Department of Pediatrics, Division of Allergy/Immunology, Children's Hospital of Michigan, Wayne State University School of Medicine, 3950 Beaubien, 4th Floor, Pediatric Specialty Building, Detroit, MI, 48201, USA.
Clin Rev Allergy Immunol. 2020 Aug;59(1):19-37. doi: 10.1007/s12016-020-08782-w.
Asthma is a chronic disease that is associated with significant morbidity and mortality. In general, the use of technology resources or electronic health (e-health) has been shown to have beneficial effects on patients with asthma. E-health can impact a broad section of patients and can be cost-effective and associated with high patient satisfaction. E-health may enable remote delivery of care, as well as timely access to health care, which are some of the common challenges faced by patients with asthma. Web-based asthma self-management systems have been found to improve quality of life, self-reported asthma symptoms, lung function, reduction in asthma symptoms/exacerbations, and self-reported adherence for adults. Social media is commonly being used as a platform to disseminate information on asthma to increase public awareness. It can facilitate asthma self-management in a patient friendly manner and has shown to improve asthma control test scores as well as self-esteem. Text massages reminders can increase awareness regarding asthma treatment and control, thus potentially can improve adherence to medications and asthma outcome. Mobile health applications can support asthma self-management, improve a patient's quality of life, promote medication adherence, and potentially reduce the overall costs for asthma care. Inhaler trackers have shown to be beneficial to asthma outcome in various populations by improving adherence to asthma medications. Barriers such as physician financial reimbursement as well as licensing for rendering tele-healthcare services are important concerns. Other limitations of using technology resources in health care are related to liability, professionalism, and ethical issues such as breach of patient confidentiality and privacy. Additionally, there may be less face-to-face interaction and care of the patient when e-health is used.
哮喘是一种慢性病，与显著的发病率和死亡率有关。一般来说，使用技术资源或电子健康（e-health）已被证明对哮喘患者有有益的影响。e-health 可以影响广泛的患者群体，具有成本效益，并与患者满意度高相关。e-health 可以实现远程医疗服务，以及及时获得医疗保健，这些都是哮喘患者常见的挑战。基于网络的哮喘自我管理系统已被发现可以改善生活质量、自我报告的哮喘症状、肺功能、减少哮喘症状/加重，以及自我报告的成人患者依从性。社交媒体通常被用作传播哮喘信息的平台，以提高公众意识。它可以以患者友好的方式促进哮喘自我管理，并已被证明可以改善哮喘控制测试评分以及自尊心。短信提醒可以提高对哮喘治疗和控制的认识，从而有可能提高药物依从性和哮喘结果。移动健康应用程序可以支持哮喘自我管理，提高患者的生活质量，促进药物依从性，并可能降低哮喘护理的总体成本。吸入器追踪器通过提高对哮喘药物的依从性，在各种人群中显示出对哮喘结果的有益影响。重要的关注点包括医生的财务报销以及远程医疗服务的许可等障碍。在医疗保健中使用技术资源的其他限制与责任、专业性以及侵犯患者机密性和隐私等道德问题有关。此外，当使用电子健康时，医患之间的面对面互动和护理可能会减少。
