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电子患者的连接和近期前景。

E-patient connectivity and the near term future.

机构信息

Center for Connected Health, Partners HealthCare System, 25 New Chardon Street, Suite 400D, Boston, MA 02114, USA.

出版信息

J Gen Intern Med. 2011 Nov;26 Suppl 2(Suppl 2):636-8. doi: 10.1007/s11606-011-1763-0.

DOI:10.1007/s11606-011-1763-0
PMID:21989615
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3191225/
Abstract

The healthcare system is challenged by growth in demand for services that is disproportionate to the volume of service providers. New care models must be created. The revolution in communications and monitoring technologies (connected health) allows for a care model that emphasizes patient self-management and just-in-time provider interventions. Challenges to realizing this vision exist, including maturity of the technology, privacy and security and the ability of providers to customize solutions to maximize patient engagement and behavior change. In addition, provider work-flow and reimbursement must be changed to enable new care models that are focused on patient self-care and just-in-time provider interventions.

摘要

医疗体系面临着服务需求的增长,而服务提供者的数量却不成比例。必须创建新的护理模式。通信和监测技术的革命(即“互联健康”)催生了一种以患者自我管理和及时的医疗干预为重点的护理模式。但要实现这一愿景还存在一些挑战,包括技术的成熟度、隐私和安全性,以及提供者定制解决方案以最大限度地提高患者参与度和行为改变的能力。此外,必须改变提供者的工作流程和报销方式,以实现以患者自我护理和及时医疗干预为重点的新型护理模式。

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本文引用的文献

1
Use of remote monitoring to improve outcomes in patients with heart failure: a pilot trial.使用远程监测改善心力衰竭患者的预后:一项试点试验。
Int J Telemed Appl. 2010;2010:870959. doi: 10.1155/2010/870959. Epub 2010 May 19.
2
Care Coordination/Home Telehealth: the systematic implementation of health informatics, home telehealth, and disease management to support the care of veteran patients with chronic conditions.护理协调/家庭远程医疗:系统实施健康信息学、家庭远程医疗和疾病管理,以支持对患有慢性病的退伍军人患者的护理。
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3
Innovation in primary care--staying one step ahead of burnout.初级保健中的创新——领先倦怠一步。
N Engl J Med. 2008 Nov 27;359(22):2305-9. doi: 10.1056/NEJMp0805759.