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eHealth:通过电子和通讯确保非洲医务人员的医疗保健工作

kira86 于2009-06-18发布 l 已有人浏览
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Connecting Africa's Health Workers This is the VOA Special English Health Report.The United Nations is seeking
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Connecting Africa's Health Workers




This is the VOA Special English Health Report.

The United Nations is seeking to improve electronic communication for health workers in Africa. Workers in rural areas would have a better way to get training, information and advice from doctors hundreds or even thousands of kilometers away.

In two thousand five, the World Health Assembly passed a resolution urging countries to plan for "eHealth" services. The idea is to look for ways to use modern information and communications technologies to strengthen health systems.

The World Health Organization says Africa is behind other parts of the world in treating H.I.V/AIDS, tuberculosis and malaria. So the United Nations Economic and Social Council is supporting the expansion of telecommunications technology for health care workers. Telemedicine is another term for eHealth.

eHealth 是相当新近的术语,意思是由电子过程和通讯支持医疗保健实践。关于这个术语的使用很不一致: 某些或许争论它与医疗保健信息学是可互换的,同时其他人是在医疗保健实践中利用因特网的狭隘意义的使用了这个术语。该术语可能包括的服务范围是处于医学/医疗保健和信息技术的edge边缘上:

    * EMR Electronic Medical Record: 能够在不同的医疗保健专业人员之间(GP, 专门医生,保健组,药房)容易地交流病人数据。
    * 远程医疗Telemedicine:包括医生和心理医生的所有类型的测量,它不要求病人旅行到专科医生处。当这个服务工作时,病人不必旅行到专科医生处,或相反,专门医生有更大的下游地域。
    * EBMEvidence Based Medicine: 一个系统提供有限的在确定病人情况下恰当治疗的信息。医疗保健专业人员可能察看他/她的诊断是否符合科学研究。优点是数据可能是保持跟踪最近的更新
    * 消费者健康信息学Consumer Health Informatics (或市民-导向的信息提供): 健康个体或病人两者都希望成为关于医学主题的 informed 。
    * 健康知识管理Health knowledge management (或专家-导向的信息提供):例如在最近医学杂志的概要,最好的实践指南或流行病学跟踪。
    * 虚拟医疗保健组Virtual healthcare teams: 由医疗保健人员组成,他们通过数字设备(for transmural care)收集数据和共享关于病人信息。
    * 由病人携带的个人健康记录
 

Stennar Pedersen is the director of the Norwegian Center for Telemedicine at the University Hospital of North Norway. Doctor Pedersen is working with the W.H.O. He recently met with West African health officials in the Ghanaian capital, Accra. He says the technology can provide easier access to medical specialists and make it easier for people to seek medical information themselves.

Elias Sory is the director general of health services in Ghana. He says eHealth will offer a way to reduce the effects of health worker shortages and make it easier to train existing workers. Doctor Sory says the technology will also make it easier for doctors at Ghana's main teaching hospital, Korle Bu, to share their knowledge.

ELIAS SORY: "If you get a doctor who is away in the village and has come across a case he or she thinks is beyond him or her, why cannot that doctor be able to link up easily with a senior doctor in Korle Bu to get advice on it? So we are not there. But eHealth will get us there.

"The other thing is that medicine is dynamic. Why cannot we use that to train? We do not need all people to come to Korle Bu in order to be upgraded in knowledge; eHealth can bridge that gap. And to me medical education is even one of the most important ingredients in eHealth."

Services must be shaped to fit each country's health care needs and level of technological development. Another issue is patient privacy. The hope is that health ministries will together develop policies on collecting and storing electronic health information about individuals.

And that's the VOA Special English Health Report. Transcripts, MP3s and archives of our reports can be found at en8848.com, where you can also post comments. I'm Steve Ember.

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