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云视野:通过远程医疗的数字覆盖加强农村医疗保健

Cloud Horizons: Strengthening Rural Healthcare Through Telemedicine's Digital Canopy.

作者信息

Kitole Felician Andrew, Shukla Sameer

机构信息

Department of Economics, Mzumbe University, Morogoro, Tanzania.

Lead Software Engineer, IntraEdge Inc, Irving, TX, USA.

出版信息

Health Serv Insights. 2024 Sep 28;17:11786329241284401. doi: 10.1177/11786329241284401. eCollection 2024.

Abstract

INTRODUCTION

Cloud-based telemedicine holds promise for improving healthcare accessibility and delivery, particularly in rural areas of developing countries like Tanzania. However, little is known about its determinants and benefits in such contexts. This study investigates the factors influencing the usage of telemedicine in Mvomero district, Morogoro region, Tanzania, focusing on both supply and demand sides.

METHOD

Using structured interviews and key informant interviews, the study examines various cloud-based telemedicine platforms, including remote monitoring, electronic health records, cloud-based storage, and machine learning algorithms. The study used descriptive statistics to analyze quantitative data, while thematic analysis was used to analyze qualitative data.

RESULTS

Results reveal several factors influencing telemedicine usage. On the demand side, perceived benefits (53.96%), technology cost (62.79%), legal practices (62.79%), and resource availability and affordability (49.77%) are crucial. On the supply side, technological innovation (35%) and access to financial resources (43%) play pivotal roles. Environmental and institutional factors such as political willingness (38%) and regulatory support (34%) also impact telemedicine usage. Moreover, results reveal that cloud-based telemedicine platforms in rural healthcare facilities have several benefits including improved access (32.74% to 57.44%), cost efficiency (37.88% to 54.82%), timely consultations (56.83% to 65.21%), health monitoring, and prescription management (43.89% to 75.90%). Private facilities particularly emphasize health monitoring.

CONCLUSION

Adopting telemedicine technologies can revolutionize rural healthcare by providing customized and easily accessible services. Policymakers can use these findings to develop targeted strategies, including subsidized infrastructure, innovative financing models, and clear regulatory frameworks. Clear guidelines on data transfer and privacy are essential to ensure legal compliance and equitable access to telemedicine benefits. Simplifying registration requirements and implementing explicit consent mechanisms are recommended to address data privacy concerns. These measures aim to promote operational efficiency, data safety, and enhanced health outcomes in resource-limited settings.

摘要

引言

基于云的远程医疗有望改善医疗服务的可及性和提供方式,尤其是在坦桑尼亚等发展中国家的农村地区。然而,对于其在这种背景下的决定因素和益处,人们了解甚少。本研究调查了影响坦桑尼亚莫罗戈罗地区姆沃梅罗区远程医疗使用的因素,重点关注供需双方。

方法

该研究通过结构化访谈和关键信息提供者访谈,考察了各种基于云的远程医疗平台,包括远程监测、电子健康记录、云存储和机器学习算法。研究使用描述性统计分析定量数据,同时采用主题分析来分析定性数据。

结果

结果揭示了影响远程医疗使用的几个因素。在需求方面,感知到的益处(53.96%)、技术成本(62.79%)、法律实践(62.79%)以及资源可用性和可承受性(49.77%)至关重要。在供应方面,技术创新(35%)和获得财政资源(43%)发挥着关键作用。政治意愿(38%)和监管支持(34%)等环境和制度因素也会影响远程医疗的使用。此外,结果显示农村医疗机构中的基于云的远程医疗平台有诸多益处,包括改善可及性(32.74%至57.44%)、成本效益(37.88%至54.82%)、及时会诊(56.83%至65.21%)、健康监测和处方管理(43.89%至75.90%)。私立医疗机构尤其强调健康监测。

结论

采用远程医疗技术可以通过提供定制化且易于获取的服务,给农村医疗带来变革。政策制定者可利用这些研究结果制定有针对性的策略,包括补贴基础设施、创新融资模式和明确的监管框架。关于数据传输和隐私的明确指南对于确保法律合规以及公平获得远程医疗益处至关重要。建议简化注册要求并实施明确的同意机制,以解决数据隐私问题。这些措施旨在提高资源有限环境中的运营效率、数据安全性并改善健康结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab55/11439172/b0acb9054896/10.1177_11786329241284401-fig1.jpg

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