Digital health advances have transformed many clinical areas including psychiatric and cardiovascular care. However, digital health innovation is relatively nascent in cancer care, which represents the fastest-growing area of health care spending. Opportunities for digital health innovation in oncology include patient-facing technologies that improve patient experience, safety, and patient-clinician interactions; clinician-facing technologies that improve their ability to diagnose pathology and predict adverse events; and quality of care and research infrastructure to improve clinical workflows, documentation, decision support, and clinical trial monitoring. The COVID-19 pandemic and associated shifts of care to the home and community dramatically accelerated the integration of digital health technologies into virtually every aspect of oncology care. However, the pandemic has also exposed potential flaws in the digital health ecosystem, namely in clinical integration strategies; data access, quality, and security; and regulatory oversight and reimbursement for digital health technologies. Stemming from the proceedings of a 2020 workshop convened by the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine, this article summarizes the current state of digital health technologies in medical practice and strategies to improve clinical utility and integration. These recommendations, with calls to action for clinicians, health systems, technology innovators, and policymakers, will facilitate efficient yet safe integration of digital health technologies into cancer care.

中文翻译：

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肿瘤学中的数字健康应用：抓住机遇


数字健康的进步已经改变了许多临床领域，包括精神科和心血管护理。然而，数字健康创新在癌症治疗领域相对较新，而癌症治疗是医疗保健支出增长最快的领域。肿瘤学数字健康创新的机会包括面向患者的技术，可改善患者体验、安全性和患者与临床医生的互动；面向临床医生的技术，提高他们诊断病理和预测不良事件的能力；护理质量和研究基础设施，以改善临床工作流程、文档、决策支持和临床试验监测。 COVID-19 大流行以及相关的护理向家庭和社区的转变极大地加速了数字健康技术与肿瘤护理几乎各个方面的整合。然而，疫情也暴露了数字健康生态系统的潜在缺陷，即临床整合策略；数据访问、质量和安全；数字医疗技术的监管监督和报销。本文源自美国国家科学、工程和医学院国家癌症政策论坛召开的 2020 年研讨会的会议记录，总结了数字健康技术在医疗实践中的现状以及提高临床实用性和集成度的策略。这些建议呼吁临床医生、卫生系统、技术创新者和政策制定者采取行动，将促进数字医疗技术高效而安全地融入癌症护理。