关键词: global health health care delivery patient-generated health data social networking platform telehealth

来  源:   DOI:10.1093/jamiaopen/ooae047   PDF(Pubmed)

Abstract:
UNASSIGNED: Telehealth or remote care has been widely leveraged to provide health care support and has achieved tremendous developments and positive results, including in low- and middle-income countries (LMICs). Social networking platform, as an easy-to-use tool, has provided users with simplified means to collect data outside of the traditional clinical environment. WeChat, one of the most popular social networking platforms in many countries, has been leveraged to conduct telehealth and hosted a vast amount of patient-generated health data (PGHD), including text, voices, images, and videos. Its characteristics of convenience, promptness, and cross-platform support enrich and simplify health care delivery and communication, addressing some weaknesses of traditional clinical care during the pandemic. This study aims to systematically summarize how WeChat platform has been leveraged to facilitate health care delivery and how it improves the access to health care.
UNASSIGNED: Utilizing Levesque\'s health care accessibility model, the study explores WeChat\'s impact across 5 domains: Approachability, Acceptability, Availability and accommodation, Affordability, and Appropriateness.
UNASSIGNED: The findings highlight WeChat\'s diverse functionalities, ranging from telehealth consultations and remote patient monitoring to seamless PGHD exchange. WeChat\'s integration with health tracking apps, support for telehealth consultations, and survey capabilities contribute significantly to disease management during the pandemic.
UNASSIGNED: The practices and implications from WeChat may provide experiences to utilize social networking platforms to facilitate health care delivery. The utilization of WeChat PGHD opens avenues for shared decision-making, prompting the need for further research to establish reporting guidelines and policies addressing privacy and ethical concerns associated with social networking platforms in health research.
摘要:
远程医疗或远程护理已被广泛用于提供医疗保健支持,并取得了巨大的发展和积极成果,包括低收入和中等收入国家(LMICs)。社交网络平台,作为一个易于使用的工具,为用户提供了在传统临床环境之外收集数据的简化手段。微信,许多国家最受欢迎的社交网络平台之一,已经被用来进行远程医疗,并托管了大量患者生成的健康数据(PGHD),包括文本,声音,images,和视频。其特点是方便,迅速,和跨平台支持丰富和简化医疗保健提供和沟通,解决大流行期间传统临床护理的一些弱点。本研究旨在系统地总结如何利用微信平台来促进医疗保健服务,以及它如何改善获得医疗保健的机会。
利用Levesque的医疗保健可及性模型,这项研究探讨了微信在5个领域的影响:接近性,可接受性,可用性和住宿,负担能力,和适当性。
这些发现突出了微信的多样化功能,从远程健康咨询和远程患者监测到无缝PGHD交换。微信与健康跟踪应用程序的集成,支持远程健康咨询,在大流行期间,调查能力对疾病管理做出了重大贡献。
微信的实践和影响可能为利用社交网络平台促进医疗保健提供提供经验。微信PGHD的利用为共享决策开辟了途径,促使需要进一步研究,以建立报告指南和政策,解决健康研究中与社交网络平台相关的隐私和道德问题。
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