目的对电子健康干预手段(e-Health)在慢性病患者管理中应用的相关研究进行范围综述,为相关研究及应用提供参考。方法检索PubMed、CINAHL、Embase、Web of Science、MEDLINE、Cochrane Library、美国国立指南数据库、中国知网、万方等数...目的对电子健康干预手段(e-Health)在慢性病患者管理中应用的相关研究进行范围综述,为相关研究及应用提供参考。方法检索PubMed、CINAHL、Embase、Web of Science、MEDLINE、Cochrane Library、美国国立指南数据库、中国知网、万方等数据库中相关研究。结果纳入35篇文献。e-Health用于慢性病患者管理主要运用移动医疗和远程保健2种形式;慢性病患者管理e-Health的内容主要为提供慢性病自我管理指导、患者健康信息追踪、提供在线同伴支持资源、提供医疗健康资源、提供心理支持;慢性病患者管理e-Health的策略要素主要为以患者的需求为导向、建立多学科管理团队、保护隐私、使用培训和经济激励;慢性病管理e-Health评价要素主要包括健康临床结局、健康经济结局、智能设备使用依从性和可行性、患者使用满意度。结论电子健康干预手段能在慢性病患者管理中起到积极作用,但在满足患者个性化需求、提供便捷简单的下载渠道及操作界面等方面需进一步提升。展开更多
In Nigeria, Universal health coverage has been sub-optimal due to limited access and inequality. This is worsened by poor health-seeking behavior due to out-of-pocket expenditure health system financing being practice...In Nigeria, Universal health coverage has been sub-optimal due to limited access and inequality. This is worsened by poor health-seeking behavior due to out-of-pocket expenditure health system financing being practiced by a greater percentage of the population. However, leveraging on the increasing population of Nigerian’s using communication technologies provides a viable and robust platform for improving patient’s care. Consequently, tele-health initiative provides a complementary approach to improving access to quality health and universal health system coverage. Tele-health initiative is Abia state’s input in progressing the Universal Health Coverage mandate of the Federal Government of Nigeria, anchored on the e-Health policy of Nigeria, after its adoption at the 58th NCH in Sokoto in 2016, of which Abia became the pioneer state for the Project. Abia state’s telecommunication market caters to almost 3.5 million active subscribers, making it the single largest provider of services in the state. Objective: The project is designed to ascertain the impact of the tele-health initiative on healthcare service coverage in Abia State. Methodology: This is a descriptive study with the quantitative and qualitative arm. The study was conducted in all the seventeen local government areas in the State. Result: 29,488 incoming calls were related to general health inquiries about basic information, counseling, and support that improved callers’ knowledge and attitude towards their health, concerns, and symptoms. Also, 66.8% of all calls (19,382) were for routine health information, complaints on mild everyday symptoms, chronic disease management, and follow-up care. About 29.6% of total calls (8751) were made by persons seeking information on socially stigmatizing topics and conditions.展开更多
文摘目的对电子健康干预手段(e-Health)在慢性病患者管理中应用的相关研究进行范围综述,为相关研究及应用提供参考。方法检索PubMed、CINAHL、Embase、Web of Science、MEDLINE、Cochrane Library、美国国立指南数据库、中国知网、万方等数据库中相关研究。结果纳入35篇文献。e-Health用于慢性病患者管理主要运用移动医疗和远程保健2种形式;慢性病患者管理e-Health的内容主要为提供慢性病自我管理指导、患者健康信息追踪、提供在线同伴支持资源、提供医疗健康资源、提供心理支持;慢性病患者管理e-Health的策略要素主要为以患者的需求为导向、建立多学科管理团队、保护隐私、使用培训和经济激励;慢性病管理e-Health评价要素主要包括健康临床结局、健康经济结局、智能设备使用依从性和可行性、患者使用满意度。结论电子健康干预手段能在慢性病患者管理中起到积极作用,但在满足患者个性化需求、提供便捷简单的下载渠道及操作界面等方面需进一步提升。
文摘In Nigeria, Universal health coverage has been sub-optimal due to limited access and inequality. This is worsened by poor health-seeking behavior due to out-of-pocket expenditure health system financing being practiced by a greater percentage of the population. However, leveraging on the increasing population of Nigerian’s using communication technologies provides a viable and robust platform for improving patient’s care. Consequently, tele-health initiative provides a complementary approach to improving access to quality health and universal health system coverage. Tele-health initiative is Abia state’s input in progressing the Universal Health Coverage mandate of the Federal Government of Nigeria, anchored on the e-Health policy of Nigeria, after its adoption at the 58th NCH in Sokoto in 2016, of which Abia became the pioneer state for the Project. Abia state’s telecommunication market caters to almost 3.5 million active subscribers, making it the single largest provider of services in the state. Objective: The project is designed to ascertain the impact of the tele-health initiative on healthcare service coverage in Abia State. Methodology: This is a descriptive study with the quantitative and qualitative arm. The study was conducted in all the seventeen local government areas in the State. Result: 29,488 incoming calls were related to general health inquiries about basic information, counseling, and support that improved callers’ knowledge and attitude towards their health, concerns, and symptoms. Also, 66.8% of all calls (19,382) were for routine health information, complaints on mild everyday symptoms, chronic disease management, and follow-up care. About 29.6% of total calls (8751) were made by persons seeking information on socially stigmatizing topics and conditions.
