Can the ubiquitous power of mobile phones be used to improve health outcomes in developing countries?
Can the ubiquitous power of mobile phones be used to improve health outcomes in developing countries?
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DOI：
10.1186/1744-8603-2-9
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发表时间：
2006-05-23
影响因子：
10.8
通讯作者：
Kaplan WA
中科院分区：
文献类型：
--
作者：
Kaplan WA
关于通信技术在促进发展目标方面的价值的持续政策辩论是多种多样的。一些人认为计算机/网络/电话通信技术不足以解决发展问题，而另一些人则认为通信技术可以帮助各阶层人口。本文探讨了支持或反驳固定电话和移动电话是或可能是发展中国家有效的医疗保健干预措施这一观点的证据。基于网络和图书馆数据库检索包括以下数据库：MEDLINE、CINAHL（护理和联合健康）、循证医学 (EBM)、POPLINE、BIOSIS 和 Web of Science、AIDSearch（MEDLINE AIDS/HIV 子集、AIDSTRIALS 和 AIDSDRUGS）数据库。可以找到证据支持和反驳固定电话和移动电话是或可能是发展中国家有效的医疗保健干预措施的主张。由于结果测量不同且对照研究数量较少，因此很难一概而论。在发展中国家，几乎没有关于使用移动电话作为艾滋病毒、结核病、疟疾和慢性病的医疗干预措施的文献。临床结果很少被测量。关于手机“远程医疗”整体成本效益的令人信服的证据仍然有限，高质量的研究也很少。此类改善药物依从性的干预措施的成本效益证据也相当薄弱。发达国家的个人拥有手机的模式可能不适合共享移动电话使用很重要的发展中国家。就耻辱和隐私而言，共享可能是使用移动电话作为医疗保健干预措施的一个严重缺点，但其严重程度尚不清楚。然而，在长期护理模式中，电话在坚持用药方面的一个优势是它能够在患者和提供者之间建立多向互动，从而促进这种关系的动态性质。如果要将移动电信用于医疗保健计划，则优先考虑基本和增值电信服务正常运营所需的监管改革。
The ongoing policy debate about the value of communications technology in promoting development objectives is diverse. Some view computer/web/phone communications technology as insufficient to solve development problems while others view communications technology as assisting all sections of the population. This paper looks at evidence to support or refute the idea that fixed and mobile telephones is, or could be, an effective healthcare intervention in developing countries. A Web-based and library database search was undertaken including the following databases: MEDLINE, CINAHL, (nursing & allied health), Evidence Based Medicine (EBM), POPLINE, BIOSIS, and Web of Science, AIDSearch (MEDLINE AIDS/HIV Subset, AIDSTRIALS & AIDSDRUGS) databases. Evidence can be found to both support and refute the proposition that fixed and mobile telephones is, or could be, an effective healthcare intervention in developing countries. It is difficult to generalize because of the different outcome measurements and the small number of controlled studies. There is almost no literature on using mobile telephones as a healthcare intervention for HIV, TB, malaria, and chronic conditions in developing countries. Clinical outcomes are rarely measured. Convincing evidence regarding the overall cost-effectiveness of mobile phone " telemedicine" is still limited and good-quality studies are rare. Evidence of the cost effectiveness of such interventions to improve adherence to medicines is also quite weak. The developed world model of personal ownership of a phone may not be appropriate to the developing world in which shared mobile telephone use is important. Sharing may be a serious drawback to use of mobile telephones as a healthcare intervention in terms of stigma and privacy, but its magnitude is unknown. One advantage, however, of telephones with respect to adherence to medicine in chronic care models is its ability to create a multi-way interaction between patient and provider(s) and thus facilitate the dynamic nature of this relationship. Regulatory reforms required for proper operation of basic and value-added telecommunications services are a priority if mobile telecommunications are to be used for healthcare initiatives.
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影响因子：
16.2
作者：
AHRING, KK;AHRING, JPK;FARID, NR
通讯作者：
FARID, NR
影响因子：
3.5
作者：
Bielli, Emilia;Carminati, Fabio;Tamburini, Marcello
通讯作者：
Tamburini, Marcello
影响因子：
5.4
作者：
HELITZERALLEN, DL;MCFARLAND, DA;MACHESO, AP
通讯作者：
MACHESO, AP
DOI：
10.1109/titb.2003.811870
发表时间：
2003-06-01
影响因子：
--
作者：
Hung, K;Zhang, YT
通讯作者：
Zhang, YT
影响因子：
3.5
作者：
Bosworth, HB;Olsen, MK;Oddone, EZ
通讯作者：
Oddone, EZ