The Rise of the Empowered Physician in the Digital Health Era: Viewpoint
The Rise of the Empowered Physician in the Digital Health Era: Viewpoint
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DOI：
10.2196/12490
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发表时间：
2019-03-26
影响因子：
7.4
通讯作者：
Gyorffy, Zsuzsa
中科院分区：
文献类型：
--
作者：
Mesko, Bertalan;Gyorffy, Zsuzsa
作为21世纪的医疗保健提供者，要求极其苛刻。慢性病越来越多，医务人员缺乏，行政任务越来越多，医疗费用越来越高，预期寿命越来越长，这给医务人员带来了巨大的挑战。这种转变是由数字健康日益增长的存在引发的。数字健康不仅仅是指技术变革，它还从根本上重塑了医患关系和治疗环境。我们认为，患者赋权、数字健康的传播、生物心理社会-数字方法以及医学象牙塔的消失导致了医生的新角色。数字健康使医疗专业人员的工作变得更有价值和创造性。作为偶像的医生的特征可以从自信转变为好奇，从循规蹈矩转变为创造性，从孤独的英雄转变为团队合作。被授权的医生(电子医生)可以被描述为“电子”，他们在执业中轻松地使用数字技术；“被启用”，他们被法规和指导方针启用；以及“被授权”，他们被支持他们的工作和被授权的患者(电子患者)的技术所授权。他们可以被描述为在实践中使用技术或了解最好、最可靠和最值得信赖的数字健康来源和技术的“专家”。当他们理解病人的感受和观点，给出相关的反馈，并在整个治愈过程中让他们参与进来时，他们也可以被描述为“投入”。这个电子医生时代的特色技能和方法，如面对面的沟通技能、数字素养、跨学科能力、知道在哪里找到信息、将大量数据转化为对患者的洞察等，本应始终是行医的核心。然而，该职业的经济、技术和管理负担并没有使大多数医生享受到他们的培训、个人能力和创造力的好处。通过了解数字健康技术如何支持或增强他们的能力，医生将有机会以前所未有的方式实践医学艺术。
Being a 21st-century health care provider is extremely demanding. The growing number of chronic diseases, lack of medical workforce, increasing amounts of administrative tasks, the cost of medical treatment, and rising life expectancy result in an immense challenge for medical professionals. This transformation has been triggered by the growing presence of digital health. Digital health does not only refer to technological transformation; it also fundamentally reshapes the physician-patient relationship and treatment circumstances. We argue that patient empowerment, the spread of digital health, the biopsychosocial-digital approach, and the disappearance of the ivory tower of medicine lead to a new role for physicians. Digital health allows the job of being a medical professional to become more rewarding and creative. The characteristics of a physician-as-idol could shift from self-confident to curious, from rule follower to creative, and from lone hero to team worker. Empowered physicians (e-physicians) can be described as "electronic," where they use digital technologies in their practice with ease; "enabled," where they are enabled by regulations and guidelines; and "empowered," where they are empowered by technologies that support their job and their empowered patients (e-patients). They can be described as "experts" in the use of technologies in their practice or in knowing the best, most reliable, and trustworthy digital health sources and technologies. They can also be described as "engaged," when understanding the feelings and points of view of their patients, giving relevant feedback, and involving them throughout the whole healing process. The skills and approaches that characterize this era of e-physicians, such as face-to-face communication skills, digital literacy, interdisciplinarity, knowing where to find information, translating large amounts of data into insights for patients, among others, should always have been at the core of practicing medicine. However, the economical, technological, and administrative burden of the profession has not made it possible for most physicians to enjoy the benefits of their training, individual capabilities, and creativity. By understanding how digital health technologies can support or augment their capabilities, physicians would have the chance to practice the art of medicine like never before.