Hadjiat Yacine, Arendt-Nielsen Lars
Paris Saclay University, National Institute of Health and Medical Research, U987, Inserm, Paris, France.
Center for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, School of Medicine, Aalborg University, Aalborg E, Denmark.
Front Pain Res (Lausanne). 2023 Apr 17;4:1097379. doi: 10.3389/fpain.2023.1097379. eCollection 2023.
Managing pain is essential for social, psychological, physical, and economic reasons. It is also a human right with a growing incidence of untreated and under-treated pain globally. Barriers to diagnosing, assessing, treating, and managing pain are complicated, subjective, and driven by patient, healthcare provider, payer, policy, and regulatory challenges. In addition, conventional treatment methods pose their own challenges including the subjectivity of assessment, lack of therapeutic innovation over the last decade, opioid use disorder and financial access to treatment. Digital health innovations hold much promise in providing complementary solutions to traditional medical interventions and may reduce cost and speed up recovery or adaptation. There is a growing evidence base for the use of digital health in pain assessment, diagnosis, and management. The challenge is not only to develop new technologies and solutions, but to do this within a framework that supports health equity, scalability, socio-cultural consideration, and evidence-based science. The extensive limits to physical personal interaction during the Covid-19 pandemic 2020/21 has proven the possible role of digital health in the field of pain medicine. This paper provides an overview of the use of digital health in pain management and argues for the use of a systemic framework in evaluating the efficacy of digital health solutions.
出于社会、心理、身体和经济方面的原因，疼痛管理至关重要。它也是一项人权，而全球范围内未治疗和治疗不足的疼痛发病率正在上升。诊断、评估、治疗和管理疼痛的障碍复杂且主观，是由患者、医疗保健提供者、付款方、政策和监管方面的挑战所驱动的。此外，传统治疗方法也有其自身的挑战，包括评估的主观性、过去十年缺乏治疗创新、阿片类药物使用障碍以及治疗的资金可及性。数字健康创新在为传统医学干预提供补充解决方案方面很有前景，可能会降低成本并加快康复或适应速度。越来越多的证据支持在疼痛评估、诊断和管理中使用数字健康。挑战不仅在于开发新技术和解决方案，还在于在支持健康公平、可扩展性、社会文化考量和循证科学的框架内做到这一点。2020/21年新冠疫情期间身体人际互动的广泛限制证明了数字健康在疼痛医学领域可能发挥的作用。本文概述了数字健康在疼痛管理中的应用，并主张使用系统框架来评估数字健康解决方案的疗效。
