Do Not Forget Afghanistan in Times of COVID-19: Telemedicine and the Internet of Things to Strengthen Planetary Health Systems
Do Not Forget Afghanistan in Times of COVID-19: Telemedicine and the Internet of Things to Strengthen Planetary Health Systems
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DOI：
10.1089/omi.2020.0053
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发表时间：
2020-04-23
影响因子：
3.3
通讯作者：
Agirbasli, Mehmet
中科院分区：
文献类型：
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作者：
Azizy, Abdulmunir;Fayaz, Mujtaba;Agirbasli, Mehmet
医疗保健并不总是在和平、繁荣和社会秩序的环境中进行，这一点在日常医疗实践中经常被忽视。当前由新型冠状病毒引起的 COVID-19 大流行正在全球范围内造成严重破坏，这一点变得最为明显。随着疫情的发展，医疗保健提供者面临着前所未有的挑战，需要干预科学和社会中的众多非线性不确定性。在阿富汗，提供医疗服务已经成为一项重大的跨领域挑战。尽管阿富汗已经做出了重建医疗保健系统的努力（Acerra 等人），但急性和慢性疾病仍然是需要弥补的重大医疗和关键治理差距。此外，该国的卫生保健设施和医疗设备并不充足。需要医学和科学专业知识来从临床和社会学角度对诊断测试以及药物和疫苗进行解释，这些测试以及药物和疫苗将在未来几个月内部署，作为全球应对 COVID-19 大流行的集体反应的一部分。在大流行时期，面对新型传染性病原体，医护人员需要全球范围内的咨询和支持。即使使用移动应用程序创建一个小型咨询网络也可能改善健康结果。物联网和数字健康应与远程医疗结合起来，作为有效应对流行病的一部分。
Health care does not always take place in a setting of peace, prosperity, and social order, a point that is often overlooked in quotidian medical practice. This has become most evident with the current COVID-19 pandemic by the new coronavirus that is wreaking havoc across the planet. Health care providers are facing unprecedented challenges to intervene on numerous nonlinear uncertainties in science and society as the pandemic evolves. In Afghanistan, health care delivery is already a major crosscutting challenge. Although efforts to rebuild the health care systems in Afghanistan have been made (Acerra et al.), both acute and chronic illnesses remain as major medical and critical governance gaps to be remedied. In addition, health care facilities and medical equipment are not adequate in the country. There is a need for medical and scientific expertise to clinically and sociologically contextualize and interpret diagnostic tests as well as drugs and vaccines that will be deployed in the coming months as part of the planetary collective response to the COVID-19 pandemic. In a time of pandemic and facing a novel infectious pathogen, health care workers are in need of planetary scale consultation and support. Even creating a small consultation network using mobile applications might offer improved health outcomes. The Internet of Things and digital health ought to be considered in concert with telemedicine as part of an effective pandemic response.