Research Article | volume 2 Issue 5 (2024) | Published in 2024-04-23
Digital Healthcare Innovation Models: A Theoretical Examination of Astute Transformation Techniques and Patient Engagement Trends in the Era of Cutting-Edge Technology
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ABSTRACT
The importance of digital transformation in the healthcare industry is growing, particularly as the sector depends more and more on cutting-edge technological solutions to improve patient-caregiver interactions, improve service quality, and make health information systems more effective. With an emphasis on intelligent transformation tactics and patient engagement patterns within the framework of cutting-edge technology, this study attempts to examine and evaluate theoretical models of innovation in digital healthcare. This seeks to offer a theoretical framework that helps direct practitioners and scholars in creating strategies for digital transformation. The study mostly used descriptive analysis, which included patient contact patterns, digital transformation tactics, and theories of innovation models. By combining ideas, concepts were examined and a thorough conceptual framework reflecting the connections between smart transformation components and technological interaction was developed, with an emphasis on theoretical concerns and findings that may serve as the foundation for further research. According to the study, there are two types of innovation models in digital healthcare: proactive and reactive. Smart transformation, which mostly relies on artificial intelligence, big data, and the cloud, is crucial in directing the process of change. The study also demonstrated how patient interaction patterns are changing from conventional approaches to digital and interactive platforms, which improves patient involvement and raises the standard of care and results. Therefore, fulfilling patient requirements and coordinating technical methods with human interaction concepts are essential to the success of innovation models. This emphasizes the necessity of creating integrated strategies based on contemporary interaction patterns and smart transformation technologies.
Keywords: Digital Innovation; Smart Transformation; Patient Engagement; Health Technology. -
Digital Healthcare Innovation Models: A Theoretical Examination of Astute Transformation Techniques and Patient Engagement Trends in the Era of Cutting-Edge Technology
- Introduction
Rapid technological growth and the creation of digital communication tools have made digital transformation a key component of global healthcare system modernization and development. Because digital transformation is reliable, healthcare businesses may save costs, improve the quality and efficiency of services, and make healthcare systems more capable of effectively and individually responding to patient demands [1]. Through its related innovation models, digital healthcare signifies a qualitative change in the ways that care is delivered, including contemporary technology like telemedicine, big data analytics, artificial intelligence, and digital platforms to offer more adaptable and sustainable solutions [2].
A key tenet of digital healthcare is innovation, which is the new application of concepts and technologies to enhance patient outcomes, boost operational effectiveness, and create new models for communicating with patients and successfully attending to their needs. Particularly in view of recent global health issues like the COVID-19 pandemic, which has highlighted the significance of depending on digital solutions to enable access to healthcare services in the face of limitations and stringent health measures, these models will become more capable of meeting the demands of the digital age and keeping up with its pace the more they develop [3]. Theoretical frameworks that offer clear and coherent insights into innovation models and their associated strategies are conspicuously lacking, despite the wealth of research and real-world applications in the field of digital transformation. This is especially true when it comes to comprehending patient interactions with these models and how to create interaction patterns that are both efficient and long-lasting. Without such frameworks, academics and practitioners are less able to create novel solutions, and policies with sound theoretical underpinnings are unable to systematically advance digital transformation [4].
To fully comprehend patient interaction patterns and sensible transformation tactics, a thorough theoretical investigation is desperately needed. Accurate insights that aid in the creation of models and their real-world implementation are the goal here. These kinds of studies are essential for directing digital transformation initiatives, bringing innovation to healthcare systems locally, and creating contemporary engagement methods that prioritize the patient while maintaining efficacy and efficiency [5]. By offering a thorough theoretical examination of innovation models in digital healthcare, with an emphasis on astute transformation tactics and patient interaction patterns, this study seeks to close the knowledge gap. By doing this, scholars and professionals can better comprehend the theoretical frameworks that direct innovation processes and create more potent plans to encourage digital transformation in healthcare systems. The objective is to offer scholarly resources that support the development of long-term models that can assist in transforming the healthcare system into a more intelligent, interactive one that keeps up with the demands and future goals of the digital age.- Literature Review
2.1. Digital Healthcare Innovation Models
2.1.1. Models of Presentation and Foresight
The goal of foresight models is to imagine how health systems will develop in the future. In order to create effective strategies to deal with new developments, they rely on examining existing patterns and forecasting opportunities and problems for the future. With a focus on innovation and predicting sustainable solutions that can quickly adapt to changes, forward-looking models in the digital context concentrate on projections pertaining to the quick speed of technological advancement and its effects on healthcare delivery [6]. On the other hand, presentation models concentrate on using contemporary technology and practical procedures grounded in technological principles in order to create novel systems that are in line with the demands of the healthcare market and contemporary healthcare issues. These adoption and development processes, which include modeling and strategic planning procedures, establishing transformation paths, and emphasizing the advantages of technology as well as its implementation obstacles, are the real-world application of forward-looking models [7].
