Digital Health and Care Institute, University of Strathclyde, Glasgow G1 1RD, UK.
The Glasgow School of Art, Forres IV36 2SH, UK.
Int J Environ Res Public Health. 2019 Jun 25;16(12):2247. doi: 10.3390/ijerph16122247.
Western developed health and care policy is shifting from a patriarchal medical model to a co-managed and integrated approach. Meanwhile, the fourth industrial revolution (Industry 4.0) is transforming manufacturing in line with the digital consumer revolution. Digital health and care initiatives are beginning to use some of the same capabilities to optimize healthcare provision. However, this is usually limited to self-management as part of an organization-centric delivery model. True co-management and integration with other organizations and people is difficult because it requires formal care organizations to share control and extend trust. Through a co-design lens, this paper discusses a more person-centered application of Industry 4.0 capabilities for care. It introduces 'Care 4.0', a new paradigm that could change the way people develop digital health and care services, focusing on trusted, integrated networks of organizations, people and technologies. These networks and tools would help people co-manage and use their own assets, in the context of their own care circle and community. It would enable personalized services that are more responsive to care needs and aspirations, offering preventative approaches that ultimately create a more flexible and sustainable set of integrated health and social care services that support meaningful engagement and interactions.
西方发达的健康和护理政策正从父权制的医疗模式转向共同管理和综合的方法。与此同时，第四次工业革命（工业 4.0）正在根据数字消费者革命对制造业进行改造。数字健康和护理计划开始利用一些相同的功能来优化医疗服务的提供。然而，这通常仅限于自我管理，作为以组织为中心的交付模式的一部分。真正的共同管理和与其他组织和人员的整合是困难的，因为它要求正规护理组织共享控制权并扩展信任。本文通过共同设计的视角，讨论了工业 4.0 能力在护理方面更以人为本的应用。它介绍了“护理 4.0”，这是一种新的范例，可能会改变人们开发数字健康和护理服务的方式，重点是受信任的、组织、人员和技术的集成网络。这些网络和工具将帮助人们在自己的护理圈子和社区中共同管理和使用自己的资产。它将提供更能响应护理需求和愿望的个性化服务，提供预防方法，最终创建更灵活和可持续的一整套综合健康和社会护理服务，支持有意义的参与和互动。
