Maglaveras Nicos, Kilintzis Vassilis, Koutkias Vassilis, Chouvarda Ioanna
Aristotle University of Thessaloniki, The Medical School, Lab of Computing & Medical Informatics, Dept. of Medicine, Thessaloniki, Greece.
Institute of Applied Biosciences, Centre for Research and Technology Hellas, Thessaloniki, Greece.
Stud Health Technol Inform. 2016;224:117-22.
Integrated care and connected health are two fast evolving concepts that have the potential to leverage personalised health. From the one side, the restructuring of care models and implementation of new systems and integrated care programs providing coaching and advanced intervention possibilities, enable medical decision support and personalized healthcare services. From the other side, the connected health ecosystem builds the means to follow and support citizens via personal health systems in their everyday activities and, thus, give rise to an unprecedented wealth of data. These approaches are leading to the deluge of complex data, as well as in new types of interactions with and among users of the healthcare ecosystem. The main challenges refer to the data layer, the information layer, and the output of information processing and analytics. In all the above mentioned layers, the primary concern is the quality both in data and information, thus, increasing the need for filtering mechanisms. Especially in the data layer, the big biodata management and analytics ecosystem is evolving, telemonitoring is a step forward for data quality leverage, with numerous challenges still left to address, partly due to the large number of micro-nano sensors and technologies available today, as well as the heterogeneity in the users' background and data sources. This leads to new R&D pathways as it concerns biomedical information processing and management, as well as to the design of new intelligent decision support systems (DSS) and interventions for patients. In this paper, we illustrate these issues through exemplar research targeting chronic patients, illustrating the current status and trends in PHS within the integrated care and connected care world.
整合式照护与互联健康是两个快速发展的概念,它们有潜力促进个性化健康。一方面,照护模式的重组以及新系统和提供指导与高级干预可能性的整合式照护项目的实施,实现了医疗决策支持和个性化医疗服务。另一方面,互联健康生态系统构建了通过个人健康系统在日常活动中跟踪和支持公民的手段,从而产生了前所未有的大量数据。这些方法导致了复杂数据的泛滥,以及医疗生态系统用户之间新型的互动。主要挑战涉及数据层、信息层以及信息处理与分析的输出。在上述所有层中,主要关注点是数据和信息的质量,因此,对过滤机制的需求日益增加。特别是在数据层,大型生物数据管理与分析生态系统正在发展,远程监测是提高数据质量的一个进步,但仍有许多挑战有待解决,部分原因是当今有大量的微纳传感器和技术,以及用户背景和数据源的异质性。这导致了与生物医学信息处理和管理相关的新研发途径,以及针对患者的新型智能决策支持系统(DSS)和干预措施的设计。在本文中,我们通过针对慢性病患者的示例研究来说明这些问题,展示整合式照护和互联照护领域中个人健康系统的现状和趋势。