Kafukufuku waposachedwapa amasonyeza kuti thanzi la digito limalimbikitsa wodwalayo. Katswiri wamakono wathandizira wawonetseredwa kuti awonjezere ubwino ndi chitetezo cha thandizo la umoyo, komanso kupereka njira zina zowunikira odwala. Pakhala pali chitukuko chochuluka m'dera lino monga thanzi la digito likupitirizabe kukhala lopambanitsa komanso losagwirizana.
Kupita patsogolo kumeneku kumabweretsa kukhutira kwokhutira kumawonjezereka.
Zida zachipatala zamakono tsopano zikufika pakhomo pathu ndipo zimapereka chisamaliro chabwino cha kunja kwa chipatala. Ife takhala ogula omwe amayamikira kukhala osowa ndi kupezeka, ndipo nthawi zambiri amapanga zosankha zathu zaumoyo molingana ndi magawo awa. Zikuwoneka kuti tikulowa mu nthawi yomwe luso lachipatala lokha silokwanira kukopa ndi kusunga odwala.
Odwala khansa akumva kuti akutsimikiziridwa ndi Thandizo la New IT Systems
Mu 2016, anthu pafupifupi 1.7 miliyoni ku United States anapezeka ndi khansa. Kuwonjezeka kwa chiwerengero cha odwala komanso ndalama zapamwamba zochizira zimapangitsa kuti kusamalidwa kwa khansa yapamwamba kukhale kovuta. Ichi ndi chimodzi mwa zifukwa zomwe Cancer Moonshot Initiative inakhazikitsidwa mu 2016 ndi Obama Administration. Cholingacho chikuzindikira kuti kuphatikizapo kupita patsogolo kwa chithandizo cha khansa kungathandize kusintha miyoyo ya omwe akudwala matendawa.
Ndalama zothandizira polojekiti ya Moonshot zakhala zitetezedwa kwa zaka zisanu ndi ziwiri ndipo mu 2017, madola 300 miliyoni adzatulutsidwa ngati gawo loyamba.
Njira yamakono yophunzirira zaumoyo yadziwika kale ngati njira yosonkhanitsira ndi kugawana deta komanso kusintha khalidwe la chisamaliro. Mu 2012, American Society for Clinical Oncology (ASCO) inakhazikitsa CancerLinQ, njira yomwe imatha kugwira Big Data.
Anayesedwa koyamba pa nkhani zokhudzana ndi khansa ya m'mawere ndipo zakhala zikufutukulidwa ku mitundu ina ya khansa.
CancerLinQ imalimbikitsa oncologists ndikuwathandiza, komanso odwala awo, kupanga zosankha zambiri. Ikusonkhanitsa ndikugwirizanitsa deta kuchokera kwa odwala osiyanasiyana ndipo imapereka mwayi kwa ogwiritsa ntchito kuti adziwe zambiri zomwe poyamba zidatsekedwa m'maselo apadera. Mapulogalamuwa amafufuzira machitidwe ndi zochitika, kotero ocologists akhoza kufufuza odwala awo ndi anthu omwe ali ndi makhalidwe ofanana. Mchitidwewu umapereka deta yeniyeni yeniyeni ndipo amalola madokotala kufananitsa chisamaliro chawo motsutsana ndi malangizo, komanso kusankha njira yoyenera, yowonjezera umboni yochizira kwa wodwala aliyense.
CancerLinQ imaphatikizapo kupitiriza kuphunzira ndikudziwikanso kukhala tsogolo la chisamaliro cha khansa ya ku America. ASCO imanena kuti pogwiritsira ntchito dongosolo lino, madokotala angaphunzire za odwala onse, osati awo okha kapena omwe amaphunzira m'mayesero a zachipatala. Izi zimapangitsa chisankho chawo kukhala chokwanira komanso chokhazikika mtima. Ngati nzeru za gulu lonse la oncology zimapezeka mwadzidzidzi paulendo uliwonse, odwala ali ndi mwayi wopeza chithandizo chabwino ndikumva kuti akulandira bwino.
