I've got 99 problems but a phone ain't one: Electronic and mobile health in low and middle income countries.
I've got 99 problems but a phone ain't one: Electronic and mobile health in low and middle income countries.
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DOI：
10.1136/archdischild-2015-308556
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发表时间：
2016-10
影响因子：
5.2
通讯作者：
Kirigia D
中科院分区：
文献类型：
--
作者：
Kumar P;Paton C;Kirigia D
移动技术在肯尼亚非常普遍——移动电话普及率为88%，移动数据用户占所有互联网用户的99%。虽然这种无处不在的技术有很大的潜力在资源匮乏的环境中彻底改变医疗保健的获取和质量，但很少有大规模的成功。电子保健（e-Health）和移动保健（m-Health）技术在肯尼亚等国家的实施尚未解决人力资源限制或此类技术的政治、伦理和财政考虑。我们概述了在考虑医疗保健成本的同时可以改善获取和质量的最新创新。其中之一是尝试建立一个可扩展的临床决策支持系统，通过建立一个全球专科医生网络，扭转医疗人才流失的一些破坏性影响。另一种方法是使用低成本和当地生产的工具（如橡皮图章）有效地从纸质记录中提取数字信息，以提高对临床实践指南的遵守程度。通过分别降低远程咨询和临床审计的成本，这些项目为资源有限的诊所提供了提供高质量护理的潜力。本文提出了继续增加对社会企业投资的理由，这些社会企业在学术界、公共部门和私营部门之间架起桥梁，提供可持续和可扩展的电子卫生和移动卫生解决方案。
Mobile technology is very prevalent in Kenya—mobile phone penetration is at 88% and mobile data subscriptions form 99% of all internet subscriptions. While there is great potential for such ubiquitous technology to revolutionise access and quality of healthcare in low-resource settings, there have been few successes at scale. Implementations of electronic health (e-Health) and mobile health (m-Health) technologies in countries like Kenya are yet to tackle human resource constraints or the political, ethical and financial considerations of such technologies. We outline recent innovations that could improve access and quality while considering the costs of healthcare. One is an attempt to create a scalable clinical decision support system by engaging a global network of specialist doctors and reversing some of the damaging effects of medical brain drain. The other efficiently extracts digital information from paper-based records using low-cost and locally produced tools such as rubber stamps to improve adherence to clinical practice guidelines. By bringing down the costs of remote consultations and clinical audit, respectively, these projects offer the potential for clinics in resource-limited settings to deliver high-quality care. This paper makes a case for continued and increased investment in social enterprises that bridge academia, public and private sectors to deliver sustainable and scalable e-Health and m-Health solutions.
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影响因子：
2.4
作者：
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通讯作者：
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DOI：
10.1197/jamia.m2131
发表时间：
2008-01-01
影响因子：
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