Division of Cardiology, Kaiser Permanente Medical Center, San Jose, California.
Division of Pharmacy, University of Kentucky, Lexington, Kentucky.
J Am Coll Cardiol. 2020 Dec 1;76(22):2650-2670. doi: 10.1016/j.jacc.2020.09.606.
The growing population of older adults (age ≥65 years) is expected to lead to higher rates of cardiovascular disease. The expansion of digital health (encompassing telehealth, telemedicine, mobile health, and remote patient monitoring), Internet access, and cellular technologies provides an opportunity to enhance patient care and improve health outcomes-opportunities that are particularly relevant during the current coronavirus disease-2019 pandemic. Insufficient dexterity, visual impairment, and cognitive dysfunction, found commonly in older adults should be taken into consideration in the development and utilization of existing technologies. If not implemented strategically and appropriately, these can lead to inequities propagating digital divides among older adults, across disease severities and socioeconomic distributions. A systematic approach, therefore, is needed to study and implement digital health strategies in older adults. This review will focus on current knowledge of the benefits, barriers, and use of digital health in older adults for cardiovascular disease management.
预期老年人(年龄≥65 岁)人口的增长将导致心血管疾病发病率上升。数字健康(包括远程医疗、远程医疗、移动健康和远程患者监测)、互联网接入和蜂窝技术的扩展提供了一个加强患者护理和改善健康结果的机会——在当前的 2019 冠状病毒病大流行期间,这些机会尤为重要。在开发和利用现有技术时,应考虑到老年人常见的灵活性不足、视力障碍和认知功能障碍。如果没有战略性和适当地实施,这些因素可能会导致老年人之间的数字鸿沟不平等,包括疾病严重程度和社会经济分布。因此,需要采取系统的方法来研究和实施老年人的数字健康战略。这篇综述将重点介绍数字健康在老年人心血管疾病管理中的益处、障碍和使用的现有知识。
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