Health systems readiness for adopting mhealth interventions for addressing non-communicable diseases in low- and middle-income countries: a current debate
Health systems readiness for adopting mhealth interventions for addressing non-communicable diseases in low- and middle-income countries: a current debate
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DOI：
10.1080/16549716.2018.1496887
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发表时间：
2018-07-24
影响因子：
2.6
通讯作者：
Saleem, Sarah
中科院分区：
文献类型：
--
作者：
Feroz, Anam;Kadir, Muhammad Masood;Saleem, Sarah
在低收入和中等收入国家，流行病正在迅速从传染病向非传染病转变。非传染性疾病死亡率上升更快，近80%的非传染性疾病死亡发生在低收入国家。由于非传染性疾病造成的治疗费用增加和生产力损失，低收入国家现有薄弱的卫生系统正在遭受毁灭性的人员和经济损失。与此同时，移动的电话技术的日益普及以及蜂窝网络和基础设施的普及导致了移动健康领域的引入。虽然移动医疗领域为中低收入国家预防和控制非传染性疾病提供了巨大的希望：但目前正在进行一场激烈的辩论，探讨卫生系统是否准备好采用移动医疗技术来应对低收入国家的非传染性疾病。有许多因素决定了卫生系统的准备和对采用移动医疗技术的反应，包括医疗机构的准备，资源的可用性，医疗服务提供者和社区的意愿。我们已经讨论了这些因素，以了解卫生系统准备采用移动卫生领域预防和控制非传染性疾病。为了将基于移动电话的卫生干预措施充分纳入现有的卫生系统，应通过不断努力改善卫生系统对非传染性疾病的应对措施来预先处理这些因素。目前，这一研究领域的经验和政策证据不足，因此，未来的研究和政策对话应着眼于评估卫生系统采用移动医疗的意愿，主要是在中低收入国家解决非传染性疾病问题。
In low-and-middle-income countries, epidemiologic transition is taking place very rapidly from communicable diseases to non-communicable diseases. NCDs mortality rates are increasing faster and nearly 80% of NCDs deaths occur in LMICs. Existing weak health systems of LMICs are undergoing a devastating human and economic toll as a result of increasing treatment costs and losses to productivity from NCDs. At the same time, the increasing penetration of mobile phone technology and the spread of cellular network and infrastructure have led to the introduction of the mHealth field. While mHealth field offers a great promise to prevent and control non-communicable diseases in low-and-middle-income countries: there is a great debate going on to explore health systems readiness for adopting mHealth technology to address NCDs in LMICs. There are a number of factors which determine health systems readiness and response for adoption of mHealth technology including preparedness of healthcare institutions, availability of the resources, willingness of healthcare providers and communities. We have discussed these factors to understand health systems preparedness to adopt mHealth field for prevention and control of NCDs. To adequately integrate mobile-phone-based health interventions into existing health systems, these factors should be dealt up-front through constant effort to improve health systems response for NCDs. Currently, there is insufficient empirical and policy evidence on this research area and therefore future research and policy dialogue should be directed to assess the health systems willingness for mHealth adoption principally to address NCDs in the context of LMICs.