Warraich Haider J, Califf Robert M, Krumholz Harlan M
1Department of Medicine, Cardiology Division, Duke University School of Medicine, Durham, NC USA.
2Duke Clinical Research Institute, Durham, NC USA.
NPJ Digit Med. 2018 Sep 20;1:49. doi: 10.1038/s41746-018-0060-2. eCollection 2018.
Health professionals within the medical community feel that the principles of humanism in medicine have not been a point of emphasis for information and computer technology in healthcare. There is concern that the electronic health record is eroding the patient-clinician relationship and distancing clinicians from their patients. New analytic technologies, on the contrary, by taking over repetitive and mundane tasks, can provide an avenue to make medical care more patient-centered by freeing clinicians' time, and the time of the whole clinical care team, to engage with patients. Technology such as advanced speech recognition that optimizes clinicians' workflow could revitalize the patient-clinician relationship and perhaps also improve clinician well-being. Digital phenotyping can gain invaluable additional data from patients using technology that is already used for personal reasons by the majority of patients. The digital transformation of healthcare has the potential to make healthcare more humane and personalized, however, several important steps are needed to avoid the pitfalls that have come with prior iterations of information technology in medicine such as a heightened emphasis on data security and transparency. Both patients and clinicians should be involved from the early stages of development of medical technologies to ensure that they are person-centric. Technologists and engineers developing healthcare technologies should have experiences with the delivery of healthcare and the lives of patients and clinicians. These steps are necessary to develop a common commitment to the design concept that technology and humane care are not mutually exclusive, and in fact, can be symbiotic.
医学界的健康专业人士认为,医学中的人文主义原则在医疗保健领域的信息和计算机技术中并未得到重视。有人担心电子健康记录正在侵蚀医患关系,使临床医生与患者之间产生距离。相反,新的分析技术通过承担重复性和日常性任务,可以腾出临床医生以及整个临床护理团队的时间与患者交流,从而为使医疗保健更加以患者为中心提供一条途径。诸如先进语音识别之类的技术可优化临床医生的工作流程,这可能会重振医患关系,或许还能改善临床医生的幸福感。数字表型分析可以利用大多数患者出于个人原因已经在使用的技术,从患者那里获取宝贵的额外数据。医疗保健的数字化转型有可能使医疗保健更加人性化和个性化,然而,需要采取几个重要步骤来避免医学信息技术先前迭代所带来的陷阱,例如更加强调数据安全和透明度。患者和临床医生都应在医疗技术开发的早期阶段就参与进来,以确保技术以患者为中心。开发医疗保健技术的技术专家和工程师应该有医疗保健服务以及患者和临床医生生活方面的经验。这些步骤对于形成一种共同的信念至关重要,即技术与人文关怀并非相互排斥,事实上,它们可以是共生的。