eHealth for service delivery in conflict: a narrative review of the application of eHealth technologies in contemporary conflict settings.
Conflict
evidence-based medicine
health planning
health services research
refugee health
Journal
Health policy and planning
ISSN: 1460-2237
Titre abrégé: Health Policy Plan
Pays: England
ID NLM: 8610614
Informations de publication
Date de publication:
25 Jun 2021
25 Jun 2021
Historique:
accepted:
23
03
2021
pubmed:
17
4
2021
medline:
29
7
2021
entrez:
16
4
2021
Statut:
ppublish
Résumé
The role of eHealth in conflict settings is increasingly important to address geographic, epidemiologic and clinical disparities. This study categorizes various forms of eHealth usage in conflict and aims to identify gaps in evidence to make recommendations for further research and practice. The analysis was carried out via a narrative hermeneutic review methodology. Articles that fulfilled the following screening criteria were reviewed: (1) describing an eHealth intervention in active conflict or ongoing insurgency, (2) an eHealth intervention targeting a conflict-affected population, (3) an e-learning platform for delivery in conflict settings and (4) non-interventional descriptive reviews relating to eHealth in conflict. Of the 489 papers eligible for screening, 46 merited final inclusion. Conflict settings described include Somalia, Sudan, Afghanistan, Syria, Iraq, Pakistan, Chechnya, Gaza and the Democratic Republic of Congo. Thirty-six studies described specific eHealth initiatives, while the remainder were more generic review papers exploring general principles. Analysis resulted in the elucidation of three final categories of current eHealth activity in conflict-affected settings: (1) eHealth for clinical management, (2) e-learning for healthcare in conflict and (3) eHealth for information management in conflict. Obvious disparities in the distribution of technological dividends from eHealth in conflict are demonstrated by this review. Conflict-affected populations are predominantly subject to ad hoc and voluntary initiatives delivered by diaspora and civil society organizations. While the deployment of eHealth technologies in conflict settings is increasingly normalized, there is a need for further clarification of global norms relating to practice in this context.
Identifiants
pubmed: 33860797
pii: 6228005
doi: 10.1093/heapol/czab042
pmc: PMC8355470
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
974-981Subventions
Organisme : Research for Health in Conflict in the Middle East and North Africa (R4HC-MENA)
ID : ES/P010962/1
Organisme : Research capacity strengthening and knowledge generation
ID : ES/P010873/1
Organisme : National Institute for Health Research
ID : 131207
Informations de copyright
© The Author(s) 2021. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.
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