Torous John, Hsin Honor
1Departments of Psychiatry and Clinical Informatics, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA USA.
Clinical Health Platforms, Verily Life Sciences, South San Francisco, CA USA.
NPJ Digit Med. 2018 May 16;1:16. doi: 10.1038/s41746-018-0028-2. eCollection 2018.
As "digital phenotyping" and monitoring technologies begin to unleash the potential of data insights for mental health care, we propose here a complementary concept of the "digital therapeutic relationship" to unleash the power of the patient-provider alliance in clinical care. In millions of clinics today, care decisions are made on a daily basis in the context of a relationship honed through professional training to be respectful, protective, and empowering of patients. Now as clinical care evolves toward online and especially mobile platforms, it is critical to not ignore the digital therapeutic relationship and instead to realize that supporting it will require new and innovative means of care delivery. Here, we propose that technology can be harnessed to facilitate, augment, and expand these relationships directly, and identify virtual clinics as the currently missing but necessary environment to unleash the true potential of digital medicine.
随着“数字表型分析”和监测技术开始释放数据洞察在精神卫生保健方面的潜力,我们在此提出“数字治疗关系”这一补充概念,以释放医患联盟在临床护理中的力量。如今在数百万家诊所里,每天的护理决策都是在一种通过专业培训培养而成的、尊重患者、保护患者并赋予患者权力的关系背景下做出的。现在,随着临床护理向在线尤其是移动平台发展,至关重要的是不要忽视数字治疗关系,相反要认识到支持这种关系将需要新的创新护理交付方式。在此,我们提出可以利用技术直接促进、增强和扩展这些关系,并将虚拟诊所确定为目前缺失但释放数字医学真正潜力所必需的环境。