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数字健康技术与癌症护理:引领全面成效的概念框架

Digital Health Technology & Cancer Care: Conceptual Framework Leading Comprehensive Fruitfulness.

作者信息

Jain Sunil, Jain Prem Kamal, Puranik Ashok Kumar

机构信息

Armed Forces Medical Services, India.

Department of Computational Biology, Indraprastha Institute of Information Technology, New Delhi, India.

出版信息

J Healthc Leadersh. 2024 Dec 8;16:525-535. doi: 10.2147/JHL.S486263. eCollection 2024.

Abstract

Digital technologies are now integral to daily life. However, their applications for the health of populations remain largely untapped. Increasing cancer incidence, and it being the leading cause of death in every country in the world, justifies the need for increasing healthcare. Digital health technology is a promising field. Digital health means different things to different people. Thus, the need for a concrete, distinctive, comprehensive action plan. Conceptual frameworks represent ways of thinking about a problem and how complex things work. We elaborate on the latest evidence with examples for the role of Digital Health Technology (DHT) as a comprehensive multi-faceted 'Conceptual Framework -5Ps' comprising: (i) DHT for Proper assessment: right from history taking to digital biopsies. (ii) DHT for Pertinent treatment: including genomic data analysis for precision treatment. Artificial Intelligence-based digital pathology approaches are practical and are increasingly improving selective cancer treatments. Digital self-management interventions improve symptom outcomes in adult cancer patients. Digital health can help cancer patients gain more autonomy, self-acceptance, and personal growth. (iii) DHT for Progress monitoring: comprehensively and remotely. The concept "hospital at home" feasible with DHT. (iv) DHT for Prevention applications: reaching all rewardingly. (v) DHT for Professional standards: education excellence. Proficiency is desirable when using DHTs fast-advancing applications. Doctors may not have the information they need to use a given DHT. General Medical Council, UK, and Medical Council India have been proactive in technology training. Regulations & ethics rigour are required energetically. All new technologies must meet the same bar for clinical evidence as other clinical interventions. Digital Health Academy is required to meet the highest standards, energizing and ensuring excellence. In the current state of healthcare and growing demands, good developments in DHT seem the solution. A conceptual framework is a good start for generous success. We hope our work progresses mindsets, practices, and policies majorly.

摘要

数字技术如今已融入日常生活。然而,它们在促进民众健康方面的应用仍大多未被开发。癌症发病率不断上升,且在世界各国都是主要死因,这证明了增加医疗保健的必要性。数字健康技术是一个很有前景的领域。数字健康对不同的人有不同的含义。因此,需要一个具体、独特、全面的行动计划。概念框架代表了思考问题以及复杂事物如何运作的方式。我们通过实例详细阐述关于数字健康技术(DHT)作用的最新证据,它是一个全面、多方面的“概念框架 - 5P”,包括:(i)用于正确评估的DHT:从病史采集到数字活检。(ii)用于相关治疗的DHT:包括用于精准治疗的基因组数据分析。基于人工智能的数字病理学方法切实可行,且正在不断改进癌症的选择性治疗。数字自我管理干预可改善成年癌症患者的症状结果。数字健康可帮助癌症患者获得更多自主权、自我接纳和个人成长。(iii)用于进展监测的DHT:全面且远程。“在家医院”的概念借助DHT切实可行。(iv)用于预防应用的DHT:全面且成效显著。(v)用于专业标准的DHT:卓越教育。在使用快速发展的DHT应用时需要熟练掌握。医生可能没有使用特定DHT所需的信息。英国医学总会和印度医学委员会已积极开展技术培训。大力需要严格的法规和道德规范。所有新技术必须与其他临床干预措施一样满足相同的临床证据标准。需要数字健康学院达到最高标准,激发并确保卓越。在当前医疗保健状况和不断增长的需求下,DHT的良好发展似乎是解决方案。概念框架是取得巨大成功的良好开端。我们希望我们的工作能极大地推动思维模式、实践和政策的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0525/11645248/8f455514391f/JHL-16-525-g0001.jpg

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