Universidad Peruana Cayetano Heredia

Factors Influencing the Implementation of Remote Delivery Strategies for Non-Communicable Disease Care in Low- and Middle-Income Countries: A Narrative Review.

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dc.contributor.author Favas, Caroline
dc.contributor.author Ansbro, Éimhín
dc.contributor.author Eweka, Evette
dc.contributor.author Agarwal, Gina
dc.contributor.author Lazo Porras, María de los Ángeles
dc.contributor.author Tsiligianni, Ioanna
dc.contributor.author Vedanthan, Rajesh
dc.contributor.author Webster, Ruth
dc.contributor.author Perel, Pablo
dc.contributor.author Murphy, Adrianna
dc.date.accessioned 2022-08-15T20:11:10Z
dc.date.available 2022-08-15T20:11:10Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/12058
dc.description.abstract Objectives: The COVID-19 pandemic has disrupted health care for non-communicable diseases (NCDs) and necessitated strategies to minimize contact with facilities. We aimed to examine factors influencing implementation of remote (non-facility-based) delivery approaches for people with hypertension and/or diabetes in low- and middle-income countries (LMICs), to inform NCD care delivery during health service disruption, including humanitarian crises. Methods: Our narrative review used a hermeneutic and purposive approach, including primary studies conducted in LMICs, which assessed implementation factors influencing remote NCD care delivery. Results were analyzed using the Consolidated Framework for Implementation Research. Results: Twenty-eight included studies revealed the strong influence of both internal organizational and broader contextual factors, such as community health worker policies or technological environment. Addressing patients' specific characteristics, needs and resources was important for implementation success. Conclusion: This review highlighted the multiple, complex, interdependent factors influencing implementation of remote NCD care in LMICs. Our findings may inform actors designing NCD care delivery in contexts where facility-based access is challenging. Implementation research is needed to evaluate context-adapted e-Health, community-based, and simplified clinical management strategies to facilitate remote NCD care. en_US
dc.language.iso eng
dc.publisher Frontiers
dc.relation.ispartofseries Public Health Reviews
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject COVID-19 en_US
dc.subject implementation en_US
dc.subject community en_US
dc.subject non-communicable diseases (NCDs) en_US
dc.subject continuity en_US
dc.subject e-health en_US
dc.subject humanitarian en_US
dc.subject remote en_US
dc.title Factors Influencing the Implementation of Remote Delivery Strategies for Non-Communicable Disease Care in Low- and Middle-Income Countries: A Narrative Review. en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.3389/phrs.2022.1604583
dc.relation.issn 2107-6952


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