远程医疗在发展中国家实施和采用的影响:对中国的实践和经验进行系统审查
Jiancheng Ye1,2, Lu He3, Molly Beestrum4
1Weill Cornell Medicine, New York, NY, USA. jiancheng.ye@u.northwestern.edu.
NPJ digital medicine
|September 18, 2023
概括
在COVID-19期间,中国采用远程医疗需要在社会,组织和技术层面进行战略规划. 经验教训为其他正在实施数字健康解决方案的发展中国家提供了宝贵的见解.
科学领域:
- 数字健康数字健康
- 医疗保健技术 技术 医疗保健 技术
- 公共卫生 公共卫生
背景情况:
- 远程医疗技术正在迅速发展,有可能改变医疗保健,特别是在发展中国家.
- COVID-19大流行凸显了远程医疗在全球维持医疗保健服务中的关键作用.
- 作为一个代表性的发展中国家,中国在疫情期间为远程医疗实施提供了一个案例研究.
研究的目的:
- 在COVID-19大流行期间,在中国系统审查远程医疗的实施.
- 确定远程医疗采用的特点,障碍和成功经验.
- 为其他面临类似远程医疗挑战的发展中国家提供见解.
主要方法:
- 来自五个主要数据库 (PubMed/MEDLINE,Embase,Scopus,Cochrane图书馆,Web of Science) 的32项研究的系统审查.
- 包括详细介绍COVID-19大流行期间中国远程医疗服务使用情况的研究.
- 使用实施研究综合框架 (CFIR) 分析障碍,成功和建议.
主要成果:
- 成功实施远程医疗需要在社会 (意识,保险),组织 (培训,工作流程) 和技术 (基础设施,包容性设计) 层面的战略规划.
- 微信成为远程医疗服务最常用的平台.
- 解决中国的实施障碍为其他低收入和中等收入国家 (LMIC) 提供了证据.
结论:
- 战略性,多层次的规划对于发展中国家有效采用远程医疗至关重要.
- 利用像微信这样的共同平台可以促进远程医疗服务的提供.
- 中国的经验为寻求实施和扩展远程医疗系统的LMICs提供了有价值的模型.
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