Vital signs-based healthcare kiosks for screening chronic and infectious diseases: a systematic review.

Background: Increasing demands, such as the COVID-19 pandemic, have presented substantial challenges to global healthcare systems, resulting in staff shortages and overcrowded emergency rooms. Health kiosks have emerged as a promising solution to improve overall efficiency and healthcare accessibility. However, although kiosks are commonly used worldwide for access to information and financial services, the health kiosk industry, valued at $800 million, accounts for just 1.9% of the $42 billion global kiosk market. This review aims to bridge the research-to-practice gap by examining the development of health kiosk technology from 2013 to 2023.

Methods: We conducted a systematic search across PubMed, IEEE Xplore, and Google Scholar databases, identifying 5,537 articles, with 36 studies meeting inclusion criteria for detailed analysis. We evaluated each study based on kiosk purpose, targeted diseases, measured vital signs, and user demographics, along with an assessment of limitations in participant selection and data reporting.

Results: The findings reveal that blood pressure is the most frequently measured vital sign, utilized in 34% of the studies. Furthermore, cardiovascular disease detection emerges as the primary motivation in 56% of the included studies. The United States, India, and the United Kingdom are notable contributors, accounting for 43% of the reviewed articles. Our assessment reveals considerable limitations in participant selection and data reporting in many studies. Additionally, several research gaps remain, including a lack of performance testing, user experience evaluation, clinical intervention, development standardization, and inadequate sanitization protocols.

Conclusions: This review highlights health kiosks' potential to ease the burden on healthcare system and expand accessibility. However, widespread adoption is hindered by technical, regulatory, and financial challenges. Addressing these barriers could enable health kiosks to play a greater role in early disease detection and healthcare delivery.