a School of Public Health , University of California , Berkeley , CA , USA.
b D-tree International , Norwell , MA , USA.
Health Syst Reform. 2019;5(2):113-120. doi: 10.1080/23288604.2019.1583040. Epub 2019 Mar 25.
Digital health is having a profound effect on health systems, changing the balance of power between provider and patient, enabling new models of care, and shifting the focus of health systems toward client-centered health care within low- and middle-income countries. Though many of these changes are just being felt due to resistance by organizations and individuals reluctant to change the status quo, the explosive growth of digital technology globally means that these changes are inevitable. We can expect to see increasing use of telemedicine for remote diagnostics and treatment, protocol-driven health care to improve quality of care, and better access to goods and services through changes in the organization of transportation and delivery services. Data will become central to health systems, whether big data and artificial intelligence tools for surveillance, planning, and management or "personalized data" in the form of universal electronic record systems and customized treatment protocols. As with any disruptive innovation, the growth of digital health will also bring challenges, including who owns, controls, and manages the data being collected and how to maintain privacy and confidentiality in this data-rich world.
数字健康正在对医疗系统产生深远影响，改变了医患之间的权力平衡，使新的医疗模式成为可能，并将医疗系统的关注点转向中低收入国家以患者为中心的医疗保健。尽管由于组织和个人不愿意改变现状而对这些变化感到抵触，但数字技术在全球范围内的爆炸式增长意味着这些变化是不可避免的。我们可以预期，远程诊断和治疗的远程医疗将越来越多地使用，协议驱动的医疗保健将提高医疗质量，通过运输和交付服务的组织变革，更好地获取商品和服务。数据将成为医疗系统的核心，无论是用于监测、规划和管理的大数据和人工智能工具，还是以通用电子记录系统和定制治疗方案形式的“个人数据”。与任何颠覆性创新一样，数字健康的发展也将带来挑战，包括谁拥有、控制和管理正在收集的数据，以及如何在这个数据丰富的世界中维护隐私和机密性。
