低收入和中等收入国家的现场成像发生了范式转变。
A paradigm shift in point-of-care imaging in low-income and middle-income countries.
发表日期:2023 Aug
作者:
Guy Frija, Dina H Salama, Michael G Kawooya, Bibb Allen
来源:
ECLINICALMEDICINE
摘要:
在低收入和中等收入国家(LMICs),初级医疗保健概念现在被认为在增强对医疗服务的获取方面至关重要。随着技术进步,许多医学成像设备变得更小、更轻、更便携和更实惠,并且电源供应、互联网连接和人工智能的基础设施进步都增加了在LMICs使用POCI(现场成像)的可行性。虽然在高收入国家提供成像服务的传统方式是在诊所访问同时提供,患者通常会被引导到专门的影像中心,但POCI模型通常是为LIMCs的许多患者提供及时成像护理的唯一方式。为了应对癌症和心脏病等非传染性疾病不断增加的负担,将先进的成像工具引入POCI将是必要的。根据各个国家的特定需求制定的策略,包括培训、安全和质量,将至关重要。© 2023作者。
The concept of primary healthcare is now regarded as crucial for enhancing access to healthcare services in low-income and middle-income countries (LMICs). Technological advancements that have made many medical imaging devices smaller, lighter, portable and more affordable, and infrastructure advancements in power supply, Internet connectivity, and artificial intelligence, are all increasing the feasibility of POCI (point-of care imaging) in LMICs. Although providing imaging services at the same time as the clinic visit represents a paradigm shift in the way imaging care is typically provided in high-income countries where patients are typically directed to dedicated imaging centres, a POCI model is often the only way to provide timely access to imaging care for many patients in LIMCs. To address the growing burden of non-communicable diseases such as cancer and heart disease, bringing advanced imaging tools to the POCI will be necessary. Strategies tailored to the countries' specific needs, including training, safety and quality, will be of the utmost importance.© 2023 The Authors.