Uphando olutshanje lubonisa ukuba impilo ye-digital igxininisa amava omguli. I-teknoloji yolwazi lwezempilo sele iboniswe ukwandisa umgangatho kunye nokhuseleko lwongenelelo lwezempilo, kunye nokubonelela ngeendlela ezongezelelweyo zokunxibelelanisa ugulane nesigulane. Kukho inkqubela eninzi kule ndawo njengempilo yedijithali iyaqhubeka inembile kwaye inxibelelwano.
Ezi nkqubela zikhokelela ekunyanzelweni kwesigulane esongeziweyo.
Izixhobo zempilo zeDarikhi ngoku sele zifikelela kwikhaya lethu kwaye zenza ngcono ukunakekelwa kwezibhedlele ezingaphandle. Siye sabathengi abaxabisa ukulungelelanisa kunye nokufikeleleka, kwaye kaninzi senza ukhetho lwethu lwezempilo olusekelwe kule parameters. Kubonakala ngathi singena kwixesha apho ubuchule bokliniki bodwa abukwanele ukutsala nokugcina izigulane.
Izigulane zeCancer zivakalelwa ziqinisekiswa ngoNcedo lweeNkqubo ezintsha ze-IT
Ngo-2016, abantu ababalelwa kwizigidi ezi-1.7 e-United States bafumanisa ukuba banomdlavuza. Ukwanda kweenombolo zesigulane kunye neendleko zonyango eziphezulu zenza ukunyuswa kwengxaki yomdlavuza ophezulu. Esi sizathu sezizathu zokuqala kweCrown Moonshot Initiative ngo-2016 ngu-Obama Administration. Eli nyathelo liyaqaphela ukuba ukubandakanya ukuqhubela phambili kwintsholongwane ekunakekeleni umdlavuza kunokunceda ukuphucula ubomi balabo abajongene nale sigulo.
Imali yeeprojekthi zeMonson kunye namanyathelo aqinisekisiwe iminyaka eyisixhenxe kwaye ngo-2017, iirhafu ezingama-300 ziza kukhutshwa njengefowuni yokuqala.
Inkqubo yokunakekelwa kwempilo yamashishini iye yachongwa njengendlela yokuqokelela kunye nokwabela idatha kunye nokuphucula umgangatho wokunyamekela. Ngo-2012, i-American Society ye-Clinical Oncology (ASCO) yenze i-CancerLinQ, inkqubo ekwazi ukuhlanganisa i-Big Data.
Kwakuqala ukuqhutyelwa kwiihloko ngeengomhlaza zesifuba kwaye sele isandisiwe kwaya kwezinye iindidi zeekhensi.
I-CancerLinQ ijoliswe kwi-oncologists kwaye inceda, kunye nezigulane zabo, zenze izigqibo ezinolwazi. Iqokelela kwaye idibanisa idatha esuka kwizigulane ezahlukileyo kwaye inika abasebenzisi ukufikelela kwiinkcukacha ezaziye zavalwa ngaphambili kwii-silos ezihlukeneyo. Isofthiwe ihlalutya iipateni kunye neendlela, ngoko-oncologists iyakwazi ukuhlola izigulane zabo kubantu abaneempawu ezifanayo. Le nkqubo inika idatha yenkcazelo yangempela kwaye ivumela oogqirha ukuba baqhathanise ukunakekelwa kwabo kwizikhokelo, kunye nokukhetha ikona efanelekileyo kakhulu, esekelwe ubungqina kwisifo ngasinye kwisigulane ngasinye.
I-CancerLinQ ibandakanya inkqubo yokufunda eqhubekayo kwaye iqikelelwe ukuba yixesha elizayo lokunyamekela umdlavuza waseMerika. I-ASCO ibonisa ukuba ngokusebenzisa le nkqubo, oogqirha bangafunda ngazo zonke izigulane, kungekhona zabo okanye ezo zifundo kwizilingo zonyango. Oku kwenza ukuba izigqibo zabo zibe ziphelele kunye nezigulane. Ukuba ubulumko be-oncology yoluntu ngokukhawuleza luba lufikeleleke kuyo yonke imihla, izigulane ziyakwazi ukufumana amayeza aphuculweyo kwaye ziqinisekiswe ukuba zifumana uncedo olungcono.
