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物联网:对医疗保健服务的影响及启示

The Internet of Things: Impact and Implications for Health Care Delivery.

作者信息

Kelly Jaimon T, Campbell Katrina L, Gong Enying, Scuffham Paul

机构信息

Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia.

Centre of Applied Health Economics, Griffith University, Brisbane, Australia.

出版信息

J Med Internet Res. 2020 Nov 10;22(11):e20135. doi: 10.2196/20135.

DOI:10.2196/20135
PMID:33170132
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7685921/
Abstract

The Internet of Things (IoT) is a system of wireless, interrelated, and connected digital devices that can collect, send, and store data over a network without requiring human-to-human or human-to-computer interaction. The IoT promises many benefits to streamlining and enhancing health care delivery to proactively predict health issues and diagnose, treat, and monitor patients both in and out of the hospital. Worldwide, government leaders and decision makers are implementing policies to deliver health care services using technology and more so in response to the novel COVID-19 pandemic. It is now becoming increasingly important to understand how established and emerging IoT technologies can support health systems to deliver safe and effective care. The aim of this viewpoint paper is to provide an overview of the current IoT technology in health care, outline how IoT devices are improving health service delivery, and outline how IoT technology can affect and disrupt global health care in the next decade. The potential of IoT-based health care is expanded upon to theorize how IoT can improve the accessibility of preventative public health services and transition our current secondary and tertiary health care to be a more proactive, continuous, and coordinated system. Finally, this paper will deal with the potential issues that IoT-based health care generates, barriers to market adoption from health care professionals and patients alike, confidence and acceptability, privacy and security, interoperability, standardization and remuneration, data storage, and control and ownership. Corresponding enablers of IoT in current health care will rely on policy support, cybersecurity-focused guidelines, careful strategic planning, and transparent policies within health care organizations. IoT-based health care has great potential to improve the efficiency of the health system and improve population health.

摘要

物联网(IoT)是一个由无线、相互关联且连接的数字设备组成的系统,这些设备可以通过网络收集、发送和存储数据,而无需人与人或人与计算机之间的交互。物联网有望为简化和增强医疗保健服务带来诸多益处,从而主动预测健康问题,并对患者在院内外进行诊断、治疗和监测。在全球范围内,政府领导人和决策者正在实施政策,利用技术提供医疗保健服务,尤其是为应对新型冠状病毒肺炎疫情。如今,了解成熟和新兴的物联网技术如何支持卫生系统提供安全有效的护理变得越来越重要。本观点论文的目的是概述当前医疗保健领域的物联网技术,概述物联网设备如何改善医疗服务的提供,并概述物联网技术在未来十年可能如何影响和颠覆全球医疗保健。基于物联网的医疗保健的潜力得到了扩展,以理论化物联网如何提高预防性公共卫生服务的可及性,并将我们当前的二级和三级医疗保健转变为一个更积极主动、持续且协调的系统。最后,本文将探讨基于物联网的医疗保健所产生的潜在问题,包括医疗保健专业人员和患者在市场采用方面的障碍、信心和可接受性、隐私和安全、互操作性、标准化和薪酬、数据存储以及控制和所有权。当前医疗保健中物联网的相应推动因素将依赖于政策支持、以网络安全为重点的指导方针、精心的战略规划以及医疗保健组织内部的透明政策。基于物联网的医疗保健在提高卫生系统效率和改善人群健康方面具有巨大潜力。

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