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新冠疫情期间远程医疗在撒哈拉以南非洲地区的效用:一项快速综述

Utility of telemedicine in sub-Saharan Africa during the COVID-19 pandemic. A rapid review.

作者信息

Chitungo Itai, Mhango Malizgani, Mbunge Elliot, Dzobo Mathias, Musuka Godfrey, Dzinamarira Tafadzwa

机构信息

Department of Laboratory Diagnostics and Investigative Science, Faculty of Medicine and Health Sciences University of Zimbabwe Harare Zimbabwe.

School of Public Health University of Western Cape Cape Town South Africa.

出版信息

Hum Behav Emerg Technol. 2021 Dec;3(5):843-853. doi: 10.1002/hbe2.297. Epub 2021 Nov 2.

Abstract

Telemedicine is the use of technology to achieve remote care. This review looks at the utility of telemedicine during the pandemic, period March 2020 to February 2021. Eleven articles met inclusion criteria. There was moderate use of telemedicine in sub-Sahara Africa during the pandemic, however, there were also some limitations. Benefits of telemedicine include continuing medical service provision, connecting relatives with loved ones in quarantine, education, and awareness of mental health issues, and toxicovigilance and infection control. Challenges to the implementation of telemedicine on the continent were lack of supporting telemedicine framework and policies, digital barriers, and patient and healthcare personnel biases. To address these challenges, this article proposes the development of policy frameworks that fosters telemedicine use by all stakeholders, including medical insurance organizations, the introduction of telemedicine training of medical workers, educational awareness programs for the public, and improvement of digital platforms access and affordability.

摘要

远程医疗是利用技术实现远程护理。本综述探讨了2020年3月至2021年2月大流行期间远程医疗的效用。11篇文章符合纳入标准。在大流行期间,撒哈拉以南非洲对远程医疗的使用程度适中,但也存在一些局限性。远程医疗的好处包括持续提供医疗服务、让亲属与隔离中的亲人取得联系、开展教育以及提高对心理健康问题的认识,以及进行药物警戒和感染控制。在非洲大陆实施远程医疗面临的挑战包括缺乏支持远程医疗的框架和政策、数字障碍以及患者和医护人员的偏见。为应对这些挑战,本文建议制定政策框架,以促进包括医疗保险组织在内的所有利益相关者使用远程医疗,为医护人员开展远程医疗培训,为公众开展教育宣传项目,并提高数字平台的可及性和可承受性。

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Telehealth utilization during the Covid-19 pandemic: A systematic review.新冠疫情期间的远程医疗应用:一项系统综述。
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