Health Policy and Technology最新文献

{"title":"Factors affecting the use of magnetic resonance imaging in a Southern European region: a qualitative study","authors":"Yolanda González-Rábago ,&nbsp;Erika Valero ,&nbsp;Paola Bully ,&nbsp;Pedro Latorre ,&nbsp;Begoña Fernandez-Ruanova","doi":"10.1016/j.hlpt.2023.100816","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100816","url":null,"abstract":"<div><h3>Objectives</h3><p>The use of Magnetic Resonance Imaging (MRI) has increased significantly in recent years. Superior diagnostic capability and extension of criteria for the performance of MRI may explain this increase, but there are also non-clinical factors that influence doctors’ decisions. We aim to describe the views of doctors in the Basque Country (Spain) regarding factors affecting MRI orders.</p></div><div><h3>Methods</h3><p>We conducted a qualitative study using semi-structured interviews with doctors based on intentional sampling to cover a diverse range of interviewees according to personal and professional characteristics (sex, workplace, post of responsibility). We analyzed transcript content using an inductive approach.</p></div><div><h3>Results</h3><p>Factors identified by doctors were classified into three themes: 1) superior diagnostic capability of the MRI compared to other imaging modalities has favoured MRI use and inclusion in Clinical Practice Guidelines; 2) patient demands, owing to lower trust and acceptance of doctors’ judgment than to technology-based medicine, leads to patient-doctor relationships that result unnecessary MRI test; 3) structural or contextual aspects of the health system, such as excessive rotation of doctors or a lack of time to carry out a thorough patient examination, which disempower doctors and favour overuse.</p></div><div><h3>Conclusions</h3><p>Doctors identified non-clinical factors that affect MRI use and that lead to unintended consequences both for the healthcare system and for patients. We recommend an organizational approach to give doctors enough resources to overcome non-clinical factors that lead to excessive MRI orders in order to optimize its use.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The opportunities and challenges of women's digital health: A research agenda","authors":"Caroline A Figueroa ,&nbsp;Josephine Sundqvist ,&nbsp;Sunjoy Mathieu ,&nbsp;Nasim Farrokhnia ,&nbsp;Diane Nevin ,&nbsp;Sarah Wamala Andersson","doi":"10.1016/j.hlpt.2023.100814","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100814","url":null,"abstract":"","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"E-Prescription: A practical application of information and communications technology in perspective of Bangladesh","authors":"M. A. Khan, Md. Rabiul Islam, Asif Rahman, Afsana Mim, Rasel Ahmmed","doi":"10.1016/j.hlpt.2023.100810","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100810","url":null,"abstract":"The healthcare management authorities are responsible for delivering convenient services to the patients. The traditional healthcare management system is quite old and impractical in many cases, including a physical visit. Additionally, the COVID-19 epidemic makes the existing system unattainable, which creates an uncomfortable situation for visiting doctor's chambers that is risky both for doctors and patients. An electronic-prescription (e-prescription) management system can switch the existing one to the online appointment and doctor consulting system. Many developed countries have already adopted such e-prescription management systems, although low-and-middle-income countries (LMICs) like Bangladesh are apathetic. So implementing e-prescription management systems in all countries, including Bangladesh, is the demand of time, especially when information and communication technologies (ICT) are at hand. We design, develop and test an ICT-based online doctor and patient management system utilizing the latest software and web development tools. In the developed e-prescription management system, the patient can visit their profile to make an appointment according to their need and doctor's availability. After that, the patient consults with the doctor based on the appointment's approval by the admin panel. Finally, the patient receives an online e-prescription and collects the medicine from a registered pharmacy with access to the online e-prescription. The e-prescription management system records patient history, including e-prescription, making handling patients easy. The proper use of the developed e-prescription management system will solve many existing problems of the existing healthcare management system, including many concerns that arise due to the advent of COVID-19.","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134934267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"VALIDATE approach on medication adequacy clinical decision support systems: Holistic assessment for optimal technology adoption","authors":"Carla Fernández-Barceló ,&nbsp;Elena Calvo-Cidoncha ,&nbsp;Laura Sampietro-Colom","doi":"10.1016/j.hlpt.2023.100811","DOIUrl":"https://doi.org/10.1016/j.hlpt.2023.100811","url":null,"abstract":"<div><h3>Introduction</h3><p>Lately, Health Technology Assessment (HTA) has narrowed its scope to analyses of mainly clinical and economic benefits. Recent challenges emphasize the need for holistic assessments to obtain accurate recommendations for decision-making considering empirical facts and stakeholder's values. VALIDATE approach considers stakeholder's views and empirical facts allowing for more comprehensive HTAs. This study frames the assessment for clinical decision support systems (CDSS) using VALIDATE.