Objective To review published literature on telemedicine in China using qualitative analysis. Methods Such databases as CBM, VIP, CNKI, and CSSCI were electronically and comprehensively searched for clinical studies related to telemedicine from inception to March 2013. References of the included studies were also retrieved. Two reviewers independently identified the literature according to inclusion and exclusion criteria, extracted data, and assessed the quality of the included studies. Then, qualitative analysis was performed in aspects of the application fields, range, and effects of the included studies. Result Finally, 19 studies were eligible for the analysis, including 16 quasi-randomized controlled trials and 3 observational studies. According to methodological evaluation standards (JBI, 2005), among 16 quasi-randomized controlled trials, 12 were of medium quality and four were of low quality; and 3 observational studies were all of low quality. The results of qualitative analysis showed that, literature on telemedicine had increased by year since 1995. However, the literature on relevant research of telemedicine had been published since 2002. The number of literature increased evenly and sporadically in journals. According to the classification of the application fields of telemedicine, 15 (80%) related to remote monitoring, especially related to remote fetal monitoring, 4 (21%) were remote consultation, and 3 (16%) were remote treatment. The results of 19 studies showed that, telemedicine had better effects than traditional medicine. Conclusion In China, literature related to telemedicine increases by year but the quality of them are low. High quality studies are further needed. The distribution of the application fields of telemedicine is uneven, most of which focuses on remote monitoring. The quality of research is low and need high-quality research in future. The therapeutic effects of telemedicine are better with accurate monitoring data and convenience to patients..
目的:调查了解成都市建筑工地工作的流动人口工人的生殖健康现状,为项目的干预打下基础。方法:采用定量调查和定性研究相结合的方法获取相关数据和信息。结果和结论:流动人口中的建筑工人的确是一个获取生殖健康知识和服务方面十分脆弱的人群:1)流动人群中的建筑工人们的健康状况不容乐观。他们大都看似健康,但健康知识贫乏、不重视自身生殖健康、寻求健康服务的行为单一且不安全;2)建筑公司和工地基本不允许女工在工期怀孕;除特殊工种外,工人没有体检;一般只给工人买工伤险,但没有医疗保险;3)流动人群中的建筑工人们对性与生殖健康方面的需求是迫切的。但他们求医难,寻求性与生殖健康服务更难。