Ye Jiancheng
Weill Cornell Medicine, New York, NY, United States.
JAMIA Open. 2024 May 30;7(2):ooae047. doi: 10.1093/jamiaopen/ooae047. eCollection 2024 Jul.
Telehealth or remote care has been widely leveraged to provide health care support and has achieved tremendous developments and positive results, including in low- and middle-income countries (LMICs). Social networking platform, as an easy-to-use tool, has provided users with simplified means to collect data outside of the traditional clinical environment. WeChat, one of the most popular social networking platforms in many countries, has been leveraged to conduct telehealth and hosted a vast amount of patient-generated health data (PGHD), including text, voices, images, and videos. Its characteristics of convenience, promptness, and cross-platform support enrich and simplify health care delivery and communication, addressing some weaknesses of traditional clinical care during the pandemic. This study aims to systematically summarize how WeChat platform has been leveraged to facilitate health care delivery and how it improves the access to health care.
Utilizing Levesque's health care accessibility model, the study explores WeChat's impact across 5 domains: Approachability, Acceptability, Availability and accommodation, Affordability, and Appropriateness.
The findings highlight WeChat's diverse functionalities, ranging from telehealth consultations and remote patient monitoring to seamless PGHD exchange. WeChat's integration with health tracking apps, support for telehealth consultations, and survey capabilities contribute significantly to disease management during the pandemic.
The practices and implications from WeChat may provide experiences to utilize social networking platforms to facilitate health care delivery. The utilization of WeChat PGHD opens avenues for shared decision-making, prompting the need for further research to establish reporting guidelines and policies addressing privacy and ethical concerns associated with social networking platforms in health research.
远程医疗或远程护理已被广泛用于提供医疗保健支持,并取得了巨大发展和积极成果,包括在低收入和中等收入国家(LMICs)。社交网络平台作为一种易于使用的工具,为用户提供了在传统临床环境之外收集数据的简化方式。微信是许多国家最受欢迎的社交网络平台之一,已被用于开展远程医疗,并托管了大量患者生成的健康数据(PGHD),包括文本、语音、图像和视频。其便捷、即时和跨平台支持的特点丰富并简化了医疗保健服务和沟通,弥补了疫情期间传统临床护理的一些不足。本研究旨在系统总结微信平台如何被用于促进医疗保健服务,以及它如何改善医疗保健的可及性。
该研究利用莱韦斯克的医疗保健可及性模型,探讨微信在五个领域的影响:可接近性、可接受性、可用性和适应性、可承受性以及适当性。
研究结果突出了微信的多种功能,从远程医疗咨询、远程患者监测到无缝的PGHD交换。微信与健康追踪应用程序的整合、对远程医疗咨询的支持以及调查功能,在疫情期间对疾病管理做出了重大贡献。
微信的实践和启示可能为利用社交网络平台促进医疗保健服务提供经验。微信PGHD的利用为共同决策开辟了道路,促使需要进一步研究,以建立解决健康研究中与社交网络平台相关的隐私和伦理问题的报告指南和政策。