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糖尿病与心血管疾病中的数字健康

Digital Health in Diabetes and Cardiovascular Disease.

作者信息

Avoke Dorothy, Elshafeey Abdallah, Weinstein Robert, Kim Chang H, Martin Seth S

机构信息

Department of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA.

Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.

出版信息

Endocr Res. 2024 Feb-May;49(3):124-136. doi: 10.1080/07435800.2024.2341146. Epub 2024 Apr 11.

Abstract

BACKGROUND

Digital health technologies are rapidly evolving and transforming the care of diabetes and cardiovascular disease (CVD).

PURPOSE OF THE REVIEW

In this review, we discuss emerging approaches incorporating digital health technologies to improve patient outcomes through a more continuous, accessible, proactive, and patient-centered approach. We discuss various mechanisms of potential benefit ranging from early detection to enhanced physiologic monitoring over time to helping shape important management decisions and engaging patients in their care. Furthermore, we discuss the potential for better individualization of management, which is particularly important in diseases with heterogeneous and complex manifestations, such as diabetes and cardiovascular disease. This narrative review explores ways to leverage digital health technology to better extend the reach of clinicians beyond the physical hospital and clinic spaces to address disparities in the diagnosis, treatment, and prevention of diabetes and cardiovascular disease.

CONCLUSION

We are at the early stages of the shift to digital medicine, which holds substantial promise not only to improve patient outcomes but also to lower the costs of care. The review concludes by recognizing the challenges and limitations that need to be addressed for optimal implementation and impact. We present recommendations on how to navigate these challenges as well as goals and opportunities in utilizing digital health technology in the management of diabetes and prevention of adverse cardiovascular outcomes.

摘要

背景

数字健康技术正在迅速发展并改变糖尿病和心血管疾病(CVD)的护理方式。

综述目的

在本综述中,我们讨论了结合数字健康技术的新兴方法,通过更持续、可及、主动和以患者为中心的方法来改善患者结局。我们讨论了潜在益处的各种机制,从早期检测到随着时间推移加强生理监测,再到帮助形成重要的管理决策以及让患者参与自身护理。此外,我们讨论了管理更好个体化的潜力,这在糖尿病和心血管疾病等具有异质性和复杂表现的疾病中尤为重要。本叙述性综述探讨了利用数字健康技术更好地将临床医生的服务范围扩展到实体医院和诊所空间之外,以解决糖尿病和心血管疾病在诊断、治疗和预防方面的差异的方法。

结论

我们正处于向数字医学转变的早期阶段,数字医学不仅有望改善患者结局,还能降低护理成本。综述最后认识到为实现最佳实施和影响需要解决的挑战和局限性。我们提出了关于如何应对这些挑战的建议,以及在糖尿病管理和预防不良心血管结局中利用数字健康技术的目标和机遇。

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