移动医疗平台在结核病患者管理中的应用现状与挑战  

Current status and challenges of tuberculosis patient management supported by mobile health platform

作　　者：马艳 成诗明 MA Yan;CHENG Shi-ming(Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院中医临床基础医学研究所,北京100700 [2]中国防痨协会

出　　处：《结核病与肺部健康杂志》2019年第4期238-243,共6页Journal of Tuberculosis and Lung Health

基　　金：“十二五”国家科技重大专项（2014ZX10003001002）;“十三五”国家科技重大专项（2018ZX10722301-004）

摘　　要：1994年世界卫生组织在全球推行直接面视下督导化疗策略(DOTS策略),指出以医务人员为主,对患者开展直接面视下督导服药(DOT)。DOT的实施对提高患者依从性、加强患者管理取得了巨大成效,对控制结核病疫情起到了有利的推动作用,但是在资源有限、疫情负担较重的国家和地区,DOT的实施仍面临很多困难和挑战。移动医疗的到来,为结核病患者管理带来了新的契机与活力。作者旨在探讨移动医疗的现状,介绍移动医疗的发展、手机短信提醒服务(SMS)及视频督导服药(VDOT)等移动医疗平台在结核病患者管理中的应用,为丰富结核病患者的管理模式,提高患者治疗依从性提供参考。In 1994,the World Health Organization proposed the directly observed treatment(DOT strategy,which pointed out that medical staff should mainly carry out DOT for TB patients.The implementation of DOT has made great achievement in improving patient adherence and strengthening patient management,and played a favorable role in controlling the tuberculosis epidemic,but the implementation of DOT in countries and regions with limited resources and high burdens still faces many difficulties and challenges.The arrival of mobile health has brought new opportunities and vitality for the management of tuberculosis patients.This article aims to explore the current state of mobile health,introduce the development of mobile health,and the application of mobile health such as short messaging service(SMS)and video observed therapy(VDOT)in the management of tuberculosis patients,and provide reference for enriching the management model of tuberculosis patients and improving treatment compliance.

关 键 词：便携式电话 计算机通信网络 结核 肺 提醒者系统 自我遵嘱服药 药物治疗依从性 病例管理 

分 类 号：R52[医药卫生—内科学]