2.1.2. Models of Strategy for Intelligent Change
Smart transformation strategic models emphasize the deliberate and planned use of technology to accomplish specific business goals while upholding sustainable innovation principles. With the goal of easing the shift from conventional models to smart systems based on data, predictive analytics, and artificial intelligence, these models highlight the significance of a long-term vision, adaptable strategies, and synergy amongst health system components. In order to facilitate better and more efficient patient contacts, the "Smart Transition" model, for instance, emphasizes a progressive transition from centralized systems to big data-based systems while encouraging an innovative culture and educating human resources about contemporary technology. The strategic models also emphasize the development of knowledge management systems, organizational and operational functions, and fostering cooperation between human and technological elements [8].
2.2. Patterns of Patient Interaction in the Digital Era
2.2.1. Communication through Digital Channels
Patients and providers now engage in more flexible and quick ways than ever before thanks to the rise and development of digital platforms. Examples of these include teleconsultation services, smartphone applications, electronic health information platforms, and electronic booking systems. These trends are important for enhancing patient experiences and expanding access to healthcare, particularly for populations with socioeconomic or geographic constraints. This interaction is examined within the theoretical framework using models that concentrate on user-system interaction and design, going over the fundamentals that guarantee successful interactions, like usability, content appropriateness, and information reliability. It also highlights the significance of researching how patients use these systems in relation to their degree of happiness, capacity for making decisions about their health, and treatment compliance [9].
2.2.2. Intelligent Conversations and Artificial Intelligence in Healthcare
A key component of contemporary digital transformation are AI-powered interaction models, which allow systems to communicate more efficiently and personally through predictive analytics, intelligent guiding systems, and virtual assistant applications. This improves the quality of treatment and offers more effective and individualized experiences by enabling patients to get prompt, individualized help, continuously assess their health data, and adjust to their needs. This concept uses machine learning and real-time data analysis to generate ongoing, sophisticated interactions that enable individuals take charge of their health and assist doctors respond to health care monitoring more quickly and accurately [10].
2.3. Fundamental Ideas in the Innovation of Digital Health
2.3.1. Healthcare Institutions' Digital Transformation
The process of converting all healthcare organization procedures and services into digital technology-based systems is known as "digital transformation." Enhancing integration between different healthcare components, delivering more effective services, and increasing operational efficiency are the goals of this transition. This covers the use of big data and analytics to aid in decision-making, the integration of electronic medical records, and the use of sophisticated health information systems. Theoretically, this idea is founded on transformation models that create a flexible, cohesive, and responsive work environment by connecting organizational culture, procedures, and technologies. Effective adoption of digital solutions necessitates policy formation, ongoing training, and cultural change [11].
2.3.2. Digital Health Open Innovation
In order to produce novel solutions, open innovation entails involving a variety of stakeholders, including businesses, researchers, patients, and academic institutions. This method strives to harness the benefits of collaboration, sharing expertise, and leveraging new ideas to enable rapid and successful improvement in healthcare services. Theoretically, it is based on the ideas of open and transparent cooperation, embracing interactive platforms, crowdfunding techniques, and collaborative business models. This strategy is essential to creating a climate that is conducive to innovation since it fosters creativity and reduces development risks while integrating knowledge and technology [12].
2.4. AI in conjunction with open innovation models
2.4.1. Utilizing AI to Create Healthcare Solutions
Big medical data analysis, illness prediction, and disease diagnosis all benefit from the qualitative advancements made possible by AI. Examples of applications include image analysis, decision support systems, and machine learning-based diagnosis, which facilitates early decision-making, speeds up diagnostics, and lowers errors. With an emphasis on training models with sizable and varied databases, AI models theoretically build upon the principles of deep learning, machine learning, and data analytics. Theoretical frameworks stress how crucial it is to confirm the precision and dependability of models while striking a balance between ethics and technology and protecting privacy and openness [13].
