癌症患者医疗管理的有前景的数字解决方案

A. Zavyalov, D. Andreev
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摘要

介绍。恶性肿瘤仍然是社会面临的一个严重挑战,在世界上绝大多数发达国家的死亡原因结构中,恶性肿瘤仅次于心血管疾病,居首位。在没有物理和数学专业相关分支培训的专业临床环境中,创新数字技术的广泛普及是开发和实施自动化质量评估的关键。这完全符合联邦“与肿瘤疾病作斗争”项目的目标和宗旨,该项目旨在到2024年大幅降低俄罗斯人口中的癌症死亡率。目的。推广创新的个性化技术解决方案,为患者提供高质量的癌症治疗。方法和材料。这项科学研究是基于PubMed / Medline数据库和Google系统的搜索结果进行的。研究周期约为6年。结果。这篇文章反映了医疗管理和以患者为导向的肿瘤护理多参数指标注册的新数字解决方案的例子。在癌症患者移动/远程电子医疗的实际解决方案中,有必要强调:1)便携式(个人)医疗设备;2)“智能”压电项链;3)植入式和内置传感器;4)化疗患者在家进行血液检查的装置;5)移动抗肿瘤装置;6)采用神经技术缓解疼痛的装置;7)综合远程监控系统。发现。在数字创新传播的背景下,一种新的环境正在出现,在这种环境中,患者自主、基于患者偏好的协同医疗决策以及确保广泛获取最新信息技术和资源正逐渐成为提供肿瘤护理的常规标准。
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Promising digital solutions for medical management of patients with cancer
Introduction. Malignant neoplasms remain a serious challenge for society, occupying the leading places next to cardiovascular pathology in the structure of causes of death in the vast majority of developed countries of the world. The wide popularization of innovative digital technologies in a professional clinical environment that does not have training in the relevant branches of physical and mathematical specialties is the key to the development and implementation of automated quality assessments. This fully meets the goals and objectives of the federal project “Fight against oncological diseases”, aimed at a drastically reduction in cancer mortality by 2024 among the population of the Russia. Purpose. Generalization of innovative individualized technological solutions to provide patients with high quality cancer care. Methods and materials. The scientific study was performed based on the results of a search using the PubMed / Medline database and the Google system. The search period covered about 6 years. Results. The article reflects examples of new digital solutions for medical management and the registration of multi-parametric indicators of oncological care at patient-oriented level. Among the actual solutions of mobile /remote e-health for cancer patients it is necessary to highlight: 1) portable (individual) medical gadgets; 2) “smart” piezoelectric necklaces; 3) implantable and internal sensors; 4) devices for performing blood tests at home in patients receiving chemotherapy; 5) mobile antitumor devices; 6) devices that implement neurotechnologies for pain relief; 7) integrated remote monitoring system. Findings. In the context of the spread of digital innovations a new environment is emerging, in which patient autonomy, collaborative medical decision making based on patient preferences, and ensuring wide access to the latest information technologies and resources are gradually becoming routine standards for providing oncological care.
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