Padziko lonse lapansi, kugwiritsa ntchito matekinoloji otha kuwonongeka kumachititsa kuti pakhale mabuku ambirimbiri. Izi zimapangitsa kuti zikhale zosavuta kuti machitidwe monga CancerLinQ afanizire ndi kuwasiyanitsa odwala, kotero madokotala akhoza kupereka malangizo abwino omwe angagwirizane nawo. Kumayambiriro kwa June, CancerLinQ ndi National Cancer Institute adalengeza mgwirizano kuti zithandizire kusinthanitsa kwadzidzidzi. Kuphatikiza zinthu zomwe zimadutsa m'dera la khansa zingakulitse chisamaliro cha odwala ndi zotsatira. Pamene matenda opatsirana khansa amachokera kuchipatala ndikupita kuchipatala, maubwenzi a pakati pawo akufunika kwambiri.
CancerLinQ ikugwirizanitsanso ndi US Food and Drug Administration (FDA) kuti ayambe kulandira chithandizo cha khansa yatsopano. Zomwe anapeza pogwiritsa ntchito mgwirizano wawo zimatha kufotokoza ndondomeko zamtsogolo komanso kupanga zisankho.
Kulumikizana kudzera pa Social Media
Zolinga zamankhwala zimapereka odwala mwayi wopezeka ndi kusinthanitsa deta. Madera a pa Intaneti omwe akutumikira omwe ali ndi thanzi labwino ndi chida china champhamvu chomwe chingagwirizanitse madokotala ndi odwala mu nthawi yeniyeni. Komabe, malire a zamalonda ayenera kutsatiridwa mosamala pamene akutsutsana malingaliro ndi malingaliro pa matenda.
Madokotala ndi alangizi othandizira odwala angagwiritsenso ntchito chikhalidwe chawo monga Facebook ndi Twitter, kuphunzitsa odwala ndikufalitsa chidziwitso, komanso kuitanira anthu kutenga nawo mbali muzochitika zachipatala. Mabungwe olemekezeka monga Mayo Clinic Center, ASCO ndipo amalandira zambiri "zokonda" pamasamba awo ndipo ali odzipereka kwambiri kuti athandize anthu omwe akufuna kudziwa zamakono.
Facebook imadziwika popereka owerenga chidwi pa nkhani zaumoyo ndi zokhazikika kuchokera kuzipangizo zomwe "amazikonda", pomwe Twitter imagwiritsidwa ntchito pogawaniza mobwerezabwereza zizindikiro za anthu omwe mumatsatira.
Zomwe Zachitika Posachedwapa ku Telehealth zikulimbitsa Chisangalalo Chokhalitsa
Pakhala pali kusintha kwakukulu mwa njira zomwe odwala amafikira ndipo amathandizidwa nawo. Zavomerezedwa kuti tikufuna kukhala mbali yothandizira pazinthu za umoyo wathu, ndipo tikufuna kuti tiwone ngati ochita zosankha okha.
Pakhalanso phokoso lolimba lothandizira anthu omwe alandira chisamaliro chapakhomo, ndi kupeĊµa malo ogona osamalidwa omwe angachititse ngati matenda aakulu sakuyendetsedwa bwino. Zipangizo zamakono zamakono zimapereka zambiri mudera la chisamaliro, monga zikuwonetseredwa ndi eCaring.
eCaring ndi mapulogalamu otetezera matenda a cloud omwe akuwathandiza odwala ndi kuwathandiza kukhala m'nyumba zawo. Deta zokhudza makhalidwe a kachipatala ndi makhalidwe amasonkhanitsidwa kuchokera kwa odwala omwe amakhala pakhomo ndikufalitsidwa kwa ena osamalira. Izi zikutanthauza kuti nthawi yeniyeni yowonjezereka imagwiritsidwa ntchito ndi kuyang'aniridwa, kupanga chisamaliro chapakhomo pakhomo motetezeka komanso kupititsa patsogolo chithandizo cha wodwalayo.
