Covid-19大流行推动了医疗行业，在远处提供高质量的护理，许多患者发现比以往任何时候都更容易咨询他们的医生。这无疑是积极的发展，但它不是范式转变。当代虚拟护理不是行业需求的革命性变化。

今天的“虚拟护理”利用技术 - 视频，聊天，安全，隐私 - 将超载的医疗专业人士和患者之间的时间约束关系介绍。但它未能承认大多数长期护理实际上在该关系中，在日常生活中，让患者在没有充分支持的情况下接受日常健康决策。

Where does modern virtual care go wrong?

虚拟护理1.0 - 我们可以将其视为第一次尝试 - 为患者提供了显着的益处。不必旅行去看医生，特别是对于忙碌，不适或有移动性问题的人来说，这是对预约发生的默认假设的重大改进。它也是定期办理登机手续的伟大解决方案。

然而,虚拟护理遇到相同的基础al issue as analog care when it comes to more complex cases such as chronic conditions. Chronic care patients need 24×7 support, yet they only receive minutes of expert attention per month. They are then released into the world to make complex medical decisions by themselves.

例如，考虑1型糖尿病患者的案例，这是影响超过160万美国人的病症。研究斯坦福大学的学者发现他们每天必须平均每天达到180个相关的糖尿病相关决定。

离开这些人使这些决定不受支持的是根本不起作用。百分之八十的患有1型糖尿病的人不会达到推荐的HBA1C目标，而且它们比公众其他成员可能更可能经历疲劳，焦虑，压力和抑郁症的两到三倍。

The human capacity required to genuinely assist people with type 1 diabetes in their daily life is beyond comprehension – and that’s just one condition. There simply aren’t enough professional doctors in the world to take on this amount of care delivery, no matter how much technology is provided to optimize their workflow.

以患者为中心

Genuinely improving the care that people with chronic conditions receive requires reimagining the care system, not simply digitizing the traditional analog healthcare delivery model. One concept that the current system neglects is that people with long-term conditions already act, in many ways, as their own care providers. They take in expert advice through their interactions with the medical establishment and then learn what works for them through trial and error.

The future – virtual care2.0– must build upon this understanding and focus on a new KPI: patient autonomy, the ability of a person to treat themselves effectively and feel confident in their decisions.

需要改变什么才能获得虚拟护理2.0？

我们拥有大大改善患者自主性所需的数据，技术和聪明才智，但行业需要以三种批判方式改变来实现它。第一个是尊重患者。一个家长式的“医生知道最好的”态度往往以牺牲患者为代价渗透整个护理过程。虽然许多行业在十年上遇到了消费者参与，但医学行业仍然陷入“遵守”和“合规”。

采用患者不仅仅是一个“乘客”的态度，而是驾驶力量，将产生更好的成果并使行业前进。

该行业需要努力的第二个区域是好奇心。我们需要调查为什么they aren’t following recommendations (often because it’s not possible) and reframe problems in solvable ways. This will take us well beyond purely medical problems into the complex and messy world of reality. Only by engaging with the challenges that patients face – medical and otherwise – can the industry hope to provide effective solutions.

The third area to change is humility. We know far less than we think we do about many chronic conditions such as diabetes, let alone about the people who live with these conditions. For instance, the widespread imagining of people with diabetes as unconcerned about their health, or “fat and lazy” doesn’t reflect a person’s lived experience – many people follow their doctor’s directions to the letter and still don’t achieve their desired health outcomes. Innovator arrogance is a major blocker to innovation here.

The future of care is patient-focused

简单地将医疗状态扩展到虚拟世界并不能解决其最深处的最深处，特别是在慢性护理中。利用技术来赋予患者有效地管理自己的护理将提供更好的结果，并可能结束慢性护理中不良结果的不可接受的趋势。