mHealth 2.0: Experiences, Possibilities, and Perspectives.

mHealth 2.0: Experiences, Possibilities, and Perspectives.
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DOI:
10.2196/mhealth.3328
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发表时间:
2014-05-16
影响因子:
5
通讯作者:
Albrecht UV
Albrecht UV
中科院分区:
医学2区
文献类型:
--
作者:
Becker S;Miron-Shatz T;Schumacher N;Krocza J;Diamantidis C;Albrecht UV

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随着超过10亿用户可以访问移动的宽带互联网和快速增长的移动的应用程序市场,所有相关利益相关者都对这项技术可能改善医疗保健寄予厚望。期望从克服低收入国家获得服务的结构性障碍到更有效、互动地治疗慢性病。在由移动的设备(“mHealth”)支持的医疗健康实践可以扩大之前,需要充分解决许多挑战。从心理学的角度来看,高流失率,社会的数字鸿沟和用户的智力能力是实施这些技术时的关键问题。此外,针对行为改变的应用程序往往缺乏一个全面的概念,这对于持续的影响至关重要。从临床角度来看,没有足够的证据可以扩大移动保健干预措施。此外,需要新的概念来评估干预措施的效力和效率。关于技术互操作性,开放标准和低能耗无线协议似乎对成功实施至关重要。关于医疗保健相关应用程序需要进行符合性评估的程度以及如何最好地向消费者传达质量标准的讨论正在进行中。“应用程序同行审查”和通过“应用程序概要”进行标准报告似乎是提高最终用户透明度的有希望的方法。在发展方面,必须更加重视背景分析,以确定移动的信息技术的哪些通用功能最能满足有关利益攸关方的需求。因此,跨学科联盟和合作战略对于实现“mHealth 2.0”(支持患者护理的下一代移动的技术)的可持续增长至关重要。
With more than 1 billion users having access to mobile broadband Internet and a rapidly growing mobile app market, all stakeholders involved have high hopes that this technology may improve health care. Expectations range from overcoming structural barriers to access in low-income countries to more effective, interactive treatment of chronic conditions. Before medical health practice supported by mobile devices ("mHealth") can scale up, a number of challenges need to be adequately addressed. From a psychological perspective, high attrition rates, digital divide of society, and intellectual capabilities of the users are key issues when implementing such technologies. Furthermore, apps addressing behavior change often lack a comprehensive concept, which is essential for an ongoing impact. From a clinical point of view, there is insufficient evidence to allow scaling up of mHealth interventions. In addition, new concepts are required to assess the efficacy and efficiency of interventions. Regarding technology interoperability, open standards and low-energy wireless protocols appear to be vital for successful implementation. There is an ongoing discussion in how far health care-related apps require a conformity assessment and how to best communicate quality standards to consumers. "Apps Peer-Review" and standard reporting via an "App synopsis" appear to be promising approaches to increase transparency for end users. With respect to development, more emphasis must be placed on context analysis to identify what generic functions of mobile information technology best meet the needs of stakeholders involved. Hence, interdisciplinary alliances and collaborative strategies are vital to achieve sustainable growth for "mHealth 2.0," the next generation mobile technology to support patient care.
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