@Article{信息:doi/10.2196/21691,作者=“卡齐、阿卜杜勒·莫明和卡齐、萨阿德·艾哈迈德和阿桑、纳齐亚和哈瓦贾、萨多里和萨梅恩、法里哈和萨奇布、穆罕默德和汗·莫古尔、穆罕默德·阿尤布和瓦吉达里、扎宾和阿里、西坎德和艾哈迈德、拉穆伊德和卡里姆丁、侯赛因和拉乌夫、亚西尔和马哈茂德、法蒂玛和扎法尔、萨阿德和阿巴西、图费尔·艾哈迈德和胡姆巴蒂、哈利勒·乌尔·拉赫曼和阿巴西、穆尼尔和斯特吉乌拉斯、拉姆普拉斯”,标题="巴基斯坦数字卫生干预措施的当前挑战:混合方法分析",期刊="J Med Internet Res",年="2020",月="Sep",日="3",卷="22",号="9",页="e21691",关键词="数字卫生";电子健康;中低收入国家的要求;移动健康;巴基斯坦;SWOT;远程保健",摘要="背景:数字保健在低收入和中等收入国家(LMICs)处于有利地位,可以彻底改变卫生保健,部分原因是移动电话接入和互联网连接的增加。本文评估了可能促进或阻碍巴基斯坦数字卫生进展的潜在因素。目标:本研究的目标是确定巴基斯坦目前正在开展的数字卫生项目和研究,以及参与这些举措的主要利益攸关方。 We aim to follow a mixed-methods strategy and to evaluate these projects and studies through a strengths, weaknesses, opportunities, and threats (SWOT) analysis to identify the internal and external factors that can potentially facilitate or hinder the progress of digital health in Pakistan. Methods: This study aims to evaluate digital health projects carried out in the last 5 years in Pakistan with mixed methods. The qualitative and quantitative data obtained from field surveys were categorized according to the World Health Organization's (WHO) recommended building blocks for health systems research, and the data were analyzed using a SWOT analysis strategy. Results: Of the digital health projects carried out in the last 5 years in Pakistan, 51 are studied. Of these projects, 46{\%} (23/51) used technology for conducting research, 30{\%} (15/51) used technology for implementation, and 12{\%} (6/51) used technology for app development. The health domains targeted were general health (23/51, 46{\%}), immunization (13/51, 26{\%}), and diagnostics (5/51, 10{\%}). Smartphones and devices were used in 55{\%} (28/51) of the interventions, and 59{\%} (30/51) of projects included plans for scaling up. Artificial intelligence (AI) or machine learning (ML) was used in 31{\%} (16/51) of projects, and 74{\%} (38/51) of interventions were being evaluated. The barriers faced by developers during the implementation phase included the populations' inability to use the technology or mobile phones in 21{\%} (11/51) of projects, costs in 16{\%} (8/51) of projects, and privacy concerns in 12{\%} (6/51) of projects. Conclusions: We conclude that while digital health has a promising future in Pakistan, it is still in its infancy at the time of this study. However, due to the coronavirus disease 2019 (COVID-19) pandemic, there is an increase in demand for digital health and implementation of health outcomes following global social distancing protocols, especially in LMICs. Hence, there is a need for active involvement by public and private organizations to regulate, mobilize, and expand the digital health sector for the improvement of health care systems in countries. ", issn="1438-8871", doi="10.2196/21691", url="//www.mybigtv.com/2020/9/e21691", url="https://doi.org/10.2196/21691", url="http://www.ncbi.nlm.nih.gov/pubmed/32880584" }
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