Kwan Su Huey Alicia, Sengar Aman Singh, Kazan Zeinab, Choudhary Karan, Patel Raj Pravin, Wojtara Magda, Uwishema Olivier
Department of Research and Education Oli Health Magazine Organization, Research and Education Kigali Rwanda.
Department of General Medicine Southampton General Hospital Southampton UK.
Health Sci Rep. 2024 Dec 18;7(12):e70264. doi: 10.1002/hsr2.70264. eCollection 2024 Dec.
In Africa, telemedicine holds great potential to revolutionize surgical care delivery, especially in areas where access to quality treatment is scarce. Data about the use of these services in African countries is, however, limited. To outline the present issues in surgical care delivery, as well as the significant role of telemedicine in advancing surgical care delivery in Africa. This review will also discuss the challenges behind telemedicine utilization in Africa, and recommend targeted measures to address those barriers while promoting the enhanced integration of telemedicine into surgical care delivery.
A comprehensive online literature search was conducted using several search engines, including PubMed, ScienceDirect, and Google Scholar to assess the potential advantages of telemedicine over traditional surgical practices in Africa, as well as to identify the challenges hindering its implementation. The literature review examined the role of nongovernmental organizations in promoting telemedicine adoption across various African countries. Literature search terms include "countries of Africa," "impact of telesurgery and telemedicine in Africa," and "current situation of telemedicine in intervention." Only articles written in English were considered, and inclusion criteria included relevance to our research objectives and countries in Africa.
The potential for telesurgery in Saharan and sub-Saharan countries is still a milestone to be unlocked, but already telemedicine implementation has shown great results. Although hindrances like trust, lack of infrastructure, and lack of trained personnel in the field of telecommunication have been issues. There is a rise in the use of telemedicine in areas of interest like postsurgical care, doctor-patient consultation, and tele-monitoring. Various schemes and plans implemented by public organizations have also peaked since the pandemic. A telemedicine establishment requires multifactorial development occurring in a step-by-step manner. Although complexity in development and barriers faced in countries in Africa are concerns, the outcomes of using telemedicine are considerably better. The rising population and lack of medical specialists have led to a gap in access to approachable surgical care, and telemedicine has shown promising potential to overcome it.
Telemedicine implementation has changed the method of intervention in clinics all over the world. Implementation of parts of telemedicine like telesurgery and tele-monitoring has the potential to overcome the concern of a rising population, but there is still a long way to go.
在非洲,远程医疗在变革外科护理服务方面具有巨大潜力,尤其是在优质治疗资源匮乏的地区。然而,关于这些服务在非洲国家使用情况的数据有限。为概述外科护理服务中的当前问题,以及远程医疗在推进非洲外科护理服务方面的重要作用。本综述还将讨论非洲远程医疗应用背后的挑战,并推荐针对性措施以解决这些障碍,同时促进远程医疗更好地融入外科护理服务。
使用多个搜索引擎进行全面的在线文献检索,包括PubMed、ScienceDirect和谷歌学术,以评估远程医疗相对于非洲传统外科手术的潜在优势,以及识别阻碍其实施的挑战。文献综述考察了非政府组织在促进非洲各国采用远程医疗方面的作用。文献检索词包括“非洲国家”“远程手术和远程医疗在非洲的影响”以及“远程医疗在干预中的现状”。仅考虑用英文撰写的文章,纳入标准包括与我们的研究目标及非洲国家相关。
撒哈拉和撒哈拉以南国家的远程手术潜力仍是有待开启的里程碑,但远程医疗的实施已显示出巨大成果。尽管信任、缺乏基础设施以及电信领域缺乏专业人员等障碍一直存在问题。在术后护理、医患咨询和远程监测等感兴趣的领域,远程医疗的使用有所增加。自疫情以来,公共组织实施的各种计划和方案也达到了顶峰。远程医疗机构需要多因素逐步发展。尽管非洲国家在发展中面临复杂性和障碍令人担忧,但使用远程医疗的效果相当不错。人口增长和医学专家短缺导致了可及的外科护理服务存在差距,而远程医疗已显示出克服这一差距的可观潜力。
远程医疗的实施改变了全球诊所的干预方式。远程手术和远程监测等部分远程医疗的实施有潜力克服对人口增长的担忧,但仍有很长的路要走。