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Digital Health: Opportunities and Challenges to Develop the Next-Generation Technology-Enabled Models of Cardiovascular Care.数字健康:开发下一代基于技术的心血管护理模式的机遇与挑战。
Methodist Debakey Cardiovasc J. 2020 Oct-Dec;16(4):296-303. doi: 10.14797/mdcj-16-4-296.
2
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Digital Health Value Realization Through Active Change Efforts.通过积极的变革努力实现数字健康的价值
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The Technological Impact of COVID-19 on the Future of Education and Health Care Delivery.新冠疫情对教育和医疗保健服务未来的技术影响。
Pain Physician. 2020 Aug;23(4S):S367-S380.
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Shaping Workflows in Digital and Remote Diabetes Care During the COVID-19 Pandemic via Service Design: Prospective, Longitudinal, Open-label Feasibility Trial.通过服务设计在 COVID-19 大流行期间塑造数字和远程糖尿病护理的工作流程:前瞻性、纵向、开放标签可行性试验。
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Res Sq. 2025 Jul 28:rs.3.rs-6995030. doi: 10.21203/rs.3.rs-6995030/v1.
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"Digital biomarkers" in preclinical heart failure models - a further step towards improved translational research.临床前心力衰竭模型中的“数字生物标志物”- 迈向改善转化研究的又一步。
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本文引用的文献

1
The Impact of COVID-19 on Telemedicine Utilization Across Multiple Service Lines in the United States.2019年冠状病毒病对美国多个服务领域远程医疗利用情况的影响
Healthcare (Basel). 2020 Oct 1;8(4):380. doi: 10.3390/healthcare8040380.
2
Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA.远程医疗、当前的新冠疫情及未来:美国的一篇叙述性综述与展望
Fam Med Community Health. 2020 Aug;8(3). doi: 10.1136/fmch-2020-000530.
3
Telemedicine Outpatient Cardiovascular Care During the COVID-19 Pandemic: Bridging or Opening the Digital Divide?2019冠状病毒病大流行期间的远程医疗门诊心血管护理:弥合还是加剧数字鸿沟?
Circulation. 2020 Aug 4;142(5):510-512. doi: 10.1161/CIRCULATIONAHA.120.048185. Epub 2020 Jun 8.
4
Supporting Self-Management of Cardiovascular Diseases Through Remote Monitoring Technologies: Metaethnography Review of Frameworks, Models, and Theories Used in Research and Development.通过远程监测技术支持心血管疾病的自我管理:对研发中使用的框架、模型和理论的元民族志综述
J Med Internet Res. 2020 May 21;22(5):e16157. doi: 10.2196/16157.
5
Wireless smart contact lens for diabetic diagnosis and therapy.用于糖尿病诊断和治疗的无线智能隐形眼镜。
Sci Adv. 2020 Apr 24;6(17):eaba3252. doi: 10.1126/sciadv.aba3252. eCollection 2020 Apr.
6
COVID-19 and African Americans.新冠病毒与非裔美国人。
JAMA. 2020 May 19;323(19):1891-1892. doi: 10.1001/jama.2020.6548.
7
AI tracks a beating heart's function over time.人工智能可长期追踪跳动心脏的功能。
Nature. 2020 Apr;580(7802):192-194. doi: 10.1038/d41586-020-00819-6.
8
Interpatient Similarities in Cardiac Function: A Platform for Personalized Cardiovascular Medicine.患者间心脏功能的相似性:个性化心血管医学的平台。
JACC Cardiovasc Imaging. 2020 May;13(5):1119-1132. doi: 10.1016/j.jcmg.2019.12.018. Epub 2020 Mar 18.
9
Patient-generated health data management and quality challenges in remote patient monitoring.远程患者监测中的患者生成健康数据管理与质量挑战
JAMIA Open. 2019 Sep 20;2(4):471-478. doi: 10.1093/jamiaopen/ooz036. eCollection 2019 Dec.
10
Adding value to remote monitoring: Co-design of a health literacy intervention for older people with chronic disease delivered by telehealth - The telehealth literacy project.为远程监测增值:通过远程医疗为慢性病老年人提供的健康素养干预措施的共同设计 - 远程医疗素养项目。
Patient Educ Couns. 2020 Mar;103(3):597-606. doi: 10.1016/j.pec.2019.10.005. Epub 2019 Oct 4.

数字健康:开发下一代基于技术的心血管护理模式的机遇与挑战。

Digital Health: Opportunities and Challenges to Develop the Next-Generation Technology-Enabled Models of Cardiovascular Care.

机构信息

SCRIPPS CLINIC-PREBYS CARDIOVASCULAR INSTITUTE, SAN DIEGO, CALIFORNIA.

出版信息

Methodist Debakey Cardiovasc J. 2020 Oct-Dec;16(4):296-303. doi: 10.14797/mdcj-16-4-296.

DOI:10.14797/mdcj-16-4-296
PMID:33500758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7812856/
Abstract

The wide gap between the development of new healthcare technologies and their integration into clinical practice argues for a deeper understanding of how effective quality improvement can be designed to meet the needs of patients and their clinical teams. The COVID-19 pandemic has forced us to address this gap and create long-term strategies to bridge it. On the one hand, it has enabled the rapid implementation of telehealth. On the other hand, it has raised important questions about our preparedness to adopt and employ new digital tools as part of a new process of care. While healthcare organizations are seeking to improve the quality of care by integrating innovations in digital health, they must also address key issues such as patient experience, develop clinical decision support systems that analyze digital health data trends, and create efficient clinical workflows. Given the breadth of such requirements, embracing new technologies as a core competency of a modern healthcare system introduces a host of questions, such as "How best do patients participate in digital health programs that promote behavioral changes and mitigate risk?" and "What type of data analytics are required that enable a deeper understanding of disease phenotypes and corresponding treatment decisions?" This review presents the challenges in implementing digital health technology and discusses how patient-centered digital health programs are designed within real-world models of remote monitoring. It also provides a framework for developing new devices and wearables for the next generation of data-driven, technology-enabled cardiovascular care.

摘要

新的医疗保健技术的发展与将其整合到临床实践之间存在巨大差距,这就需要更深入地了解如何有效地设计质量改进,以满足患者及其临床团队的需求。COVID-19 大流行迫使我们解决这一差距,并制定长期战略来弥合这一差距。一方面,它使远程医疗能够迅速实施。另一方面,它提出了一些重要的问题,即我们是否有准备好采用和利用新的数字工具,作为新的护理流程的一部分。虽然医疗机构正在寻求通过整合数字医疗创新来提高护理质量,但它们还必须解决关键问题,如患者体验,开发分析数字健康数据趋势的临床决策支持系统,并创建高效的临床工作流程。鉴于这些要求的广泛性,将新技术作为现代医疗体系的核心竞争力之一,引入了许多问题,例如“患者如何最好地参与促进行为改变和降低风险的数字健康计划?”以及“需要什么样的数据分析才能更深入地了解疾病表型和相应的治疗决策?” 本文介绍了实施数字医疗技术所面临的挑战,并讨论了如何在远程监测的真实模型中设计以患者为中心的数字医疗计划。它还为下一代基于数据驱动、技术支持的心血管护理的新设备和可穿戴设备的开发提供了框架。