数字医疗能提高肿瘤治疗的依从性吗?

IF 3.3 Q2 ONCOLOGY JCO Clinical Cancer Informatics Pub Date : 2024-10-01 Epub Date: 2024-10-25 DOI:10.1200/CCI-24-00205
Pierre Etienne Heudel, Myriam Ait Ichou, Bertrand Favier, Hugo Crochet, Jean-Yves Blay
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引用次数: 0

摘要

目的:由于癌症治疗方案的复杂性和持续时间,治疗依从性(或称依从性)在肿瘤学中至关重要。不坚持治疗会导致治疗效果不理想、疾病进展加剧、死亡率升高以及医疗费用增加。提高依从性的传统方法,如患者教育和定期随访,成效有限:本综述探讨了数字医疗技术在提高肿瘤治疗依从性方面的潜力。结果表明:移动医疗应用通过用药提醒和症状跟踪等功能提高了患者的用药依从性。远程医疗为持续护理提供了便利,减少了出差的需要,大大提高了患者的依从性和满意度。病人报告的结果测量通过纳入病人的反馈意见,加强了临床决策和个性化治疗计划。电子病历和患者门户网站通过提供便捷的医疗信息获取途径和促进患者与医护人员之间更好的沟通,提高了患者的依从性。联网药盒有助于保持药物摄入的一致性并减少配药错误:数字医疗技术通过提高患者参与度、改善治疗方案的依从性以及实现全面的癌症护理管理,为肿瘤学带来了巨大的益处。然而,数字鸿沟、数据隐私问题以及定制干预措施的必要性等挑战必须得到解决。未来的研究应侧重于评估数字干预措施的有效性和开发个性化数字健康工具,以最大限度地提高治疗依从性。
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Can Digital Health Improve Therapeutic Compliance in Oncology?

Purpose: Therapeutic compliance, or adherence, is critical in oncology because of the complexity and duration of cancer treatment regimens. Nonadherence can lead to suboptimal therapeutic outcomes, increased disease progression, higher mortality rates, and elevated health care costs. Traditional methods to enhance compliance, such as patient education and regular follow-ups, have shown limited success.

Materials and methods: This review examines the potential of digital health technologies to improve adherence in oncology. Various studies and trials are analyzed to assess the effectiveness of these technologies in supporting patients with cancer.

Results: mHealth applications have been shown to improve medication adherence through features like medication reminders and symptom tracking. Telemedicine facilitates continuous care and reduces the need for travel, significantly improving adherence and patient satisfaction. Patient-reported outcome measures enhance clinical decision making and personalized treatment plans by incorporating patient feedback. Electronic medical records and patient portals improve compliance by providing easy access to medical information and fostering better patient-provider communication. Connected pillboxes aid in consistent medication intake and reduce dispensing errors.

Conclusion: Digital health technologies offer significant benefits in oncology by enhancing patient engagement, improving adherence to treatment protocols, and enabling comprehensive cancer care management. However, challenges such as the digital divide, data privacy concerns, and the need for tailored interventions must be addressed. Future research should focus on evaluating the effectiveness of digital interventions and developing personalized digital health tools to maximize therapeutic compliance.

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来源期刊
CiteScore
6.20
自引率
4.80%
发文量
190
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