Challenges to the Emergence of Telerehabilitation in a Developing Country: A Systematic Review.
Challenges to the Emergence of Telerehabilitation in a Developing Country: A Systematic Review.
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DOI：
10.3389/fneur.2020.01007
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发表时间：
2020
影响因子：
3.4
通讯作者：
Mojica JAP
中科院分区：
文献类型：
--
作者：
Leochico CFD;Espiritu AI;Ignacio SD;Mojica JAP
背景：尽管远程康复在国外被认为是面对面咨询和治疗的可行替代方案，但在菲律宾等发展中国家尚未完全兴起。在 2019 年冠状病毒病 (COVID-19) 大流行期间，社交距离扰乱了诊所提供的康复服务，菲律宾人尝试探索远程康复。然而，特别是在远程康复的实施前阶段，观察到了一些障碍，因此有必要对现有的当地证据进行审查。目标：我们的目的是确定菲律宾远程康复面临的挑战。方法：截至 2020 年 3 月，我们通过 PubMed、Scopus、Embase、Cochrane 图书馆和 HeRDIN 检索了菲律宾人作为研究者或人群参与的远程康复相关出版物。由于假设当地有关远程康复的科学成果数量较少，我们通过灰色文献进行手工检索，并纳入了来自菲律宾不同康复相关专业组织的相关论文。我们分析了这些论文，并提取了远程康复或远程医疗面临的人力、组织和技术挑战。结果：我们分析了 21 篇已发表论文和 4 篇未发表论文，其中大部分是评论 (8)、可行性研究 (6) 或案例报告/系列 (4)。 25 项研究中有 12 项让患者和医生参与远程会诊、远程治疗、远程指导或远程监测。患者因一般医疗状况（3 项研究）、慢性病 (2)、心理健康问题 (2)、骨科问题 (2)、神经系统疾病 (1)、沟通障碍 (1) 和心脏病 (1) 寻求远程医疗或远程康复。上述研究的结果主要包括远程医疗接受度、促进因素、障碍和满意度。其他研究涉及远程医疗治理、合法性和道德问题。我们确定了菲律宾与远程康复相关的 18 项人员挑战、17 项组织挑战和 18 项技术独特挑战。最常见的挑战是网速缓慢（10 项研究中）、法律问题 (9) 和怀疑 (9)。结论：菲律宾缺乏远程康复数据。当地的努力可以集中于探索或解决该国远程康复出现时最紧迫的人力、组织和技术挑战。
Background: Despite being known abroad as a viable alternative to face-to-face consultation and therapy, telerehabilitation has not fully emerged in developing countries like the Philippines. In the midst of the coronavirus disease 2019 (COVID-19) pandemic, wherein social distancing disrupted the in-clinic delivery of rehabilitation services, Filipinos attempted to explore telerehabilitation. However, several hindrances were observed especially during the pre-implementation phase of telerehabilitation, necessitating a review of existing local evidences. Objective: We aimed to determine the challenges faced by telerehabilitation in the Philippines. Method: We searched until March 2020 through PubMed, Scopus, Embase, Cochrane Library, and HeRDIN for telerehabilitation-related publications wherein Filipinos were involved as investigator or population. Because of the hypothesized low number of scientific outputs on telerehabilitation locally, we performed handsearching through gray literature and included relevant papers from different rehabilitation-related professional organizations in the Philippines. We analyzed the papers and extracted the human, organizational, and technical challenges to telerehabilitation or telehealth in general. Results: We analyzed 21 published and 4 unpublished papers, which were mostly reviews (8), feasibility studies (6), or case reports/series (4). Twelve out of 25 studies engaged patients and physicians in remote teleconsultation, teletherapy, telementoring, or telemonitoring. Patients sought telemedicine or telerehabilitation for general medical conditions (in 3 studies), chronic diseases (2), mental health issues (2), orthopedic problems (2), neurologic conditions (1), communication disorders (1), and cardiac conditions (1). Outcomes in aforementioned studies mostly included telehealth acceptance, facilitators, barriers, and satisfaction. Other studies were related to telehealth governance, legalities, and ethical issues. We identified 18 human, 17 organizational, and 18 technical unique challenges related to telerehabilitation in the Philippines. The most common challenges were slow internet speed (in 10 studies), legal concerns (9), and skepticism (9). Conclusion: There is paucity of data on telerehabilitation in the Philippines. Local efforts can focus on exploring or addressing the most pressing human, organizational, and technical challenges to the emergence of telerehabilitation in the country.
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DOI：
10.1089/tmj.2008.0098
发表时间：
2009-04-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
--
作者：
Alis, Christian;del Rosario, Carlos;Blanca, Carlo Mar
通讯作者：
Blanca, Carlo Mar
影响因子：
15.8
作者：
Liberati A;Altman DG;Tetzlaff J;Mulrow C;Gøtzsche PC;Ioannidis JP;Clarke M;Devereaux PJ;Kleijnen J;Moher D
通讯作者：
Moher D
DOI：
10.23736/s1973-9087.20.06256-5
发表时间：
2020-06-01
影响因子：
4.5
作者：
Boldrini, Paolo;Bernetti, Andrea;Fiore, Pietro
通讯作者：
Fiore, Pietro
影响因子：
1.2
作者：
Leochico, Carl Froilan D.;Valera, Miguel Julio S.
通讯作者：
Valera, Miguel Julio S.
影响因子：
3.3
作者：
Clough, Bonnie A.;Zarean, Mostafa;Casey, Leanne M.
通讯作者：
Casey, Leanne M.