Pervasive Healthcare Paving the Way for a Pervasive, User-centered and Preventive Healthcare Model
Pervasive Healthcare Paving the Way for a Pervasive, User-centered and Preventive Healthcare Model
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DOI：
10.3414/me09-02-0044
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发表时间：
2010-01-01
影响因子：
1.7
通讯作者：
Troester, G.
中科院分区：
文献类型：
--
作者：
Arnrich, B.;Mayora, O.;Troester, G.
目的：人口老龄化以各种方式对医疗保健系统造成压力。慢性疾病和与年龄有关的疾病的大量增加被预测为推动未来医疗保健的主要力量。本文的目的是提出未来在普及医疗保健的研究需求，目标是通过为普及、以用户为中心和预防性医疗保健模式铺平道路，以满足医疗保健挑战。方法：本文介绍了最近的方法方法，并提出了三个领域的未来研究课题：1)普遍、连续和可靠的长期监测系统；Ii)通过普及技术进行预防，作为维持终身健康的关键要素；iii)设计和评估无处不在的、以患者为中心的技术方法。结果：普及技术已被确定为实现以用户为中心的预防性医疗保健愿景的强大资产。为了使这一愿景成为现实，设计、开发和技术评估的新策略必须找到一个共同点，从而实现互操作。此外，普及保健技术的潜力提供了传统疾病治疗之外的新机会，并可能在预防方面发挥重要作用，例如在生命的各个阶段促进健康行为和疾病预防。从这个意义上说，必须解决未来研究中的公开挑战，例如个人之间健康指标的可变性以及向用户提供相关健康指标的方式，以便最大限度地提高他们减轻或预防不健康行为的动机。此外，收集无处不在的技术改善健康的证据被视为最艰巨的挑战之一。最近引入了有希望的方法，如“临床概念证明”和平衡的观察性研究。结论：普惠医疗将使现有的集中式医疗模式向普惠的、以用户为中心的、预防性的整体生活方式健康管理模式转变。为了随时随地向任何人提供这些新的机会，未来在普适传感、普适预防和普适技术评估领域的研究是不可避免的。
Objectives: The aging of the population creates pressure on the healthcare systems in various ways. A massive increase of chronic disease conditions and age-related illness are predicted as the dominant forces driving the future health care. The objective of this paper is to present future research demands in pervasive healthcare with the goal to meet the healthcare challenges by paving the way for a pervasive, user-centered and preventive healthcare model.Methods: This paper presents recent methodological approaches and proposes future research topics in three areas: i) pervasive, continuous and reliable long-term monitoring systems; ii) prevention through pervasive technology as a key element to maintain lifelong wellness; and iii) design and evaluation methods for ubiquitous, patient-centric technologies.Results: Pervasive technology has been identified as a strong asset for achieving the vision of user-centered preventive healthcare. In order to make this vision a reality, new strategies for design, development and evaluation of technology have to find a common denominator and consequently interoperate. Moreover, the potential of pervasive healthcare technologies offers new opportunities beyond traditional disease treatment and may play a major role in prevention, e.g. motivate healthy behavior and disease prevention throughout all stages of life. In this sense, open challenges in future research have to be addressed such as the variability of health indicators between individuals and the manner in which relevant health indicators are provided to the users in order to maximize their motivation to mitigate or prevent unhealthy behaviors. Additionally, collecting evidence that pervasive technology improves health is seen as one of the toughest challenges. Promising approaches are recently introduced, such as "clinical proof-of-concept" and balanced observational studies.Conclusions: The paper concludes that pervasive healthcare will enable a paradigm shift from the established centralized healthcare model to a pervasive, user-centered and preventive overall lifestyle health management. In order to provide these new opportunities everywhere, anytime and to anyone, future research in the fields of pervasive sensing, pervasive prevention and evaluation of pervasive technology is inevitably needed.