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基于对参与“地区4医疗计划(地平线2020)”的欧盟利益相关者的调查,慢性病中的电子健康和移动健康——障碍、现有解决方案及推动者的识别

eHealth and mHealth in Chronic Diseases-Identification of Barriers, Existing Solutions, and Promoters Based on a Survey of EU Stakeholders Involved in Regions4PerMed (H2020).

作者信息

Stefanicka-Wojtas Dorota, Kurpas Donata

机构信息

Clinical Trial's Department, Wroclaw Medical University, 50-556 Wroclaw, Poland.

Family Medicine Department, Wroclaw Medical University, 51-141 Wroclaw, Poland.

出版信息

J Pers Med. 2022 Mar 15;12(3):467. doi: 10.3390/jpm12030467.

Abstract

BACKGROUND

In recent years, rapid population ageing has become a worldwide phenomenon. Both electronic health services (eHealth) and mobile health services (mHealth) are becoming important components of healthcare delivery. The market for mHealth is growing extremely fast. However, despite the increasing investment and interest in eHealth, several challenges still need to be overcome to enable broader and more systematic implementation of ICT in healthcare.

METHODS

This study presents data from the survey "Barriers and facilitators of Personalised Medicine implementation- qualitative study under Regions4PerMed (H2020) project". In addition, this paper discusses the results of the conference, Health Technology in Connected & Integrated Care, held under the Horizon 2020 project and interregional coordination for a fast and deep uptake of personalised health (Regions4Permed) (July 2020-online conference). The above sections were preceded by an analysis of existing articles.

RESULTS

The data obtained from the surveys show that the main barriers to the adoption of eHealth and mHealth are the lack of skills of seniors, but also the lack of user-friendly technology and a simple user interface. Access to individual data while ensuring its security and the lack of digitisation of medical data are also serious issues. In addition, medical digital solutions are overly fragmented due to national legislations that deviate from the General Data Protection Regulation.

CONCLUSIONS

By using technological solutions, it is possible to improve diagnosis and treatment decisions, and better adapt treatment and reduce its duration and cost. However, there are still barriers to the development of eHealth. Clear recommendations for implementation are needed to enable further development of personalised eHealth and mHealth solutions.

摘要

背景

近年来,人口快速老龄化已成为一种全球现象。电子健康服务(eHealth)和移动健康服务(mHealth)都正成为医疗服务的重要组成部分。移动健康市场正在极速增长。然而,尽管对电子健康的投资和关注度不断提高,但要在医疗保健领域更广泛、更系统地实施信息通信技术(ICT),仍有若干挑战需要克服。

方法

本研究展示了“个性化医疗实施的障碍与促进因素——Regions4PerMed(H2020)项目下的定性研究”调查的数据。此外,本文还讨论了在“地平线2020”项目以及“区域间协调以快速深入采用个性化健康(Regions4Permed)”(2020年7月在线会议)下举行的“互联与综合医疗中的健康技术”会议的结果。上述部分之前对现有文章进行了分析。

结果

从调查中获得的数据表明,采用电子健康和移动健康的主要障碍是老年人缺乏技能,以及缺乏用户友好型技术和简单的用户界面。在确保个人数据安全的同时获取个人数据以及医疗数据缺乏数字化也是严重问题。此外,由于国家立法偏离《通用数据保护条例》,医疗数字解决方案过于分散。

结论

通过使用技术解决方案,有可能改善诊断和治疗决策,并更好地调整治疗方案,减少治疗时间和成本。然而,电子健康的发展仍然存在障碍。需要明确的实施建议,以推动个性化电子健康和移动健康解决方案的进一步发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/260d/8954526/6ce661a91ba5/jpm-12-00467-g001.jpg

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