PDF(Pubmed)
Abstract：
The growing and ubiquitous digitalization trends embodied in eHealth initiatives have led to the widespread adoption of digital solutions in the healthcare sector. These initiatives have been heralded as a potent transformative force aiming to improve healthcare delivery, enhance patient outcomes and increase the efficiency of healthcare systems. However, despite the significant potential and possibilities offered by eHealth initiatives, the article highlights the importance of critically examining their implications and cautions against the misconception that technology alone can solve complex public health concerns and healthcare challenges. It emphasizes the need to critically consider the sociocultural context, education and training, organizational and institutional aspects, regulatory frameworks, user involvement and other important factors when implementing eHealth initiatives. Disregarding these crucial elements can render eHealth initiatives inefficient or even counterproductive. In view of that, the article identifies failures and fallacies that can hinder the success of eHealth initiatives and highlights areas where they often fall short of meeting rising and unjustified expectations. To address these challenges, the article recommends a more realistic and evidence-based approach to planning and implementing eHealth initiatives. It calls for consistent research agendas, appropriate evaluation methodologies and strategic orientations within eHealth initiatives. By adopting this approach, eHealth initiatives can contribute to the achievement of societal goals and the realization of the key health priorities and development imperatives of healthcare systems on a global scale.
摘要：
电子健康计划所体现的日益增长和无处不在的数字化趋势导致了数字解决方案在医疗保健领域的广泛采用。这些举措被认为是旨在改善医疗保健服务的强大变革力量，提高患者的治疗效果，提高医疗保健系统的效率。然而,尽管电子健康计划提供了巨大的潜力和可能性，这篇文章强调了批判性地研究它们的影响的重要性，并警告人们不要误解技术本身可以解决复杂的公共卫生问题和医疗保健挑战。它强调需要批判性地考虑社会文化背景，教育和培训,组织和体制方面，监管框架，用户参与和实施电子健康计划时的其他重要因素。忽视这些关键因素可能会使电子健康计划变得低效甚至适得其反。鉴于此,这篇文章指出了可能阻碍电子健康计划成功的失败和谬误，并强调了它们往往达不到不断上升和不合理期望的领域。为了应对这些挑战，文章建议采用更现实和基于证据的方法来规划和实施电子健康计划。它要求一致的研究议程，电子健康计划中适当的评估方法和战略方向。通过采用这种方法，eHealth倡议可以有助于实现社会目标，实现全球范围内医疗保健系统的关键卫生优先事项和发展要务。
