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应对 COVID-19 大流行的卫生创新:来自东地中海区域的观点。

Health innovations in response to the COVID-19 pandemic: perspectives from the Eastern Mediterranean Region.

机构信息

Public Health and Community Medicine, Faculty of Medicine, Cairo University, Cairo, 12613, Egypt.

WHO Regional Office for the Eastern Mediterranean, Cairo, 11371, Egypt.

出版信息

J Public Health (Oxf). 2023 Jun 14;45(2):470-480. doi: 10.1093/pubmed/fdac113.

Abstract

BACKGROUND

This paper aims to document the numerous health innovations developed in response to the COVID-19 crisis in the Eastern Mediterranean Region (EMR) using a scoping review approach.

METHODS

A literature search was conducted using PubMed, the Eastern Mediterranean Health Journal, the Index Medicus for EMR to identify peer-reviewed articles between December 2019 and November 2020 and WHO and ministries of health websites for grey literature. Following an initial review, full-text screening identified studies reporting on health innovations in response to the COVID-19 pandemic in the region.

RESULTS

This review describes 82 health innovations reported from 20 countries across the region: 80% (n = 66) were digital and technology-based products and services including health care delivery (n = 25), public health informatics (n = 24) and prevention (n = 17); 20% (n = 16) were innovative processes including health care delivery (n = 8), educational programmes (n = 6) and community engagement (n = 2).

CONCLUSION

The speed with which these technologies were deployed in different contexts demonstrates their ease of adoption and manageability and thus can be considered as the most scalable. Strengthened frameworks to protect users' privacy, documentation and evaluation of impact of innovations, and training of health care professionals are fundamental for promoting health innovations in the EMR.

摘要

背景

本研究采用范围综述方法,旨在记录在应对 COVID-19 危机过程中在东地中海区域(EMR)开发的众多卫生创新。

方法

使用 PubMed、《东地中海卫生杂志》、《EMR 医学索引》对 2019 年 12 月至 2020 年 11 月间的同行评议文献进行检索,并对世界卫生组织和各国卫生部网站的灰色文献进行检索。在初步审查后,对全文筛选确定了报告该区域针对 COVID-19 大流行的卫生创新的研究。

结果

本综述描述了该区域 20 个国家报告的 82 项卫生创新:80%(n=66)为数字和技术产品及服务,包括医疗保健提供(n=25)、公共卫生信息学(n=24)和预防(n=17);20%(n=16)为创新流程,包括医疗保健提供(n=8)、教育计划(n=6)和社区参与(n=2)。

结论

这些技术在不同背景下的快速部署表明它们易于采用和管理,因此可以被认为是最具可扩展性的。加强保护用户隐私、创新影响的记录和评估,以及对卫生保健专业人员的培训的框架,对于促进 EMR 中的卫生创新至关重要。

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