Division of Digital Psychiatry, Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Acta Psychiatr Scand. 2020 Apr;141(4):350-355. doi: 10.1111/acps.13149. Epub 2020 Jan 26.
While smartphone apps and other digital health tools have the clear potential to increase both quality of and access to care, actual successful implementation remains limited. Challenges often encountered in seeking to use apps in care include selecting safe/effective tools, spending clinical time troubleshooting technology instead of discussing health matters, and lack of time to check and review constant streams of data these digital tools can produce. In this 'From Research to Clinical Practice' piece, we focus on how a new care team member, the digital navigator, can help overcome these barriers through conducting evidence-based app evaluation to help in selecting the right apps, troubleshooting technology outside of visits to improve the therapeutic alliance during, and finally summarizing digital data to facilitate clinical care that focus on actionable data.
虽然智能手机应用程序和其他数字健康工具具有明显提高医疗质量和可及性的潜力,但实际成功实施的案例仍然有限。在寻求将应用程序应用于医疗保健的过程中,通常会遇到以下挑战:选择安全/有效的工具、花费临床时间解决技术问题而不是讨论健康问题,以及没有时间检查和审查这些数字工具可以产生的大量数据流。在这篇“从研究到临床实践”的文章中,我们重点介绍了新的护理团队成员——数字导航员如何通过进行基于证据的应用程序评估来帮助克服这些障碍,从而选择合适的应用程序,在就诊之外解决技术问题以改善治疗联盟,最后总结数字数据,以便将重点放在可操作的数据上,从而促进临床护理。