Meskó Bertalan, Drobni Zsófia, Bényei Éva, Gergely Bence, Győrffy Zsuzsanna
The Medical Futurist Institute, Budapest, Hungary.
Department of Behavioral Sciences, Semmelweis University, Budapest, Hungary.
Mhealth. 2017 Sep 14;3:38. doi: 10.21037/mhealth.2017.08.07. eCollection 2017.
Under the term "digital health", advanced medical technologies, disruptive innovations and digital communication have gradually become inseparable from providing best practice healthcare. While the cost of treating chronic conditions is increasing and doctor shortages are imminent worldwide, the needed transformation in the structure of healthcare and medicine fails to catch up with the rapid progress of the medical technology industry. This transition is slowed down by strict regulations; the reluctance of stakeholders in healthcare to change; and ignoring the importance of cultural changes and the human factor in an increasingly technological world. With access and adoption of technology getting higher, the risk of patients primarily turning to an accessible, but unregulated technological solution for their health problem is likely to increase. In this paper, we discuss how the old paradigm of the paternalistic model of medicine is transforming into an equal level partnership between patients and professionals and how it is aided and augmented by disruptive technologies. We attempt to define what digital health means and how it affects the status quo of care and also the study design in implementing technological innovations into the practice of medicine.
在“数字健康”这一术语范畴下,先进的医疗技术、颠覆性创新以及数字通信已逐渐与提供最佳医疗实践紧密相连。尽管慢性病治疗成本不断攀升,且全球范围内医生短缺问题迫在眉睫,但医疗保健和医学结构所需的变革却未能跟上医疗技术行业的快速发展步伐。这种转变因严格的监管、医疗保健领域利益相关者不愿变革,以及在日益技术化的世界中忽视文化变革和人为因素的重要性而放缓。随着技术的获取和应用愈发广泛,患者主要转向一种易于获取但不受监管的技术解决方案来解决健康问题的风险可能会增加。在本文中,我们探讨了家长式医疗模式的旧范式如何转变为患者与专业人员之间的平等伙伴关系,以及颠覆性技术如何对其起到辅助和增强作用。我们试图界定数字健康的含义,以及它如何影响护理现状,还包括将技术创新应用于医学实践中的研究设计。