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数字技术在医疗保健服务中的功效和缺陷:二十年的系统回顾。

Efficacy and pitfalls of digital technologies in healthcare services: A systematic review of two decades.

机构信息

School of Urban Culture, South China Normal University, Foshan, China.

UniKL Business School, Universiti Kuala Lumpur, Kuala Lumpur, Malaysia.

出版信息

Front Public Health. 2022 Sep 16;10:869793. doi: 10.3389/fpubh.2022.869793. eCollection 2022.

DOI:10.3389/fpubh.2022.869793
PMID:36187628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9523565/
Abstract

The use of technology in the healthcare sector and its medical practices, from patient record maintenance to diagnostics, has significantly improved the health care emergency management system. At that backdrop, it is crucial to explore the role and challenges of these technologies in the healthcare sector. Therefore, this study provides a systematic review of the literature on technological developments in the healthcare sector and deduces its pros and cons. We curate the published studies from the Web of Science and Scopus databases by using PRISMA 2015 guidelines. After mining the data, we selected only 55 studies for the systematic literature review and bibliometric analysis. The study explores four significant classifications of technological development in healthcare: (a) digital technologies, (b) artificial intelligence, (c) blockchain, and (d) the Internet of Things. The novel contribution of current study indicate that digital technologies have significantly influenced the healthcare services such as the beginning of electronic health record, a new era of digital healthcare, while robotic surgeries and machine learning algorithms may replace practitioners as future technologies. However, a considerable number of studies have criticized these technologies in the health sector based on trust, security, privacy, and accuracy. The study suggests that future studies, on technological development in healthcare services, may take into account these issues for sustainable development of the healthcare sector.

摘要

医疗技术及其医学应用在医疗急救管理系统中的应用,从患者记录维护到诊断,已经得到了极大的改善。在这种背景下,探索这些技术在医疗保健领域的作用和挑战至关重要。因此,本研究对医疗保健领域技术发展的文献进行了系统综述,并推导出其优缺点。我们按照 PRISMA 2015 指南,从 Web of Science 和 Scopus 数据库中整理了已发表的研究。在挖掘数据后,我们仅为系统文献综述和文献计量分析选择了 55 项研究。该研究探讨了医疗技术发展的四个重要分类:(a)数字技术,(b)人工智能,(c)区块链,和(d)物联网。本研究的新贡献表明,数字技术已经对医疗服务产生了重大影响,例如电子健康记录的开始,数字医疗的新时代,而机器人手术和机器学习算法可能会取代医生成为未来的技术。然而,相当多的研究基于信任、安全、隐私和准确性对这些技术在卫生部门提出了批评。该研究表明,未来关于医疗技术发展的研究可能需要考虑这些问题,以实现医疗保健部门的可持续发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7741/9523565/dc68d61fc949/fpubh-10-869793-g0005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7741/9523565/f7d03398304e/fpubh-10-869793-g0003.jpg
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