Sun Jing, Guo Yutao, Wang Xiaoning, Zeng Qiang
1Department of International Inpatient, Chinese PLA General Hospital, Beijing 100853, China.
2Department of Geriatric Cardiology, Institute of Health Management, Chinese PLA General Hospital, Beijing 100853, China.
Aging Dis. 2016 Jan 2;7(1):53-67. doi: 10.14336/AD.2015.1011. eCollection 2016 Jan.
The aging population with chronic and age-related diseases has become a global issue and exerted heavy burdens on the healthcare system and society. Neurological diseases are the leading chronic diseases in the geriatric population, and stroke is the leading cause of death in China. However, the uneven distribution of caregivers and critical healthcare workforce shortages are major obstacles to improving disease outcome. With the advancement of wearable health devices, cloud computing, mobile technologies and Internet of Things, mobile health (mHealth) is rapidly developing and shows a promising future in the management of chronic diseases. Its advantages include its ability to improve the quality of care, reduce the costs of care, and improve treatment outcomes by transferring in-hospital treatment to patient-centered medical treatment at home. mHealth could also enhance the international cooperation of medical providers in different time zones and the sharing of high-quality medical service resources between developed and developing countries. In this review, we focus on trends in mHealth and its clinical applications for the prevention and treatment of diseases, especially aging-related neurological diseases, and on the opportunities and challenges of mHealth in China. Operating models of mHealth in disease management are proposed; these models may benefit those who work within the mHealth system in developing countries and developed countries.
患有慢性疾病和与年龄相关疾病的老龄化人口已成为一个全球性问题，并给医疗保健系统和社会带来了沉重负担。神经系统疾病是老年人群中的主要慢性疾病，而中风是中国的主要死因。然而，护理人员分布不均和关键医疗保健劳动力短缺是改善疾病治疗结果的主要障碍。随着可穿戴健康设备、云计算、移动技术和物联网的发展，移动健康（mHealth）正在迅速发展，并在慢性病管理方面展现出广阔前景。其优势包括能够提高护理质量、降低护理成本，以及通过将住院治疗转变为以患者为中心的居家医疗来改善治疗效果。移动健康还可以加强不同时区医疗服务提供者之间的国际合作，以及发达国家和发展中国家之间优质医疗服务资源的共享。在本综述中，我们重点关注移动健康的发展趋势及其在疾病预防和治疗，尤其是与衰老相关的神经系统疾病治疗中的临床应用，以及移动健康在中国面临的机遇和挑战。我们提出了移动健康在疾病管理中的运营模式；这些模式可能会使发展中国家和发达国家从事移动健康系统工作的人员受益。
