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[佛得角远程医疗的实施:影响因素]

[Implementation of Telemedicine in Cape Verde: Influencing Factors].

作者信息

Correia Artur, Azevedo Vanda, Lapão Luís Velez

机构信息

Global Health and Tropical Medicine. Instituto de Higiene e Medicina Tropical. Universidade NOVA. Lisboa. Portugal; Comité de Coordenação do Combate à SIDA. Praia. Cabo Verde.; Ministério da Saúde de Cabo Verde. Praia. Cabo Verde.

Ministério da Saúde de Cabo Verde. Praia. Cabo Verde. Colégio de Cardiologia. Ordem dos Médicos de Cabo Verde. Praia. Cabo Verde.

出版信息

Acta Med Port. 2017 Apr 28;30(4):255-262. doi: 10.20344/amp.7578.

DOI:10.20344/amp.7578
PMID:28555550
Abstract

INTRODUCTION

Telemedicine is the provision of health services, where distance is a critical factor, using information and communication technologies. Cape Verde has bet on using this tool to increase access of the population of its islands to specialized care.

MATERIAL AND METHODS

Qualitative study, covering the period between 2013 and 2014. It uses document analysis, semi-structured interviews and focus groups to collect data and analysis of content for their analysis. The participant population includes doctors, nurses and professionals from some institutions related to telemedicine.

RESULTS

The priorities of the National Telemedicine Program are set, the cores and reference centers are operational, with trained personnel and equipment installed. Several other policy instruments and conditioning factors and facilitators of the program have been identified.

DISCUSSION

Telemedicine is contributing to the reduction of inequalities in access to health, in Cape Verde. However, the full adoption of a service based on a new technology depends on conditioning factors and facilitators, and several success factors of telemedicine, identified in the literature, are not observed and in conjunction with other existing weaknesses affect the overall development of the National Telemedicine Program. However the strengths and capabilities are highlighted opportunities to act.

CONCLUSION

Despite the progress, some telemedicine success factors highlighted on the literature are not seen in the country.

摘要

引言

远程医疗是利用信息和通信技术提供医疗服务,其中距离是一个关键因素。佛得角已致力于利用这一工具,增加其各岛屿居民获得专科护理的机会。

材料与方法

定性研究,涵盖2013年至2014年期间。采用文献分析、半结构化访谈和焦点小组来收集数据并对其进行内容分析。参与人群包括医生、护士以及一些与远程医疗相关机构的专业人员。

结果

确定了国家远程医疗计划的优先事项,核心机构和参考中心已投入运营,配备了经过培训的人员和安装了设备。还确定了该计划的其他一些政策工具以及制约因素和促进因素。

讨论

在佛得角,远程医疗有助于减少获得医疗服务方面的不平等现象。然而,基于新技术的服务的全面采用取决于制约因素和促进因素,并且文献中确定的远程医疗的几个成功因素并未出现,再加上其他现有的弱点,影响了国家远程医疗计划的整体发展。不过,其优势和能力凸显了采取行动的机会。

结论

尽管取得了进展,但该国并未出现文献中强调的一些远程医疗成功因素。

相似文献

1
[Implementation of Telemedicine in Cape Verde: Influencing Factors].[佛得角远程医疗的实施:影响因素]
Acta Med Port. 2017 Apr 28;30(4):255-262. doi: 10.20344/amp.7578.
2
Cabo Verde telemedicine program: initial results of nationwide implementation.佛得角远程医疗项目:全国实施的初步成果
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Telemed J E Health. 2021 Feb;27(2):200-206. doi: 10.1089/tmj.2019.0290. Epub 2020 Jul 17.
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The evolution of the medical workforce in Cape Verde since independence in 1975.佛得角自1975年独立以来医疗劳动力的演变。
Hum Resour Health. 2017 Jan 18;15(1):5. doi: 10.1186/s12960-017-0180-9.
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Cabo Verde Telemedicine Program: An Update Report and Analysis of 2,442 Teleconsultations.佛得角远程医疗项目:2442次远程会诊的最新报告与分析
Telemed J E Health. 2021 Feb;27(2):172-177. doi: 10.1089/tmj.2020.0001. Epub 2020 Jun 26.
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The National Reproductive Health Programme in Cape Verde: scope, limits and challenges.佛得角的国家生殖健康计划:范围、局限与挑战。
Cien Saude Colet. 2018 Nov;23(11):3631-3636. doi: 10.1590/1413-812320182311.32852016.
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Improving Access to Pediatric Cardiology in Cape Verde via a Collaborative International Telemedicine Service.通过国际合作远程医疗服务改善佛得角儿科心脏病学的可及性。
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Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study.
Acta Med Port. 2018 Dec 28;31(12):738-741. doi: 10.20344/amp.10405.
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Telemedicine for the Medicare population: pediatric, obstetric, and clinician-indirect home interventions.面向医疗保险人群的远程医疗:儿科、产科及临床医生间接居家干预措施
Evid Rep Technol Assess (Summ). 2001 Aug(24 Suppl):1-32.

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