Curr Probl Cardiol. 2019 Aug;44(8):232-266. doi: 10.1016/j.cpcardiol.2018.06.003. Epub 2018 Jul 9.
Healthcare providers are shifting to a value-based model that acknowledges the importance of a healthy lifestyle for managing chronic disease and mental health. This approach empowers patients to adopt and/or sustain healthy lifestyle choices through the use of innovative technologies-providing beneficial ways of delivering health literacy, self-monitoring, and patient-provider collaboration. Such pathways have the potential to enable healthy lifestyle management for a growing U.S. cohort-the "baby boomer" generation (BBG)-who are at risk for developing heart disease, stroke, arthritis, high cholesterol, and diabetes, etc. In this paper, we argue for a new mHealthy lifestyle management (MLM) model that uses mobile health technology as a means to engage BBG consumers in ways that establish their role in self-care and decision-making, as well as patient-provider collaboration that can significantly impact sustainable healthy lifestyle behaviors. By merging the domains of health informatics and human factors psychology, MLM addresses the complex challenges associated with patient-provider collaborative work, while offering a healthcare framework to BBGs in their quest to self-manage a physical and/or mental healthy lifestyle. A MLM use-case highlights the challenges and solutions for team-based clinical counseling. Finally, recommendations for future MLM tools are outlined that support patient access to personal health eTools, information, and services.
医疗保健提供者正在转向一种基于价值的模式,承认健康的生活方式对于管理慢性病和心理健康的重要性。这种方法通过使用创新技术,使患者能够采用和/或维持健康的生活方式选择,从而提供有益的方法来提供健康素养、自我监测和医患合作。这些途径有可能为不断增长的美国“婴儿潮一代”(BBG)管理健康的生活方式,他们面临着患心脏病、中风、关节炎、高胆固醇和糖尿病等疾病的风险。在本文中,我们主张采用一种新的移动健康生活方式管理(MLM)模型,该模型使用移动健康技术来吸引 BBG 消费者,使他们在自我护理和决策中发挥作用,并促进医患合作,这可以显著影响可持续的健康生活方式行为。通过将健康信息学和人类因素心理学领域融合在一起,MLM 解决了与医患协作相关的复杂挑战,同时为 BBG 提供了一个自我管理身体和/或心理健康生活方式的医疗框架。一个 MLM 的用例强调了基于团队的临床咨询的挑战和解决方案。最后,概述了未来支持患者访问个人健康电子工具、信息和服务的 MLM 工具的建议。