eHealth for service delivery in conflict: a narrative review of the application of eHealth technologies in contemporary conflict settings.
eHealth for service delivery in conflict: a narrative review of the application of eHealth technologies in contemporary conflict settings.
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DOI：
10.1093/heapol/czab042
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发表时间：
2021-06-25
影响因子：
3.2
通讯作者：
Patel P
中科院分区：
文献类型：
--
作者：
Bowsher G;El Achi N;Augustin K;Meagher K;Ekzayez A;Roberts B;Patel P
电子卫生在冲突环境中的作用对于解决地理、流行病学和临床差异越来越重要。本研究对冲突中各种形式的电子健康使用进行了分类，旨在确定证据中的差距，为进一步的研究和实践提出建议。分析是通过叙事解释学审查方法进行的。对符合以下筛选标准的文章进行了审查：（1）描述在正在发生的冲突或正在进行的叛乱中的电子保健干预措施，（2）针对受冲突影响人群的电子保健干预措施，（3）在冲突环境中提供的电子学习平台，以及（4）与冲突中的电子保健有关的非干预性描述性审查。在符合筛选条件的489篇论文中，有46篇最终入选。所描述的冲突环境包括索马里、苏丹、阿富汗、叙利亚、伊拉克、巴基斯坦、车臣、加沙和刚果民主共和国。36项研究描述了具体的电子健康举措，而其余的则是探索一般原则的更一般性的评论论文。通过分析，阐明了受冲突影响环境中目前电子保健活动的最后三个类别：（1）用于临床管理的电子保健，（2）用于冲突中医疗保健的电子学习，（3）用于冲突中信息管理的电子保健。本次审查表明，在冲突中电子保健技术红利的分配存在明显差异。受影响人口主要是散居国外者和民间社会组织提供的临时和自愿举措的对象。虽然在冲突环境中部署电子保健技术日益正常化，但仍有必要进一步澄清与这方面做法有关的全球规范。
The role of eHealth in conflict settings is increasingly important to address geographic, epidemiologic and clinical disparities. This study categorizes various forms of eHealth usage in conflict and aims to identify gaps in evidence to make recommendations for further research and practice. The analysis was carried out via a narrative hermeneutic review methodology. Articles that fulfilled the following screening criteria were reviewed: (1) describing an eHealth intervention in active conflict or ongoing insurgency, (2) an eHealth intervention targeting a conflict-affected population, (3) an e-learning platform for delivery in conflict settings and (4) non-interventional descriptive reviews relating to eHealth in conflict. Of the 489 papers eligible for screening, 46 merited final inclusion. Conflict settings described include Somalia, Sudan, Afghanistan, Syria, Iraq, Pakistan, Chechnya, Gaza and the Democratic Republic of Congo. Thirty-six studies described specific eHealth initiatives, while the remainder were more generic review papers exploring general principles. Analysis resulted in the elucidation of three final categories of current eHealth activity in conflict-affected settings: (1) eHealth for clinical management, (2) e-learning for healthcare in conflict and (3) eHealth for information management in conflict. Obvious disparities in the distribution of technological dividends from eHealth in conflict are demonstrated by this review. Conflict-affected populations are predominantly subject to ad hoc and voluntary initiatives delivered by diaspora and civil society organizations. While the deployment of eHealth technologies in conflict settings is increasingly normalized, there is a need for further clarification of global norms relating to practice in this context.
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影响因子：
4.7
作者：
Ehrlich, A. I.;Kobrinsky, B. A.;Shabanov, V. E.
通讯作者：
Shabanov, V. E.
影响因子：
8.1
作者：
Martineau, Tim;McPake, Barbara;Witter, Sophie
通讯作者：
Witter, Sophie
影响因子：
8.3
作者：
Moughrabieh, Anas;Weinert, Craig
通讯作者：
Weinert, Craig
影响因子：
168.9
作者：
Elamein, Mohamed;Bower, Hilary;AbouZeid, Alaa
通讯作者：
AbouZeid, Alaa
影响因子：
7.2
作者：
Delaigue, Sophie;Bonnardot, Laurent;Wootton, Richard
通讯作者：
Wootton, Richard