Ukuthotyelwa kobuchwephesha bezobuchwephesha emhlabeni jikelele kwenza ukuba iqoqo leenkcukacha ezinkulu likwazi ukuqokelela. Oku kuya kwenza kube lula kwiinkqubo ezinjengeCarcerLinQ ukuthelekisa nokuchasana nezigulane, ngoko ke oogqirha banako ukubonelela ngeengcebiso ezifanelekileyo kunye neempendulo. Ekuqaleni kukaJuni, i-CancerLinQ kunye neSizwe seCancercer Institute yamemezela ubambiswano ukuxhasa ukutshintshiselwa kolwazi. Ukudibanisa izixhobo kummandla womhlaza kuya kuphucula ukunakekelwa kwezigulane kunye neziphumo. Njengoko uvavanyo lokuhlaselwa ngumhlaza kunye nokunyango luphuma kwizibhedlele kunye nezicwangciso zesifo, ukusebenzisana phakathi kwamaqabane kubaluleke kakhulu.
I-CancerLinQ idibanisa kunye ne-US Food and Drug Administration (FDA) ukuhlola unyango lomhlaza olutsha olwamkelwe. Ulwazi olufunyenweyo ngokusebenzisa intsebenziswano lunokwazisa iinkqubo zexesha elizayo kunye nokwenza izigqibo.
Ukuqhagamshela nge-Social Media
I-media media inikeza izigulana ngamathuba amaninzi okufikelela kunye nokutshintshiselana kwedatha. Iindawo ezisemakhaya ezikhonza abo abaneempilo zempilo zilinye isixhobo esinamandla esinokudibanisa oogqirha kunye nezigulane ngexesha langempela. Nangona kunjalo, imida yobugcisa kufuneka ilandelwe ngokuthe ngqo xa ichitshana imibono kunye neembono malunga nokugula.
Oogqirha kunye noogqirha bezempilo banxulumene nabo bangasebenzisa imithombo yoluntu yemveli, njenge-Facebook kunye ne-Twitter, ukufundisa izigulane nokusabalalisa ulwazi, kunye nokumema abantu ukuba bathathe inxaxheba kwiimvavanyo zeclini. Imibutho ehloniphekileyo njenge-Mayo Clinic Centre, ASCO kwaye ifumana "amanqweno" amaninzi kumaphepha abo kwaye izimisele ngokupheleleyo ukufikelela kubantu abafuna ulwazi olusesikhathini.
I-Facebook iyaziwa ngokubonelela abasebenzisi abanomdla kwizihloko zempilo kunye nomxholo oqhelekileyo ukusuka kwimithombo "bayithandile", apho i-Twitter isetyenziselwa ukwabelana ngokukhawuleza kweenkcukacha zenkcazelo ezivela kulabo "balandela".
Ukuphucula kwangoku kwiTelehealth kukuphucula ukwaneliseka komonde
Kukho iinguqu ezibalulekileyo kwiindlela iindlela abagulane beza kuzo kwaye babandakanyeka ekunyamekeleni kwabo. Kuye kwaqaphela ukuba sifuna ukuba yinxalenye ebalulekileyo yeqela xa kuziwa kwinkathalo yethu yempilo, kwaye sifuna ukubonwa njengabenzi bezigqibo ezizimeleyo.
Kuye kwaba nefuthe elinamandla ukuxhasa abantu abafumana ukhathalelo lwangaphakathi, nokukhusela izibhedlele ezingabalulekanga ezingabangela ukuba izimo ezingapheliyo zilawulwa kakuhle. I-teknoloji yedijithali ininzi enokuyinika kulo ndawo yokunyamekela, njengoko kuboniswe yiCave Service.
I-eCaring iyisofthiwe yokulawula isifo esisefu-sini esinika amandla izigulane kunye nokubanceda bahlale emakhaya abo. Iinkcukacha malunga neempawu zekliniki kunye nokuziphatha ziqokelelwa kwizigulana ezihlala ekhaya kwaye zithunyelwa kwabanye abanikeli. Oku kuthetha ukuba ulwazi lwexesha langempela luyabelana kwaye lulawulwa, okwenza ukhathalelo lwangaphakathi lukhuseleke kakhulu kunye nokuphucula amava omguli.
