Suppr超能文献

迈向卒中护理数字化健康创新的公平之路。

Moving Towards Equity With Digital Health Innovations for Stroke Care.

机构信息

Department of Internal Medicine, David Geffen School of Medicine at UCLA (A.V., A.B., A.C.).

LA County Department of Health Services, Los Angeles, CA (A.T., A.A.).

出版信息

Stroke. 2022 Mar;53(3):689-697. doi: 10.1161/STROKEAHA.121.035307. Epub 2022 Feb 7.

Abstract

Digital health has long been championed as a means to expanding access to health care. Now that the COVID-19 pandemic accelerated many health systems' integration of digital tools for care, digital health may provide a path towards more accessible stroke prevention and treatment, particularly for historically disadvantaged patient populations. Stroke management is composed of multiple time points where digital health innovations have the potential to augment health access and treatment: from primary prevention, to the time-sensitive detection of ischemic stroke, administration of thrombolytic agents and consideration for endovascular interventions, to appropriate post-acute care, rehabilitation, and lifelong secondary stroke prevention-stroke care relies on a multidisciplinary and standardized approach. However, as we discuss pointedly in this Focused Update, underrepresented individuals face multilevel digital health disparities that potentially diminish the benefits of these digital advances. As such, these multilevel needs must be discussed and accounted for as health systems seek to integrate innovative and equitable digital health solutions towards stroke care.

摘要

数字健康长期以来一直被视为扩大医疗保健服务可及性的一种手段。如今,COVID-19 大流行加速了许多卫生系统整合数字工具进行护理,数字健康可能为更方便地预防和治疗中风提供了一条途径,特别是对于历史上处于不利地位的患者群体。中风管理由多个时间点组成,数字健康创新有可能增加获得医疗保健和治疗的机会:从初级预防,到对缺血性中风的时间敏感检测,施用溶栓药物并考虑血管内介入治疗,到适当的急性后护理、康复和终身二级中风预防——中风护理依赖于多学科和标准化的方法。然而,正如我们在本重点更新中明确讨论的那样,代表性不足的个人面临多层次的数字健康差距,这可能会降低这些数字进步的好处。因此,随着卫生系统寻求整合创新和公平的数字健康解决方案以实现中风护理,这些多层次的需求必须加以讨论和考虑。

相似文献

8
Could Telehealth Improve Equity During the COVID-19 Pandemic?远程医疗能否在 COVID-19 大流行期间改善公平性?
J Am Board Fam Med. 2021 Feb;34(Suppl):S225-S228. doi: 10.3122/jabfm.2021.S1.200229.
9
Stroke and digital technology: a wake-up call from COVID-19 pandemic.中风与数字技术:新冠疫情带来的警钟
Neurol Sci. 2021 Mar;42(3):805-809. doi: 10.1007/s10072-020-04993-3. Epub 2021 Jan 12.

引用本文的文献

8
Digital health in stroke: a narrative review.脑卒中的数字健康:叙述性综述。
Arq Neuropsiquiatr. 2024 Aug;82(8):1-10. doi: 10.1055/s-0044-1789201. Epub 2024 Aug 26.

本文引用的文献

6
Improving Access to Care: Telemedicine Across Medical Domains.改善医疗服务可及性:跨医学领域的远程医疗
Annu Rev Public Health. 2021 Apr 1;42:463-481. doi: 10.1146/annurev-publhealth-090519-093711.
8
Digital inclusion as a social determinant of health.数字包容作为健康的社会决定因素。
NPJ Digit Med. 2021 Mar 17;4(1):52. doi: 10.1038/s41746-021-00413-8.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验