Coughlin Sheryl, Roberts David, O'Neill Kenneth, Brooks Peter
Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
Ernst and Young Health Life Asia Pacific, Adelaide, South Australia, Australia.
Intern Med J. 2018 Jan;48(1):92-96. doi: 10.1111/imj.13661.
Health systems around the world face the issue of financial and workforce sustainability. Mobile health technologies - those devices which connect health professionals, patients, payers and the many other contributors who make up the health system offer some solutions - not just as 'add ons' but as enablers of real system change. This paper presents a vision for what the health system of the future could be like and emphasises the opportunities for real patient participation in clinical decision-making if the professions can engage the technologies and patients/community in a meaningful way. Predicting the future is never easy but many of the technologies are here now - but how we will use them to make the system more patient friendly, more productive and sustainable is still for discussion. This paper should start that conversation.
世界各地的卫生系统都面临着财务和劳动力可持续性的问题。移动健康技术——那些连接医疗专业人员、患者、支付方以及构成卫生系统的许多其他参与者的设备，提供了一些解决方案——不仅仅是作为“附加物”，而是作为真正系统变革的推动者。本文提出了未来卫生系统可能是什么样的愿景，并强调如果医疗行业能够以有意义的方式让技术与患者/社区互动，患者真正参与临床决策的机会。预测未来绝非易事，但许多技术现在已经存在——但我们将如何利用它们使系统对患者更友好、更高效和可持续，仍有待讨论。本文应开启这一讨论。
