Celler Branko G, Lovell Nigel H, Basilakis Jim
Centre for Health Informatics, Biomedical Systems Laboratory, University of New South Wales, Sydney, NSW 2052.
Med J Aust. 2003 Sep 1;179(5):242-6. doi: 10.5694/j.1326-5377.2003.tb05529.x.
Information and communications technology (ICT) is increasingly being used in management of chronic illness to facilitate shared services (virtual health networks and electronic health records), knowledge management (care rules and protocols, scheduling, information directories), as well as consumer-based health education and evidence-based clinical protocols. Common applications of ICT include home monitoring of vital signs for patients with chronic disease, as well as replacing home visits by nurses in person with telemedicine videophone consultations. A patient-managed Home Telecare System with integrated clinical signs monitoring, automated scheduling and medication reminders, as well as access to health education and daily logs, is presented as an example of ICT use for chronic disease self-management. A clinical case study demonstrates how early identification of adverse trends in clinical signs recorded in the home can either avoid hospital readmission or reduce the length of hospital stay.
信息通信技术（ICT）越来越多地用于慢性病管理，以促进共享服务（虚拟健康网络和电子健康记录）、知识管理（护理规则和协议、日程安排、信息目录），以及基于消费者的健康教育和循证临床协议。ICT的常见应用包括对慢性病患者进行生命体征的家庭监测，以及通过远程医疗可视电话咨询取代护士亲自上门家访。一个具有综合临床体征监测、自动日程安排和用药提醒功能，以及提供健康教育和日常记录访问权限的患者管理家庭远程护理系统，被作为ICT用于慢性病自我管理的一个例子进行了介绍。一项临床案例研究表明，如何通过早期识别在家中记录的临床体征的不良趋势，要么避免患者再次入院，要么缩短住院时间。
