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Health Care 2025: How Consumer-Facing Devices Change Health Management and Delivery
decentralized
J Med Internet Res 2025;27:e60766
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Data Sharing in a Decentralized Public Health System: Lessons From COVID-19 Syndromic Surveillance
Due to the decentralized public health structure inherent to US federalism, strong interagency and intergovernmental relationships are essential for any national public health response. Data sharing between agencies is also critically important in these responses. Indeed, fractures in relationships can be potent data sharing barriers [23]. Relationships are established through time spent communicating and working with each other.
JMIR Public Health Surveill 2024;10:e52587
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Digitalized and decentralized clinical study design allows investigators to recruit more heterogeneous populations, reduce the burdens of participation, and capture the experience of participants in real-world settings [2-4]. The SARS-Co V-2 (COVID-19) pandemic may accelerate the shift toward digitalized and decentralized clinical studies [5], forcing researchers to implement remote solutions that limit in-person interaction, while preserving clinical study integrity [1,5].
JMIR Form Res 2022;6(7):e37832
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These containment measures display heterogeneities in terms of their design: decentralized (ie, mostly privacy-first) versus centralized (ie, mainly data-first) deployment frameworks have emerged alongside Bluetooth-, GPS-, and quick response (QR)–based sensor technologies [5,9].
JMIR Mhealth Uhealth 2020;8(12):e22098
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