Bushko Renata G
Future of Health Technology Institute, Hopkinton, MA, USA.
Stud Health Technol Inform. 2005;118:3-12.
Errorless, invisible, continuous and infrastructure-free healthcare should become our goal. In order to achieve that goal, we need to rapidly move from current episodic and emergency-driven "healthcare delivery system" to an intelligent and extelligent health environment. That requires introduction of distributed affective Intelligent Caring Creatures (ICCs) consisting of healthons. Healthons are tools combining prevention with diagnosis and treatment based on continuous monitoring and analyzing of vital signs and biochemistry. Unlike humans, who posses only two or three dimensions of thinking, healthons can assure errorless health because of their adaptability, flexibility, and multidimensional reasoning capability. ICCs can do "the right thing" based on (1) state-of-art medical knowledge, (2) data about emotional, physiological, and genetic state of a consumer and (3) moral values of a consumer. The transition to the intelligent health environment based on ICCs requires the solutions to many currently unsolved healthcare problems. This paper lists the unsolved problems (by analogy to mathematical unsolved problems list) and explains why errorless healthcare with bionic hugs and no need for quality control is possible.
无差错、无形、持续且无需基础设施的医疗保健应成为我们的目标。为实现这一目标，我们需要迅速从当前基于偶发性和应急驱动的“医疗服务体系”转向智能且超智能的健康环境。这需要引入由健康单元组成的分布式情感智能关怀体（ICC）。健康单元是基于对生命体征和生物化学指标的持续监测与分析，将预防与诊断及治疗相结合的工具。与仅具备两三种思维维度的人类不同，健康单元因其适应性、灵活性和多维推理能力，能够确保无差错的健康状态。ICC能够基于（1）先进的医学知识、（2）消费者情绪、生理和基因状态的数据以及（3）消费者的道德价值观来做出“正确的事”。向基于ICC的智能健康环境的转变需要解决许多当前尚未解决的医疗保健问题。本文列出了这些未解决的问题（类似于数学未解决问题列表），并解释了为何通过仿生拥抱实现无差错医疗保健且无需质量控制是可行的。
