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实时容错移动医疗系统:医疗保健服务的综合回顾、存在问题、挑战和方法学方面。

Real-Time Fault-Tolerant mHealth System: Comprehensive Review of Healthcare Services, Opens Issues, Challenges and Methodological Aspects.

机构信息

Department of Computing, Universiti Pendidikan Sultan Idris, Tanjong Malim, Perak, Malaysia.

出版信息

J Med Syst. 2018 Jun 23;42(8):137. doi: 10.1007/s10916-018-0983-9.

DOI:10.1007/s10916-018-0983-9
PMID:29936593
Abstract

The burden on healthcare services in the world has increased substantially in the past decades. The quality and quantity of care have to increase to meet surging demands, especially among patients with chronic heart diseases. The expansion of information and communication technologies has led to new models for the delivery healthcare services in telemedicine. Therefore, mHealth plays an imperative role in the sustainable delivery of healthcare services in telemedicine. This paper presents a comprehensive review of healthcare service provision. It highlights the open issues and challenges related to the use of the real-time fault-tolerant mHealth system in telemedicine. The methodological aspects of mHealth are examined, and three distinct and successive phases are presented. The first discusses the identification process for establishing a decision matrix based on a crossover of 'time of arrival of patient at the hospital/multi-services' and 'hospitals' within mHealth. The second phase discusses the development of a decision matrix for hospital selection based on the MAHP method. The third phase discusses the validation of the proposed system.

摘要

在过去几十年中,全球医疗服务的负担大大增加。为了满足不断增长的需求,尤其是慢性心脏病患者的需求,医疗服务的质量和数量必须提高。信息和通信技术的扩展导致了远程医疗中提供医疗服务的新模式。因此,移动医疗在远程医疗中可持续提供医疗服务方面发挥着重要作用。本文对医疗服务提供进行了全面回顾。它强调了与实时容错移动医疗系统在远程医疗中的使用相关的开放问题和挑战。检查了移动医疗的方法学方面,并提出了三个不同的连续阶段。第一阶段讨论了基于“患者到达医院的时间/多服务”和“移动医疗中的医院”的交叉来建立决策矩阵的识别过程。第二阶段讨论了基于 MAHP 方法的医院选择决策矩阵的开发。第三阶段讨论了所提出系统的验证。

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