</p></div><div><h3>Methods</h3><p>A systematic review of the literature was conducted to gather evidence on the CDSS's effectiveness and published stakeholder perspectives. Considering the retrieved information, semi-structured interviews with stakeholders were conducted to uncover issues around CDSSs such as problem definition regarding the occurrence of medication errors, judgement of existing preventive methods and previous experiences with CDSSs, background theories regarding thoughts on future impact and personal beliefs, and barriers/facilitators for implementation.</p></div><div><h3>Results</h3><p>When including multi-stakeholder views, reasons different from the literature are shown to interfere with CDSS acceptance/implementation, such as: i) Occurrence of ME (no traceability of medication taken/poor patient empowerment), ii) Technology as a tool to prevent ME (insufficient if only implemented at one point-of-care), iii) Previous experiences with CDSSs (low CDSSs development due to drug prescription being lastly digitalized in hospitals) and iv) CDSSs metrics (data inputted should be measured to control CDSSs performance).</p></div><div><h3>Conclusion</h3><p>Including multi-stakeholders views in scoping technology evaluation brings added value and new information for the assessment, resulting in more comprehensive assessment; otherwise, it can lead to inaccurate information resulting in inaccurate decisions on if, when and how to adopt CDSS.</p></div><div><h3>Public Interest Summary</h3><p>Including varied stakeholders into health technology assessment provides a deeper understanding of what value can a technology bring in. The present study develops a framework to assess clinical decision support systems (CDSS) considering different stakeholders. They were interviewed to understand their perspective on different parts of the problem CDSSs try to solve (medication errors) and the solution itself (CDSSs). Some reasons on the interviews were different from the literature published so far, that are shown to hinder CDSS acceptance/implementation, such as: no traceability of medication taken/poor patient empowerment, CDSSs being insufficient if only implemented at one point-of-care, low CDSSs development due to drug prescription being lastly digitalized in hospitals and CDSS metrics (data inputted should be measured to control CDSSs performance). This approach can improve both implementation chances and posterior assessment of CDSSs.","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Future challenges and opportunities for cancer screening in the COVID-19 era","authors":"Mojtaba Nouhi ,&nbsp;Leon Bijlmakers ,&nbsp;Zahra Goudarzi ,&nbsp;Samira Alipour ,&nbsp;Seyyed Mostafa Hakimzadeh ,&nbsp;Pedram Nazari ,&nbsp;Reza Jahangiri ,&nbsp;Majid Heydari","doi":"10.1016/j.hlpt.2023.100808","DOIUrl":"10.1016/j.hlpt.2023.100808","url":null,"abstract":"<div><h3>Objectives</h3><p>The COVID-19 pandemic undermines health service provision and poses threats to health systems in general. This study aims to investigate the early and long-term effects of COVID-19 on cancer screening.</p></div><div><h3>Method</h3><p>We conducted a scoping review, in which we nested the Futures Wheel (FW) method and the Future Polygon (FP) method. PubMed, SCOPUS, and Web of Sciences databases were searched electronically to identify relevant studies published between 1 January 2020 and 25 July 2023. The FW method was applied to identify the early and long-term effects; the FP was applied during a focus group discussion with a group of experts with a view to estimating the lag time between COVID-19 and its effects on cancer screening.</p></div><div><h3>Results</h3><p>A total of 79 studies met the inclusion criteria. We identified 31 early effects and 26 long-term effects of COVID-19, and divided them into four clusters: screening centers, at-risk persons, screening methods, and clinical staff. The first long-term effects of COVID-19 involve a tendency to shift from hospital-based to home-based screening, accompanied by an acceleration in the application of remote screening methods and emerging psychological problems among clinical staff. This may result in an increase in the number of people with serious oncological conditions, more intensive use of advanced therapeutic interventions, higher expenditure and worsening of treatment outcomes.</p></div><div><h3>Conclusion</h3><p>The effects of COVID-19 on cancer screening and its long-term effects on cancer treatment and its outcomes are ominous. A redesign of cancer screening programs may be required so as to make them more flexible and resilient to external shocks.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135348048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting evidence-informed peri-discharge complex interventions in reducing 30-day hospital readmissions for heart failure and COPD","authors":"Claire CW Zhong ,&nbsp;Charlene HL Wong ,&nbsp;Chi-tim Hung ,&nbsp;Eng-kiong Yeoh ,&nbsp;Eliza LY Wong ,&nbsp;Vincent CH Chung","doi":"10.1016/j.hlpt.2023.100804","DOIUrl":"10.1016/j.hlpt.2023.100804","url":null,"abstract":"<div><h3>Objective</h3><p>To select and refine evidence-informed peri-discharge complex interventions(abbrev. <em>Interventions</em><span>) for reducing 30-day hospital readmissions among Heart Failure(HF) and COPD patients in Hong Kong public healthcare system context using GRADE Evidence to Decision(EtD) framework.