Policymakers and mHealth: roles and expectations, with observations from Ethiopia, Ghana and Sweden
Policymakers and mHealth: roles and expectations, with observations from Ethiopia, Ghana and Sweden
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DOI：
10.1080/16549716.2017.1337356
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发表时间：
2017-01-01
影响因子：
2.6
通讯作者：
Weinehall, Lars
中科院分区：
文献类型：
--
作者：
Barkman, Catharina;Weinehall, Lars
过去十年中，移动的电话和其他电信技术在医疗保健领域的使用迅速增加，为乐观主义铺平了道路。移动保健（移动的保健）倡议需要纳入国家保健系统和优先事项，并适合国家已经投资的系统。政府、地区政府、卫生保健系统、社区卫生工作者、私营部门和大学之间的伙伴关系被认为是成功的先决条件。反过来，这就要求在行动计划中将国家/区域一级的战略性和综合性政策决定界定为具体步骤。决策者呼吁即使在试点阶段也要制定扩大计划。希望新技术在实施阶段产生的最初的喜悦和好奇心将转移到日常工作中。标准和能够实现互操作性和升级的共同技术架构是关键问题。本文以政策和国家战略出版物为基础，着重介绍了决策者在移动卫生方面的作用和期望的一些关键领域。该文件还将报告埃塞俄比亚、加纳和瑞典的一些移动保健经验。
The rapid increase in mobile phone use and other telecommunication technologies in health care during the past decade has paved the way for optimism. mHealth (mobile health) initiatives need to be integrated into national health systems and priorities and fit into the system that the country has already invested in. Partnership between government, regional governments, health care systems, Community Health Workers, the private sector and universities is considered as a precondition for success. In turn, this requires strategic and integrative policy decisions on the national/regional level to be defined in the action plans as concrete steps. Decision makers are calling for scale-up plans to be in place even in the pilot phases. Hope is expressed that the initial joy and curiosity that new technology generates in the implementation phase will be transferred to routine work. Standards and a common technical architecture that enables interoperability and upscaling are key issues. Based on publications on policy and national strategies, this paper highlights some key areas for decision makers' role and expectations with regard to mHealth. The paper will also report some mHealth experiences from Ethiopia, Ghana and Sweden.