managing partner, mHealth Connections, Rowayton, Connecticut.
J Healthc Manag. 2018 Jul-Aug;63(4):251-260. doi: 10.1097/JHM-D-18-00077.
The emergence of value-based healthcare requires new approaches for physicians and their organizations in serving their patients. Traditional medical practices have centered on physicians detecting and responding to patients' needs, but with new payment models and technologies, practitioners will be required to prevent health issues from developing. Transitions of care and service coordination among providers and specialists need to be seamless as patients are educated about their health issues and better connected to their medical information. A key enabler of this change will be how well patients can collaborate with their care teams, and several e-health disciplines catalyze this process. In fact, there is an e-health imperative to affect outcomes and patient experiences while lowering costs.The Triple Aim objectives of the Institute for Healthcare Improvement are more achievable with the integration of e-health tools and services with clinical care. The mobile revolution and improvements in data management practices now make improved care coordination possible throughout a patient's journey. Telehealth services facilitate connected care and inform physicians with data that flow into a patient portal, which improves risk monitoring and enables proactive treatment. The growing use of social media fosters community development, which enables patients to share experiences with others, further empowering consumerism in healthcare delivery. Finally, e-health tools enable customization of care for large populations as we stratify patient groups. Clinical data scientists and informaticists partner with physicians to establish and operationalize programs that identify new best practices and drive behavior change-especially for those patients with costly chronic conditions and comorbidities. E-health disciplines are the lifeblood of a system that engages patients in new ways to help them and their physicians adhere to practices that support value-based care.
基于价值的医疗保健的出现要求医生及其组织采用新方法为患者服务。传统的医疗实践以医生发现和满足患者需求为中心，但随着新的支付模式和技术的出现，医生将需要预防健康问题的发生。在患者接受健康教育并更好地了解其医疗信息的过程中，需要实现医疗服务提供者和专科医生之间的无缝护理过渡和服务协调。这种转变的关键推动因素是患者与护理团队合作的程度，而几个电子健康学科则促进了这一过程。事实上，电子健康对于影响医疗效果和患者体验、降低成本至关重要。医疗改进研究所的三重目标更有可能通过将电子健康工具和服务与临床护理相结合来实现。移动革命和数据管理实践的改进使得在患者的整个旅程中都能实现更好的护理协调。远程医疗服务促进了互联护理，并通过流入患者门户的数据为医生提供信息，从而改善风险监测并实现主动治疗。社交媒体的广泛使用促进了社区的发展，使患者能够与他人分享经验，进一步增强医疗保健交付中的消费者意识。最后，电子健康工具使我们能够为大人群定制护理，因为我们对患者群体进行分层。临床数据科学家和信息学家与医生合作，建立和实施计划，确定新的最佳实践并推动行为改变，特别是对于那些患有昂贵的慢性疾病和合并症的患者。电子健康学科是一种以新方式吸引患者参与的系统的生命线，帮助他们和他们的医生遵守支持基于价值的医疗保健的实践。
