Neville P, van der Zande M M
Bristol Dental School, University of Bristol.
Department of Health Services Research, Institute of Population Health Sciences, University of Liverpool.
Community Dent Health. 2020 Feb 27;37(1):51-58. doi: 10.1922/CDH_4664Neville08.
To overview current developments in e-health and digitalisation in dentistry and identify gaps in the dental literature on this topic; Basic research design: a critical narrative review of published articles and relevant online materials; Results: Four themes are identified as characterising the current dental literature on e-health and digitalisation: 1) the impact of digitalisation on dental surgeries, 2) digital technology and practice management, 3) digitalisation beyond the dental surgery and in dentist-patient communication, and 4) digital technology and education. However, gaps remain in our understanding of the impact of digital technology on dental practice, particularly in relation to its ethical considerations. Following the example of the wider medical literature, the review introduces the field of critical digital health studies and identifies areas for future investigation and exploration based on its four characteristics: devices and software, data materialisation, data practices and data mobilities; Conclusion and Clinical significance: Digital technology is changing clinical practice and patient care. Dentistry needs to expand its understanding of how dental apps, digital workflow models and digital health information are transforming and disrupting dental practice in order to anticipate how this digital shift will impact on dentistry. The emerging field of critical digital health studies can signpost ways to improve research and practice on the topic in the future.
概述牙科领域电子健康与数字化的当前发展情况，并找出该主题牙科文献中的空白；基础研究设计：对已发表文章及相关在线资料进行批判性叙述性综述；结果：确定了当前牙科文献中关于电子健康与数字化的四个主题特征：1）数字化对牙科手术的影响，2）数字技术与实践管理，3）牙科手术之外及医患沟通中的数字化，4）数字技术与教育。然而，我们对数字技术对牙科实践的影响，尤其是其伦理考量方面的理解仍存在空白。以更广泛的医学文献为例，本综述引入了批判性数字健康研究领域，并基于其四个特征确定了未来调查与探索的领域：设备与软件、数据实体化、数据实践及数据流动性；结论与临床意义：数字技术正在改变临床实践和患者护理。牙科需要扩大对牙科应用程序、数字工作流程模型和数字健康信息如何改变和扰乱牙科实践的理解，以便预测这一数字转变将如何影响牙科。新兴的批判性数字健康研究领域可为未来改进该主题的研究与实践指明方向。
