《生命科学》 2023, 35(8): 984-993
老年数字化健康管理研究进展
摘 要：
当前数字健康技术发展迅速，逐渐延伸到健康服务各个领域。通过推动数字健康技术深度融入老年健康管理，探索老年数字化健康管理模式，从而为老年人群提供更加便捷、高效和个性化的健康管理服务，对于提升老年人健康预期寿命、推动实现健康老龄化具有重要意义。老年数字化健康管理模式在本文中被创新性地概括为：利用适老化的数字健康技术手段，对老年人实施健康监测、评估和干预，高效、便捷、精准满足老年人生理- 心理- 社会等各层次健康需求，从而达到提升老年人健康水平的目的。远程监测、移动健康、物联网、智能家居、人工智能、数字孪生等数字健康技术在老年人健康管理中得到探索应用，老年数字化健康管理技术在蓬勃发展的同时，也面临信息系统造价较高、创新技术支撑不足、缺乏临床验证、科研成果转化不足、个人隐私泄露等问题。同时，由于身体机能下降，老年人在利用数字化健康服务时存在“数字鸿沟”，这也给老年人数字化健康管理发展造成阻碍。建议在老年数字化健康管理发展过程中，应进一步加强技术创新，注意开发适老化产品，注重保障个人隐私安全，特别是要加强科技成果转化，让研究成果走出实验室，走进临床实践和日常生活。该文重点就老年数字化健康管理发展机遇、定义、技术等内容予以阐述，以期为推动我国老年数字化健康管理发展提供参考。
通讯作者：王 慧 , Email:huiwang@shsmu.edu.cn
Abstract:
Digital health technology is rapidly advancing and has the potential to transform healthcare services. By incorporating digital health technology into elderly health management, it is crucial to explore digital health management models that provide efficient, personalized, and convenient care for the elderly population. This has significant implications for improving the healthy life expectancy of older adults and promoting healthy aging. Digital health management for the elderly refers to the use of digital health technologies that are tailored for older adults, such as wearable devices and mobile apps, to monitor their health status, assess their risk factors, and provide personalized interventions to meet their physical, psychological, and social health needs. This innovative approach aims to improve the overall health and well-being of older adults by empowering them to take control of their own health and wellness. Digital health technologies such as remote monitoring, mobile health, the Internet of Things (IoT), smart homes, artificial intelligence (AI), and digital twins have been explored and applied in elderly health management. As digital health management technologies continue to advance for older adults, they face several challenges. These include high information system costs, insufficient support for innovative technologies, lack of clinical validation, inadequate translation of scientific research findings, and concerns about personal privacy and security. Moreover, as older adults experience declining physical function, they may face a "digital divide" when using digital health services, which can hinder the development of effective digital health management for this population. To address these issues, it is recommended that efforts be made to strengthen technological innovation in the development of elderly digital health management. This should focus on developing age-appropriate products, safeguarding personal privacy and security, and particularly strengthening the translation of scientific research findings into clinical practice and daily life. In this paper, we discuss the opportunities, definitions, and technologies of smart health management for seniors to provide guidance on promoting the development of digital health management for older adults in China.
Communication Author：WANG Hui , Email:huiwang@shsmu.edu.cn
