Pepose Vision Institute, Chesterfield, Missouri; Washington University School of Medicine, Saint Louis, Missouri.
Am J Ophthalmol. 2018 Mar;187:xxviii-xxxv. doi: 10.1016/j.ajo.2017.11.003. Epub 2017 Nov 11.
To describe the expanding role of telemedicine in healthcare, the key criteria required for a successful device and program implementation, and the current and future role of home monitoring in ophthalmology.
Expert perspective.
Analysis with real-world interpretation of home monitoring technologies, including current adoption barriers and expanded future demands based on demographic and market forces.
Remote patient monitoring represents a paradigm shift in the way physicians care for patients. Success depends on meeting several criteria, among which are a recognized value proposition to the physician, robust device performance validation, ease of use for the patient, reliability of connectivity, safe and secure data transmission, and economic feasibility. Ophthalmic diseases, such as age-related macular degeneration, glaucoma, and diabetic retinopathy, are ideal candidates for home monitoring practice integration. Established home monitoring technology is already facilitating early detection and improved visual outcomes for patients with age-related macular degeneration. Future innovation currently underway or on the horizon will continue to evolve and expand the footprint of telemedicine within ophthalmology.
Home monitoring has the potential to enhance the patient-physician relationship and to positively impact visual acuity outcomes in ophthalmic diseases. Advances in technology, demographic shifts, market changes, and patient demand for personalized medicine will require physicians to embrace technology in new and diverse ways, perhaps facilitating widespread adoption of home monitoring technology platforms.
描述远程医疗在医疗保健中的作用不断扩大，成功实施设备和项目所需的关键标准，以及家庭监测在眼科领域的当前和未来作用。
专家观点。
对家庭监测技术进行分析和实际解释，包括基于人口统计学和市场力量的当前采用障碍和未来扩展需求。
远程患者监测代表了医生照顾患者方式的范式转变。成功取决于满足几个标准，其中包括对医生具有公认的价值主张、设备性能经过充分验证、患者易于使用、连接可靠、数据传输安全可靠、以及经济可行性。眼科疾病，如年龄相关性黄斑变性、青光眼和糖尿病视网膜病变，是家庭监测实践整合的理想候选疾病。现有的家庭监测技术已经能够帮助早期发现和改善年龄相关性黄斑变性患者的视力结果。目前正在进行或即将出现的未来创新将继续发展并扩大远程医疗在眼科领域的应用范围。
家庭监测有可能增强医患关系，并对眼科疾病的视力结果产生积极影响。技术进步、人口结构变化、市场变化以及患者对个性化医疗的需求，将要求医生以新的和多样化的方式接受技术，这可能会促进家庭监测技术平台的广泛采用。
