Li Jingshan, Carayon Pascale
Wisconsin Institute for Healthcare Systems Engineering, Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI 53706, USA.
IISE Trans Healthc Syst Eng. 2021;11(3):171-180. doi: 10.1080/24725579.2021.1884627. Epub 2021 Feb 15.
Industry 4.0 has transformed manufacturing industry into a new paradigm. In a manner similar to manufacturing, health care delivery is at the dawn of a foundational change into the new era of smart and connected health care, referred to as . In this paper, we discuss the historical evolution of Health Care 1.0 to 4.0, describe the characteristics of smart and connected care in Health Care 4.0, identify multiple research challenges and opportunities of Health Care 4.0 in terms of data, model, dynamics, and integration, and outline the implications of people, process, system and health outcomes. Finally, conclusions and recommendations are presented in the areas of (1) involvement of multiple disciplines and perspectives, (2) development of technologies and methodologies with combination of quantitative and qualitative approaches, (3) closed-loop integration of sociotechnical system, and (4) design of person-centered system with specific attention to human needs and health equity.
工业4.0已将制造业转变为一种新范式。与制造业类似，医疗服务正处于向智能互联医疗新时代进行根本性变革的开端，即所谓的[此处原文未提及具体名称]。在本文中，我们讨论了医疗1.0到4.0的历史演变，描述了医疗4.0中智能互联医疗的特点，从数据、模型、动态和整合方面识别了医疗4.0的多个研究挑战与机遇，并概述了人员、流程、系统和健康结果的影响。最后，在以下领域提出了结论和建议：（1）多学科和多视角的参与；（2）定量与定性方法相结合的技术和方法的开发；（3）社会技术系统的闭环整合；（4）以人为主的系统设计，特别关注人类需求和健康公平。
