Department of General Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Division of Cardiology, Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Int J Cardiol. 2019 Oct 1;292:280-282. doi: 10.1016/j.ijcard.2019.05.066. Epub 2019 May 28.
Mobile health, or mHealth, is the implementation of digital health services with mobile and wearable devices, and has ample potential to enhance self-management of chronic conditions, especially cardiovascular risk factors (e.g., blood pressure control and supporting tobacco cessation and physical activity). It remains ambiguous, however, whether such technologies can improve cardiovascular outcomes. More importantly, mHealth carries the additional challenge of digital health literacy, which demands particular skills complementary to general and health literacy. Populations at risk for limited health literacy are similarly vulnerable to having challenges with digital health literacy. We identify such challenges and outline solutions to improve access to digital health services and their use for individuals with limited digital health literacy. We present an 18-point "Digital Universal Precautions" as a mandate for health care organizations committed towards addressing and facilitating eHealth literacy. As health care institutions increasingly advance mHealth through delivery of on-line material and patient portals, they face the challenge of ensuring that digital health services and content are available to all patients.
移动医疗，或 mHealth，是利用移动和可穿戴设备实施数字医疗服务，具有很大潜力可以增强慢性病的自我管理能力，尤其是心血管风险因素（例如，血压控制以及支持戒烟和身体活动）。然而，这些技术是否能够改善心血管结局仍不明确。更重要的是，移动医疗带来了数字健康素养的额外挑战，这需要除了一般和健康素养之外的特定技能。有健康素养有限风险的人群同样容易面临数字健康素养方面的挑战。我们确定了这些挑战，并提出了解决方案，以改善对数字医疗服务的获取，并提高有限数字健康素养个体对其的使用。我们提出了 18 点“数字通用预防措施”，作为致力于解决和促进电子健康素养的医疗保健组织的任务。随着医疗机构越来越多地通过在线材料和患者门户推进移动医疗，它们面临着确保所有患者都能获得数字医疗服务和内容的挑战。
