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乡村振兴与县域远程医疗:一个脱贫县的整合实践

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文章以脱贫地区县域远程医疗实践为例,运用NASSS评估框架,系统诠释远程医疗项目在脱贫县被采纳应用、推广和可持续发展过程中面临的价值取向、政策、组织、技术、参与者、疾病特征、更广泛的制度和社会文化背景及动态互动等8个维度实践及挑战,在远程医疗助力乡村振兴实践路径上,明确了远程医疗助力乡村振兴因何而为、何以可为、何以有为,以远程医疗促进乡村公共服务均等化、推进县域医共体建设构建整合型医疗卫生服务体系、拓展以患者为中心全生命周期健康服务模式作为三阶段路径选择.
Rural revitalization and county telemedicine:An integration practice of a poverty-alleviation county
Using the NASSS framework,this paper takes telemedicine practice in a poverty-alleviation county in China as an example to systematically interpret the practice of telemedicine projects and challenges faced in the process of application,promotion and sustainable development in poverty alleviation counties from 8 dimen-sions,including value orientation,policy,organization,technology,participants,disease characteristics,broader institutional and socio-cultural background and dynamic interaction.In terms of realization path,it clarifies why,how and for whom telemedicine helps rural revitalization with three-stage path options,including promoting the e-qualization of rural public services with telemedicine,promoting the construction of county-level medical communi-ties to build an integrated health service system,and expanding the patient-centred whole life cycle health service model.

Rural revitalizationTelemedicineCounty medical communityRealization path

王雪、张磊、王文华、罗怡、袁潇潇

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陕西省卫生行业学会服务中心,陕西西安 710003

西安医学院全科医学院,陕西西安710021

陕西省医学会,陕西西安 710003

乡村振兴 远程医疗 县域医共体 实现路径

陕西省科技厅软科学一般项目

2024ZC-YBXM-001

2024

中国农村卫生事业管理
中华预防医学会

中国农村卫生事业管理

影响因子:0.744
ISSN:1005-5916
年,卷(期):2024.44(5)
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