Telemedicine is the use of virtual space to provide much-needed healthcare services to consumers, with the potential to revolutionize the delivery of healthcare. As the number of challenges facing Somalia continues to grow including the prolonged war, natural disasters, and migration of skilled healthcare professionals, the federal government may be overwhelmed and unable to provide sufficient basic healthcare to its citizens. This review was undertaken to highlight the current state of healthcare services delivery, the benefits of telemedicine, its potential to address the currently strained healthcare services, and the challenges that may hamper its adoption in Somalia. The review results show that the introduction of telemedicine into Somalia's healthcare will go a long way in supporting the efforts of the government to significantly improve the quality of healthcare by increasing accessibility and efficiency. The review also identified potential challenges that may hamper the adoption of this technology including policy barriers, hospital facility and information technology infrastructure, lack of trained healthcare workers as well as lack of awareness among the public on the benefits of telemedicine. Hence, given the current humanitarian situation facing the country and the determination to provide quality healthcare services at an affordable rate to its citizens, policymakers should view telemedicine as an attractive alternative to achieve these targets.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889439 | PMC |
http://dx.doi.org/10.11604/pamj.2024.49.100.38299 | DOI Listing |
Nurs Ethics
March 2025
Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Uehiro Oxford Institute, University of Oxford.
The expanding demands of healthcare necessitate novel methods of increasing the supply of trained professionals to enhance the delivery of care services. One means of doing so is to expand allied health professionals' scope of practice. This paper explores the ethics of two examples of such expansion in ophthalmology, comparing the widely accepted practice of nurses administering intravitreal injections and the relatively less prevalent optometrists functioning as physician extenders.
View Article and Find Full Text PDFJ Am Geriatr Soc
March 2025
New England Geriatric Research, Education, and Clinical Centers (GRECC), VA Boston Healthcare System, Boston, Massachusetts, USA.
Background: Older adults with multiple chronic conditions face significant challenges with their health. Patient Priorities Care (PPC) is an Age-Friendly approach that explores 'what matters' by identifying values, care preferences, and health priorities, and aligning healthcare based on patients' health outcome goals.
Methods: Patient priorities care was implemented in four clinical settings (Hospital in Home, a transitional care case management program and in two embedded clinics within specialty care settings) within a large academically affiliated Veteran Affairs hospital system.
Health Expect
April 2025
Department of Psychology, University of Limerick, Limerick, Ireland.
Background: Experience-Based Co-Design (EBCD) is a popular collaborative process where service users and healthcare providers share their experiences of using and delivering services to identify ways to adapt services to enhance those experiences.
Objective: This study aimed to identify enablers and barriers to the successful implementation of EBCD as part of Ireland's recently adopted Enhanced Community Care (ECC) programme.
Design: Service users and staff at two sites (N = 17) participated in an accelerated EBCD process designed to enhance service provision for older people and those living with chronic conditions.
Am J Respir Crit Care Med
March 2025
University of Iowa, Radiology and Biomedical Engineering, Iowa City, Iowa, United States;
Rationale: Quantifying functional small airways disease (fSAD) requires additional expiratory computed tomography (CT) scan, limiting clinical applicability. Artificial intelligence (AI) could enable fSAD quantification from chest CT scan at total lung capacity (TLC) alone (fSAD).
Objectives: To evaluate an AI model for estimating fSAD, compare it with dual-volume parametric response mapping fSAD (fSAD), and assess its clinical associations and repeatability in chronic obstructive pulmonary disease (COPD).
Womens Health (Lond)
March 2025
Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Background: There are several barriers to fulfillment of desired postpartum permanent contraception (PC). Prior research has primarily focused on the federal Medicaid sterilization policy as a barrier to PC; however, other barriers need to be examined.
Objectives: To explore the levels and intersections of barriers to postpartum PC that exist external to the Medicaid policy.
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