Maluso a eCaring's telehealth amathandizidwa ndi Samsung Galaxy Tablets, zomwe zimaperekedwa kwa ogwiritsa ntchito pulogalamuyi itayamba. Inshuwalansi yathanzi yopanda phindu yomwe ikugwiritsidwa ntchito pulojekitiyi yakhala ikukwaniritsa chisangalalo cha makasitomala ndi chisamaliro chabwino, mwachitsanzo, kuchepetsa kuchepa kwa 40 peresenti poyendera kuchipatala. Kuwonjezera apo, pogwiritsa ntchito eCaring, magulu osamalira anakhutira, nayenso. Othandizira azaumoyo a kunyumba adanena kuti amatha kupereka chisamaliro chabwino kwa iwo omwe amam'tumikira ndipo amamva bwino kwambiri pa ntchito yawo.
Creators of eCaring tsopano adalengeza chinthu china chomwe cholinga chake ndi anthu kusamalira makolo awo okalamba. FamilyConnect ndi pulogalamu yatsopano yokonzedweratu kuyankhulana pakati pa mamembala. Mapulogalamuwa ndi osavuta kugwiritsa ntchito ndikuthandizira ufulu wa akuluakulu. Zimathandiza kuti ukalamba ufotokoze zosowa zawo ndikuonetsetsa kuti anthuwa akulandira chisamaliro chomwe akufunikira-kupereka aliyense wogwirizana ndi mtendere wa m'maganizo. Mu 2017, FamiliyConnect yakhazikitsa kampisi yotchedwa Kickstarter kuti ikwaniritse mankhwala awo atsopano.
Zotsatira Zabwino Za Kulankhulana Bwino Pakati pa Othandizira
"Kodi tchati cha wodwalayo ndi kuti?" Ndi funso limene lingakhale losawonongeka ngati zolemba zaumoyo zamagetsi (EHR) ndizovomerezeka kwambiri. Odwala samasangalala kugawana mobwerezabwereza zomwezo. Ngati osamalidwa angapo amatha kupeza zolembedwa zachipatala pamakampani, kuchokera kulikonse komwe kuli ndi intaneti, izi zikhoza kusunga nthawi, kusunga ndalama ndikuwonjezera chitetezo.
Zopezeka pamapepala sizimapezeka mosavuta, zomwe zingachepetse ubwino wa chisamaliro, ndipo izi zimakhudza zomwe wodwalayo akumana nazo. Kuwonjezera apo, Institute of Medicine inanena kuti ku US, zolakwika zachipatala ndizopangitsa kuti anthu azifa. Mwa kupeza mauthenga apakompyuta komanso kuphatikizapo magwero osiyana, mavuto osiyanasiyana angathe kuyendetsedwa bwino.
Kuti agwire bwino ntchito yawo, anamwino ndi madokotala amafuna kudziwa zambiri pa nthawi yoyenera. Mwachitsanzo, tawonetsa kuti kuphatikiza ma EHRs ndi machitidwe oyitanira a udokotala komanso mapulogalamu a chisamaliro cha odwala amathandiza chisamaliro chonse. Akatswiri opanga makanema a zaumoyo akhala akugwira ntchito kwa kanthawi tsopano pokonzanso ndi kukulitsa luso la ma telefoni oyendetsa ndi kuwapangitsa kukhala ofunika kwambiri. Khama lawo lidawoneka ngati linapindula pamene zisonyezero zatsatiridwa posachedwapa kuti zikhale zokhutira ndi odwala.
