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印度 COVID-19 疫情期间的远程医疗——一项新政策及其面临的挑战。

Telemedicine during COVID-19 in India-a new policy and its challenges.

机构信息

Department of Biochemistry, Melaka Manipal Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Madras Diabetes Research Foundation, No 4, Conran Smith Road, Gopalapuram, Chennai, 600086, India.

出版信息

J Public Health Policy. 2021 Sep;42(3):501-509. doi: 10.1057/s41271-021-00287-w. Epub 2021 May 19.

Abstract

During the COVID-19 pandemic, a countrywide lockdown of nearly twelve weeks in India reduced access to regular healthcare services. As a policy response, the Ministry of Health & Family Welfare which exercises jurisdiction over telemedicine in India, rapidly issued India's first guidelines for use of telemedicine. The authors argue that: guidelines must be expanded to address ethical concerns about the use of privacy, patient data and its storage; limited access to the internet and weaknesses in the telecom infrastructure challenge widespread adoption of telemedicine; only by simultaneously improving both will use of telemedicine become equitable; Indian medical education curricula should include telemedicine and India should rapidly extend training to practitioner. They determine that for low- and middle-income countries (LMIC), including India, positive externalities of investing in telemedicine are ample, thus use of this option can render healthcare more accessible and equitable in future.

摘要

在 COVID-19 大流行期间,印度全国范围内近 12 周的封锁限制了人们获得常规医疗服务的机会。作为一项政策应对措施,负责管理印度远程医疗的印度卫生与家庭福利部迅速发布了印度第一部远程医疗使用指南。作者认为:指南必须扩大范围,以解决使用隐私、患者数据及其存储方面的道德问题;互联网接入有限以及电信基础设施薄弱,这对远程医疗的广泛采用构成挑战;只有同时改进这两方面,远程医疗的使用才会公平;印度的医学教育课程应包括远程医疗,印度应迅速扩大对从业者的培训。他们断定,对于包括印度在内的中低收入国家(LMIC)来说,投资远程医疗的外部正效应是充足的,因此,利用这一选择可以使未来的医疗保健更便于获取且更加公平。

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