Joda Tim, Waltimo Tuomas, Probst-Hensch Nicole, Pauli-Magnus Christiane, Zitzmann Nicola U
University Center for Dental Medicine Basel, Department of Reconstructive Dentistry, University of Basel, Basel, Switzerland,
University Center for Dental Medicine Basel, Department of Oral Health and Medicine, University of Basel, Basel, Switzerland.
Public Health Genomics. 2019;22(1-2):1-7. doi: 10.1159/000501643. Epub 2019 Aug 7.
Biomedical research has recently moved through three stages in digital healthcare: (1) data collection; (2) data sharing; and (3) data analytics. With the explosion of stored health data (HD), dental medicine is edging into its fourth stage of digitization using artificial intelligence (AI). This narrative literature review outlines the challenge of managing HD and anticipating the potential of AI in oral healthcare and dental research by summarizing the current literature.
The basis of successful management of HD is the establishment of a generally accepted data standard that will guide its implementation within electronic health records (EHR) and health information technology ecosystems (HIT Eco). Thereby continuously adapted (self-) learning health systems (LHS) can be created. The HIT Eco of the future will combine (i) the front-end utilization of HD in clinical decision-making by providers using supportive diagnostic tools for patient-centered treatment planning, and (ii) back-end algorithms analyzing the standardized collected data to inform population-based policy decisions about resource allocations and research directions. Cryptographic methods in blockchain enable a safe, more efficient, and effective dental care within a global perspective. Key Message: The interoperability of HD with accessible digital health technologies is the key to deliver value-based dental care and exploit the tremendous potential of AI.
生物医学研究最近在数字医疗领域经历了三个阶段:(1)数据收集;(2)数据共享;以及(3)数据分析。随着存储的健康数据(HD)激增,牙科医学正借助人工智能(AI)迈入其数字化的第四阶段。本叙述性文献综述通过总结当前文献,概述了管理健康数据的挑战以及预测人工智能在口腔保健和牙科研究中的潜力。
成功管理健康数据的基础是建立一个普遍接受的数据标准,该标准将指导其在电子健康记录(EHR)和健康信息技术生态系统(HIT Eco)中的实施。从而可以创建不断适应(自我)学习的健康系统(LHS)。未来的HIT Eco将结合(i)医疗服务提供者在临床决策中对健康数据的前端利用,使用支持性诊断工具进行以患者为中心的治疗规划,以及(ii)后端算法分析标准化收集的数据,为基于人群的资源分配和研究方向的政策决策提供信息。区块链中的加密方法在全球范围内实现安全、更高效和有效的牙科护理。关键信息:健康数据与可访问的数字健康技术的互操作性是提供基于价值的牙科护理和挖掘人工智能巨大潜力的关键。