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远程医疗与精准预防:弥合个性化健康策略的差距

Telehealth and Precision Prevention: Bridging the Gap for Individualised Health Strategies.

作者信息

Lau Edwin Chi Ho, Rajput Vije Kumar, Hunter Inga, Florez-Arango Jose F, Ranatunga Prasad, Veil Klaus D, Kulatunga Gumindu, Gogia Shashi, Kuziemsky Craig, Ito Marcia, Iqbal Usman, John Sheila, Iyengar Sriram, Ramachandran Anandhi, Basu Arindam

机构信息

The Hong Kong Hospital Authority.

London School of Hygiene and Tropical Medicine.

出版信息

Yearb Med Inform. 2024 Aug;33(1):64-69. doi: 10.1055/s-0044-1800720. Epub 2025 Apr 8.

Abstract

INTRODUCTION

Precision prevention has shown an upsurge in popularity among epidemiologists in both developed and developing countries in the past decade.

OBJECTIVES

Initially practiced in oncology, this approach is increasingly adopted in public health to guard against other common non-communicable diseases (NCDs), such as diabetes and cardiovascular diseases. It aims to tailor preventive measures according to each individual's unique characteristics, such as genomic data, socio-demographic features, environmental factors, and cultural background.

METHODS

Healthcare information technologies, including telehealth and artificial intelligence (AI), have served as a vital catalyst in the expansion of this field in the past decade. Under this framework, real-time contemporaneous clinical data is collected via a wide range of digital health devices, such as telehealth monitors, wearables, etc., and then analyzed by AI or non-AI prediction models, which then generate preventive recommendations.

RESULTS

The utilization of telehealth technologies in the precision prevention of cardiovascular diseases (CVDs) is a very illustrative application. This paper explores these topics as well as certain limitations and unintended consequences (UICs) and outlines telehealth as a core enabler of precision prevention as well as public health.

摘要

引言

在过去十年中,精准预防在发达国家和发展中国家的流行病学家中越来越受欢迎。

目标

这种方法最初应用于肿瘤学领域,如今在公共卫生领域越来越多地被采用,以预防其他常见的非传染性疾病(NCDs),如糖尿病和心血管疾病。它旨在根据每个人的独特特征,如基因组数据、社会人口特征、环境因素和文化背景,量身定制预防措施。

方法

在过去十年中,包括远程医疗和人工智能(AI)在内的医疗信息技术,成为了该领域扩展的重要催化剂。在此框架下,通过各种数字健康设备,如远程医疗监测器、可穿戴设备等,收集实时同步临床数据,然后由人工智能或非人工智能预测模型进行分析,进而生成预防建议。

结果

远程医疗技术在心血管疾病(CVDs)精准预防中的应用是一个非常典型的例子。本文探讨了这些主题以及某些局限性和意外后果(UICs),并概述了远程医疗作为精准预防以及公共卫生的核心推动者的作用。

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本文引用的文献

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Telehealth as a Means of Enabling Health Equity.远程医疗作为实现健康公平的手段。
Yearb Med Inform. 2022 Aug;31(1):60-66. doi: 10.1055/s-0042-1742500. Epub 2022 Jun 2.

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