云地平线:通过远程医疗的数字天幕加强农村医疗保健。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Health Services Insights Pub Date : 2024-09-28 eCollection Date: 2024-01-01 DOI:10.1177/11786329241284401
Felician Andrew Kitole, Sameer Shukla
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引用次数: 0

摘要

导言:基于云的远程医疗有望改善医疗服务的可及性和交付,尤其是在坦桑尼亚等发展中国家的农村地区。然而,人们对其在此类环境中的决定因素和益处知之甚少。本研究调查了影响坦桑尼亚莫罗戈罗地区姆沃梅罗区使用远程医疗的因素,重点关注供需双方:本研究采用结构化访谈和关键信息提供者访谈的方法,研究了各种基于云的远程医疗平台,包括远程监控、电子健康记录、云存储和机器学习算法。研究使用描述性统计来分析定量数据,同时使用专题分析来分析定性数据:结果:研究结果显示了影响远程医疗使用的几个因素。在需求方面,感知到的益处(53.96%)、技术成本(62.79%)、法律惯例(62.79%)以及资源可用性和可负担性(49.77%)至关重要。在供给方面,技术创新(35%)和获得财政资源(43%)起着关键作用。政治意愿(38%)和监管支持(34%)等环境和制度因素也影响着远程医疗的使用。此外,研究结果表明,农村医疗机构基于云的远程医疗平台具有多种优势,包括改善就医途径(32.74% 至 57.44%)、成本效率(37.88% 至 54.82%)、及时就诊(56.83% 至 65.21%)、健康监测和处方管理(43.89% 至 75.90%)。私营机构尤其重视健康监测:采用远程医疗技术可以通过提供个性化和便捷的服务彻底改变农村医疗保健。政策制定者可以利用这些发现制定有针对性的战略,包括补贴基础设施、创新融资模式和明确的监管框架。明确的数据传输和隐私准则对于确保合法合规和公平享受远程医疗福利至关重要。建议简化注册要求并实施明确的同意机制,以解决数据隐私问题。这些措施的目的是在资源有限的环境中提高运行效率、数据安全和增强医疗成果。
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Cloud Horizons: Strengthening Rural Healthcare Through Telemedicine's Digital Canopy.

Introduction: Cloud-based telemedicine holds promise for improving healthcare accessibility and delivery, particularly in rural areas of developing countries like Tanzania. However, little is known about its determinants and benefits in such contexts. This study investigates the factors influencing the usage of telemedicine in Mvomero district, Morogoro region, Tanzania, focusing on both supply and demand sides.

Method: Using structured interviews and key informant interviews, the study examines various cloud-based telemedicine platforms, including remote monitoring, electronic health records, cloud-based storage, and machine learning algorithms. The study used descriptive statistics to analyze quantitative data, while thematic analysis was used to analyze qualitative data.

Results: Results reveal several factors influencing telemedicine usage. On the demand side, perceived benefits (53.96%), technology cost (62.79%), legal practices (62.79%), and resource availability and affordability (49.77%) are crucial. On the supply side, technological innovation (35%) and access to financial resources (43%) play pivotal roles. Environmental and institutional factors such as political willingness (38%) and regulatory support (34%) also impact telemedicine usage. Moreover, results reveal that cloud-based telemedicine platforms in rural healthcare facilities have several benefits including improved access (32.74% to 57.44%), cost efficiency (37.88% to 54.82%), timely consultations (56.83% to 65.21%), health monitoring, and prescription management (43.89% to 75.90%). Private facilities particularly emphasize health monitoring.

Conclusion: Adopting telemedicine technologies can revolutionize rural healthcare by providing customized and easily accessible services. Policymakers can use these findings to develop targeted strategies, including subsidized infrastructure, innovative financing models, and clear regulatory frameworks. Clear guidelines on data transfer and privacy are essential to ensure legal compliance and equitable access to telemedicine benefits. Simplifying registration requirements and implementing explicit consent mechanisms are recommended to address data privacy concerns. These measures aim to promote operational efficiency, data safety, and enhanced health outcomes in resource-limited settings.

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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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