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资源匮乏地区的远程会诊与艾滋病继续教育

Remote consultations and HIV/AIDS continuing education in low-resource settings.

作者信息

Zolfo Maria, Lynen Lut, Dierckx Jan, Colebunders Robert

机构信息

Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.

出版信息

Int J Med Inform. 2006 Sep;75(9):633-7. doi: 10.1016/j.ijmedinf.2006.03.002. Epub 2006 May 2.

DOI:10.1016/j.ijmedinf.2006.03.002
PMID:16647877
Abstract

BACKGROUND

Telemedicine is a way to support physicians working in resource-poor settings, providing remote consultations and continuing medical education on HIV/AIDS care.

METHODS

A hybrid E-mail/web support telemedicine service was created in 2003 at the Institute of Tropical Medicine, Antwerp, Belgium, with a discussion forum hosting more than 170 healthcare professionals from 40 different countries, generally resource constrained. Interesting posts and recurring questions from this discussion forum have been elaborated as case studies or frequently asked questions, available on the website for consultation. Education and support are also provided through interactive quizzes, user-friendly guidelines, and policy documents with a particular focus on HIV/AIDS care in developing countries.

RESULTS

From April 2003 to March 2005, 342 questions were sent from over 17 countries in Africa, Asia, and South America. The vast majority of these questions (93%) were patient-oriented, with only 7% being general questions. Of the patient-oriented questions, 49% were related to antiretroviral therapy, and 44% were related to the diagnosis and treatment of opportunistic infections.

CONCLUSIONS

Telemedicine is a cheap and effective method of providing clinical support and continuing education to healthcare workers treating HIV-positive patients in resource-poor settings.

摘要

背景

远程医疗是一种为在资源匮乏地区工作的医生提供支持的方式,可提供关于艾滋病毒/艾滋病护理的远程会诊和继续医学教育。

方法

2003年,比利时安特卫普热带医学研究所创建了一种电子邮件/网络混合支持的远程医疗服务,其讨论论坛有来自40个不同国家的170多名医疗保健专业人员参与,这些国家普遍资源有限。该讨论论坛中有趣的帖子和反复出现的问题已被整理成案例研究或常见问题解答,可在网站上供人查阅。还通过互动测验、用户友好型指南和政策文件提供教育与支持,特别关注发展中国家的艾滋病毒/艾滋病护理。

结果

2003年4月至2005年3月,来自非洲、亚洲和南美洲17个以上国家的人员共提出了342个问题。这些问题绝大多数(93%)是针对患者的,只有7%是一般性问题。在针对患者的问题中,49%与抗逆转录病毒疗法有关,44%与机会性感染的诊断和治疗有关。

结论

远程医疗是一种成本低廉且有效的方法,可为在资源匮乏地区治疗艾滋病毒阳性患者的医护人员提供临床支持和继续医学教育。

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