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Abstract：
Stroke is a major cause of death and disability, with most of its burden now affecting low- and middle-income countries (LMIC). People in rural areas of LMIC who have a stroke receive very little acute stroke care and local healthcare workers and family caregivers in these regions lack the necessary knowledge to assist them. Intriguingly, a recent rapid growth in cell-phone use and digital technology in rural areas has not yet been appropriately exploited for health care training and delivery purposes. What should be done in rural areas, at the community setting-level, where access to healthcare is limited remains a challenge. We review the evidence on improving post-stroke outcomes including lowering the risks of functional disability, stroke recurrence, and mortality, and propose some approaches, to target post-stroke care and rehabilitation, noting key challenges in designing suitable interventions and emphasizing the advantages mHealth and communication technologies can offer. In the article, we present the prevailing stroke care situation and technological opportunities in rural Peru as a case study. As such, by addressing major limitations in rural healthcare systems, we investigate the potential of task-shifting complemented with technology to utilize and strengthen both community-based informal caregivers and community healthcare workers.
摘要：
中风是死亡和残疾的主要原因，其大部分负担现在影响到低收入和中等收入国家(LMIC)。LMIC农村地区的中风患者很少接受急性中风护理，这些地区的当地医护人员和家庭护理人员缺乏必要的知识来帮助他们。有趣的是，最近农村地区手机使用和数字技术的快速增长尚未被适当地用于医疗保健培训和交付目的。在农村应该做什么，在社区设置层面，获得医疗保健的机会有限仍然是一个挑战。我们回顾了改善卒中后结局的证据，包括降低功能性残疾的风险。中风复发,和死亡率，并提出了一些方法，以中风后的护理和康复为目标，注意到在设计合适的干预措施方面的关键挑战，并强调mHealth和通信技术可以提供的优势。在文章中,我们以秘鲁农村地区的卒中护理现状和技术机会为例.因此，通过解决农村医疗系统的主要限制，我们调查了任务转移与技术补充的潜力,以利用和加强社区非正式护理人员和社区医护人员.