2.4.2. The Partnership Between Artificial Intelligence and Open Innovation
Delivering more sophisticated healthcare solutions requires cooperation between artificial intelligence and open innovation. With the aim of producing creative and quick outcomes, it entails hiring outside parties to create tools and apps based on AI technologies. Through constant improvement and the adoption of fresh concepts, this partnership may support the sustainability of solutions, boost efficiency, and quicken the testing and prototyping process. In order to guarantee the creation of high-value healthcare innovations, the theoretical model focuses on creating interactive ecosystems founded on open cooperation, allowing partners to exchange information, concepts, and expertise in an organized way [14].- The Smart Transformation Framework and Associated Techniques
3.1. Examining Healthcare Digital Transformation Techniques
Theoretically, the cornerstone of any intelligent transformation project in healthcare businesses is digital transformation strategies. This emphasis stems from the necessity of implementing a thorough strategic framework that is led by a well-considered vision and covers a number of phases, including initial diagnosis, goal and vision definition, resource identification, solution development, and outcome evaluation. Recent research indicates that digital strategies emphasize the ideas of corporate culture, process, and technological coordination [15]. They can be divided, for instance, into three categories: user-centric strategies, which aim to improve patient interaction and meet their needs; technology upgrade strategies, which create effective and adaptable systems; and process transformation strategies, which reengineer processes to increase efficiency. Theoretically, using any of these tactics necessitates an evaluation of organizational resilience and change readiness in addition to a dynamic grasp of internal and external environmental elements. Utilizing consultative approaches like the governance-based model, the exchange innovation model, and organizational change theory, it is also necessary to evaluate how well the strategy aligns with future ambitions for smart transformation [16].
3.2. The Function of Contemporary Technology in Aiding Digital Transformation Plans
One of the essential pillars of implementing smart transformation methods is relying on contemporary technologies. With the aid of these technologies, companies can increase their efficiency and accomplish their objectives in a more sustainable and intelligent manner [17].
- One of the key technologies boosting the healthcare system's capacities is artificial intelligence (AI), which offers tools for real-time data analysis, diagnosis, prediction, and customisation. In theory, it is based on deep learning and machine learning models that work with continuous data to produce precise and quick results.
- The development of prediction models, trend analysis, and patient behavior analysis are made possible by big data analytics, which improves strategic decision-making and the accomplishment of quality goals.
- Cloud computing, Lowers costs and technological complexity, encourages open collaboration, and offers flexible storage, access, and data integration across many platforms [18].
Theoretically, these technologies should function together in a systemic framework that completely complies with security, privacy, and ethical guidelines while improving the performance of healthcare organizations, managing risks, and guaranteeing operational sustainability.
3.3. Models of Organization and Change in Digital Health Systems
Building flexible organizational models that can be adjusted to the demands of a fast evolving digital environment is necessary for smart transformation in healthcare businesses. Current theories state that organizational transformation models consist of various components, including [19]:
- The organizational change model is centered on the phases of adaptation, starting with problem recognition and the need for change and continuing through planning, execution, and assessment.
- One example of how computing and self-organizing models can help organizational structuring and ease transitions is the Computational Institutional Model.
- The necessity for leaders with a digital vision who can manage change, create an innovative organizational culture, and inspire staff to embrace new procedures and technology is highlighted by digital leadership models. Strategic and organizational theories state that in order to effectively meet the difficulties of digital change and ensure its sustainability, organizational models must be built on the foundations of internal funding, personnel skill development, and technology infrastructure.
The theoretical framework also emphasizes how crucial it is to manage opposition to change by using intense training, efficient communication techniques, and making sure all stakeholders understand the benefits of transformation. One of the elements that helps businesses execute change successfully and accomplish smart transformation objectives in a sustainable manner is alignment between organizational structure, culture, and procedures.- Patterns of Patient Interaction in the Digital Setting
The way that patients and healthcare professionals engage is drastically shifting as a result of the healthcare industry's quick digital revolution. Medical treatment and patient demands are now met mostly via the use of electronic and technology tools and platforms. Studying the wide range of interaction patterns present in the digital world provides a theoretical basis for comprehending how to enhance healthcare services, encourage constructive interactions, and improve health outcomes.
