The use of telemedicine for delivering healthcare in Japan: Systematic review of literature published in Japanese and English languages
The use of telemedicine for delivering healthcare in Japan: Systematic review of literature published in Japanese and English languages
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DOI：
10.1177/1357633x17732801
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发表时间：
2017-12-01
影响因子：
4.7
通讯作者：
Armfield, Nigel R.
中科院分区：
文献类型：
--
作者：
Ito, Jun;Edirippulige, Sisira;Armfield, Nigel R.
背景：与其他国家一样，日本人口老龄化，医疗保健的地理障碍。远程医疗在日本卫生系统中的作用可能引起广泛关注，但尚未对其进行全面探讨和记录。因此，本研究的目的是系统地回顾有关远程医疗在日本的临床使用的日语和英语文献。方法：对于在日本发表的研究，我们搜索Ichushi和CiNii。对于英文出版物，我们检索了科克伦图书馆、PubMed、Embase和Web of Science。纳入了2007年至2016年间发表的所有描述远程医疗临床应用的同行评审文章。提取了临床领域、研究类型、使用的技术和通信类型的数据。研究进行了分类，预防，筛查，诊断，监测，和treatment.Results：搜索产生了1476条记录，26个日语和15个英语的文章被选中进行审查。代表了广泛的临床领域，然而，家庭护理和生活方式相关的研究占主导地位。超过50%的研究与预防和早期诊断有关。大多数日本研究涉及医生对医生的咨询。智能手机和远程监控系统的主要类型的技术used.Conclusions：在日本的远程医疗的大部分研究发表在日语，因此相对难以进入世界其他地区，第一次，这项研究提供了一个概述远程医疗在日本的临床应用。临床相关论文反映了日本文化对疾病预防的关注。
Background: In common with other countries, Japan has an ageing population and geographical impediments to healthcare access. The role of telemedicine within the Japanese health system may be of wide interest, yet it has not been comprehensively explored and documented. Thus, the aim of this study was to systematically review the Japanese and English language literature relating to the clinical use of telemedicine in Japan.Methods: For studies published in Japanese, we searched Ichushi and CiNii. For English language publications, we searched Cochrane Library, PubMed, Embase, and Web of Science. All peer-reviewed articles describing the clinical use of telemedicine and published between 2007 and 2016 were included. Data on clinical area, study type, technology used, and type of communication were extracted. Studies were categorised by prevention, screening, diagnosis, surveillance, and treatment.Results: The search yielded 1476 records; 26 Japanese language and 15 English language articles were selected for review. A wide range of clinical areas were represented; however, home care and life-style related studies were dominant. More than 50% of studies were related to prevention and early diagnosis. The majority of Japanese studies involved doctor-to-doctor consultation. Smartphones and remote monitoring systems were the main types of technology used.Conclusions: Most studies of telemedicine in Japan are published in the Japanese language and are thus relatively inaccessible to the rest of the world; for the first time, this study has provided an overview of the clinical use of telemedicine in Japan. The clinically related papers reflect the Japanese cultural focus on disease prevention.