肯尼亚医疗保健服务中远程医疗的效用和障碍的经验。

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
Simon Onsongo, Charles Kamotho, Tobias F Rinke de Wit, Kinga Lowrie
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引用次数: 3

摘要

远程医疗是利用信息通信技术设备远距离提供保健服务。远程医疗正在成为全球医疗保健服务的一个有前景的组成部分,COVID-19大流行加速了这一趋势。本研究评估了促进肯尼亚医生接受远程医疗的因素、障碍和机会。方法。在肯尼亚的医生中进行了一项半定量的横断面在线调查。在2021年2月至3月的一个月里,通过电子邮件和WhatsApp联系了1200名医生,其中13%的人做出了回应。发现。共有157名受访者参与了这项研究。远程医疗的总体使用率为50%。73%的医生报告使用面对面护理和远程医疗的结合。50%的人报告使用远程医疗来支持医生对医生的咨询。远程医疗作为一种独立的临床服务效用有限。据报告,信息通信技术基础设施不足是远程医疗的最大障碍,其次是使用技术提供保健服务的文化阻力。其他明显的障碍是初始设置成本高,患者技能有限,医生技能有限,支持远程医疗服务的资金不足,立法/政策框架薄弱,以及缺乏专门用于远程医疗服务的时间。2019冠状病毒病大流行增加了肯尼亚对远程医疗的采用。结论:肯尼亚最广泛使用的远程医疗支持医生对医生的咨询。远程医疗在向患者提供直接临床服务方面的单一用途有限。然而,远程医疗通常与面对面的临床服务结合使用,从而允许在医院实体基础设施之外的临床服务的连续性。随着肯尼亚广泛采用数字技术,特别是移动电话技术,远程医疗服务的增长机会是巨大的。众多移动应用程序将改善服务提供商和用户的访问能力,并弥合护理方面的差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Experiences on the Utility and Barriers of Telemedicine in Healthcare Delivery in Kenya.

Experiences on the Utility and Barriers of Telemedicine in Healthcare Delivery in Kenya.

Experiences on the Utility and Barriers of Telemedicine in Healthcare Delivery in Kenya.

Introduction: Telemedicine is the provision of health services over a distance using information communication technology devices. Telemedicine is emerging as a promising component of healthcare care delivery worldwide, accelerated by the COVID-19 pandemic. This study assessed the factors promoting uptake, barriers, and opportunities for telemedicine among doctors in Kenya. Methodology. A semiquantitative, cross-sectional online survey was conducted among doctors in Kenya. During a month, between February and March 2021, 1,200 doctors were approached by email and WhatsApp, of whom 13% responded. Findings. A total of 157 interviewees participated in the study. The general usage of telemedicine was 50%. Seventy-three percent of doctors reported using a mix of in-person care and telemedicine. Fifty percent reported using telemedicine to support physician-to-physician consultations. Telemedicine had limited utility as a standalone clinical service. The inadequate information communication technology infrastructure was the most reported barrier to telemedicine, followed by a cultural resistance to using technology to deliver healthcare services. Other notable barriers were the high cost of initial setup limited skills among patients, limited skills among doctors, inadequate funding to support telemedicine services, weak legislative/policy framework, and lack of dedicated time for telemedicine services. The COVID-19 pandemic increased the uptake of telemedicine in Kenya.

Conclusion: The most extensive use of telemedicine in Kenya supports physician-to-physician consultations. There is limited single use of telemedicine in providing direct clinical services to patients. However, telemedicine is regularly used in combination with in-person clinical services, allowing for continuity of clinical services beyond the physical hospital infrastructure. With the widespread adoption of digital technologies in Kenya, especially mobile telephone technologies, the growth opportunities for telemedicine services are immense. Numerous mobile applications will improve access capabilities for both service providers and users and bridge the gaps in care.

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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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