远程医疗在中低收入国家结核病治疗中的有效性:系统回顾

Rosselini Triana, P. Pujiyanto, Erfan Chandra
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引用次数: 0

摘要

结核病(TB)是全球主要的健康问题之一,在结核病高发国家有大量病例和死亡人数。远程医疗正被用于改善诊断、治疗和公共卫生。我们旨在探索远程医疗在中低收入国家(LMIC)结核病治疗中的有效性。本研究采用了系统性文献综述,使用了相关关键词和纳入标准,并从 PubMed、Cochrane 和 Embase 数据库中检索了 2014 年至 2023 年间用英文撰写的论文。我们采用 PRISMA 方法对标题和摘要进行了筛选。从 849 项研究中,我们发现有 13 项研究符合纳入标准。远程医疗在治疗成功率、患者依从性和预防随访损失方面的效果各不相同。大多数情况下,结果较好,但并不显著。远程医疗有助于发现肺结核病例,提高对肺结核的认识,并改善患者与卫生工作者之间的关系。总之,远程医疗可能是提高结核病治疗效果的一种很有前途的方法,尽管不同研究的干预效果各不相同。需要开展更深入的研究,以评估远程医疗的最佳和更广泛的实施情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efektifitas Telemedicine Pada Pengobatan Tuberculosis Pada Negara Berpenghasilan Menengah ke Bawah: Systematic Review
Tuberculosis (TB) is one of the major health issues worldwide, with a significant number of cases and deaths in countries with high TB prevalence. Telemedicine is being used to improve diagnosis, treatment, and public health. We aimed to explore the effectiveness of telemedicine in TB treatment in Low- and Middle-Income Countries (LMIC). The study used a systematic literature review, using relevant keywords and inclusion criteria, and searched papers written in English between 2014 and 2023 from PubMed, Cochrane, and Embase databases. For inclusion, titles and abstracts were screened using PRISMA. From 849 studies, we found 13 studies fit the inclusion criteria. Telemedicine gives varying results on treatment success, patient compliance, and prevention of loss to follow-up. Mostly, the results are better but insignificant. Telemedicine facilitates the detection of TB cases, improves knowledge of TB, and improves patient-health worker relationships. In conclusion, telemedicine may be a promising approach to improving the effectiveness of TB treatment despite intervention effects being found to vary between one and each study. Advanced research is needed to evaluate the more optimum and wider implementation of telemedicine.
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