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用于普及医疗保健的健康促进技术:关于服务和信息通信技术架构范式

Health-enabling technologies for pervasive health care: on services and ICT architecture paradigms.

作者信息

Haux Reinhold, Howe Jurgen, Marschollek Michael, Plischke Maik, Wolf Klaus-Hendrik

机构信息

Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig-Institute of Technology and Hannover Medical School, Germany.

出版信息

Inform Health Soc Care. 2008 Jun;33(2):77-89. doi: 10.1080/17538150802127140.

DOI:10.1080/17538150802127140
PMID:18604752
Abstract

BACKGROUND

Progress in information and communication technologies (ICT) is providing new opportunities for pervasive health care services in aging societies.

OBJECTIVES

To identify starting points of health-enabling technologies for pervasive health care. To describe typical services of and contemporary ICT architecture paradigms for pervasive health care.

METHODS

Summarizing outcomes of literature analyses and results from own research projects in this field.

RESULTS

Basic functions for pervasive health care with respect to home care comprise emergency detection and alarm, disease management, as well as health status feedback and advice. These functions are complemented by optional (non-health care) functions. Four major paradigms for contemporary ICT architectures are person-centered ICT architectures, home-centered ICT architectures, telehealth service-centered ICT architectures and health care institution-centered ICT architectures.

CONCLUSIONS

Health-enabling technologies may lead to both new ways of living and new ways of health care. Both ways are interwoven. This has to be considered for appropriate ICT architectures of sensor-enhanced health information systems. IMIA, the International Medical Informatics Association, may be an appropriate forum for interdisciplinary research exchange on health-enabling technologies for pervasive health care.

摘要

背景

信息通信技术(ICT)的进步为老龄化社会的普及型医疗服务提供了新机遇。

目标

确定普及型医疗中促进健康技术的起点。描述普及型医疗的典型服务以及当代ICT架构范式。

方法

总结文献分析结果以及该领域自身研究项目的成果。

结果

居家护理方面普及型医疗的基本功能包括紧急情况检测与报警、疾病管理以及健康状况反馈与建议。这些功能由可选(非医疗)功能补充。当代ICT架构的四大主要范式为人中心ICT架构、家庭中心ICT架构、远程医疗服务中心ICT架构以及医疗机构中心ICT架构。

结论

促进健康的技术可能带来新的生活方式和新的医疗方式。这两种方式相互交织。在设计传感器增强型健康信息系统的适当ICT架构时必须考虑到这一点。国际医学信息学协会(IMIA)可能是就普及型医疗的促进健康技术进行跨学科研究交流的合适论坛。

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