Mobile Health Initiatives in Vietnam: Scoping Study
Mobile Health Initiatives in Vietnam: Scoping Study
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DOI：
10.2196/mhealth.8639
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发表时间：
2018-04-01
影响因子：
5
通讯作者：
Cuong Kieu Nguyen
中科院分区：
文献类型：
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作者：
Lam, Jeffrey A.;Linh Thuy Dang;Cuong Kieu Nguyen
背景：移动医疗 (mHealth) 为越南卫生系统面临的众多挑战提供了一个有前景的解决方案，但有关越南移动医疗的公开信息很少。目的：本次范围界定研究的目标是 (1) 总结越南移动医疗举措的程度、范围和性质，以及 (2) 研究越南背景下移动医疗利用的机会和威胁。方法：这项范围界定研究系统地识别并提取了越南过去和当前的 20 个移动医疗举措的相关信息。该研究包括多模式信息来源，包括已发表的文献、灰色文献（即政府报告和未发表的文献）、会议演示文稿、基于网络的文件和关键知情人访谈。 结果：我们从电子检索的 27 条记录中提取信息，并进行 14 次关键知情人访谈，从而确定越南的 20 个移动医疗举措。大多数举措主要由外部捐助者资助（n=15），而其他举措则由政府资助（n=1）或自筹资金(n=4)。大多数举措针对弱势和难以接触的人群（n=11），旨在预防疾病的发生（n=12），并使用短信（短消息服务，SMS）作为干预措施的一部分（n=14）。研究显示，越南移动医疗的实施受到了越南语言独特特征（n=4）和社会文化因素（n=3）等因素的挑战。结论：移动医疗举措普及的最大威胁是政府政策的缺失、政府兴趣的缺乏、对外国资金的严重依赖以及技术基础设施的缺乏。最后，虽然当前的移动医疗举措已经证明了社会创业或私营商业模式等替代融资模式的良好机会，但除外部捐助者资助的可持续移动医疗举措尚未实施。
Background: Mobile health (mHealth) offers a promising solution to the multitude of challenges the Vietnamese health system faces, but there is a scarcity of published information on mHealth in Vietnam.Objective: The objectives of this scoping study were (1) to summarize the extent, range, and nature of mHealth initiatives in Vietnam and (2) to examine the opportunities and threats of mHealth utilization in the Vietnamese context.Methods: This scoping study systematically identified and extracted relevant information from 20 past and current mHealth initiatives in Vietnam The study includes multimodal information sources, including published literature, gray literature (ie, government reports and unpublished literature), conference presentations, Web-based documents, and key informant interviews.Results: We extracted information from 27 records from the electronic search and conducted 14 key informant interviews, allowing us to identify 20 mHealth initiatives in Vietnam Most of the initiatives were primarily funded by external donors (n=15), while other initiatives were government funded (n=1) or self-funded (n=4). A majority of the initiatives targeted vulnerable and hard-to-reach populations (n=11), aimed to prevent the occurrence of disease (n=12), and used text messaging (short message service, SMS) as part of their intervention (n=14). The study revealed that Vietnamese mHealth implementation has been challenged by factors including features unique to the Vietnamese language (n=4) and sociocultural factors (n=3).Conclusions: The largest threats to the popularity of mHealth initiatives are the absence of government policy, lack of government interest, heavy dependence on foreign funding, and lack of technological infrastructure. Finally, while current mHealth initiatives have already demonstrated promising opportunities for alternative models of funding, such as social entrepreneurship or private business models, sustainable mHealth initiatives outside of those funded by external donors have not yet been undertaken.