Department of Pediatrics, Serat Hospital, Kabul, Afghanistan.
Department of Medicine, Acibadem Maslak Hospital, Istanbul, Turkey.
OMICS. 2020 Jun;24(6):311-313. doi: 10.1089/omi.2020.0053. Epub 2020 Apr 23.
Health care does not always take place in a setting of peace, prosperity, and social order, a point that is often overlooked in quotidian medical practice. This has become most evident with the current COVID-19 pandemic by the new coronavirus that is wreaking havoc across the planet. Health care providers are facing unprecedented challenges to intervene on numerous nonlinear uncertainties in science and society as the pandemic evolves. In Afghanistan, health care delivery is already a major crosscutting challenge. Although efforts to rebuild the health care systems in Afghanistan have been made (Acerra et al.), both acute and chronic illnesses remain as major medical and critical governance gaps to be remedied. In addition, health care facilities and medical equipment are not adequate in the country. There is a need for medical and scientific expertise to clinically and sociologically contextualize and interpret diagnostic tests as well as drugs and vaccines that will be deployed in the coming months as part of the planetary collective response to the COVID-19 pandemic. In a time of pandemic and facing a novel infectious pathogen, health care workers are in need of planetary scale consultation and support. Even creating a small consultation network using mobile applications might offer improved health outcomes. The Internet of Things and digital health ought to be considered in concert with telemedicine as part of an effective pandemic response.
医疗保健并不总是在和平、繁荣和社会秩序的环境中进行，这一点在日常医疗实践中经常被忽视。当前的 COVID-19 大流行就是一个明显的例子，新型冠状病毒正在全球肆虐。随着疫情的发展，医疗保健提供者面临着前所未有的挑战，需要干预科学和社会中众多非线性的不确定性。在阿富汗，医疗保健的提供已经是一个主要的跨领域挑战。尽管已经做出了重建阿富汗医疗保健系统的努力（Acerra 等人），但急性和慢性疾病仍然是需要解决的主要医疗和关键治理差距。此外，该国的医疗保健设施和医疗设备不足。需要医学和科学专业知识，以便在未来几个月内对诊断测试以及药物和疫苗进行临床和社会背景下的解释和解读，这些将作为全球应对 COVID-19 大流行的集体反应的一部分。在大流行期间，面对新型传染病，医疗保健工作者需要得到全球范围内的咨询和支持。即使使用移动应用程序创建一个小型咨询网络，也可能会改善健康结果。物联网和数字健康应该与远程医疗一起被视为有效应对大流行的一部分。
