Patient Generated Health Data (PGHD) is defined as data generated by and from patients.¹ The use of PGHD has rapidly increased with the widespread availability of smart phone mobile health applications (mHealth apps) and wearable devices. Currently, the vast majority of PGHD is generated via the use of mHealth apps and wearables like “Fitbit” or medical devices such as a continuous glucose monitoring device.

There are many benefits of PGHD including increased monitoring of children's chronic health conditions outside clinical care to supplement ambulatory clinic visits, improved health outcomes, increased patient awareness and engagement and improved patient-provider communication. When leveraged properly, PGHD can be a powerful tool in delivering safe, effective, patient centered, efficient and equitable care as outlined by the Institute of Medicine (IOM).²

The challenges that limit collection, use and acceptance of PGHD include limited access to the internet, inability to incorporate PGHD into clinical workflows, data privacy and security concerns and apprehension about accuracy and safety of mHealth apps. These issues can lead to a lack of use or compliance with devices or apps associated with PGHD. To ensure optimal health benefits, agreement to leverage PGHD should be a joint decision between the clinician and the patient/caregiver.

Future steps to ensure safety and clinical relevance of PGHD include involving regulatory authorities, device manufacturers and professional bodies to develop standards for mHealth apps and wearables to promote uncomplicated PGHD integration into workflows, easy and secure sharing of PGHD.

Wearable technology, medical devices and smart phone apps become more advanced and widespread among the population, there will be an increasing potential for PGHD to facilitate personalized, efficient, and collaborative care resulting in improved health outcomes for children and adolescent and young adult. More research and innovation is needed to facilitate this transition.

患者生成的健康数据 (PGHD) 定义为由患者生成和从患者那里生成的数据。¹随着智能手机移动健康应用程序（mHealth 应用程序）和可穿戴设备的广泛普及，PGHD 的使用迅速增加。目前，绝大多数 PGHD 是通过使用 mHealth 应用程序和“Fitbit”等可穿戴设备或连续血糖监测设备等医疗设备产生的。

PGHD 有许多好处，包括在临床护理之外增加对儿童慢性健康状况的监测以补充门诊就诊、改善健康结果、提高患者意识和参与度以及改善患者与提供者之间的沟通。如果利用得当，PGHD 可以成为提供安全、有效、以患者为中心、高效和公平的护理的强大工具，正如医学研究所 (IOM) 所述。²

限制 PGHD 收集、使用和接受的挑战包括对互联网的访问受限、无法将 PGHD 纳入临床工作流程、数据隐私和安全问题以及对 mHealth 应用程序的准确性和安全性的担忧。这些问题可能导致与 PGHD 相关的设备或应用程序缺乏使用或合规性。为确保获得最佳的健康益处，同意利用 PGHD 应该是临床医生和患者/护理人员之间的共同决定。

确保 PGHD 的安全性和临床相关性的未来步骤包括让监管机构、设备制造商和专业机构参与制定 mHealth 应用程序和可穿戴设备的标准，以促进将简单的 PGHD 集成到工作流程中，轻松安全地共享 PGHD。

可穿戴技术、医疗设备和智能手机应用程序在人群中变得更加先进和广泛，PGHD 在促进个性化、高效和协作护理方面的潜力将越来越大，从而改善儿童、青少年和年轻人的健康状况。需要更多的研究和创新来促进这种转变。