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一种新的医疗保健模式:数字健康与电子患者的力量。

A New Health Care Paradigm: The Power of Digital Health and E-Patients.

作者信息

Nguyen Andrew M, Rivera Alessandra Maisielou, Gualtieri Lisa

机构信息

Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA.

出版信息

Mayo Clin Proc Digit Health. 2023 Jun 10;1(3):203-209. doi: 10.1016/j.mcpdig.2023.04.005. eCollection 2023 Sep.

Abstract

The integration of digital health into the field of medicine has seen a marked increase with the advancement of technology. Before the pandemic, a marked portion of the adult population, more than 66%, owned smartphones, and approximately 15% owned wearables. The widespread use of such devices, along with the effect of COVID-19 pandemic, has led to a transformation in health care culture that prioritizes cocreation, codesign, and collaboration. This shift promotes a model of health care centered on patient empowerment and self-management. In a recent interview with Dave deBronkart, known as e-Patient Dave, we revisited the possibilities of this new approach aimed at empowering, engaging, and equipping e-patients in the context of the pandemic. This interview with deBronkart was originally used for a graduate course on digital health. However, after noticing many reoccurring themes throughout the discussion, we decided to further explore this matter. It was discovered that participatory medicine is a new paradigm in health care, which challenges the conventional, paternalistic model and emphasizes the importance of a collaborative relationship between patients and providers. The realization of the full potential of health care can be achieved by promoting patient engagement and activation through the adoption of participatory medicine.

摘要

随着技术的进步,数字健康在医学领域的整合显著增加。在疫情之前,超过66%的成年人口拥有智能手机,约15%的人拥有可穿戴设备。这些设备的广泛使用,加上新冠疫情的影响,导致了医疗保健文化的转变,这种文化优先考虑共同创造、共同设计和协作。这种转变推动了一种以患者赋权和自我管理为中心的医疗保健模式。在最近一次对被称为“电子患者戴夫”的戴夫·德布朗卡特的采访中,我们重新审视了这种新方法在疫情背景下赋予电子患者权力、使其参与并武装他们的可能性。这次对德布朗卡特的采访最初用于一门关于数字健康的研究生课程。然而,在注意到整个讨论中许多反复出现的主题后,我们决定进一步探讨这个问题。人们发现,参与式医疗是医疗保健中的一种新范式,它挑战了传统的家长式模式,并强调了患者与医疗服务提供者之间合作关系的重要性。通过采用参与式医疗促进患者参与和激活,可以实现医疗保健全部潜力的实现。

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