Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig - Institute of Technology and Hannover Medical School, Carl-Neuberg-Strasse 1, D-30625 Hannover, Germany.
Inform Health Soc Care. 2009 Dec;34(4):225-30. doi: 10.3109/17538150903358610.
The use of health-enabling technologies is regarded as one important means to face some of the challenges which accompany the demographic change with an expected rise in multi-morbidity and an increased need of care. A precondition for the sensible use of these technologies is their integration in existing information system structures, and - preferably - the enhancement of these into sensor-enhanced health information systems (seHIS). The aim of this review is to report on recent progress in seHIS, and thus to identify relevant areas of research that have to be addressed to provide patient-centered services in a semantically interoperable environment. A literature search in PubMed/Medline was combined with a manual search of papers (n = 1004) in three prominent health/medical informatics journals and one biomedical engineering journal starting from the year 2007. Despite a multitude of papers that present advanced systems using health-enabling technologies, only few papers could be identified that explicitly describe the design of seHIS or the integration of health-enabling technologies into health information systems. Recurring statements emphasise the importance of the following areas of research: patient-centered care using all available sources of information, data security, the stringent use of data representation and device connectivity standards, and adequate methods for data fusion and diagnostic analysis. There is a broad range of research in health-enabling technologies, often focused on specific diseases. The transition from current institution-centered health information systems to person-centered seHIS will be gradual, yet unavoidable for tapping the full potential of health-enabling technologies. seHIS is a growing field of research, and many ambitious challenges are still open. This literature review gives a brief outline of the most frequently mentioned research foci.
使用健康促进技术被视为应对人口变化带来的一些挑战的重要手段，这些挑战包括多疾病发病率上升和护理需求增加。这些技术合理使用的前提是将其集成到现有的信息系统结构中，并优选地增强为传感器增强型健康信息系统（seHIS）。本综述的目的是报告 seHIS 的最新进展，从而确定需要解决的相关研究领域，以便在语义互操作环境中提供以患者为中心的服务。在 PubMed/Medline 中进行文献检索，并结合从 2007 年开始在三个著名的健康/医学信息学期刊和一个生物医学工程期刊中手动搜索论文（n=1004）。尽管有很多论文介绍了使用健康促进技术的先进系统，但只有少数论文能够明确描述 seHIS 的设计或健康促进技术集成到健康信息系统中。反复出现的声明强调了以下研究领域的重要性：使用所有可用信息源的以患者为中心的护理、数据安全、严格使用数据表示和设备连接标准，以及用于数据融合和诊断分析的适当方法。健康促进技术的研究范围广泛，通常集中在特定疾病上。从当前以机构为中心的健康信息系统向以人为中心的 seHIS 的过渡将是渐进的，但为了充分发挥健康促进技术的潜力，这是不可避免的。seHIS 是一个不断发展的研究领域，仍有许多雄心勃勃的挑战尚未解决。本文献综述简要概述了最常提到的研究焦点。
