Islam Rafiqul, Kikuchi Kimiyo, Sato Yoko, Izukura Rieko, Jahan Nusrat, Sultana Nazneen, Nessa Meherun, Yokota Fumihiko, Nishikitani Mariko, Ahmed Ashir, Nakashima Naoki
Medical Information Center, Kyushu University Hospital, Japan.
Graduate School of Medical Science, Kyushu University, Japan.
Stud Health Technol Inform. 2021 Dec 15;284:130-134. doi: 10.3233/SHTI210684.
The number of deaths of a mother and child caused by maternal and child healthcare (MCH) issues has been greatly decreased recently, but still, the number is extremely high especially in developing countries. Although the governments have been given a priority in this issue, the lack of financial and human resources brings a limit. Thus, the use of low-cost but appropriate technology is required. Portable Health Clinic (PHC), a telemedicine system developed for providing primary healthcare, is such a technology. This study aimed to address this MCH issue with the aid of a low-cost PHC service involving a continuum-of-care protocol to the rural communities of Bangladesh. Moreover, this study introduces a triage protocol to distinguish high-risk patients from the early stage of the continuum of care who need special care and refer to specialized physicians to prevent unwanted deaths.
母婴保健（MCH）问题导致的母婴死亡人数最近已大幅下降，但即便如此，这一数字仍然极高，尤其是在发展中国家。尽管政府已将此问题列为优先事项，但资金和人力资源的匮乏带来了限制。因此，需要使用低成本但适用的技术。便携式健康诊所（PHC）是一种为提供初级医疗保健而开发的远程医疗系统，就是这样一种技术。本研究旨在借助一项低成本的PHC服务来解决这一母婴保健问题，该服务涉及针对孟加拉国农村社区的连续护理协议。此外，本研究引入了一种分诊协议，以便在连续护理的早期阶段识别出需要特殊护理的高危患者，并将其转诊给专科医生，以防止意外死亡。
