Information and communications technology for future health systems in developing countries
Information and communications technology for future health systems in developing countries
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DOI：
10.1016/j.socscimed.2008.01.033
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发表时间：
2008-05-01
影响因子：
5.4
通讯作者：
Lucas, Henry
中科院分区：
文献类型：
--
作者：
Lucas, Henry
人们对信息和通信技术（信通技术）的最新进展在改善发展中国家卫生系统方面可能发挥的作用进行了大量讨论，但对现有应用的独立分析有限。本文结合案例研究方法和对问题的一般性讨论，试图评估各种信通技术创新的潜在好处以及它们需要克服的一些制约因素。报告考虑了四大领域：传统卫生信息系统的改进;计算机辅助诊断和治疗监测;通称为“远程医疗”的一系列应用;以及利用信息和通信技术向公众宣传卫生和保健。最后一节从改进现有系统的性能、允许进行根本性创新、甚至改变对提供者-患者关系的基本假设等方面推测了信通技术可能产生的中期影响。(C)2008爱思唯尔有限公司保留所有权利。
There has been much discussion of the role that recent advances in information and communication technologies (ICTs) could play in improving health systems in developing countries, but limited independent analysis of existing applications. Combining a case study approach with a general discussion of the issues, this paper attempts to assess the potential benefits of a diverse range of ICT innovations and some of the constraints they will need to overcome. Four broad areas are considered: improvements in traditional health information systems; computer-aided diagnosis and treatment monitoring; a range of applications generically labelled 'telemedicine'; and the use of ICT to inform general populations on health and healthcare. The final section speculates on the possible medium-term impacts of ICT in terms of improving the performance of existing systems, allowing scope for radical innovations, or even changing basic assumptions about the provider-patient relationship. (C) 2008 Elsevier Ltd. All rights reserved.