I-eCaring ye-telehealth yamandla ixhaswa yi-Samsung Galaxy Tablets, ezithunyelwa kubasebenzisi xa inkqubo iqala. Inkonzo yomshuwalense wezempilo ongekho ngenzuzo usebenzisa le nkqubo iye yabhalwa ukwaneliseka kwamakhasimende okuphuculweyo kunye nokunyamekela okuphuculweyo, umzekelo, ukunciphisa ama-40 ekhulwini ekutyelelweni esibhedlele. Ukongezelela, ngokusetyenziswa kweCaring, amaqela okunyamekela ayanelisekile, nawo. I-health aid aids yabika ukuba banako ukubonelela ngononophelo abo bakhonzayo kwaye bazive benempumelelo nakwindima yabo.
Abadali beCaring baye bhengeze omnye umkhiqizo ojoliswe kubantu abajongayo abazali babo asebekhulile. I-FamilyConnect iyinkqubo entsha eyenzelwe ukuququzelela ukunxibelelana phakathi kwamalungu entsapho. Insiza kulula ukuyisebenzisa kwaye isekela ukuzimela kubadala. Iyakwenza ukuba ukuguga kuveze iimfuno zabo kwaye kuqinisekisa ukuba uluntu lufumana unyameko olufunekayo-kunika wonke umntu obandakanye uxolo lwengqondo. Ngo-2017, i-FamiliyConnect iqalile umkhankaso weKickstarter ukuxhasa imveliso yabo yakutshanje.
Impembelelo Entle yoNxibelelwano olungcono phakathi kwabaNakekeli
"Uphi isati yomguli?" Ngumbuzo oza kuphelelwa ngumsebenzi njengoko iirekhodi zezempilo ze-elektroniki (EHR) zamukelwa ngokubanzi. Izigulane aziyonwabele ukuphindaphinda ngokuphindaphindiweyo ulwazi olufanayo ngokuphindaphindiweyo. Ukuba ngaba abanakekeli abaninzi banako ukufikelela kwiirekhodi zonyango lomntu ngekhompyutha, ukususela naphi na ukufikelela kwi-intanethi, oku kungalondoloza ixesha, ukugcina imali nokwandisa ukhuseleko.
Amaxwebhu asekelwe kwiphepha alisoloko atholakala ngokukhawuleza, oku kunokunciphisa umgangatho wokunyamekela, okwenziwe kakubi kwimeko yamajoni. Ukongezelela, i-Institute of Medicine ibika ukuba e-US, iimpazamo zonyango yiyona yesibhozo esikhokelela ekufeni. Ngokufikelela kwiinkcukacha zekhompyutha kunye nokudibanisa imithombo yolwazi engafaniyo, iingozi ezahlukahlukeneyo zingaphathwa ngcono.
Ukuze benze umsebenzi wabo kakuhle, oongikazi noogqirha bafuna ulwazi olufanelekileyo ngexesha elifanelekileyo. Ngokomzekelo, kuboniswe ukuba ukudibanisa ii-EHR kunye neenkqubo zonxibelelwano lwezonyango kunye nezicelo zononophelo lwezonyango ziphucula ukunakekelwa jikelele. Abavelisi bezekhnoloji zezeMpilo baye basebenza ixesha elithile ngokuphucula nokunyusa amandla oomatshini benxeba kunye nokubenza babe neenembile. Imizamo yabo yabonakala ihlawulwe njengoko ukuphuculwa kutshanje kuboniswe ukukhuthaza ukwaneliseka kwesigulane.
