Demiris George
Department of Health Management and Informatics, School of Medicine, University of Missouri-Columbia, USA.
Stud Health Technol Inform. 2004;106:15-24.
Home based e-health applications use telecommunication and videoconferencing technologies to enable a healthcare provider at the clinical site to conmunicate with patients at their home. Such an interaction is called a 'virtual visit'. Numerous applications are utilizing commercially available monitoring devices and the Internet to enable home based disease management and monitoring. The aim to meet older adults' desire to remain independent at home while controlling home health care costs has also led to the development of "smart home" technologies. A smart home is a residence equipped with technology that enhances safety of patients at home and monitors their health conditions. Therefore, the devices and sensors chosen to be installed and maintained in the older adults' residences need to address functional limitations and social and health care needs. This paper provides an overview of home based e-health applications and discusses the challenges of implementing and evaluating e-health applications.
基于家庭的电子健康应用程序利用电信和视频会议技术，使临床场所的医疗服务提供者能够与在家中的患者进行沟通。这种互动被称为“虚拟就诊”。许多应用程序正在利用商用监测设备和互联网来实现基于家庭的疾病管理和监测。满足老年人在家中保持独立同时控制家庭医疗保健成本的愿望这一目标，也推动了“智能家居”技术的发展。智能家居是配备了可提高患者在家安全性并监测其健康状况技术的住宅。因此，选择安装和维护在老年人住所中的设备和传感器需要解决功能限制以及社会和医疗保健需求。本文概述了基于家庭的电子健康应用程序，并讨论了实施和评估电子健康应用程序所面临的挑战。
