Department of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing, 100853, China.
Department of Medicine, Mount Sinai St Luke's and Mount Sinai West Hospitals, Icahn School of Medicine at Mount Sinai, 1111 Amsterdam Avenue, New York, NY, 10025, USA.
Curr Rheumatol Rep. 2019 Nov 19;21(11):61. doi: 10.1007/s11926-019-0860-7.
Spondyloarthritis (SpA) is a group of inflammatory diseases characterized by inflammation in the spine, peripheral joints, and entheses that usually start at the prime of one's life and lead to impaired physical function and reduced quality of life. Ankylosing spondylitis (AS) is prototype of SpA. This article reviews the opportunities and challenges of using mobile health (mHealth) in managing SpA, and report some of our experiences using a mHealth solution for management of SpA patients and performing related research in China.
The recent rapid development of mobile communications and the common use of intelligent electronic devices have led to the increasing application of mHealth for chronic disease management by healthcare providers and patients alike. This is a promising new technology that can help mitigate limitations in time and space for patient management, promote easier communication between patients and their healthcare providers, reduce medical expenses, and optimize medical services. We have developed a smartphone-based mHealth SpA management system (SpAMS) that also helps the patients to monitor, manage, and share information on their disease with their physician at regular intervals. There is a shift from a paternalistic model of healthcare to more personalized healthcare in which disease management is conducted by the patient together with their healthcare providers. The increasing utility of mHealth is expected to benefit disease management, promote patient-doctor communication, reduce medical expenses, and optimize medical services.
脊柱关节炎（SpA）是一组以脊柱、外周关节和附着点炎症为特征的炎性疾病，通常始于人的青壮年时期，导致身体功能受损和生活质量下降。强直性脊柱炎（AS）是 SpA 的典型代表。本文综述了移动医疗（mHealth）在 SpA 管理中的应用机遇和挑战，并报告了我们在中国使用 mHealth 解决方案管理 SpA 患者和开展相关研究的一些经验。
移动通讯的快速发展和智能电子设备的普遍应用，使得医疗保健提供者和患者都越来越多地将 mHealth 应用于慢性病管理。这是一项有前途的新技术，可以帮助缓解患者管理在时间和空间上的限制，促进患者与医疗保健提供者之间更轻松的沟通，降低医疗费用，并优化医疗服务。我们开发了一种基于智能手机的 mHealth SpA 管理系统（SpAMS），它还可以帮助患者定期监测、管理和与医生共享疾病信息。医疗模式正在从家长式医疗向更具个性化的医疗转变，在这种模式下，疾病管理由患者和他们的医疗保健提供者共同进行。mHealth 的日益普及有望有利于疾病管理，促进医患沟通，降低医疗费用，并优化医疗服务。
