Chen Sonia Chien-I, Liu Chenglian, Hu Ridong, Mo Yiyi, Ye Xiupin
Institute of Quantitative Economics, Huaqiao University, Xiamen 362021, Fujian, China.
School of Computing, Neusoft Institute of Guangdong, Foshan 528225, China.
Healthcare (Basel). 2020 Mar 23;8(1):66. doi: 10.3390/healthcare8010066.
: The evolution of names, from "medical informatics" to "connected health", implies that the evolvement of technology in health care has been shifted from technology-oriented to healthcare-oriented implementation. Connected healthcare, a healthcare platform of remote monitoring and self-management through technological measures, is suggested to contribute to the efficiency, cost-effectiveness, and satisfaction of healthcare recipient enhancement. However, limited understanding of related connected health (CH) terminology may constrain its implementation. Whether CH is a buzzword only or a practice that can contribute to an aging society is controversial. : This study aims to distinguish CH-related terminology and to identify the trend of CH through reviewing its definition, initiation, development, and evolvement, in order to offer management insights and implications. The objective is to understand what is connected and who is cared about in the connected health model so that better applications can be addressed for the benefit of society. : This study reviews the evolution of names, from "medical informatics" in the 1970s to "connected health" after 2000, as well as relevant literature of CH, including e-health, telemedicine, telehealth, telecare, and m-health, to discover the trend of technology-related healthcare innovations. : The current status and issues facing accessibility, quality, and cost were presented. Its future trends will be explored through reviewing how changes in healthcare are managed, in addition to its operation and practice. Pre-conditions and requirements for implementing CH are identified to select a typical case to study. Findings suggest that areas with a complete business ecosystem-isolated locations, advanced information technology, aging in population, integrated health, and social care system-are prevalent for designing friendly CH environments. : The evidence and tendency of technological convergence create a demand for innovation and partnering with start-up companies that offer a competitive advantage in innovation.
名称的演变,从“医学信息学”到“互联健康”,意味着医疗保健领域技术的发展已从以技术为导向转向以医疗保健为导向的应用。互联医疗保健是一个通过技术手段进行远程监测和自我管理的医疗保健平台,有望提高医疗保健的效率、成本效益,并提升接受者的满意度。然而,对相关互联健康(CH)术语的有限理解可能会限制其应用。CH究竟只是一个时髦词汇,还是一种能为老龄化社会做出贡献的实践,存在争议。
本研究旨在通过回顾CH的定义、起源、发展和演变来区分与CH相关的术语,并确定CH的发展趋势,以便提供管理方面的见解和启示。目的是了解在互联健康模式中哪些是相互连接的以及关注的对象是谁,从而为社会利益实现更好地应用。
本研究回顾了从20世纪70年代的“医学信息学”到2000年后的“互联健康”的名称演变,以及CH的相关文献,包括电子健康、远程医疗、远程健康、远程护理和移动健康,以发现与技术相关的医疗保健创新趋势。
介绍了在可及性、质量和成本方面的现状及面临的问题。除了其运营和实践外,还将通过回顾医疗保健的变化管理方式来探索其未来趋势。确定实施CH的前提条件和要求,选择一个典型案例进行研究。研究结果表明,拥有完整商业生态系统的地区——孤立地区、先进的信息技术、老龄化人口、综合医疗和社会护理系统——普遍适合设计友好的CH环境。
技术融合的证据和趋势产生了对创新的需求,并需要与在创新方面具有竞争优势的初创公司合作。