Telemedicine Guidelines in South East Asia-A Scoping Review.
Telemedicine Guidelines in South East Asia-A Scoping Review.
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DOI：
10.3389/fneur.2020.581649
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发表时间：
2020
影响因子：
3.4
通讯作者：
Defi IR
中科院分区：
文献类型：
--
作者：
Intan Sabrina M;Defi IR
背景资料：远程医疗是向低收入到高收入国家的社区提供医疗保健的有用工具，特别是在2019年冠状病毒病大流行时期。远程医疗准则将有助于保健提供者根据当地情况提供保健服务。目的：探讨和比较东南亚国家的远程保健和远程医疗指南。研究方法：使用“远程医疗”或“远程医疗”或“电子健康”或“远程医疗”和“指南”和“东南亚”或“马来西亚”或“新加坡”或“印度尼西亚”或“泰国”或“越南”等关键词，检索电子数据库（如Google、PubMed和科克伦综述）中截至2020年发表的文章。纳入标准为全文和灰色材料（即，政策声明、汇编、蓝图、执行摘要和通告）。没有语言限制。只有前100个谷歌搜索被列入资格的基础上，其相关性的远程医疗准则。排除标准为摘要、重复出版物、博客、新闻文章、宣传手册、会议记录和与远程医疗指南无关的远程医疗项目。结果如下：通过搜索引擎（Google 62，203、PubMed 77和科克伦20）共识别出62，300篇文章，6篇文章来自其他来源。68篇全文文章符合纳入标准，但只有24篇文章包含某种形式的远程医疗指南：印度尼西亚（9篇）、马来西亚（7篇）、新加坡（5篇）、泰国（2篇）和越南（1篇）。通信和多媒体部、卫生部或各国医学委员会发布了六项法律、六项咨询准则、五项政策声明和两项通知（条例）。处理的问题是临床管理（100%）;信息和通信技术基础设施（83.3%）;隐私、存储和记录保存（分别为77.8%）;道德和法律的（77.8%）;安保和安全（72.2%）;远程医疗的定义和应用（72.2%）;保密（66.7%）;许可证（66.7%）;识别（55.6%）;信息和通信技术基础设施成本（55.6%）;报销（16.7%）;移动的应用程序（11.1%）;以及反馈和选择（5.6%）。与东南亚的其他准则相比，新加坡国家远程医疗准则包含的领域最多。结论：虽然不可能有“一刀切”的远程医疗准则，但应当有一个全面和普遍的远程医疗准则，供任何国家根据当地情况加以调整。应明确概述关于患者身份识别、数据所有权、备份和处置的细节;跨区域网络安全法律以及克服远程医疗与面对面咨询相比的局限性的方法，以确保远程医疗服务的统一性和患者安全。
Background: Telemedicine is a useful tool to deliver healthcare to communities in low- to high-income countries, especially in the coronavirus disease 2019 pandemic era. Guidelines on telemedicine would assist healthcare providers in delivering healthcare services based on local circumstances. Objective: To explore and compare guidelines on telehealth and telemedicine in South East Asian countries. Methods: Electronic databases such as Google, PubMed, and Cochrane reviews were searched for articles using keywords such as “telemedicine” OR “telehealth” OR “eHealth” OR “telemedis” AND “guidelines” AND “South East Asia” OR “Malaysia” OR “Singapore” OR “Indonesia” OR “Thailand” OR “Vietnam” published up to 2020. Inclusion criteria were full articles and gray materials (i.e., policy statements, advisories, blueprints, executive summaries, and circulars) related to telemedicine guidelines. No language restrictions were imposed. Only the first 100 Google searches were included for eligibility based on its relevance to telemedicine guidelines. Exclusion criteria were abstracts, duplicate publications, blogs, news articles, promotional brochures, conference proceedings, and telemedicine projects unrelated to telemedicine guidelines. Results: A total of 62,300 articles were identified through the search engines (Google 62,203, PubMed 77, and Cochrane 20) and six articles from additional sources. Sixty-eight full-text articles fulfilled the inclusion criteria, but only 24 articles contained some form of guidelines on telemedicine: Indonesia (nine), Malaysia (seven), Singapore (five), Thailand (two), and Vietnam (one). There were six laws, six advisory guidelines, five policy statements, and two circulars (regulations) issued by either the Ministry of Communication and Multimedia, Ministry of Health, or Medical Councils from the respective countries. Issues addressed were clinical governance (100%); information and communication technology infrastructure (83.3%); privacy, storage, and record-keeping (77.8%, respectively); ethics and legal (77.8%); security and safety (72.2%); definitions and applications of telemedicine (72.2%); confidentiality (66.7%); licensing (66.7%); identification (55.6%); cost of information and communication technology infrastructure (55.6%); reimbursement (16.7%); mobile applications (11.1%); and feedback and choices (5.6%). The Singapore National Telemedicine Guidelines contained the most domains compared with other guidelines from South East Asia. Conclusions: Although there can be no “one-size-fits-all” telemedicine guideline, there should be a comprehensive and universal telemedicine guideline for any country to adapt based on the local context. Details on patient-identification, data ownership, back-up, and disposal; transregional cybersecurity laws and ways to overcome the limitations of telemedicine compared with face-to-face consultations should be outlined clearly to ensure uniformity of telemedicine service and patient safety.
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DOI：
10.3390/healthcare2010074
发表时间：
2014-02-12
期刊：
Healthcare (Basel, Switzerland)
影响因子：
--
作者：
Krupinski EA;Bernard J
通讯作者：
Bernard J
影响因子：
5
作者：
Lam, Jeffrey A.;Linh Thuy Dang;Cuong Kieu Nguyen
通讯作者：
Cuong Kieu Nguyen
影响因子：
3.3
作者：
Brennan, David;Tindall, Lyn;Lee, Alan
通讯作者：
Lee, Alan
影响因子：
9.7
作者：
Hall, Joseph L.;McGraw, Deven
通讯作者：
McGraw, Deven
影响因子：
--
作者：
Khemapech, I.;Sansrimahachai, W.;Manachai Toahchoodee
通讯作者：
Manachai Toahchoodee