Under the term "digital health", advanced medical technologies, disruptive innovations and digital communication have gradually become inseparable from providing best practice healthcare. While the cost of treating chronic conditions is increasing and doctor shortages are imminent worldwide, the needed transformation in the structure of healthcare and medicine fails to catch up with the rapid progress of the medical technology industry. This transition is slowed down by strict regulations; the reluctance of stakeholders in healthcare to change; and ignoring the importance of cultural changes and the human factor in an increasingly technological world. With access and adoption of technology getting higher, the risk of patients primarily turning to an accessible, but unregulated technological solution for their health problem is likely to increase. In this paper, we discuss how the old paradigm of the paternalistic model of medicine is transforming into an equal level partnership between patients and professionals and how it is aided and augmented by disruptive technologies. We attempt to define what digital health means and how it affects the status quo of care and also the study design in implementing technological innovations into the practice of medicine.

Artificial intelligence (AI) has the potential to ease the human resources crisis in healthcare by facilitating diagnostics, decision-making, big data analytics and administration, among others. For this we must first tackle the technological, ethical and legal obstacles.The human resource crisis is widening worldwide, and it is obvious that it is not possible to provide care without workforce. How can disruptive technologies in healthcare help solve the variety of human resource problems? Will technology empower physicians or replace them? How can the medical curriculum, including post-graduate education prepare professionals for the meaningful use of technology? These questions have been growing for decades, and the promise of disruptive technologies filling them is imminent with digital health becoming widespread. Authors of this essay argue that AI might not only fill the human resources gap, but also raises ethical questions we need to deal with today.While there are even more questions to address, our stand is that AI is not meant to replace caregivers, but those who use AI will probably replace those who don’t. And it is possible to prepare for that.

BackgroundThe profession of practicing medicine is based on communication, and as social media and other digital technologies play a major role in today’s communication, digital literacy must be included in the medical curriculum. The value of social media has been demonstrated several times in medicine and health care, therefore it is time to prepare medical students for the conditions they will have to face when they graduate.ObjectiveThe aim of our study was to design a new e-learning-based curriculum and test it with medical students.MethodAn elective course was designed to teach students how to use the Internet, with a special emphasis on social media. An e-learning platform was also made available and students could access material about using digital technologies on the online platforms they utilized the most. All students filled in online surveys before and after the course in order to provide feedback about the curriculum.ResultsOver a 3-year period, 932 students completed the course. The course did not increase the number of hours spent online but aimed at making that time more efficient and useful. Based on the responses of students, they found the information provided by the curriculum useful for their studies and future practices.ConclusionsA well-designed course, improved by constant evaluation-based feedback, can be suitable for preparing students for the massive use of the Internet, social media platforms, and digital technologies. New approaches must be applied in modern medical education in order to teach students new skills. Such curriculums that put emphasis on reaching students on the online channels they use in their studies and everyday lives introduce them to the world of empowered patients and prepare them to deal with the digital world.

Napjainkban az orvos-beteg kapcsolatban, az orvoslás működésében és a hivatás jellegzetességeiben nagyarányú változás figyelhető meg. A krónikus betegségek arányának növekedése, az egészségügyi költségek emelkedése és a várható élettartam növekedése óriási kihívást jelen. E változásokat erőteljesen katalizálja a digitális egészségügy megjelenése, amely nem csupán technológiai átalakulást hoz, hanem alapjaiban változtatja meg az orvos-beteg viszonyt és a gyógyítás folyamatának körülményeit. A modern medicina egyre inkább "közreműködő orvoslás" (participatory medicine), ahol a betegek többé nem passzív résztvevők, megjelennek az e-páciensek, akik elkötelezettek, érdekeltek és jól informáltak saját gyógyulásukban, az orvos-beteg találkozásra felkészülnek, és az egyenlőséget, valamint a megosztott döntéshozatalt preferálják. A digitális egészségüggyel kapcsolatos kérdések új kihívásokat fogalmaznak meg a hivatás gyakorlói felé: a technológiai jártasság mellett a kritikus gondolkodás, az információkezelés, a kommunikációs készségek, a kreativitás és a csapatmunka kulcsszerepűvé válik.