HEC, 1, Rue de la Liberation Jouy en Josas, Paris, France.
CNR-Neuroscience Institute, Aging Branch, Padua, Italy.
Aging Clin Exp Res. 2019 Nov;31(11):1689-1693. doi: 10.1007/s40520-019-01258-8. Epub 2019 Jul 17.
Information and communication technology (ICT) within healthcare covers a range of technologies that aim to improve disease management or help modify health behaviors. We discuss clinical practice and system-related ICT challenges in Europe in relation to healthy ageing in people with non-communicable diseases (NCD). Although ICT use within healthcare is increasing, several challenges remain, including: (i) variations in ICT use within Europe; (ii) under-use of electronic health records; (iii) frequent use of single domain outcomes; (iv) shortage of clinical trials on current technologies; (v) lack of involvement of patients in ICT development; (vii) need to develop and adapt ICTs for people with cognitive or sensory impairment; and (viii) need to use longitudinal big data better. Close collaboration between key stakeholders (academia, biopharmaceutical and technology industries, healthcare, policy makers, patients, and caregivers) should foster both technological innovation and innovative models to facilitate more cost-effective approaches, ultimately leading to increased healthy ageing.
信息和通信技术(ICT)在医疗保健领域涵盖了一系列旨在改善疾病管理或帮助改变健康行为的技术。 我们讨论了与非传染性疾病(NCD)患者健康老龄化相关的欧洲临床实践和系统相关 ICT 挑战。尽管医疗保健领域内的 ICT 使用正在增加,但仍存在一些挑战,包括:(i)欧洲内部 ICT 使用的差异;(ii)电子健康记录的使用不足;(iii)单一领域结果的频繁使用;(iv)当前技术临床试验的短缺;(v)患者在 ICT 开发中的参与度低;(vii)需要为认知或感官障碍患者开发和调整 ICT;以及(viii)需要更好地利用纵向大数据。关键利益相关者(学术界、生物制药和技术行业、医疗保健、政策制定者、患者和护理人员)之间的密切合作应促进技术创新和创新模式,以促进更具成本效益的方法,最终实现健康老龄化的增加。