视频督导服药在结核病患者治疗管理中的应用

The application of video observed therapy to the management of tuberculosis treatment

网络时代的到来以及移动终端的普及,为移动医疗提供了良好的硬件基础,国内外学者通过移动医疗开展了提高结核病患者服药依从性的研究.既往研究表明,视频督导服药（video observed therapy,VOT）可使患者获得高依从性,同时节省患者往返结核病防治机构的时间与费用,也提高了医护人员管理患者的效率,具有良好的“成本-效益”.目前,国内尚未检索到开展VOT相关研究的文献报道.作者梳理了国外VOT研究的实施步骤及研究结果,并归纳存在的不足,以为我国开展VOT研究提供参考.

With the arrival of the network age and the popularity of mobile terminals,excellent hardware is available for mobile health （mHealth）.Domestic and foreign scholars have conducted multiple studies regarding how to promote the adherence of patients by mHealth.The previous studies proved that tuberculosis patients could achieve high adherence by using video observed therapy （VOT）.Moreover,the patients＆#39; time and fee from home to center for tuberculosis control and prevention is saved,and the efficiency of medical staffs to manage patients is im-proved,suggesting the high cost effectiveness of VOT.However,study involving VOT application in China has not yet been reported.Therefore,the present study summarized the procedures,results and limitations of the published VOT studies,and aimed to provide valuable information for Chinese medical service.