Bocian Ilan Y, Chin Andrew R, Rodriguez Alyssa, Collins William, Sindher Sayantani B, Chinthrajah R Sharon
Department of Medicine, Sean N. Parker Center for Allergy and Asthma Research, Stanford University School of Medicine, Stanford, CA, United States.
Front Allergy. 2024 Sep 3;5:1451768. doi: 10.3389/falgy.2024.1451768. eCollection 2024.
Asthma affects 25 million people in the United States, and its prevalence is increasing. Access to care and adherence to prescribed asthma-treatment programs remain the principal formidable challenges for asthma management. Telemedicine offers substantial opportunities for improved asthma care of patients across the full range of socioeconomic strata. Ever-improving digital tools for asthma assessment and treatment are key components of telemedicine platforms for asthma management. These include a variety of remote patient-monitoring devices, digital inhaler systems, and mobile-health applications that facilitate ongoing assessment and adherence to treatment protocols. Digital tools for monitoring treatment focus on tracking medication use, inhalation technique, and physiological markers such as peak-flow rate and pulse-oximetry. Telemedicine visits allow for elements of assessment via video, approximating or duplicating many aspects of in-person visits, such as evaluating a patient's general appearance, breathing effort, and cough. Challenges remain in ensuring equitable access to these technologies, especially in rural and low-income areas, and in maintaining patient privacy and data security in digital platforms.
在美国，哮喘影响着2500万人，且其患病率正在上升。获得医疗服务以及坚持规定的哮喘治疗方案仍然是哮喘管理面临的主要严峻挑战。远程医疗为改善各社会经济阶层患者的哮喘护理提供了大量机会。不断改进的哮喘评估和治疗数字工具是哮喘管理远程医疗平台的关键组成部分。这些工具包括各种远程患者监测设备、数字吸入器系统以及促进持续评估和坚持治疗方案的移动健康应用程序。用于监测治疗的数字工具侧重于跟踪药物使用情况、吸入技术以及诸如峰值流速和脉搏血氧饱和度等生理指标。远程医疗问诊允许通过视频进行评估，近似或复制面对面问诊的许多方面，例如评估患者的总体外观、呼吸努力程度和咳嗽情况。在确保公平获取这些技术方面，尤其是在农村和低收入地区，以及在数字平台上维护患者隐私和数据安全方面，仍然存在挑战。
