大流行后对远程保健和远程医疗综合利用的分析

Hamunyare Ndwabe, Arindam Basu, Jalal Mohammed
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引用次数: 0

摘要

当前全球卫生危机的特点是资源(包括卫生人员)有限,这促使人们采用远程医疗和远程保健,特别是在大流行后的时代。COVID-19 大流行加速了这些技术的应用,随着全球走出危机,有必要评估远程保健和远程医疗的利用程度。本综述研究旨在评估各大洲在全球范围内实施远程服务的程度。我们在 Web of Science、Scopus、Cochrane Library 和 Pubmed/Medline 数据库中查阅了同行评议的远程保健和远程医疗文章。排除标准包括 2019 年 12 月 1 日之前发表的所有文章、任何其他数据库、重复文章和灰色文献。本研究的纳入标准包括 2019 年 12 月 1 日或之后发表的文章。这一时间范围使我们能够关注大流行和大流行后的时代。共确定了 381 篇可纳入的出版物,并在审阅标题、摘要和全文内容的基础上筛选出 102 篇相关文章。确定了各大洲不同国家的使用趋势,并将其分为先进、发达、发展中和新兴采用阶段。在区分这些采用阶段时,还确定了各自的特点,包括远程服务在行政管理、疾病诊断、治疗、病人随访、药房服务和电子健康记录方面的横向包容性。根据这项研究,在接受调查的国家(总数=77)中,13.8%的国家(总数=27)处于高级采用阶段,10.3%的国家(总数=20)处于发达水平,12.3%的国家(总数=24)处于发达阶段,3%的国家(总数=195)处于新兴阶段。总之,本研究展示了从 COVID-19 大流行开始到 2023 年各国采用远程保健和远程医疗的程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post pandemic analysis on comprehensive utilization of telehealth and telemedicine

The existing global health crisis characterized by limited resources, including health personnel, has prompted the adoption of telemedicine and telehealth, especially in the post-pandemic era. The COVID-19 pandemic accelerated the adoption of these technologies, and as the world navigates beyond the crisis, it is essential to assess the extent of utilization of telehealth and telemedicine. This review study aims to assess the extent to which teleservices have been implemented worldwide across different continents. Peer-reviewed telehealth and telemedicine articles were reviewed across Web of Science, Scopus, Cochrane Library and Pubmed/Medline databases. The exclusion criteria comprised all articles published before 1 December 2019, any other databases, duplicates, and grey literature. The inclusion criteria for this study encompassed articles published on or after December 1, 2019. This timeframe allowed us to focus on the pandemic and post-pandemic era. A total of 381 publications were identified for inclusion, which were screened based on reviewing the titles, abstracts and full-text content down to 102 relevant articles. Utilization trends were identified amongst the different countries across the continents, and these were classified into advanced, developed, developing and emerging adoption stages. The respective characteristics utilized in differentiating these adoption stages were identified, encompassing the inclusivity of teleservices in administration, disease diagnosis, treatment, patient follow-ups, pharmacy services and electronic health records transversely. According to this review, of the countries surveyed (n = 77), (n = 27) 13.8 % are at an advanced adoption stage, (n = 20) 10.3 % are at a developed level, (n = 24) 12.3 % are at the developed stage, and (n = 6) 3 % are at the emerging stage, as percentages of all the countries in the world (N = 195). In conclusion, this study demonstrated the extent to which various nations have adopted telehealth and telemedicine from the onset of the COVID-19 pandemic to 2023.

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