SCRIPPS CLINIC-PREBYS CARDIOVASCULAR INSTITUTE, SAN DIEGO, CALIFORNIA.
Methodist Debakey Cardiovasc J. 2020 Oct-Dec;16(4):296-303. doi: 10.14797/mdcj-16-4-296.
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.
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。