</span></p></div><div><h3>Methods</h3><p>Two 18-participant panels were recruited to carry out a two-step process for both conditions. In Step 1, participants were invited to prioritize <em>Interventions</em> and suggest important combinations of <em>Interventions</em>. In Step 2, based on the priority lists, participants were invited to conduct a two-round Delphi study for generating consensus-based <em>Interventions</em> for reducing 30-day hospital readmissions. GRADE EtD framework was used to guide the decision-making process, taking into consideration of benefits, harms, values and preferences, equity, acceptability, and feasibility.</p></div><div><h3>Results</h3><p>Five out of ten <em>Interventions</em> reached positive consensus for HF, while six reached positive consensus for COPD. Case management, discharge planning, patient education, self-management, and telephone follow-up were common components, and were considered as core elements for reducing 30-day hospital readmissions among HF and COPD patients in Hong Kong. Preliminary implementation issues mainly included governance and leadership, financing, health workforce development, service access and readiness, as well as empowerment of patients and caregivers.</p></div><div><h3>Conclusions</h3><p>This study successfully applied the GRADE EtD framework for starting the adaptation process of complex interventions and established a list of local stakeholders-endorsed <em>Interventions</em> for reducing 30-day hospital readmissions for HF and COPD in Hong Kong. Before implementing and maintaining these endorsed <em>Interventions</em> at scale in local context, further research to improve intervention-context fit as well as piloting and evaluation is necessary.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135348909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current evidence on the use of mHealth approaches in Sub-Saharan Africa: A scoping review","authors":"Genet Tadese Aboye ,&nbsp;Martijn Vande Walle ,&nbsp;Gizeaddis Lamesgin Simegn ,&nbsp;Jean-Marie Aerts","doi":"10.1016/j.hlpt.2023.100806","DOIUrl":"10.1016/j.hlpt.2023.100806","url":null,"abstract":"<div><h3>Background</h3><p>Mobile health (mHealth) approaches are especially beneficial to Sub-Saharan Africa (SSA), which has a disproportionate disease burden and a scarcity of healthcare workers.</p></div><div><h3>Objective</h3><p>This study aims to assess the availability, stage, and targeted health issues of mHealth interventions in SSA and to identify the gaps.</p></div><div><h3>Methods</h3><p>The study employed a scoping review guided by Arksey and O'Malley's framework to explore the use of mHealth in SSA. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) was used to report the review in a transparent and comprehensive manner. Articles published from 2000 to 2021 were searched in PUBMED, IEEE, SCOPUS, and Web of Science and evaluated with set of inclusion criteria. Data from the included publications were retrieved and synthesized.</p></div><div><h3>Results</h3><p>A total of 1020 articles were found. 59 of these have met the criteria for inclusion. The results show the implementation of mHealth interventions in 21 SSA nations. Only 1 (2%) mHealth interventions used a wearable sensor-based approach. 13 (22%) were SMS text-based interventions, 17 (29%) were app-based mHealth approaches, 18 (30%) were telemedicine-based approaches, and 10 (17%) were mixed approaches. HIV, cancer, and maternal and child health problems are the most commonly discussed health issues. Proof of concept, design and development, a pilot test were the frequently documented stages of mHealth interventions.</p></div><div><h3>Conclusion</h3><p>Less than half of SSA countries incorporate mHealth platforms, highlighting the need for further development. Integrating wearable based platforms for real-time monitoring of physiological parameters demands careful consideration.</p></div><div><h3>Public Interest Summary</h3><p>Mobile health (mHealth) technology is believed to be very beneficial for Sub-Saharan Africa (SSA) nations where there is a high disease burden but  inadequate healthcare system. Evidence-based data on the use and implementation of mHealth systems is needed to trace implementation and fill existing gaps. We performed a scoping review to determine the current availability, use, and stage of mHealth interventions and targeted health services in SSA. 21 SSA nations made (few) attempts in designing and implementing of mHealth systems. HIV, cancer, and maternal and child health are some of the health services among others. Though few large-scale implementations were reported, most interventions are at an early stage. mHealth solution should be designed to be both economical and simple to use to increase its uptake and incorporate wearables for real-time monitoring of physiological parameters.