Schofield Penelope, Shaw Tim, Pascoe Michaela
Department of Psychology, Swinburne University, Melbourne, Australia.
Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, Melbourne, Australia.
J Med Internet Res. 2019 Jun 4;21(6):e12382. doi: 10.2196/12382.
There is an escalating crisis in health care, locally and internationally. The current health care model is unable to meet the increasing health care demands.
The aim of this study was to reconceptualize the provision of health care to produce better outcomes at no greater cost, by placing individuals in the position of authority to direct their own care, in a personalized, integrated health care system.
In this study, we used the Australian health care system as a model. We reviewed the current landscape of digital health in Australia and discussed how electronic medical records (EMRs) can be further developed into a personalized, integrated health care system.
Some components of an EMR and digital health system are already being used in Australia, but the systems are not linked. A personalized, integrated health care model that is responsive to consumer needs requires not just a passive repository of medical information; it would require a team approach, including the government, health care funders, industries, consumers and advocacy groups, health care professionals, community groups, and universities.
Implementation of a personalized, integrated health care system can result in reduced pressure on the current health care system, and it can result in the delivery of best-practice health care, regardless of location. Importantly, a personalized, integrated health care system could serve as an education platform, "upskilling" not only clinicians but also, more importantly, patients and carers by providing them with accurate information about their condition, treatment options, medications, and management strategies. By proposing personalized, integrated health care, we offer an intelligent model of health care that is ubiquitous, efficient, and continuously improving.
在本地和国际上,医疗保健领域的危机正在不断升级。当前的医疗保健模式无法满足日益增长的医疗保健需求。
本研究的目的是重新构想医疗保健的提供方式,通过在个性化、综合的医疗保健系统中赋予个人指导自身护理的权力,以不增加成本的情况下产生更好的结果。
在本研究中,我们以澳大利亚医疗保健系统为模型。我们回顾了澳大利亚数字健康的当前状况,并讨论了电子病历(EMR)如何能够进一步发展成为个性化、综合的医疗保健系统。
电子病历和数字健康系统的一些组成部分已在澳大利亚得到应用,但这些系统并未相互连接。一个响应消费者需求的个性化、综合医疗保健模式不仅需要一个被动的医疗信息存储库;它还需要一种团队方法,包括政府、医疗保健资助者、行业、消费者和倡导团体、医疗保健专业人员、社区团体和大学。
实施个性化、综合医疗保健系统可以减轻当前医疗保健系统的压力,并能提供最佳实践的医疗保健,无论地点如何。重要的是,个性化、综合医疗保健系统可以作为一个教育平台,不仅使临床医生“提升技能”,更重要的是,通过向患者和护理人员提供有关他们病情、治疗选择、药物和管理策略的准确信息,使他们也“提升技能”。通过提出个性化、综合医疗保健,我们提供了一种无处不在、高效且不断改进的智能医疗保健模式。