从多个利益相关方的角度和环境来看,印度远程医疗系统的促进者和障碍:系统性审查
Aparna Venkataraman1, Najiya Fatma2, Sisira Edirippulige3
1Department of Mechanical Engineering, Faculty of Medicine, UQ-IITD Academy of Research, Indian Institute of Technology Delhi, Hauz Khas, New Delhi, India.
概括
印度的远程医疗采用面临着数据隐私和ICT阻力等障碍. 关键的促进因素包括降低成本和改善接入,专家强调成功的实际适应能力.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生政策 公共卫生政策
- 数字健康实施方案
背景情况:
- 远程医疗对于克服医疗机构有限的医疗资源至关重要.
- 障碍阻碍了远程医疗在医疗保健系统中的广泛采用.
- 了解这些障碍对于有效实施至关重要.
研究的目的:
- 系统地审查影响印度医疗保健系统中远程医疗实施的关键促进者和障碍.
- 在基础设施,社会文化,监管和金融层面分析这些因素.
- 纳入各种利益相关者的观点,包括提供者,患者和政策制定者.
主要方法:
- 按照PRISMA 2015指南进行系统审查.
- 在多个数据库 (PubMed,Scopus等) 中进行全面搜索. 对于发表于2016年12月2023年9月的研究.
- 选了2,706项研究,其中46项被选择用于数据合成.
主要成果:
- 确定了关键障碍:数据隐私/安全问题,对信息和通信技术 (ICT) 的抵抗,基础设施限制和ICT培训缺口.
- 主要促进因素:降低医疗保健提供成本,加强远程患者访问,缩短患者等待时间.
- 现实世界的经验凸显了对可靠的互联网,技术采用,培训,积极态度,数据安全和可行的商业模式的需求.
结论:
- 印度有效采用远程医疗需要解决已识别的障碍,并利用促进者.
- 利益相关者的观点和实际适应能力对于成功实施至关重要.
- 政策和基础设施的发展对于实现远程医疗的全部潜力至关重要.
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