在初级保健中直接对患者进行数字诊断:负责任的数字诊断所需的机会,挑战和条件
María Villalobos-Quesada1, Kendall Ho2,3, Niels H Chavannes1
1Department of Public Health and Primary Care, National eHealth Living Lab, Leiden University Medical Centre, Leiden, The Netherlands.
The European journal of general practice
|November 10, 2023
概括
初级保健中的数字诊断提供了潜力,但需要成功的证据. 四重目标框架指导发展,确保负责任和可持续的数字健康干预措施,以获得更好的患者结果和专业满意度.
科学领域:
- 数字健康数字健康
- 初级保健创新初级保健的创新
- 医疗保健服务研究 医疗服务研究
背景情况:
- 诊断越来越多地通过数字技术转移到家庭环境中.
- 数字诊断可以解决初级保健的挑战,并满足患者/专业人士的需求.
- 确定数字诊断干预的成功需要澄清.
研究的目的:
- 为开发和实施数字诊断提供实际指导.
- 建立一个框架来评估数字诊断在初级保健中的贡献.
主要方法:
- 使用四重目标框架 (患者体验,健康结果,职业满意度,成本).
- 批判性地分析了初级保健中数字诊断的科学文献和病理学.
- 研究了三个用例:患者门户,混合护理诊断和国际性传播疾病诊断.
主要成果:
- 数字诊断价值的证据正在积累,但需要加强.
- 分析揭示了数字诊断在初级保健机构的优势和挑战.
- 使用案例展示了实际应用和实施考虑因素.
结论:
- 努力建立基于证据的"负责任的数字诊断",这些诊断是可持续的,道德的和社会上可取的.
- 提出了一系列条件,以实现成功的数字诊断实施.
- 可行的指导可以提高数字诊断的成功和积极影响.
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