Kaufman Neal
Canary Health, Los Angeles, CA.
University of California, Los Angeles Geffen School of Medicine and Fielding School of Public Health, Los Angeles, CA.
Diabetes Spectr. 2019 Nov;32(4):301-303. doi: 10.2337/ds19-0012.
The shift from acute illness to the epidemic of chronic conditions is the hallmark of the past 50 years. In addition to the provision of high-quality, accessible, and comprehensive medical care, one key to improving outcomes for individuals with diabetes and other chronic conditions is to increase their ability to self-manage. Having a high degree of self-efficacy is key to a person's ability to self-manage. One major challenge is finding scalable and affordable approaches that successfully increase self-efficacy. The field of digital health encompasses a variety of technology-enabled tools to make clinical care and patient self-management easier and more impactful by providing effective treatments that lead to improved clinical and economic outcomes. Better Choices, Better Health, a self-efficacy-based, self-management support intervention, is an example of a successful digital therapeutic for adults with one or more chronic conditions, including diabetes.
从急性疾病向慢性病流行的转变是过去50年的显著特征。除了提供高质量、可及且全面的医疗服务外，改善糖尿病及其他慢性病患者治疗效果的一个关键因素是提高他们的自我管理能力。具备高度的自我效能感是个人自我管理能力的关键。一个主要挑战是找到可扩展且经济实惠的方法来成功提高自我效能感。数字健康领域包含各种借助技术的工具，通过提供能带来更好临床和经济结果的有效治疗方法，使临床护理和患者自我管理更轻松且更具成效。“更佳选择，更佳健康”是一种基于自我效能感的自我管理支持干预措施，是针对患有一种或多种慢性病（包括糖尿病）的成年人的成功数字疗法的一个范例。
