哮喘流动医疗

Andrew Kouri MD, PhD , Samir Gupta MD
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引用次数: 1

摘要

哮喘是一种高度流行的疾病,与严重的个人和卫生系统负担有关。移动健康(mHealth)应用程序和连接的移动数字设备都属于mHealth类别,可能有潜力解决哮喘的许多重要护理缺口。在这篇叙述性综述中,我们记录了成人哮喘mHealth的现状,讨论了广泛采用哮喘mHealth面临的主要挑战,并探索了哮喘mHealth未来的可能性。哮喘mHealth的选择数量正在增长,根据技术类型分为四类:独立应用程序、数字吸入器、数字肺活量计和其他用于哮喘护理的mHealth设备。哮喘mHealth有效性的证据正在出现,但由于技术的异质性,系统评估具有挑战性。为了获得更普遍的临床可行性,挑战包括推进mHealth有效性的证据;促进无障碍性和包容性;保持患者参与并成功融入临床工作流程;确保mHealth安全;以及考虑未来的监管、经济和教学需求。如果这些挑战得到了解决,哮喘mHealth与新型人工智能方法相结合,可能有助于提供个性化的数字哮喘护理,提高未来哮喘研究的有效性,并加强虚拟哮喘护理的提供。随着移动技术成为我们生活的重要组成部分,对mHealth的投资和兴趣不断增长,护理哮喘患者的提供者必须为这场mHealth数字革命做好准备,并为安全、有效和公平的mHealth解决方案进行游说。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mobile Health for Asthma

Asthma is a highly prevalent disease associated with significant individual and health system-level burdens. Mobile health (mHealth) apps and connected mobile digital devices, all of which are in the category of mHealth, may have the potential to address many of the important care gaps in asthma. In this narrative review, we document the current state of asthma mHealth for adults, discuss the main challenges to widespread asthma mHealth adoption, and explore future possibilities for asthma mHealth. The number of asthma mHealth options is growing, classified into four discrete categories based on technology type: standalone apps, digital inhalers, digital spirometers, and other mHealth devices used in asthma care. Evidence for asthma mHealth effectiveness is emerging, but systematic assessment is challenging because of technological heterogeneity. To attain more general clinical viability, challenges include advancing the evidence for mHealth effectiveness; promoting accessibility and inclusivity; sustaining patient engagement and successful integration into clinical workflows; ensuring mHealth safety; and considering future regulatory, economic, and pedagogical needs. If these challenges are met, asthma mHealth may help to deliver personalized digital asthma care when combined with novel artificial intelligence approaches, to improve the validity of future asthma research, and to enhance the provision of virtual asthma care. As mobile technology becomes a greater part of our lives and investment and interest in mHealth continues to grow, providers who care for patients with asthma must prepare for this mHealth digital revolution and lobby for safe, effective, and equitable mHealth solutions.

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