eCardiology: a structured approach to foster the digital transformation of cardiovascular medicine

Die Kardiologie - Trang 1-12 - 2023
Benjamin Meder1,2, David Duncker3, Thomas M. Helms4, David M. Leistner5,6,7, Franz Goss8, Christian Perings9,10, Victoria Johnson11, Anne Freund12, Christoph Reich1,2, Jakob Ledwoch13, Ann-Kathrin Rahm1,2, Barbara Ruth Milles1, Stefan Perings14, Janine Pöss12, Christoph Dieterich1,2,15, Eckart Fleck16, Philipp Breitbart17, Jochen Dutzmann18, Gerhard Diller19, Holger Thiele12, Norbert Frey1, Hugo A. Katus1,2, Peter Radke20
1Department of Cardiology, Angiology, and Pulmology, University Hospital Heidelberg, Heidelberg, Germany
2Informatics for Life, Heidelberg, Germany
3Department of Cardiology and Angiology, Hannover Medical School, Hannover Heart Rhythm Center, Hannover, Germany
4Peri Cor Arbeitsgruppe Kardiologie/Ass. UCSF Office, Hamburg, Germany
5Department of Cardiology, University Heart Center, Charite University Medicine Berlin, Berlin, Germany
6DZHK (German Center for Cardiovascular Research), partner site Berlin, Berlin, Germany
7Berlin Institute of Health (BIH), Berlin, Germany
8MVZ Med 360° München – Alter Hof, Munich, Germany
9Department of Cardiology, Pneumology and Intensive Care Medicine, Katholisches Klinikum Luenen-Werne, Luenen, Germany
10Westdeutsches Zentrum für angewandte Telemedizin, Düsseldorf, Germany
11Department of Cardiology, University Hospital Gießen, Gießen, Germany
12Department of Internal Medicine/Cardiology, Heart Center Leipzig at University of Leipzig, Leipzig, Germany
13Isarherzzentrum, Isarklinik, Munich, Germany
14CardioCentrum Düsseldorf, Düsseldorf, Germany
15Klaus Tschira Institute for Integrative Computational Cardiology, Heidelberg, Germany
16Klinik für Innere Medizin – Kardiologie, Deutsches Herzzentrum Berlin, Berlin, Germany
17Department of Cardiology and Angiology, University Heart Center Freiburg-Bad Krozingen, University Medical Center Freiburg, University of Freiburg, Bad Krozingen, Germany
18Department of Cardiology, Angiology, and Intensive Care Medicine, University Hospital Halle (Saale), Halle (Saale), Germany
19Klinik für Kardiologie III: Angeborene Herzfehler (EMAH) und Klappenerkrankungen, Universitätsklinikum Münster, Münster, Germany
20Department of Internal Medicine-Cardiology, Schoen Klinik Neustadt, Neustadt in Holstein, Germany

Tóm tắt

The use of digital technologies in medicine is developing largely in parallel with the IT industry. Today, every cardiologist in Germany uses IT systems to make appointments, store patient data and write doctor’s letters. So why is it necessary to introduce a dedicated eCardiology program within the German Society of Cardiology (DGK)? So far, digitalization has failed in many respects to fulfill its promise of making the daily lives of physicians and patients easier. Clinical EDP solutions derive mainly from accounting systems and lead only to a limited extent to an improvement in patient care. Negative effects on burnout rates and job satisfaction of medical staff could even be observed. Additionally, since May 2018 the introduction of the European General Data Protection Regulation with its principles of purpose limitation and data minimization has made the storage and use of medical data more difficult. This also has fundamental implications for developments in artificial intelligence (AI), which are based on the availability and quality of big data (= large, complex data sets) and could permanently change the healthcare system. The technology-driven progress of medicine does not end at the doorstep of a hospital but causes a significant cultural change in our society. The use of so-called wearables, search engines on the Internet and social media is increasingly enabling e‑patients to make their own diagnoses and independent decisions regarding their health. As a result, physicians often see well-informed, but also misinformed patients who have been advised on health-related data by their own smart devices. The DGK recognizes the enormous challenges and potential of digital medicine to improve the prognosis of cardiovascular diseases. As part of the eCardiology program, the Society has established five committees to promote and communicate important aspects of digital health: transsectoral collaboration, mobile health, precision digital health, society and policy, and education and media. We report here on the elements of each committee and its working groups.

Tài liệu tham khảo

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