重新构想印度国家远程医疗服务,以改善获得护理的机会
Biswanath Ghosh Dastidar1,2,3, Anant R Jani4,5, Shailesh Suri4
1Department of Obstetrics and Gynaecology and Centre of Excellence (CoE) in Assisted Reproductive Technology (ART), Institute of Postgraduate Medical Education & Research (IPGMER) and SSKM Hospital, Kolkata, 700020, India.
The Lancet regional health. Southeast Asia
|September 26, 2024
概括
印度的eSanjeevani远程医疗服务面临着挑战,尽管数以百万计的咨询. 解决选,培训和技术方面的问题对于改善医疗保健准入和结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 远程医疗远程医疗
背景情况:
- 印度国家远程医疗服务eSanjeevani已经提供了超过2.76亿次咨询,旨在减少获得医疗保健的不平等.
- 最近服务利用率的下降引发了人们对eSanjeevani有效解决医疗保健缺口的担忧.
研究的目的:
- 在eSanjeevani的国家分拣和电话推系统中确定关键的设计和实践问题.
- 提出可行的建议,以加强eSanjeevani的公共卫生影响和对全民健康覆盖的贡献.
主要方法:
- 分析eSanjeevani.内部的国家分拣和电话推流程.
- 自2022年以来,共同作者在平台上的临床实践 (产科和妇科) 的定性见解.
主要成果:
- 在电话推中确定了全科医生不理想的整合.
- 强调卫生工作者培训不足,导致不有效的咨询.
- 在技术支持,转发机制和反循环方面发现了不足.
结论:
- 由于其推途径和运营支持中的系统性问题,eSanjeevani的潜力受到阻碍.
- 通过改进的集成,培训,技术和反机制重新构想平台是必不可少的.
- 改进是必要的,以充分实现eSanjeevani在改善公共卫生和实现印度全民健康覆盖方面的作用.
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