初级保健中的直接面向患者的数字诊断:负责任的数字诊断的机会、挑战和必要条件。

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
European Journal of General Practice Pub Date : 2023-12-01 Epub Date: 2023-11-10 DOI:10.1080/13814788.2023.2273615
María Villalobos-Quesada, Kendall Ho, Niels H Chavannes, Esther Pwa Talboom-Kamp
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引用次数: 0

摘要

背景:在新的数字技术的推动下,诊断越来越多地转移到患者的家庭环境中。数字诊断(由数字技术实现的诊断服务)可以成为一种工具,更好地应对初级保健系统面临的挑战,同时满足患者和医疗保健专业人员的需求。然而,如何确定这些干预措施的成功与否还需要澄清。目标:我们旨在提供切实可行的指导,以促进数字诊断的充分开发和实施。策略:在这里,我们提出了四重目标(以更低的成本获得更好的患者体验、健康结果和专业满意度),作为确定数字诊断在初级保健中的贡献的框架。利用这一框架,我们利用科学文献和相关推理,批判性地分析了数字诊断在初级保健中的优势和挑战。结果:两个用例分别涉及荷兰的开发过程和实施:用于报告实验室结果的患者门户和作为混合护理一部分的数字诊断。第三个用例从国际角度处理性传播疾病的数字诊断。结论:我们得出的结论是,尽管证据正在收集,但数字诊断的预期价值通常需要足够的科学证据。我们建议努力实现基于证据的“负责任的数字诊断”(可持续的、道德上可接受的和社会期望的数字诊断)。最后,我们提供了实现这一目标所需的一系列条件。所提供的分析和可操作的指导可以提高数字诊断干预措施的成功几率,并总体上提高这一快速发展领域的积极影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Direct-to-patient digital diagnostics in primary care: Opportunities, challenges, and conditions necessary for responsible digital diagnostics.

Background: Diagnostics are increasingly shifting to patients' home environment, facilitated by new digital technologies. Digital diagnostics (diagnostic services enabled by digital technologies) can be a tool to better respond to the challenges faced by primary care systems while aligning with patients' and healthcare professionals' needs. However, it needs to be clarified how to determine the success of these interventions.

Objectives: We aim to provide practical guidance to facilitate the adequate development and implementation of digital diagnostics.

Strategy: Here, we propose the quadruple aim (better patient experiences, health outcomes and professional satisfaction at lower costs) as a framework to determine the contribution of digital diagnostics in primary care. Using this framework, we critically analyse the advantages and challenges of digital diagnostics in primary care using scientific literature and relevant casuistry.

Results: Two use cases address the development process and implementation in the Netherlands: a patient portal for reporting laboratory results and digital diagnostics as part of hybrid care, respectively. The third use case addresses digital diagnostics for sexually transmitted diseases from an international perspective.

Conclusions: We conclude that although evidence is gathering, the often-expected value of digital diagnostics needs adequate scientific evidence. We propose striving for evidence-based 'responsible digital diagnostics' (sustainable, ethically acceptable, and socially desirable digital diagnostics). Finally, we provide a set of conditions necessary to achieve it. The analysis and actionable guidance provided can improve the chance of success of digital diagnostics interventions and overall, the positive impact of this rapidly developing field.

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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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