Telemedicine and Pediatric Care in Rural and Remote Areas of Middle-and-Low-Income Countries: Narrative Review.

IF 3.8 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Yossef Alnasser, Alvaro Proaño, Christine Loock, John Chuo, Robert H Gilman
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引用次数: 0

Abstract

Objectives: Caring for children in low- and middle-income countries (LMIC) can be challenging. This review article aims to explore role of telemedicine in supporting pediatric care in LMIC.

Methodology: A narrative review of existing English and Spanish literature was conducted to assess role of telemedicine to support pediatric care in LMIC.

Results: Beside medical education and direct pediatric care, telemedicine can provide sub-specialties consultations without extra burden on families. Additionally, telemedicine can help in lowering under-5 mortality by supporting neonatal care, infectious illnesses, and non-communicable diseases (NCDs). Telemedicine can be a gate for universal coverage for all children at a lower cost. For over a decade, it has been implemented successfully and sustained in a few LMIC. However, challenges in implementing telemedicine are enormous. Still, opportunities arise by using simpler technology, low-width band internet, smartphones, instant messaging applications and solar energy. COVID-19 pandemic facilitated acceptance and applicability of telemedicine worldwide including LMIC. Nevertheless, governments must regulate telemedicine by issuing policies and ensuring employment of local experts when possible to meet local resources and cultural competency.

Conclusion: Telemedicine has proven successful in improving pediatrics care. Many LMIC should take advantage of this innovation to promote equity and access to high quality pediatric care.

中低收入国家农村和偏远地区的远程医疗和儿科护理:叙述性评论。
目标:为中低收入国家(LMIC)的儿童提供护理具有挑战性。这篇综述文章旨在探讨远程医疗在支持中低收入国家儿科护理方面的作用:方法:对现有的英文和西班牙文文献进行叙述性综述,以评估远程医疗在支持低收入和中等收入国家儿科护理方面的作用:结果:除了医学教育和直接儿科护理外,远程医疗还能提供亚专科会诊,不会给家庭带来额外负担。此外,远程医疗还可以通过支持新生儿护理、传染病和非传染性疾病(NCDs)来帮助降低 5 岁以下儿童的死亡率。远程医疗可以成为以较低成本覆盖所有儿童的一个途径。十多年来,远程医疗已在一些低收入和中等收入国家成功实施并得以持续。然而,实施远程医疗面临巨大挑战。不过,通过使用更简单的技术、低宽带互联网、智能手机、即时通讯应用程序和太阳能,机会还是出现了。COVID-19 大流行促进了远程医疗在全球(包括低收入和中等收入国家)的接受和应用。然而,政府必须通过发布政策来规范远程医疗,并确保在可能的情况下聘用当地专家,以满足当地资源和文化能力的需要:事实证明,远程医疗在改善儿科护理方面取得了成功。结论:事实证明,远程医疗在改善儿科护理方面取得了成功,许多低收入和中等收入国家应利用这一创新来促进公平和获得高质量的儿科护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
10.70
自引率
1.40%
发文量
57
审稿时长
19 weeks
期刊介绍: The Journal of Epidemiology and Global Health is an esteemed international publication, offering a platform for peer-reviewed articles that drive advancements in global epidemiology and international health. Our mission is to shape global health policy by showcasing cutting-edge scholarship and innovative strategies.
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