Ambrosino Nicolino, Makhabah Dewi Nurul, Sutanto Yusup Subagio
European Respiratory Society (ERS), Lausanne, Switzerland.
Pulmonary and Respiratory Medicine Department, Medical Faculty Sebelas Maret University, Solo, Central Jawa Indonesia.
Multidiscip Respir Med. 2017 Apr 20;12:9. doi: 10.1186/s40248-017-0090-7. eCollection 2017.
Information and Communication Technologies applied to health care and advances in sensor and data transmission technology allowed tele-medicine based programs of care also for patients with respiratory diseases. Different sensors, transmission devices and interventions are used in tele-medicine for some indications. Patients suffering from Chronic Obstructive Pulmonary Disease, asthma, neuromuscular diseases, ventilator assisted individuals and those undergoing pulmonary rehabilitation programs may benefit from this approach. The legal problems are still unsolved. Economic advantages for health care systems, though potentially high, are still poorly investigated. Despite the hopes, we need more evidence before this modality can be considered as a real progress in the management of patients with respiratory diseases. On one hand, these technologies can improve the care of patients with difficult access to services, particularly those in rural/remote areas, on the other hand, there is the risk that they will be used only to reduce standard services in health systems of developed countries.
应用于医疗保健的信息通信技术以及传感器和数据传输技术的进步，使得基于远程医疗的护理项目也适用于呼吸系统疾病患者。在远程医疗中，针对某些适应症会使用不同的传感器、传输设备和干预措施。患有慢性阻塞性肺疾病、哮喘、神经肌肉疾病的患者、使用呼吸机辅助的个体以及正在接受肺部康复项目的患者可能会从这种方法中受益。法律问题仍未解决。医疗保健系统的经济优势虽然可能很高，但仍研究不足。尽管抱有希望，但在这种模式被视为呼吸系统疾病患者管理方面的真正进展之前，我们还需要更多证据。一方面，这些技术可以改善难以获得服务的患者的护理，特别是农村/偏远地区的患者；另一方面，存在这样的风险，即它们只会被用于减少发达国家卫生系统中的标准服务。
