Honkoop Persijn, Usmani Omar, Bonini Matteo
Dept of Biomedical Data Sciences, Section of Medical Decision Making, Leiden University Medical Centre, Leiden, The Netherlands.
National Heart and Lung Institute (NHLI), Imperial College London, Guy Scadding Building, Dovehouse Street, London, SW3 6LY, UK.
Pulm Ther. 2022 Jun;8(2):167-179. doi: 10.1007/s41030-022-00191-y. Epub 2022 Apr 26.
Over the past few decades, technology and improvements in artificial intelligence have dramatically changed major sectors of our day-to-day lives, including the field of healthcare. E-health includes a wide range of subdomains, such as wearables, smart-inhalers, portable electronic spirometers, digital stethoscopes, and clinical decision support systems. E-health has been consistently shown to enhance the quality of care, improve adherence to therapy, and allow early detection of worsening in chronic pulmonary diseases. The present review addresses the current and potential future role of major e-health tools and approaches in respiratory medicine, with the aim of providing readers with trustful and updated evidence to increase their awareness of the topic, and to allow them to optimally benefit from the latest innovation technology. Collected literature evidence shows that the potential of technology tools in respiratory medicine mainly relies on three fundamental interactions: between clinicians, between clinician and patient, and between patient and health technology. However, it would be desirable to establish widely agreed and adopted standards for conducting trials and reporting results in this area, as well as to take into proper consideration potentially relevant pitfalls related to privacy protection and compliance with regulatory procedures.
在过去几十年里,技术以及人工智能的进步极大地改变了我们日常生活的主要领域,包括医疗保健领域。电子健康涵盖了广泛的子领域,如可穿戴设备、智能吸入器、便携式电子肺活量计、数字听诊器以及临床决策支持系统。一直以来,电子健康都被证明能够提高医疗质量、增强治疗依从性,并能早期发现慢性肺部疾病的恶化情况。本综述阐述了主要电子健康工具和方法在呼吸医学中的当前及潜在的未来作用,目的是为读者提供可靠且最新的证据,以提高他们对该主题的认识,并使他们能够从最新的创新技术中获得最大益处。收集到的文献证据表明,技术工具在呼吸医学中的潜力主要依赖于三种基本相互作用:临床医生之间的相互作用、临床医生与患者之间的相互作用以及患者与健康技术之间的相互作用。然而,在此领域建立广泛认可和采用的试验标准及结果报告标准是很有必要的,同时还应适当考虑与隐私保护和遵守监管程序相关的潜在问题。