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技术已准备好推出,但会有支付方吗?瑞典实施电子健康面临的挑战。

Technology Ready to be Launched, but is there a Payer? Challenges for Implementing eHealth in Sweden.

作者信息

Hollmark Malin, Lefevre Skjöldebrand Anna, Andersson Christoffer, Lindblad Ragnar

机构信息

Swedish Medtech, Stockholm, Sweden.

Uppsala University, Uppsala, Sweden.

出版信息

Stud Health Technol Inform. 2015;211:57-68.

Abstract

The development of a sustainable, high-quality, affordable health care is today a high priority for many actors in the society. This is to ensure that we will continue to afford to care for the growing portion of elderly in our population. One solution is to enable the individual's power over her own health or illness, and participation in her own care. There are evidently opportunities with the rapid development of eHealth and wearable sensors. Tracking and measuring vital data can help to keep people out of the hospital. Loads of data is generated to help us understand disease, to provide us with early diagnostics and warnings. It is providing us with possibilities to collect and capture the true health status of individuals. Successful technologies demonstrate savings, acceptance among users and improved access to healthcare. But there are also challenges. Implementing new technologies in health care is difficult. Researchers from around the world are reporting on similar problems, such as reimbursement, interoperability, usability and regulatory issues. This paper will discuss a few of these implementation challenges as well as a few of the efforts in meeting them. To conclude, eHealth solutions can contribute to patient empowerment and a sustainable health care. Our assumption is however, that as long as we do not face the implementation challenges and invest in overcoming the pressing obstacles, society will not be able, or willing, to pay for the solutions.

摘要

如今,发展可持续、高质量且可负担得起的医疗保健是社会上许多行为主体的首要任务。这是为了确保我们有能力继续照料人口中日益增多的老年人。一种解决办法是赋予个人掌控自身健康或疾病的能力,并让其参与自身护理。随着电子健康和可穿戴传感器的迅速发展,显然存在诸多机遇。追踪和测量重要数据有助于人们避免住院。大量数据的产生有助于我们了解疾病,为我们提供早期诊断和预警。它为我们提供了收集和掌握个人真实健康状况的可能性。成功的技术显示出能节省费用、获得用户认可并改善医疗保健的可及性。但也存在挑战。在医疗保健领域实施新技术困难重重。世界各地的研究人员都在报告类似问题,如报销、互操作性、可用性和监管问题。本文将讨论其中一些实施挑战以及应对这些挑战所做的一些努力。总之,电子健康解决方案有助于增强患者能力并实现可持续的医疗保健。然而,我们的假设是,只要我们不面对实施挑战,不投入精力克服紧迫障碍,社会就无法或不愿为这些解决方案买单。

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