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Analysis of the current situation and obstacle factors of telemedicine health poverty alleviation in the post-poverty era |
ZHU Hong1 YIN Guohuan1 ZHANG Xiaobo2 SHAN Linghan3 HAO Jiatong4 HAN Yue1 LIU Lanru1▲ |
1.Department of Pharmaceutical Management, College of Humanities and Social Sciences, Harbin Medical University, Heilongjiang Province, Harbin 150086, China; 2.Department of Geriatrics, the Fourth Affiliated Hospitals, Harbin Medical University, Heilongjiang Province, Harbin 150001, China;
3.Department of Social Medicine, College of Health Management, Harbin Medical University, Heilongjiang Province, Harbin 150081, China;
4.Department of Ideological and Moral Cultivation, School of Marxism, Harbin Medical University, Heilongjiang Province, Harbin 150086, China |
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Abstract Under the guidance of national policies and active exploration by various localities, telemedicine health poverty alleviation has continuously expanded the coverage area, enriched service content, and innovated medical models. By analyzing the current situation of the implementation of telemedicine health poverty alleviation in China, it is found that it faces obstacles such as capital investment, technical configuration and maintenance, diagnosis and treatment capabilities, cognition and preferences, regulations, systems and mechanisms. It also proposes to explore sustainable and diversified funding and guarantee channels in poverty-stricken areas, strengthen the construction of facilities, technologies and talents, promote the reform of the supply side of telemedicine services, stimulate the preference of doctors and patients, establish and improve relevant regulations, systems and mechanisms, etc. In order to promote the long-term development of health and poverty alleviation through telemedicine in the “post-poverty alleviation period” and the soundness of the long-term mechanism of health and poverty alleviation.
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[1] 廖克勤.后精准扶贫时期我国农村贫困治理思考[J].新丝路,2019(22):15-16.
[2] 国家卫生和计划生育委员会.关于实施健康扶贫工程的指导意见[J].中华人民共和国国家卫生和计划生育委员会公报,2016(6):243-248.
[3] 国务院办公厅.关于促进“互联网+医疗健康”发展的意见[Z].国办发﹝2018﹞26号.
[4] 国家卫生健康委员会.关于印发解决贫困人口基本医疗有保障突出问题工作方案的通知[Z].国卫扶贫发〔2019〕45号.
[5] 省人民政府办公厅关于印发《贵州省远程医疗服务管理办法》的通知[J].贵州省人民政府公报,2017(12):66-70.
[6] 贾小漪.我省健康扶贫工作务实显效[N].人口导报,2018-07-19(A4).
[7] 江苏省卫生和计划生育委员会,江苏省扶贫工作领导小组办公室.关于印发《江苏省健康扶贫工程实施意见》的通知[Z].苏卫财务﹝2016﹞86号.
[8] 甘肃省卫生和计划生育委员会.关于印发省卫生计生委健康扶贫问题整改落实及先锋行动任务分解方案的通知[Z].甘卫扶贫函﹝2018﹞288号.
[9] 黑龙江省卫生和计划生育委员会.关于进一步加强远程医疗服务管理工作的通知[Z].黑卫医规发〔2018〕13号.
[10] 全国国家级贫困县县医院实现远程医疗全覆盖[J].现代仪器与医疗,2019,25(1):53.
[11] 严刚.贵州从“县县通”迈向“乡乡通”[J].中国卫生,2018(1):32-33.
[12] 关欣,刘兰茹,朱虹,等.美国远程医疗对我国创新实践的启示[J].中国卫生事业管理,2019,36(8):565-568.
[13] 栾兆琳.依托五级远程网络平台,助推医疗扶贫精准有效[EB/OL].(2016-11-28)[2019-12-19].http://health.people.com.cn/n1/2016/1128/c398004-28901704.html.
[14] Ross J,Stevenson F,Lau R,et al. Exploring the challenges of implementing e-health:a protocol for an update of a systematic review of reviews [J]. BMJ Open,2015,5(4):e006773.
[15] 董伯岩.“互联网+”时代探索西藏医疗扶贫服务新模式[J].中医药管理杂志,2017,25(22):156-158.
[16] Scott CK,Karem P,Shifflett K,et al. Evaluating barriers to adopting telemedicine worldwide:A systematic review [J]. J Telemed Telecare,2018,24(1):4-12.
[17] 顾海,刘曦言.多元主体视角下远程医疗协同监管体系构建[J].卫生经济研究,2019,36(11):25-28.
[18] 牧剑波,翟运开,蔡垚,等.我国远程医疗系统持续运行模式的探讨[J].中国卫生事业管理,2014,31(12):887-889.
[19] 翟运开,周银龙,孙东旭,等.我国远程医疗发展的政策约束及其纾解[J].中国卫生事业管理,2014,31(10):728-731.
[20] 张源洁,宋媛.民族地区健康扶贫优化发展的路径研究——基于医疗供给侧结构性改革的视角[J].社科纵横,2018,33(3):27-33.
[21] Hogan Murphy D,Tonna A,Setach A,et al. Healthcare professionals’ perceptions of the facilitators and barriers to implementing electronic systems for the prescribing,dispensing and administration of medicines in hospitals:a systematic review [J]. Eur J Hosp Pharm-S P,2015,22(s1):38-39.
[22] 翟运开.基于远程医疗的分级诊疗体系建设研究[J].中国卫生事业管理,2016,33(8):564-567.
[23] 李相荣,王维成,汤榕,等.宁夏回族自治区“互联网+精准健康扶贫”模式的实践[J].卫生软科学,2018,32(3):3-6.
[24] 雷光和,陈小嫦,杨光宝,等.双向转诊中利益相关者的利益诉求实证研究——以东莞市为例[J].中国卫生事业管理,2015,32(10):737-742,764.
[25] 蒋帅,方鹏骞,苏敏.我国贫困地区医疗卫生服务体系建设探讨[J].中国医院管理,2017,37(7):15-17. |
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