UDavid F. Smith, umcebisi we-teknoloji enobudlelwane kunye noTshabalalwano, uchaza ukuba iimpawu ezintsha zenziwe kwiinkqubo zonxibelelwano ngononophelo, ukudibanisa nokuhambelana nendawo ezahlukahlukeneyo zokunyamekela. Iinkqubo ngoku zihamba ngaphaya kweenkqubo ezisekudala, iinkqubo ze-analog ezizimeleyo. Zingasetyenziselwa ukudibanisa idatha kunye nokufana ne-EHRs, kunye nokubandakanya ukukhutshwa / ukuhanjiswa / ukungena kwemisebenzi. Ngaphezu koko, ezi nkqubo ziyakwazi ukudibanisa nabagadi bamagulane, i-alarm kunye neebhedi ukuqinisekisa ukuba zonke izaziso zifunyenwe ngexesha elifanelekileyo. Baquka ukunxibelelana kwezwi kunye nabathengi kunye nokuvumela izigulane ukuba zikhulume kwiibhedi zabo zesibhedlele kumalungu enkampani yabo yokunakekela abasebenzisa ii-smartphones okanye amabheji anxibayo. Iifom kunye nezilumkiso zingaphathwa kakuhle, kwaye oongikazi banokukhansela iifowuni kude. Okanye, ukuba umncedisi ongenakukwazi ukuwamkela umnxeba, uhamba ngokuzenzekelayo ukuya kumntu olandelayo okhoyo, ukuqinisekisa ukuba isigulane sinokunyamekelwa nokukhathalela ngokukhawuleza ngaphambi kokukhawuleza.
Imibuzo Engaphendulwayo
Itheknoloji yezeMpilo iya kugqitywa ekugqibeleni amava. Nangona kunjalo, abaphuhlisi bezempilo bedijithali kufuneka bakhumbule ukuba izinto ezintsha azibandakanyi ubunzima obunzima kwiinkqubo eziseleyo. I-teknoloji ayifanele ijongwe njengotshintsho lwazo zonke iintsebenziswano zabantu.
Ababoneleli ngezeMpilo kufuneka bakhumbule ukuba ngamanye amaxesha isenzo esilula nesingabizi, ezifana nokumomotheka kunye nokuhlaziya rhoqo, kunokuhamba ngendlela ende. Iingcali zineziganeko zesigulane-ngekamva elibonakalayo, iteknoloji idlala indima exhasayo.
UMatthew Werder, igosa eliyiNtloko yeTheknoloji kwi-Hennepin County Medical Centre, ubonisa ukuba njengoko uphando malunga nokubambisana kwetheknoloji yezempilo kunye nokwaneliseka kwesigulane kunyuka, imibuzo emininzi ingaphendulwa. UWerder unikeza imizekelo: Ngaba i-EHR iyenze impembelelo kwimeko yegulane? Yibuphi ubuchwephesha abane-ROI ephezulu? Iikhampani zokuqalisa zingalinganisa njani kwaye ziqikelele ukuba namava omzimba xa ephuhlisa ubuchwepheshe obutsha? Singalindela ukuba izifundo eziqhubekayo kule miba yemibuzo ziza kwenzeka kungekudala kwaye ziya kusinika ingqiqo ngakumbi kwindlela iteknoloji yezempilo inokuqhubeka ngayo ukuphucula amava omguli.
> Imithombo:
> Feeley T, Sledge G, Levit L, Ganz P. Ukuphucula umgangatho wokunakekelwa ngumhlaza eMelika ngokusebenzisa iteknoloji yolwazi lwezempilo. J Am Med Yazisa Umbutho 2014; 21: 772 - 775. nged: http://dx.doi.org/10.1136/amiajnl-2013-002346
> Fisch M, Chung A, Accordino M. Usebenzisa iThekhnoloji ekuphuculeni ukunakekelwa komhlaza: IiNkonzo zoLuntu, iiReckers, kunye neeRekhodi zezeMpilo zeMpektri. I-American Society ye-Clinical Oncology Educational Book / ASCO. I-American Society ye-Clinical Oncology. Intlanganiso [ye-serial online]. 2016; 35: 200-208.
> Lorenzi N. Impendulo enomdla: intsholongwane yeefowuni zitshintsha ukukhuthaza ukwaneliseka kwesigulane. Ulawulo lweZiko lezeMpilo [i-serial online]. 2013: 51
> Roham, M., Gabriryan, A., Archer, N. Ukuqaphela ingempembelelo yokwakheka kwe-teknoloji yezobuchwephesha ngolwazi lwesigulane kwi-patient satisfaction. I-Intel Med yeArtif .2012; 56: 123-135.
> Werder M. iteknoloji yenkcazelo yezempilo: Isithako esibalulekileyo kwimeko yamajoni. [i-serial online]. I-journal journal experience , 2015; 2 (1): 143-147.