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实施综合护理的远程患者监测系统的特点:与数字健康技术当前挑战相一致的观点 对“从综合护理角度构建远程患者监测框架:一项范围综述”的评论

Features of Remote Patient Monitoring Systems That Implement Integrated Care: A Perspective Aligned With Current Challenges for Digital Health Technologies Comment on "Towards A Framework for Implementing Remote Patient Monitoring From an Integrated Care Perspective: A Scoping Review".

作者信息

Londral Ana

机构信息

Value for Health CoLAB, Lisbon, Portugal.

Comprehensive Health Research Center, Nova Medical School, Nova University of Lisbon, Lisbon, Portugal.

出版信息

Int J Health Policy Manag. 2025;14:8724. doi: 10.34172/ijhpm.8724. Epub 2025 Mar 11.

DOI:10.34172/ijhpm.8724
PMID:40767176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12032251/
Abstract

This commentary elaborates on the model proposed by Miranda et al for implementing remote patient monitoring (RPM) from an integrated care perspective. It stresses the complexity of RPM deployment as a digital health technology (DHT) and discusses essential features that developers and procurement managers should take into consideration in RPM systems to facilitate the implementation of integrated care practices. Furthermore, three major challenges for DHT implementation that align with the proposed RPM-based integrated care model are discussed: (1) the success of DHT in implementing a healthcare strategy requires elements of service innovation that align to the context of care delivery; (2) evidence generation methods influence the adoption of DHT and need an evolutive and multi-stakeholder perspective; (3) governance and policy strategies are crucial since they profoundly influence digital health priorities, investments, and resource allocation within organizations and healthcare systems.

摘要

本评论从综合护理的角度详细阐述了米兰达等人提出的实施远程患者监测(RPM)的模型。它强调了RPM作为一种数字健康技术(DHT)部署的复杂性,并讨论了开发者和采购经理在RPM系统中应考虑的基本特征,以促进综合护理实践的实施。此外,还讨论了与基于RPM的综合护理模型相一致的DHT实施的三个主要挑战:(1)DHT在实施医疗保健战略方面的成功需要与护理提供背景相适应的服务创新要素;(2)证据生成方法影响DHT的采用,需要一个不断发展的多利益相关方视角;(3)治理和政策战略至关重要,因为它们深刻影响组织和医疗系统内的数字健康优先事项、投资和资源分配。

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本文引用的文献

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Roles, Users, Benefits, and Limitations of Chatbots in Health Care: Rapid Review.医疗保健中聊天机器人的角色、用户、益处和局限性:快速综述。
J Med Internet Res. 2024 Jul 23;26:e56930. doi: 10.2196/56930.
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Unlocking human-like conversations: Scoping review of automation techniques for personalized healthcare interventions using conversational agents.解锁类人对话:使用会话代理实现个性化医疗干预的自动化技术范围综述。
Int J Med Inform. 2024 May;185:105385. doi: 10.1016/j.ijmedinf.2024.105385. Epub 2024 Feb 24.
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PLOS Digit Health. 2024 Jan 4;3(1):e0000346. doi: 10.1371/journal.pdig.0000346. eCollection 2024 Jan.
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Towards A Framework for Implementing Remote Patient Monitoring From an Integrated Care Perspective: A Scoping Review.从综合护理角度出发构建远程患者监护框架:范围综述。
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