远程医疗实施中的挑战

P. Raju, Prasad Sistla
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摘要

背景:在全球范围内,人们一直在寻找最佳的医疗保健解决方案,医疗保健服务的可负担性、可及性、可用性和质量是人类面临的紧迫问题。大流行进一步需要使用远程医疗平台来解决与Covid无关的医疗保健问题。尽管远程医疗在印度已经使用了二十多年,但仍存在各种挑战和采用问题,这些问题尚未使该技术成为解决当前医疗保健问题的有效解决方案。在过去十年中,信息和通信技术(ICT)及其在医疗保健领域的应用取得了惊人的增长。方法:通过互联网研究医疗保健提供者的各种采用策略,结合我们自己使用该技术的经验以及信息和通信技术提供者提供的指导方针。印度卫生和家庭福利部发布的《2020年远程医疗指南》为通过该技术实施医疗服务提供了一个框架。结果:本文提到了我们在政府和私人机构的远程医疗经验,并强调了该技术的实施挑战和一些在执行中产生差异的解决方案。然而,我们在更大程度上讨论了在印度实施这项技术可能面临的挑战和障碍。结论:尽管远程医疗领域的工作取得了成功,但由于医疗保健用户的适应性和缺乏对快速发展的技术的适当培训,远程医疗尚未成为医疗保健系统的组成部分。未来将迫使这种技术的使用,建立基础设施和训练有素的人员来管理这些部门,以充分发挥远程医疗技术的潜力是至关重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenges in the implementation of telemedicine
Background: There is a constant search across the globe for optimal healthcare solutions with affordability, accessibility, availability, and quality of healthcare services being the burning issue for mankind. The pandemic has further necessitated the need of use of the Telemedicine platform to address healthcare issues which are also non Covid related. Though Telemedicine has been in use for over two decades in India, there have been various challenges and adoption issues which have not yet made the technology an effective solution to address the current healthcare issues. There has been phenomenal growth in the Information and Communication Technology (ICT) over the last decade and its utilization in the healthcare field. Methods: Internet research on the various adoption strategies by healthcare providers coupled with our own experience for using this technology along with guidelines provided by the information and communication technology providers. The Telemedicine Guidelines of 2020 released by the Ministry of Health and Family welfare, India, provides a framework for the implementation of healthcare delivery through this technology. Results: This paper mentions our telemedicine experience in governmental and private institutes and highlights the implementation challenges of this technology and some solutions that made a difference in the execution. However, we discuss to a larger extent the possible challenges and barriers in the implementation of this technology in India. Conclusion: Despite successful work in the field of telemedicine, it is yet to become an integral part of healthcare system because challenges related to adaptability of healthcare users and lack of proper training to fast growing technologies. The future is going to compel the usage of this kind of technology and it is essential for setting up infrastructure and having trained personnel to man these departments to encash the full potential of the telemedicine technology.
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