4.1. Patterns of Traditional and Digital Interaction
Conventional interaction patterns are characterized by their reliance on in-person contacts between patients and doctors at medical facilities. These interactions are frequently focused on listening, direct personal relationships, and conventional clinical evaluation. These models offered an atmosphere that enabled doctors to keep a close eye on the patient's condition and were distinguished by their flexibility and verbal and physical communication. On the other hand, interaction patterns in the digital world are becoming a contemporary phenomenon that is defined by the utilization of a variety of technological platforms, such as smart interfaces driven by artificial intelligence, online interactive platforms, mobile applications, and electronic health information management systems [20]. This paradigm, which relies on digital data for analysis and diagnosis, is distinguished by its capacity to provide instantaneous and flexible healthcare services, achieve 24/7 communication, and lessen the requirement for physical presence. Furthermore, by allowing patients to access their medical records, speak with healthcare professionals directly, and receive warnings and alerts, digital interaction transforms healthcare into a more dynamic and interactive process [21].
4.2. Intelligent Interaction's Effect on Enhancing Patient Results
In order to raise service effectiveness and improve patient outcomes, intelligent interaction itself uses artificial intelligence and machine learning technologies and techniques to improve the accuracy and consistency of interaction operations. Intelligent interaction models, for instance, include chatbots that offer prompt and dependable health information support, diagnostic models built on algorithms that learn from past data, and personalized suggestions based on patient data. Theoretically, by offering a more thorough and adaptable interactive experience, intelligent interaction lowers medical errors, improves diagnostic accuracy, boosts adherence to treatment programs, and increases patient pleasure. Additionally, by identifying hidden health trends, data-driven predictive analytics can lower the rate of complications, promote early intervention, and enhance quality of life. Intelligent interaction is a model that represents shifts in patient behavior patterns within the framework of behavioral theory. It improves treatment results and patient satisfaction by fostering a sense of empowerment, increasing patient involvement in decision-making, and encouraging the use of self-prevention techniques [22].
4.3. Taking Theory into Account When Creating Successful Interaction Patterns
It takes a thorough theoretical grasp of design concepts and human-technology interaction to properly implement efficient interaction patterns in the digital environment. Patient-Centered Design, which focuses on creating interaction patterns that put the patient at the center of attention while taking into account their needs, preferences, and degree of technological interactivity, and User Acceptance Theory, which highlights the significance of user acceptance of a digital system and its role in ensuring its effectiveness and reliability, are two of the most crucial of these theoretical considerations. Furthermore, it is crucial that the principles of human-computer interaction—which prioritize usability, interface clarity, and efficient communication—be the foundation for the design of interaction patterns in the digital environment. Models of trust theory also help to increase patients' confidence in digital platforms, which encourages them to have ongoing, constructive interactions. In order to improve health outcomes and increase overall happiness, these theoretical considerations seek to guarantee that digital interaction tools are suitable for patients' needs, simple to use, dependable, and encourage prolonged participation [23].- Innovation Models' Theoretical Consequences and Analysis
In the field of digital healthcare, innovation models are crucial theoretical instruments that aid in directing strategies for digital transformation, creating interactive systems that effectively address patient requirements, and establishing avenues for long-term technical advancement. It is evident from looking at the theoretical underpinnings of these models that they are highly relevant for raising operational effectiveness, improving treatment quality, and offering cohesive and successful patient experiences.
5.1. Innovation Models' Effect on Care Quality and Efficiency
Innovation models enhance the procedures of diagnosis, treatment, and case management, which has a direct effect on healthcare results. Digital technologies like artificial intelligence and big data analytics are used in these models as enabling tools to speed up procedures, lower medical errors, and improve the precision of patient-provider communication. For instance, intelligent recommendations and automated models help doctors make better judgments and diagnose patients faster, which improves the standard of care. Additionally, it is mentioned that creative models help the healthcare system become more economically sound by cutting down on unnecessary visits and operating expenses, which frees up funds that may be used to expand or enhance services [24].
5.2. Theoretical Structures Affecting the Creation of Digital Transformation Plans
The significance of theoretical frameworks that direct the uptake and sustainability of innovation in digital healthcare is revealed through model analysis. The Unified Theory of Acceptance and Use of Technology (UTAUT), which combines multiple models to comprehend user behavior and monitor adoption processes, the Organizational Change Theory, which looks at the obstacles and elements of adoption at the organizational level, and the Technology Acceptance Model (TAM), which focuses on how much users accept new technology, are some of the most significant of these frameworks. By directing development methods and bolstering their sustainability, these frameworks aid in the explanation of how elements like institutional culture, organizational support, and technological acceptability affect the success of innovation models [25].
