cooperation of varied research groups, thus providing a multidisciplinary survey. Since digital health is expected to be one of the leading applications of the sixth-generation (6G) wireless cellular networks, this paper covers the related telecommunications aspects. Furthermore, the exploitation of artificial intelligence paradigms to elaborate massive amounts of biological data is examined. Given the extreme sensitivity of health data, this paper also investigates security and privacy issues. In particular, the main techniques and approaches to guarantee security properties (i.e., anonymity, responsibility, authentication, confidentiality, integrity, non-repudiation, and revocability) are studied. Applications involving innovative electromagnetic systems for healthcare and assisted living services are described to provide an example of an eHealth scenario leveraging ICT. Finally, the telemedicine-related regulations of the European Commission are analyzed, with particular reference to the General Data Protection Regulation (GDPR).