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评估远程眼科在为服务不足人群提供眼科护理方面的效果:一项文献综述。

Evaluating the Efficacy of Teleophthalmology in Delivering Ophthalmic Care to Underserved Populations: A Literature Review.

作者信息

Dolar-Szczasny Joanna, Barańska Agnieszka, Rejdak Robert

机构信息

Chair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, 20-079 Lublin, Poland.

Department of Medical Informatics and Statistics with E-Learning Laboratory, Medical University of Lublin, 20-090 Lublin, Poland.

出版信息

J Clin Med. 2023 Apr 27;12(9):3161. doi: 10.3390/jcm12093161.

Abstract

Technological advancement has brought commendable changes in medicine, advancing diagnosis, treatment, and interventions. Telemedicine has been adopted by various subspecialties including ophthalmology. Over the years, teleophthalmology has been implemented in various countries, and continuous progress is being made in this area. In underserved populations, due to socioeconomic factors, there is little or no access to healthcare facilities, and people are at higher risk of eye diseases and vision impairment. Transportation is the major hurdle for these people in obtaining access to eye care in the main hospitals. There is a dire need for accessible eye care for such populations, and teleophthalmology is the ray of hope for providing eye care facilities to underserved people. Numerous studies have reported the advantages of teleophthalmology for rural populations such as being cost-effective, timesaving, reliable, efficient, and satisfactory for patients. Although it is being practiced in urban populations, for rural populations, its benefits amplify. However, there are certain obstacles as well, such as the cost of equipment, lack of steady electricity and internet supply in rural areas, and the attitude of people in certain regions toward acceptance of teleophthalmology. In this review, we have discussed in detail eye health in rural populations, teleophthalmology, and its effectiveness in rural populations of different countries.

摘要

技术进步给医学带来了值得称赞的变革,推动了诊断、治疗及干预手段的发展。远程医疗已被包括眼科在内的各个亚专业所采用。多年来,远程眼科已在各国得以实施,并且该领域正在不断取得进展。在医疗服务不足的人群中,由于社会经济因素,他们很少或根本无法获得医疗保健设施,因而患眼疾和视力损害的风险更高。交通是这些人前往主要医院接受眼科护理的主要障碍。这类人群迫切需要可及的眼科护理,而远程眼科是为医疗服务不足的人群提供眼科护理设施的希望之光。众多研究报告了远程眼科对农村人口的优势,比如具有成本效益、节省时间、可靠、高效且让患者满意。尽管它也在城市人口中得到应用,但对于农村人口而言,其益处更为显著。然而,也存在一些障碍,比如设备成本、农村地区缺乏稳定的电力和互联网供应,以及某些地区人们对接受远程眼科的态度。在这篇综述中,我们详细讨论了农村人口的眼部健康、远程眼科及其在不同国家农村人口中的有效性。

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