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远程药学服务在非洲农村社区的有效性:一项范围综述

Effectiveness of Telepharmacy in Rural Communities in Africa: A Scoping Review.

作者信息

Nwachuya Chukwuemeka Augustine, Umeh Anthony Uche, Ogwurumba Jennifer Chinaza, Chinedu-Eze Ifunanya Ngozi, Azubuike Chukwunenye Christopher, Isah AbdulMuminu

机构信息

Department of Clinical Pharmacy and Pharmacy Management, University of Nigeria, Nsukka, Nigeria.

Faculty of Pharmacy, University of Benin, Benin City, Nigeria.

出版信息

J Pharm Technol. 2023 Oct;39(5):241-246. doi: 10.1177/87551225231190567. Epub 2023 Aug 17.

Abstract

This review examined the effectiveness of telepharmacy in rural communities in Africa to identify the barriers that hinder its implementation and integration as well as highlight the gaps in the existing research on telepharmacy. PubMed and Google Scholar search (2008-2023) was conducted using keywords related to telepharmacy, telemedicine, telehealth, and rural communities. The inclusion criteria for the review include peer-reviewed articles published in English language and studies that focus on the implementation and evaluation of telepharmacy in rural communities. In all articles used, access to quality health care in rural communities has been a persistent challenge in Africa. Digital technologies such as telemedicine, telepharmacy, and artificial intelligence were reported to have emerged as promising solutions to improve health care access and outcomes in rural communities. Telepharmacy, in particular, has the potential to provide medication-related services to patients irrespective of one's location. However, the implementation of telepharmacy in Africa has been slow, and there are several barriers affecting its integration and adoption in rural communities that include access to technology, limited infrastructure, and regulatory challenges. Gaps and limitations in the existing research on telepharmacy in rural communities were highlighted from the articles. Telepharmacy can improve health care access and outcomes in rural communities by bridging the gap between pharmacists and patients. However, the lack of infrastructure, inadequate funding, and regulatory challenges pose significant barriers to its implementation. Future research should focus on addressing these challenges and exploring the potential of telepharmacy to improve health care in rural communities in Africa.

摘要

本综述考察了远程药学在非洲农村社区的有效性,以确定阻碍其实施和整合的障碍,并突出远程药学现有研究中的差距。利用与远程药学、远程医疗、远程健康和农村社区相关的关键词,在PubMed和谷歌学术上进行了检索(2008 - 2023年)。该综述的纳入标准包括以英文发表的同行评议文章以及专注于农村社区远程药学实施和评估的研究。在所有使用的文章中,非洲农村社区获得优质医疗保健一直是一项持续存在的挑战。据报道,远程医疗、远程药学和人工智能等数字技术已成为改善农村社区医疗保健可及性和成果的有前景的解决方案。特别是远程药学,有潜力为患者提供与药物相关的服务,而不论其位置如何。然而,远程药学在非洲的实施一直很缓慢,在农村社区存在若干影响其整合和采用的障碍,包括技术获取、基础设施有限和监管挑战。文章突出了农村社区远程药学现有研究中的差距和局限性。远程药学可以通过弥合药剂师与患者之间的差距来改善农村社区的医疗保健可及性和成果。然而,缺乏基础设施、资金不足和监管挑战对其实施构成了重大障碍。未来的研究应专注于应对这些挑战,并探索远程药学改善非洲农村社区医疗保健的潜力。

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