Assessing the potential of wearable health monitors for health system strengthening in low- and middle-income countries: a prospective study of technology adoption in Cambodia.
Assessing the potential of wearable health monitors for health system strengthening in low- and middle-income countries: a prospective study of technology adoption in Cambodia.
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DOI：
10.1093/heapol/czac019
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发表时间：
2022-09-13
影响因子：
3.2
通讯作者：
Wiseman, Virginia
中科院分区：
文献类型：
--
作者：
Liverani, Marco;Ir, Por;Perel, Pablo;Khan, Mishal;Balabanova, Dina;Wiseman, Virginia
可穿戴健康监测仪是一项快速发展的技术，可能为加强中低收入国家卫生系统对心血管疾病和其他非传染性疾病的应对提供新的机会。鉴于此，考虑到可能影响产品吸收和可持续卫生系统整合的环境因素的复杂性，我们探索了柬埔寨采用技术的机会和潜在挑战。本研究的数据收集包括对国内和国际利益相关者的深入访谈和文献综述。分析方法以不采用、放弃、扩大、传播和可持续性（NASSS）框架衍生的概念和类别为指导。NASSS框架是一个基于证据的框架，用于研究卫生技术的采用以及卫生服务组织中此类技术扩大、传播和可持续性所面临的挑战。确定了可穿戴保健设备在柬埔寨预防和控制非传染性疾病方面的三种潜在应用：促进健康、对患者进行跟踪和监测以及对非传染性疾病风险因素进行调查。然而，在整个研究领域中出现了对技术采用的若干挑战，这些挑战与预期采用者、国家卫生系统的组织、更广泛的基础设施、管理环境和技术本身有关。我们的研究结果表明，目前，可穿戴设备可以最好地用于调查柬埔寨和其他具有类似卫生系统概况的中低收入国家的非传染性疾病风险因素。在未来，可以设想更综合地使用可穿戴设备来加强对患者的监测和管理，尽管这需要仔细考虑可行性和组织问题。
Wearable health monitors are a rapidly evolving technology that may offer new opportunities for strengthening health system responses to cardiovascular and other non-communicable diseases (NCDs) in low- and middle-income countries (LMICs). In light of this, we explored opportunities for, and potential challenges to, technology adoption in Cambodia, considering the complexity of contextual factors that may influence product uptake and sustainable health system integration. Data collection for this study involved in-depth interviews with national and international stakeholders and a literature review. The analytical approach was guided by concepts and categories derived from the non-adoption, abandonment, scale-up, spread, and sustainability (NASSS) framework—an evidence-based framework that was developed for studying health technology adoption and the challenges to scale-up, spread and sustainability of such technologies in health service organizations. Three potential applications of health wearables for the prevention and control of NCDs in Cambodia were identified: health promotion, follow-up and monitoring of patients and surveys of NCD risk factors. However, several challenges to technology adoption emerged across the research domains, associated with the intended adopters, the organization of the national health system, the wider infrastructure, the regulatory environment and the technology itself. Our findings indicate that, currently, wearables could be best used to conduct surveys of NCD risk factors in Cambodia and in other LMICs with similar health system profiles. In the future, a more integrated use of wearables to strengthen monitoring and management of patients could be envisaged, although this would require careful consideration of feasibility and organizational issues.
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DOI：
10.2185/jrm.2020-028
发表时间：
2020-10
期刊：
Journal of rural medicine : JRM
影响因子：
--
作者：
Kobashi Y;Chhay H;Savat T;Okawada M;Tsubokura M;Hayashi Y
通讯作者：
Hayashi Y
影响因子：
2.6
作者：
Feroz, Anam;Kadir, Muhammad Masood;Saleem, Sarah
通讯作者：
Saleem, Sarah
影响因子：
--
作者：
Gupta, Vinay;LoGerfo, James P.;Fitzpatrick, Annette L.
通讯作者：
Fitzpatrick, Annette L.
影响因子：
15.2
作者：
Hicks, Jennifer L.;Althoff, Tim;Delp, Scott L.
通讯作者：
Delp, Scott L.
影响因子：
46.9
作者：
Kim J;Campbell AS;de Ávila BE;Wang J
通讯作者：
Wang J