VANDERBILT UNIVERSITY MEDICAL CENTER
The COVID-19 pandemic has accelerated the adoption of digital medicine tools in under-resourced settings.
2022 · 5 pages

Abstract
These tools have the potential to bypass limited healthcare issues by improving access to healthcare services, enhancing data collection and management, and facilitating decision-making and policy development. The pandemic has highlighted the need for strengthening human resource capacity for the proper implementation of health information systems, considering the context, needs, and priorities of countries. Digital medicine tools can also help reduce inequalities in under-resourced settings by promoting innovation and knowledge generation in low- and middle-income countries, particularly among disadvantaged groups and areas. Telehealth consultations have proven to be immensely helpful during the pandemic, but more needs to be done to address the challenges faced by under-resourced settings. The experts involved in the planning and deployment of digital medicine applications in under-resourced settings have identified several key challenges, including lack of human resources, limited awareness of diseases among healthcare professionals, and shortage of ophthalmic services. These challenges need to be addressed to reduce the rate of blindness in under-resourced settings. The use of digital medicine tools, such as artificial intelligence and machine learning, can help improve healthcare outcomes in under-resourced settings. For example, a study demonstrated the effectiveness of a deep learning system in detecting referable and vision-threatening diabetic retinopathy in an under-resourced African population. The experts have also emphasized the importance of developing and implementing digital health systems that are interoperable and compliant with national policies and international standards. This requires a multidisciplinary approach, involving collaboration among healthcare professionals, policymakers, and technology experts. In addition, the experts have highlighted the need for capacity building and training programs to equip healthcare professionals with the necessary skills to effectively use digital medicine tools. This includes training on the use of electronic medical records, telemedicine, and other digital health applications. The experts have also emphasized the importance of addressing the ethical and equity aspects of digital health systems. This includes ensuring that digital health systems are designed and implemented in a way that is accessible and equitable for all, particularly in under-resourced settings. In conclusion, digital medicine tools have the potential to improve healthcare outcomes in under-resourced settings by improving access to healthcare services, enhancing data collection and management, and facilitating decision-making and policy development. However, addressing the challenges faced by under-resourced settings requires a multidisciplinary approach, involving collaboration among healthcare professionals, policymakers, and technology experts.
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