mHealth and infectious disease: The opportunity for public health departments to treat tuberculosis remotely

L. Ritter, M. Kwong, Laura M. Nasseri
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Abstract

Results: There were 113 qualified respondents. Seventy-six percent (n=86) of respondents were using, implementing, or planning to use eDOT. Reported benefits were high and centered on patient and provider satisfaction, cost savings, and staff safety. Medication adherence and treatment completion rates of eDOT users were reported to be about the same or higher when compared to in-person DOT users. The primary technical concern about eDOT was internet connectivity; Health Insurance Portability and Accountability and confidentiality were the highest reported legal concerns. A majority of the respondents indicated that no reimbursement existed for eDOT or in-person DOT.
移动医疗和传染病:公共卫生部门远程治疗肺结核的机会
结果:有113名合格的被调查者。76% (n=86)的受访者正在使用、实施或计划使用eDOT。报告的收益很高,主要集中在患者和提供者满意度、成本节约和员工安全方面。据报道,与现场DOT使用者相比,eDOT使用者的药物依从性和治疗完成率大致相同或更高。eDOT的主要技术问题是互联网连接;健康保险可携带性、问责制和保密性是报告的最高法律关切问题。大多数受访者表示,没有报销的电子DOT或亲自DOT。
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