5.3. Suggestions for Models of Sustainable Interaction
The theoretical underpinnings examined allow for the proposal of sustainable interaction models that integrate several components to guarantee the efficacy and sustainability of digital innovation. These models include, - The integrated collaborative model, which integrates artificial intelligence technology with human interaction. This concept builds interactive systems that monitor and learn from patient interactions and improve through continual learning, while keeping the human element of communication. Real-time tailored care is made possible by the sustainable intelligent interaction model, which minimizes resource consumption and takes into consideration sustainable usage requirements. It is based on cloud computing and predictive analytics technologies. The open network approach, which facilitates safe data sharing and system-to-system contact, improves healthcare institutions' cooperation, and builds a technical environment that is adaptable to future developments. To reflect technological advancements and their challenges, these models necessitate the coordination of various theoretical frameworks and the creation of strategies that emphasize sustainability, replicability, and ongoing monitoring, all the while guaranteeing seamless and productive communication amongst all stakeholders [26].- Results and Discussion
6.1. Evaluation of Theories and Models Critically
It is evident from looking at the theories and models examined in the study that there are some overlaps and that combining different ideas promotes the success and sustainability of innovation models. From one perspective, the Technology Dependence Theory (TAM), which focuses on how consumers accept and utilize technology, offers a basis for comprehending how patients and clinicians interact. When it comes to complicated technological changes, including those that call for the integration of several systems or the correction of organizational and cultural imbalances, this approach could be limited. Although Organizational Change Theory emphasizes the difficulties in gaining institutional adoption, it is criticized for not offering simple technical fixes, underscoring the need for more integrated models that take into account the interplay of technology, the organizational environment, and human resources. A more thorough definition of behavior is provided by the Unified Technology Model (UTAUT), but it also necessitates larger ideas of organizational culture and adaptability, which by themselves do not address all facets of adoption in healthcare settings with numerous obstacles. Furthermore, concepts like the open network model and the collaborative interaction model show how much human and technology inputs function together. But they have trouble turning these ideas into useful applications, particularly when it comes to technical dependability, data limitations, and information security. The need for more thorough viewpoints that incorporate theories and establish principles rather than rigid models is thus the source of the criticism aimed at these models [27].
6.2. Problems and Prospective Theories
Staff resistance to change, concerns from healthcare organizations, data security and privacy concerns, and the lack of technology infrastructure in certain healthcare facilities—particularly in nations with low resources—are just a few of the obstacles that digital healthcare innovation models must overcome. The sustainable use of theoretical models is hampered by all of these issues, which necessitate ongoing, flexible model development and evaluation by scholars and practitioners. Future trends at the theoretical level include examining the ideas of social innovation, which focuses on how innovation affects society more generally, and open innovation, which emphasizes knowledge and idea sharing among various stakeholders to create more proactive and sustainable models. Furthermore, as dependence on predictive analytics and information from big data is probably going to be crucial to creating more robust and sustainable interaction models, theories centered on data-driven systemic transformation are anticipated to emerge. In addition, there will be a need for new models that take into account the intricate interactions between people and technology, along with theoretical frameworks that aim to better understand how much psychological safety, trust, and emotional interaction affect these models' efficacy. Investigating the development of interaction models that cohesively incorporate technological, emotional, and interactional elements will be crucial. By incorporating psychological and human factors into a thorough theoretical framework for sustainable innovation in digital healthcare, these models can help to improve patient and caregiver experiences, increase dependability, and lessen resistance to change [28].
6.3. Concepts from Theory for Long-Term Innovation in Digital Healthcare
A number of theoretical ideas that can serve as the foundation for more resilient and sustainable models are revealed by the earlier investigation. These consist of:
A. The theory of extended value networks
According to this notion, innovation in digital healthcare must involve all stakeholders across a wide range of partners, including patients, caregivers, healthcare organizations, and the community, and cannot be restricted to the use of technology alone. It places a strong emphasis on coordinating activities and exchanging value amongst many stakeholders while accounting for ongoing communication and flexibility.
