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数字医疗——医疗保健与互联网的融合。

Digital health care--the convergence of health care and the Internet.

作者信息

Frank S R

机构信息

A.G. Edwards & Sons, Inc., St. Louis, Missouri, USA.

出版信息

J Ambul Care Manage. 2000 Apr;23(2):8-17. doi: 10.1097/00004479-200004000-00003.

Abstract

The author believes that interactive media (the Internet and the World Wide Web) and associated applications used to access those media (portals, browsers, specialized Web-based applications) will result in a substantial, positive, and measurable impact on medical care faster than any previous information technology or communications tool. Acknowledging the dynamic environment, the author classifies "pure" digital health care companies into three business service areas: content, connectivity, and commerce. Companies offering these services are attempting to tap into a host of different markets within the health care industry including providers, payers, pharmaceutical and medical products companies, employers, distributors, and consumers. As the fastest growing medium in history, and given the unique nature of health care information and the tremendous demand for content among industry professionals and consumers, the Internet offers a more robust and targeted direct marketing opportunity than traditional media. From the medical consumer's standpoint (i.e., the patient) the author sees the Internet as performing five critical functions: (1) Disseminate information, (2) Aid informed decision making, (3) Promote health, (4) Provide a means for information exchange and support--the community concept, and (5) Increase self-care and manage demand for health services, lowering direct medical costs. The author firmly submits the Web will provide overall benefits to the health care economy as health information consumers manage their own health problems that might not directly benefit from an encounter with a health professional. Marrying the Internet to other interactive technologies, including voice recognition systems and telephone-based triage lines among others, holds the promise of reducing unnecessary medical services.

摘要

作者认为,交互式媒体(互联网和万维网)以及用于访问这些媒体的相关应用程序(门户网站、浏览器、基于网络的专业应用程序)将比以往任何信息技术或通信工具更快地对医疗保健产生重大、积极且可衡量的影响。认识到这种动态环境,作者将“纯粹的”数字医疗保健公司分为三个商业服务领域:内容、连接和商业。提供这些服务的公司正试图打入医疗保健行业内的一系列不同市场,包括医疗服务提供者、支付方、制药和医疗产品公司、雇主、经销商以及消费者。作为历史上发展最快的媒介,鉴于医疗保健信息的独特性质以及行业专业人士和消费者对内容的巨大需求,互联网提供了比传统媒体更强大、更具针对性的直接营销机会。从医疗消费者(即患者)的角度来看,作者认为互联网具有五项关键功能:(1)传播信息;(2)帮助做出明智决策;(3)促进健康;(4)提供信息交流和支持的手段——社区概念;(5)增强自我保健并管理对健康服务的需求,降低直接医疗成本。作者坚信,随着健康信息消费者管理自己可能无法直接从与医疗专业人员接触中受益的健康问题,网络将为医疗保健经济带来整体益处。将互联网与其他交互式技术相结合,包括语音识别系统和基于电话的分诊热线等,有望减少不必要的医疗服务。

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