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211883723000825/pdfft?md5=9370a35f12f646886dd0c8ab3ead2271&pid=1-s2.0-S2211883723000825-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135347253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-of-illness and associated factors among persons with type 2 diabetes: Findings from a tertiary care center in South India","authors":"Jeby Jose Olickal ,&nbsp;Palanivel Chinnakali ,&nbsp;BS Suryanarayana ,&nbsp;Ganesh Kumar Saya ,&nbsp;Kalaiselvan Ganapathy ,&nbsp;DKS Subrahmanyam","doi":"10.1016/j.hlpt.2023.100807","DOIUrl":"10.1016/j.hlpt.2023.100807","url":null,"abstract":"<div><h3>Objective</h3><p>Our aim was to estimate the cost of illness (COI) from the patient's perspective among individuals with type 2 diabetes (PWDs) attending a public tertiary care center in southern India.</p></div><div><h3>Methods</h3><p>This cross-sectional analytical study included PWDs on treatment for at least one year. Interviews captured direct medical costs (hospitalization, tests, medications), direct non-medical costs (meals, travel), and indirect costs (wage loss). Median regression analyses examined factors associated with total COI.</p></div><div><h3>Results</h3><p>Of total 1002 PWDs included<strong>,</strong> the mean (SD) age was 56 (12) years. Majority were males and from rural areas. One-third had diabetes for more than ten years, half were on insulin therapy, and more than half had comorbidities. Median (IQR) reported household income was US$637 (US$318–US$1115)/year. The Median (IQR) annual COI was US$39 (US$20-US$67), of which 73% was direct costs with a median of US$28. Majority of the participants (<em>n</em>=818, 81.6%) spent on laboratory investigations as direct medical costs and travel (<em>n</em>=1000, 99.8%) as direct non-medical costs. Travel costs represented the largest share of total COI (41%), followed by wage loss. Median annual COI was higher for males, salaried PWDs, and PWDs on insulin.</p></div><div><h3>Conclusions</h3><p>Our findings highlight that PWDs attending a public tertiary care center bear significant out-of-pocket expenses for diabetes care, primarily due to direct costs. Particularly, travel costs were identified as the most substantial component of the total COI.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135346696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enterprise architecture requirements for standardising digital health in Uganda's health system","authors":"Joseph Wamema,&nbsp;Andrew Alunyu,&nbsp;Mercy Amiyo,&nbsp;Josephine Nabukenya","doi":"10.1016/j.hlpt.2023.100805","DOIUrl":"10.1016/j.hlpt.2023.100805","url":null,"abstract":"<div><h3>Objective</h3><p>This research aimed to develop and validate enterprise architecture (EA) requirements to standardise digital health (DH) in Uganda's health system. These requirements were generated from DH challenges identified in an earlier prerequisite empirical study that was conducted to explore the feasibility of contextualising existing international DH standards to improve data use in Uganda's health system.</p></div><div><h3>Methods</h3><p>The study followed a cross-sectional research design, with the HIV/AIDS and TB disease model as a case study. A walkthrough approach was adopted to validate the derived requirements using purposively selected participants at national and sub-national levels of Uganda's healthcare system. Questionnaires (Google forms) were used to collect validation responses, while quantitative data was analysed using MS Excel.</p></div><div><h3>Results</h3><p>The results show that the respondents agreed with the DH EA requirements for standardising Uganda's health system. The results represent views from 65.67% of the expected participants drawn from all Uganda's DH stakeholders. Although a few respondents (3.3%) did not agree, most (96.7%) agreed with the requirements as-is. Therefore, the derived EA requirements are deemed suitable for standardising and strengthening Uganda's DH system.</p></div><div><h3>Conclusion</h3><p>Proper implementation of the EA requirements is expected to produce efficient, cost-effective, quality and safe digital health initiatives for Uganda.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211883723000813/pdfft?md5=e4f3bbf9ff41a0c638ac504cc2c6c1d0&pid=1-s2.0-S2211883723000813-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135346698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shared features of successful tele-ICU models–A narrative review of successful implementation with a focus on LMIC models","authors":"Sidney Hilker ,&nbsp;Sitarah Mathias ,&nbsp;Dileep Raman ,&nbsp;Sanu Anand ,&nbsp;Ryan Brewster ,&nbsp;Carl Britto","doi":"10.1016/j.hlpt.2023.100802","DOIUrl":"10.1016/j.hlpt.2023.100802","url":null,"abstract":"<div><p>The COVID-19 pandemic exposed multiple pre-existing frailties in healthcare systems including the shortage of critical care services and equipment in Low- and Middle-Income Countries (LMICs). The training of a critical care doctor is expensive and time intensive. Novel, low-cost solutions that optimize existing resources and enable the limited number of specialists to deliver care to more people are needed. Telemedicine can sustainably bridge the gaps in critical care services in LMICs. There are limited data on the use of telemedicine for critical care in LMICs. In this paper, we review the few well documented tele-ICU models, with a focus on a novel model in India, and highlight several key attributes including timely implementation, practical on the ground training, financial feasibility, adaptability to the local context, scalability, and quality data collection.</p></div>","PeriodicalId":48672,"journal":{"name":"Health Policy and Technology","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135298879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}