Mumtaz Hassan, Riaz Muhammad Hamza, Wajid Hanan, Saqib Muhammad, Zeeshan Muhammad Hamayl, Khan Shaheer Ellahi, Chauhan Yesha Rajendrabhai, Sohail Hassan, Vohra Laiba Iman
Department of Public Health, Health Services Academy, Islamabad, Pakistan.
Department of Internal Medicine, Allama Iqbal Medical College, Lahore, Pakistan.
Front Digit Health. 2023 Sep 28;5:1203945. doi: 10.3389/fdgth.2023.1203945. eCollection 2023.
Digital health is a field that aims to improve patient care through the use of technology, such as telemedicine, mobile health, electronic health records, and artificial intelligence. The aim of this review is to examine the challenges and potential solutions for the implementation and evaluation of digital health technologies. Digital tools are used across the world in different settings. In Australia, the Digital Health Translation and Implementation Program (DHTI) emphasizes the importance of involving stakeholders and addressing infrastructure and training issues for healthcare workers. The WHO's Global Task Force on Digital Health for TB aims to address tuberculosis through digital health innovations. Digital tools are also used in mental health care, but their effectiveness must be evaluated during development. Oncology supportive care uses digital tools for cancer patient intervention and surveillance, but evaluating their effectiveness can be challenging. In the COVID and post-COVID era, digital health solutions must be evaluated based on their technological maturity and size of deployment, as well as the quality of data they provide. To safely and effectively use digital healthcare technology, it is essential to prioritize evaluation using complex systems and evidence-based medical frameworks. To address the challenges of digital health implementation, it is important to prioritize ethical research addressing issues of user consent and addressing socioeconomic disparities in access and effectiveness. It is also important to consider the impact of digital health on health outcomes and the cost-effectiveness of service delivery.
数字健康是一个旨在通过使用远程医疗、移动健康、电子健康记录和人工智能等技术来改善患者护理的领域。本综述的目的是探讨数字健康技术实施和评估中的挑战及潜在解决方案。数字工具在世界各地的不同环境中都有应用。在澳大利亚，数字健康翻译与实施计划（DHTI）强调了让利益相关者参与以及解决医护人员的基础设施和培训问题的重要性。世界卫生组织结核病数字健康全球特别工作组旨在通过数字健康创新来应对结核病。数字工具也用于精神卫生保健，但在开发过程中必须对其有效性进行评估。肿瘤支持性护理使用数字工具进行癌症患者干预和监测，但评估其有效性可能具有挑战性。在新冠疫情及后疫情时代，必须根据数字健康解决方案的技术成熟度、部署规模以及它们提供的数据质量来对其进行评估。为了安全有效地使用数字医疗技术，必须优先使用复杂系统和循证医学框架进行评估。为应对数字健康实施的挑战，优先开展涉及用户同意问题以及解决获取和有效性方面社会经济差异问题的伦理研究非常重要。考虑数字健康对健康结果的影响以及服务提供的成本效益也很重要。
