对远程监控和可穿戴健康技术的创新,挑战和未来方向的系统文献综述
IEEE journal of biomedical and health informatics
|August 12, 2025
概括
远程监控和可穿戴设备提供个性化的医疗保健,但面临着整合挑战. 解决监管,技术和伦理障碍对于可扩展,公平的远程患者监测系统至关重要.
科学领域:
- 数字健康数字健康
- 生物医学工程 生物医学工程
- 医疗信息学 医疗信息学
背景情况:
- 远程监控和可穿戴设备正在彻底改变医疗保健的提供.
- 整合的挑战包括技术,道德和监管障碍.
- 持续的患者监测和个性化干预是关键的好处.
研究的目的:
- 系统地审查远程监控和可穿戴设备集成方面的进展和挑战.
- 根据PRISMA 2020指南,综合最近研究 (2020-2024) 的发现.
- 提出一个蓝图,以克服收养障碍.
主要方法:
- 系统的文献审查遵循PRISMA 2020指南.
- 分析了2020年至2024年间发表的165项研究.
- 综合与技术,伦理和监管方面的关键主题.
主要成果:
- 人工智能诊断有希望,但需要验证;通信协议缺乏标准化.
- 数据安全性 (例如混合加密) 提高了保护,但增加了开销.
- 监管问题和临床医生怀疑阻碍了互操作性和采用.
- 患者的可访问性和临床医生的参与差异需要以人为中心的设计.
结论:
- 协调的法规,可解释的边缘人工智能和低延迟数据交换至关重要.
- 需要跨部门的互操作性趋同,以实现可扩展的远程监控.
- 纵向试验和包容性实施是公平的远程护理生态系统的关键.
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