School of Psychology, Deakin University, Australia.
Melbourne Centre for Behaviour Change, School of Psychological Sciences, University of Melbourne, Australia.
Prev Med. 2023 Aug;173:107569. doi: 10.1016/j.ypmed.2023.107569. Epub 2023 Jun 7.
High quality healthcare is becoming increasingly unaffordable and inaccessible. To reverse this trend, people need to self-manage as much of their health as possible. They need to take appropriate preventive actions and use health services in a timely and efficient manner. Yet health self-management is challenging in an increasingly complex environment that involves competing demands and sometimes contradictory advice as well as increasingly fragmented delivery of health services. Digital tools have added a new dimension to healthcare and hold the potential to help bridge these challenges. Unfortunately, much of the potential benefit of digital resources is not being realized, partly because of difficulties people face in identifying appropriate and effective resources in a haystack of mainly unevaluated and often poorly conceived resources. Underuse and failure to maintain use of resources found to be effective also retards progress. Furthermore, people need more help to understand their needs and establish priorities around their health self-management. We argue that these needs can be met with a person-centered, digital self-management core resource that supports people to better understand their needs and priorities and has links to find the resources they need to manage their health, alone or by judicious use of health services.
高质量的医疗保健服务变得越来越难以负担和难以获得。为了扭转这一趋势，人们需要尽可能多地管理自己的健康。他们需要采取适当的预防措施，并及时有效地利用卫生服务。然而，在一个日益复杂的环境中，健康自我管理具有挑战性，其中涉及相互竞争的需求，有时还会出现相互矛盾的建议，以及卫生服务的提供越来越分散。数字工具为医疗保健增添了新的维度，有潜力帮助克服这些挑战。不幸的是，数字资源的大部分潜在好处并未实现，部分原因是人们在海量的主要未经评估且通常构思不佳的资源中难以确定合适且有效的资源。资源的未充分利用和未能维持使用也会阻碍进展。此外，人们需要更多的帮助来了解他们的需求并确定健康自我管理的优先事项。我们认为，可以通过以个人为中心的数字化自我管理核心资源来满足这些需求，该资源可以帮助人们更好地了解他们的需求和优先事项，并可以找到他们管理健康所需的资源，无论是自行管理还是明智地利用卫生服务。