B. Theory of Community-Driven Change
emphasizes how important it is to include patients and the local community in the development and application of digital healthcare solutions in order to guarantee their sustainability and acceptance. It is predicated on the notion that when the community actively participates in the innovation process and takes pride in the solutions offered, sustainable change takes place [29].
C. Theory of Organizational Agility
shows how crucial it is to develop organizational capabilities that allow businesses to quickly adjust to changes in the healthcare industry and technological advancements. These capabilities can be achieved through flexible change management techniques, a culture that encourages experimentation and innovation, and a flexible organizational structure.
D. Model for Sustainable InEchotion-Interaction
evaluates how people and technology interact over time, focusing on improving psychological safety and trust while promoting successful adoption. By enhancing the harmonious relationship between technology and human resources, innovation is a never-ending circle that guarantees its sustainability.
E. The theory of data-driven and predictive analytics
This theory is predicated on the notion that the application of big data and predictive analytics can result in better decision-making procedures and the creation of interactive models that are more sustainable and can automatically adjust to shifting patient demands and healthcare specifications [30].
Multiple, overlapping theoretical models that integrate technical, organizational, social, and psychological frameworks are necessary for sustainable innovation in digital healthcare, according to studies and analyses. At the same time, ongoing adaptation to societal demands, technological advancements, and contemporary environmental and health challenges is also necessary. Adopting adaptable and creative theoretical stances can help healthcare systems move closer to sustainability and offer everyone high-quality, easily accessible care.- Conclusion
In the sphere of digital healthcare, the findings of this theoretical study have significant scholarly and reference significance. They proved that innovation models founded on patient interaction patterns and clever transformation strategies are not only instruments for enhancing healthcare operations and services, but also crucial cornerstones for creating robust and sustainable healthcare systems that satisfy societal demands and keep up with the quick advancements of the technological age. In addition to organizational and change models that guarantee the continuity and efficacy of these transformations, the theoretical analysis verified that implementing these models improves performance efficiency and fortifies healthcare institutions' capacity to stay up with significant changes through the use of tools involving artificial intelligence, big data analytics, and cloud technologies. The study also showed that patterns of patient interaction, ranging from conventional digital interactions to intelligent interactions driven by AI, present numerous opportunities to enhance patient outcomes, raise satisfaction, and lessen resistance to change in healthcare systems. We can conclude from a thorough theoretical analysis that the intellectual frameworks underlying these models offer a strong basis for creating more sustainable and successful strategies that tackle today's problems and create creative solutions based on organizational flexibility, community involvement, and a long-term reliance on data.
These findings are important because they have the potential to stimulate scientific inquiry into more complex models of sustainable innovation and offer information that can be utilized to develop technologies and policies that support institutional digital transformation and the sustainability of medical practices and services. Even though the current study has limited practical application, its conclusions can be used to guide future applied research that aims to convert these theoretical models into real-world procedures that have a noticeable effect on health systems and offer creative answers to community problems while keeping up with rapid technological advancements. In the end, this research is significant because it successfully contributes to the development of a cogent theoretical framework that connects innovation, technology, and people in the context of the digital healthcare system. By offering clear ideas and future direction that may support administrative, political, and research decisions for the healthcare industry in the age of rapidly accelerating digital transformation, it strengthens its capacity to bring about long-lasting change. -
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Article history_en
Received : Mar 26, 2024
Revised : Mar 27, 2024
Accepted : Apr 18, 2024
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Authors Affiliations_en
ZAID A. ALFATIMY,(1) Salam Ousaid(2), Sam G. Adi3
(1) Department of Pharmaceutical Sciences, Faculty of Pharmacy, Universitas Airlangga, Surabaya, 60115, Indonesia , alialfatimy1986@@ff.unair.ac.id
(2) Department of Biophysics and Physical Chemistry, Faculty of Pharmacy, Charles University, Akademika Heyrovského, Hradec Kralove, 1203, 500 05, Czech Republic, Salamoos1@yahoo.com
(3) Department of Pharmacy, Faculty of Medicine, Universitas Brawijaya, Malang, 65415, Indonesia, Email: Adismasamg@gmail.com
* Corresponding Author: ZAID A. ALFATIMY, alialfatimy1986@@ff.unair.ac.id
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Ethics declarations_en
Acknowledgment None Author Contribution All authors contributed equally to the main contributor to this paper. All authors read and approved the final paper. Conflicts of Interest “The authors declare no conflict of interest.” Funding “This research received no external funding”
