Kaiser Florian Klaus, Wiens Marcus, Schultmann Frank
Institute for Industrial Production (IIP), Karlsruhe Institute of Technology, Karlsruhe, Germany.
Health Technol (Berl). 2021;11(5):1125-1137. doi: 10.1007/s12553-021-00541-x. Epub 2021 Apr 15.
During pandemics, regular service provisioning processes in medical care may be disrupted. Digital health promises many opportunities for service provisioning during a pandemic. However, a broad penetration of medical processes with information technology also has drawbacks. Within this work, the authors use the COVID-19 pandemic to analyze the chances and the risks that may come with using digital health solutions for medical care during a pandemic. Therefore, a multi-methods approach is used. First we use a systematic literature review for reviewing the state of the art of digital health applications in healthcare. Furthermore, the usage of digital health applications is mapped to the different processes in care delivery. Here we provide an exemplary process model of oncological care delivery. The analysis shows that including digital health solutions may be helpful for care delivery in most processes of medical care provisioning. However, research on digital health solutions focuses strongly on some few processes and specific disciplines while other processes and medical disciplines are underrepresented in literature. Last, we highlight the necessity of a comprehensive risk-related debate around the effects that come with the use of digital healthcare solutions.
在大流行期间，医疗保健中的常规服务提供流程可能会受到干扰。数字健康为大流行期间的服务提供带来了许多机会。然而，信息技术在医疗流程中的广泛应用也有缺点。在这项工作中，作者利用新冠疫情来分析在大流行期间使用数字健康解决方案进行医疗保健可能带来的机遇和风险。因此，采用了多方法途径。首先，我们使用系统文献综述来回顾医疗保健中数字健康应用的现状。此外，数字健康应用的使用被映射到护理提供的不同流程。在此，我们提供了一个肿瘤护理提供的示例性流程模型。分析表明，在大多数医疗保健提供流程中纳入数字健康解决方案可能有助于护理提供。然而，对数字健康解决方案的研究主要集中在少数流程和特定学科，而其他流程和医学学科在文献中的代表性不足。最后，我们强调围绕使用数字医疗解决方案所带来的影响进行全面的风险相关辩论的必要性。