David F. Smith, wothandizana ndi sayansi ya zamagetsi ndi Sparling, akufotokoza kuti zida zatsopano zapangidwa m'masitomala a chithandizo, kulumikizana ndi kuwonetsa madera osiyanasiyana osamalira. Machitidwe tsopano akupita kupyola machitidwe akale, akale a anime-okha. Zingagwiritsidwe ntchito kuphatikiza deta ndikugwirizana ndi EHRs, komanso kuphatikizapo kutuluka / kutumiza / kuvomereza ntchito. Komanso, machitidwewa angagwirizane ndi oyang'anitsitsa odwala, alamu ndi mabedi kuonetsetsa kuti maumboni onse akulandiridwa panthawi yake. Amaphatikizaponso kulankhulana kwa odwala-kwa-antchito ndikulola odwala kuti alankhule kuchokera ku mabedi awo a chipatala kwa omwe akugwiritsira ntchito mafoni omwe amawagwiritsa ntchito mafoni. Alamu ndi machenjezo amatha kusamalidwa bwino, ndipo anamwino angakhoze ngakhale kuletsa kuyitana kutali. Kapena, ngati wothandizirayo sangavomereze kuyitana, amangothamangitsidwa kupita kwa munthu wotsatira, kuti atsimikizire kuti wodwalayo amalandira chisamaliro chosamalidwa kwambiri asanachedwe.
Mafunso Osayankhidwa
Teknoloji ya zamaganizo potsirizira pake idzasintha zochitika za wodwalayo. Komabe, ogwira ntchito zamagetsi akuyenera kukumbukira kuti zatsopano sizinaphatikize zovuta kuzinthu zovuta kale. Technology siyeneranso kuwonedwa kuti ndiyo yotsatila kuyanjana kwa anthu.
Opeza zaumoyo akuyenera kukumbukira kuti nthawi zina manja osavuta komanso otchipa, monga kusekerera ndi kupereka zosinthika nthawi zonse, akhoza kupita kutali. Ogwira ntchito adakali ndi chodziwitso cha wodwala-chifukwa cha tsogolo labwino, luso lamakono limathandiza kwambiri.
Matthew Werder, yemwe ndi mkulu wa zamalonda ku Hennepin County Medical Center, akufotokoza kuti ngati kafukufuku wokhudza mgwirizano pakati pa sayansi ya zaumoyo ndi chisangalalo cha odwala chikuwonjezeka, mafunso ambiri amakhalabe osayankhidwa. Werder amapereka zitsanzo: Kodi EHR yakhudzidwadi ndi zovuta za wodwalayo? Ndi magetsi ati omwe ali ndi ROI wapamwamba kwambiri? Kodi makampani oyambirira angayese bwanji ndikudziwitse odwala odwala panthawi yopanga makina atsopano? Titha kuyembekezera kuti maphunziro ena a mafunsowa angadzachitike mwamsanga ndipo adzatithandiza kumvetsetsa momwe makanema amathanzi angapitirizire kuwongolera wodwalayo.
> Zotsatira:
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> Fisch M, Chung A, Accordino M. Kugwiritsira Ntchito Zipangizo Zamakono Kuti Zilimbitse Katundu wa Khansa: Zamankhwala, Zamakhwala, ndi Mauthenga a zaumoyo. American Society of Clinical Oncology Education Book / ASCO. American Society of Clinical Oncology. Kusonkhana [pamzere pa intaneti]. 2016; 35: 200-208.
> Lorenzi N. Yankho lovomerezeka: namwino ma telefoni akuyendera kuti apititse kukhutira kwa odwala. Health Facilities Management [serial online]. 2013: 51
> Roham, M., Gabrielyan, A., Archer, N. Kulosera za momwe matenda a chipatala amathandizira kuti anthu azitha kukhudzidwa ndi matendawa. Artif Intell Med .2012; 56: 123-135.
> Werder M. Ikatswiri wamakono a zamakono: Chofunika kwambiri cha odwala. [kujambula pa intaneti]. Woleza mtima wolemba magazini , 2015; 2 (1): 143-147.