Shared features of successful tele-ICU models–A narrative review of successful implementation with a focus on LMIC models

IF 3.4 3区 医学 Q1 HEALTH POLICY & SERVICES Health Policy and Technology Pub Date : 2023-09-14 DOI:10.1016/j.hlpt.2023.100802
Sidney Hilker , Sitarah Mathias , Dileep Raman , Sanu Anand , Ryan Brewster , Carl Britto
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引用次数: 1

Abstract

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.

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成功远程icu模型的共同特征——以LMIC模型为重点,对成功实施的叙述性回顾
2019冠状病毒病大流行暴露了卫生保健系统存在的多重脆弱性,包括低收入和中等收入国家的重症监护服务和设备短缺。重症监护医生的培训既昂贵又耗时。需要新颖、低成本的解决方案,优化现有资源,使数量有限的专家能够为更多人提供护理。远程医疗可以持续弥补中低收入国家重症监护服务方面的差距。关于中低收入国家在重症监护中使用远程医疗的数据有限。在本文中,我们回顾了几个记录良好的远程icu模式,重点介绍了印度的一个新模式,并强调了几个关键属性,包括及时实施、实际的实地培训、财务可行性、对当地环境的适应性、可扩展性和高质量的数据收集。
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来源期刊
Health Policy and Technology
Health Policy and Technology Medicine-Health Policy
CiteScore
9.20
自引率
3.30%
发文量
78
审稿时长
88 days
期刊介绍: Health Policy and Technology (HPT), is the official journal of the Fellowship of Postgraduate Medicine (FPM), a cross-disciplinary journal, which focuses on past, present and future health policy and the role of technology in clinical and non-clinical national and international health environments. HPT provides a further excellent way for the FPM to continue to make important national and international contributions to development of policy and practice within medicine and related disciplines. The aim of HPT is to publish relevant, timely and accessible articles and commentaries to support policy-makers, health professionals, health technology providers, patient groups and academia interested in health policy and technology. Topics covered by HPT will include: - Health technology, including drug discovery, diagnostics, medicines, devices, therapeutic delivery and eHealth systems - Cross-national comparisons on health policy using evidence-based approaches - National studies on health policy to determine the outcomes of technology-driven initiatives - Cross-border eHealth including health tourism - The digital divide in mobility, access and affordability of healthcare - Health technology assessment (HTA) methods and tools for evaluating the effectiveness of clinical and non-clinical health technologies - Health and eHealth indicators and benchmarks (measure/metrics) for understanding the adoption and diffusion of health technologies - Health and eHealth models and frameworks to support policy-makers and other stakeholders in decision-making - Stakeholder engagement with health technologies (clinical and patient/citizen buy-in) - Regulation and health economics
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