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首页> 外文期刊>Smart Homecare Technology and TeleHealth >Telemedicine in Resource-Limited Setting: Narrative Synthesis of Evidence in Nepalese Context
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Telemedicine in Resource-Limited Setting: Narrative Synthesis of Evidence in Nepalese Context

机译：资源限制环境中的远程医疗：尼泊尔语境中证据的叙事综合

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The traditional model of health services imposes limitations, especially in resource-limited countries like Nepal. Introduction to information technology can mitigate various challenges like geographic complexity, urban-rural disparity, poor accessibility, shortage of healthcare professionals, inadequate health facilities, higher cost, and time. Nepal is a resource-limited country with diverse geographic features making it hard to have proper access to healthcare facilities. Telemedicine service has the potential to improve service quality and accessibility of the disadvantaged and underserved population by overcoming the existing challenges. The objective of this review was to explore the roles of telemedicine in vanquishing existing challenges. Seven data sources (namely CINAHL, PubMed, POPLINE, Web of Science, Scopus, DOAJ and Summon) were consulted using five keywords (telemedicine, telehealth, eHealth, mHealth and Nepal to find the literature using the Boolean operator AND) to obtain the relevant materials. The narrative synthesis method was used to review papers and to analyze the findings. This review selected 27 papers for further analysis by scrutinizing 1161 initial search results. The most common features of telemedicine services so far, implemented or piloted in Nepal, were addressing geographic remoteness (21%), a shortage of in healthcare service providers (11%), saving time (11%), addressing challenges of extreme conditions (10%), cost saving (9%), service quality (9%) and real-time services (8%). Some other features of telemedicine were communication, transportation, referral, collaboration, addressing challenges in proper diagnosis and the shortage of health professionals. In a nutshell, the review findings suggested improved service quality, increased collaboration and accessibility and decreased the disparity in comparison with traditional health service models. Although it cannot be said that telemedicine in Nepal has been mainstreamed, yet the appeal is increasing due to its positive impact, especially in rural and hard-to-reach areas where with a lack of healthcare set-up and professionals.
机译：传统的卫生服务模型对尼泊尔这样的资源有限的国家施加了局限性，特别是在资源有限的国家。信息技术介绍可以减轻地理复杂性，城乡差距，可差，医疗保健专业人才短缺，卫生设施不足，较高的成本和时间等挑战。尼泊尔是一个资源有限的国家，具有多样化的地理特征，使得难以获得医疗保健设施。通过克服现有挑战，远程医疗服务有可能提高弱势群体和不良人口的服务质量和可达性。本综述的目的是探讨远程医疗在征服现有挑战方面的角色。使用五个关键字（远程医疗，远程医疗，电子医疗，MHECHEAL和Nepal来查询七个数据来源（Cinahl，Pockline，Specon，Meheal，Doaj和召唤，使用Boolean运营商和尼泊尔找到文献）来获取相关材料。叙事合成方法用于审查论文并分析调查结果。此审查选择了27篇论文，通过审查1161初始搜索结果来进一步分析。到目前为止，在尼泊尔实施或试行的远程医疗服务最常见的特征，正在解决地理偏远（21％），医疗服务提供商的短缺（11％），节省时间（11％），解决极端条件的挑战（ 10％），节省成本（9％），服务质量（9％）和实时服务（8％）。远程医疗的其他一些特征是沟通，交通，转诊，协作，解决适当诊断和卫生专业人士短缺的挑战。简而言之，审查结果表明，与传统卫生服务模型相比，服务质量提高，协作和可访问性提高，并降低了差距。虽然不能说尼泊尔的远程医疗被纳入主流，但由于其积极的影响，呼吁正在增加，特别是在农村和难以达到医疗保健和专业人士的难以达到的地区。

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