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Examining and Addressing Telemedicine Disparities Through the Lens of the Social Determinants of Health: A Qualitative Study of Patient and Provider During the COVID-19 Pandemic.通过健康的社会决定因素视角审视和解决远程医疗差距:COVID-19 大流行期间患者和提供者的定性研究。
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2
Telehealth Policy and the Advanced Practice Nurse.远程医疗政策与高级执业护士
J Nurse Pract. 2023 Jul-Aug;19(7):104655. doi: 10.1016/j.nurpra.2023.104655. Epub 2023 May 20.
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Telehealth as a Means of Enabling Health Equity.远程医疗作为实现健康公平的手段。
Yearb Med Inform. 2022 Aug;31(1):60-66. doi: 10.1055/s-0042-1742500. Epub 2022 Jun 2.
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Digital disparities: designing telemedicine systems with a health equity aim.数字鸿沟:以公平健康为目标设计远程医疗系统。
Emerg Med J. 2021 Jun;38(6):474-476. doi: 10.1136/emermed-2020-210896. Epub 2021 Mar 4.
5
Telemedicine in the United States: An Introduction for Students and Residents.美国的远程医疗:给学生和住院医师的介绍
J Med Internet Res. 2020 Nov 24;22(11):e20839. doi: 10.2196/20839.

远程医疗对健康公平性的采用与影响:来自牙买加背景的叙事性综述

The Adoption and Impact of Telemedicine on Health Equity: A Narrative Review From the Jamaican Context.

作者信息

Wishart Annetta V, Hamouda Ranim K, Elsaady Entesar, Aslam Muhammad Rizwan, Perala Alekya, Khan Safeera

机构信息

Research, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.

出版信息

Cureus. 2024 Sep 18;16(9):e69650. doi: 10.7759/cureus.69650. eCollection 2024 Sep.

DOI:10.7759/cureus.69650
PMID:39301454
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11412623/
Abstract

Telemedicine rose to popularity during the coronavirus disease 2019 (COVID-19) pandemic but is yet to be fully developed. Hence, this study explores the current status of telehealth in Jamaica, looking at its benefits, challenges with its implementation, the regulatory landscape, and solutions to using this technology. Due to the limited research on this topic, a majority of the sources utilized were gray literature with qualitative and quantitative studies. This review seeks to transform policy and practice, promoting telemedicine as a feasible solution for improving Jamaica's healthcare quality and access. By comparing telemedicine in Jamaica to a more developed nation like the United States, the review highlights not only benefits but also major challenges, including healthcare disparities due to the digital divide, less advanced technology, privacy breaches, and significant financing required for telemedicine infrastructure, among other barriers to its integration. The analysis advocates for improvement in various areas, such as cybersecurity measures, advanced training for healthcare professionals, further investments in technological infrastructure, refinement of regulatory frameworks and policies, and incorporation of community-based initiatives. This investigation further highlights the need for additional research to gain insights and a broader perspective.

摘要

远程医疗在2019冠状病毒病(COVID-19)大流行期间开始流行,但尚未得到充分发展。因此,本研究探讨了牙买加远程医疗的现状,考察了其益处、实施过程中的挑战、监管环境以及使用该技术的解决方案。由于关于这一主题的研究有限,所使用的大部分资料来源都是定性和定量研究的灰色文献。本综述旨在改变政策和实践,推动远程医疗成为改善牙买加医疗质量和可及性的可行解决方案。通过将牙买加的远程医疗与美国等更发达的国家进行比较,该综述不仅突出了益处,还强调了主要挑战,包括数字鸿沟导致的医疗保健差距、技术不够先进、隐私泄露以及远程医疗基础设施所需的大量资金等其整合的其他障碍。该分析主张在网络安全措施、医疗保健专业人员的高级培训、对技术基础设施的进一步投资、监管框架和政策的完善以及纳入基于社区的举措等各个领域进行改进。这项调查进一步强调了进行更多研究以获取见解和更广阔视角的必要性。