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采用远程医疗服务进行淋巴水肿护理:来自印度本地治里丝虫病管理诊所的见解。

Adopting telehealth service for lymphedema care: Insights from a Filariasis Management Clinic, Puducherry, India.

作者信息

Choolayil Anoop C, Anandhan Malarvizhi, Elangovan Nileshkumar, Paranthaman Sadhishkumar, Sadhasivam Anbusivam, Kuttiatt Vijesh Sreedhar

机构信息

Unit of Clinical and Molecular Medicine, ICMR - Vector Control Research Centre, Indira Nagar, Puducherry, India.

出版信息

Digit Health. 2025 Mar 24;11:20552076251326145. doi: 10.1177/20552076251326145. eCollection 2025 Jan-Dec.

Abstract

Lymphatic filariasis (LF) is a neglected tropical disease affecting communities in tropical and subtropical regions marked by poor socio-economic conditions. Regular hospital-based follow-up and home-based Morbidity Management and Disability Prevention (MMDP) are below par among LF patients due to reasons ranging from travelling costs to stigma. Telehealth interventions are suggested as a promising adjunct tool in such scenarios, integrating medical expertise and accessibility, but rarely used for LF. This article reflects on the insights from an LF clinic on the potential of telehealth interventions in enabling patients to access medical care and improving their home-based MMDP. Despite challenges like poor digital literacy and access to technology, the telehealth service facilitated remote consultations and dissemination of educational materials, allowing clinicians to monitor patient conditions and provide necessary medical guidance. The approach has shown substantial potential in improving lymphedema care, particularly in resource-limited settings, by offering a feasible solution to the barriers faced by traditional healthcare delivery. The pilot program underscores the importance of continued research and adaptation to optimize telehealth interventions for chronic disease management, ensuring comprehensive and accessible care for underserved populations.

摘要

淋巴丝虫病(LF)是一种被忽视的热带疾病,影响着热带和亚热带地区社会经济条件较差的社区。由于从交通成本到耻辱感等各种原因,在淋巴丝虫病患者中,基于医院的定期随访以及居家发病率管理和残疾预防(MMDP)的情况都不尽如人意。在这种情况下,远程医疗干预被认为是一种有前景的辅助工具,它整合了医疗专业知识和可及性,但很少用于淋巴丝虫病。本文反思了一家淋巴丝虫病诊所关于远程医疗干预在使患者获得医疗服务以及改善其居家MMDP方面潜力的见解。尽管存在数字素养低和难以获取技术等挑战,但远程医疗服务促进了远程会诊和教育材料的传播,使临床医生能够监测患者状况并提供必要的医疗指导。该方法在改善淋巴水肿护理方面显示出巨大潜力,特别是在资源有限的环境中,为传统医疗服务所面临的障碍提供了可行的解决方案。该试点项目强调了持续研究和调整以优化远程医疗干预用于慢性病管理的重要性,确保为服务不足的人群提供全面且可及的护理。

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Telehealth.远程医疗
N Engl J Med. 2017 Oct 19;377(16):1585-1592. doi: 10.1056/NEJMsr1503323.

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