Centre for Infection Prevention and Management, Imperial College London, Du Cane Road, London W12 0NN, USA.
BMC Med. 2014 Feb 14;12:29. doi: 10.1186/1741-7015-12-29.
The fast pace of technological improvement and the rapid development and adoption of healthcare applications present crucial challenges for clinicians, users and policy makers. Some of the most pressing dilemmas include the need to ensure the safety of applications and establish their cost-effectiveness while engaging patients and users to optimize their integration into health decision-making. Healthcare organizations need to consider the risk of fragmenting clinical practice within the organization as a result of too many apps being developed or used, as well as mechanisms for app integration into the wider electronic health records through development of governance framework for their use. The impact of app use on the interactions between clinicians and patients needs to be explored, together with the skills required for both groups to benefit from the use of apps. Although healthcare and academic institutions should support the improvements offered by technological advances, they must strive to do so within robust governance frameworks, after sound evaluation of clinical outcomes and examination of potential unintended consequences.
技术的快速进步以及医疗应用的快速开发和采用，给临床医生、用户和政策制定者带来了巨大的挑战。其中一些最紧迫的难题包括需要确保应用程序的安全性并确定其成本效益，同时让患者和用户参与进来，以优化其在医疗决策中的整合。医疗保健组织需要考虑由于开发或使用的应用程序过多，导致临床实践在组织内碎片化的风险，以及通过制定治理框架将应用程序整合到更广泛的电子健康记录中的机制。需要探讨应用程序的使用对临床医生和患者之间互动的影响，以及两组人员都需要具备哪些技能才能从应用程序的使用中受益。尽管医疗保健和学术机构应该支持技术进步带来的改进，但他们必须在健全的治理框架内努力实现这一目标，对临床结果进行充分评估，并检查潜在的意外后果。
