New technologies and general practice.
New technologies and general practice.
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新技术和一般实践。
DOI：
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发表时间：
2016
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影响因子：
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通讯作者：
Antony J Young
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文献类型：
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作者：
Antony J Young
可以说，一线医学现在面临的压力比以往任何时候都大。这至少部分是由于人口寿命比以往任何时候都长，慢性病的数量也越来越多。这些疾病的管理越来越多地发生在初级和社区护理环境中。如果我们要迎接这一挑战，继续提供一个真正符合其创始原则的NHS，我们需要拥抱新技术和它可以为我们的患者提供的潜在好处。
技术的进步正在颠覆我们周围的世界，Uber、Airbnb、微软、谷歌和亚马逊等公司正在利用这些创新来改变我们的生活方式。越来越多的患者希望拥有个性化的医疗保健系统，并且能够更好地控制自己的健康。“组学”、数据分析、机器学习、人工智能、数字/移动健康、先进技术和社交网络的发展预示着这场个性化、授权的医疗保健革命。然而，医疗实践一直缓慢地适应这一进步。经济学家约翰·梅纳德·凯恩斯（John Maynard Keynes）说：“困难不在于新的想法，而在于摆脱旧的想法，对于那些像我们大多数人一样长大的人来说，这些想法渗透到我们思想的每个角落。1
我们如何才能摆脱曾经对我们很有帮助、但现在已被新的颠覆性创新所取代的做法？这些进步不仅进入了临床环境，而且现在已经进入了我们的家庭和口袋。患者已经掌握了控制权，他们可以直接使用更多的技术来帮助监测和管理他们的健康状况。
Front-line medicine is arguably under more pressure now than it has ever been. This is at least in part due to a population living longer than ever before with an increasing number of chronic diseases. The management of these conditions is increasingly occurring in the primary and community care setting. If we are to rise to this challenge and continue to provide an NHS true to its founding principles, we need to embrace new technology and the potential benefits it can offer our patients.
Advances in technology are disrupting the world around us, and companies like Uber, Airbnb, Microsoft, Google, and Amazon are utilising these innovations to change the way we live our lives. More and more of our patients want a healthcare system that is personalised and one in which they are empowered to take more control of their health. Developments in ‘omics’, data analytics, machine learning, artificial intelligence, digital/m-health, advanced technology, and social networking are heralding this personalised, empowered healthcare revolution. However, medical practice has been slow to adapt to this progress. The economist John Maynard Keynes perhaps helped illuminate the problem the medical profession faces when he said: ‘The difficulty lies, not in the new ideas, but in escaping from the old ones, which ramify, for those brought up as most of us have been, into every corner of our minds.’ 1
How can we escape from the practices that once served us well, but which have now been superseded by new, disruptive innovations? These advances are not only finding their way into the clinical setting, but are now in our homes and our pockets. Patients are already taking control, with more technology directly available to them to help monitor and manage their health …