La eSalud en España: evolución, estado actual y perspectivas de futuro

Ramos, Andrés Cernadas; Buceta, Bran Barral; Silva, Ángela Fernández Da; Lorenzo, Ramón Bouzas

doi:10.1590/s0104-12902020190886

Cited by 7 publications

(1 citation statement)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Teletherapy via videoconferencing, especially in group format, was introduced during the lockdown, but the percentage of patients who received it was lower in comparison with the over the phone modality. The preference for over the phone interventions may be explained by the scarcity of online platforms available within the Spanish public healthcare system [ 40 ], and perhaps also by certain limitations associated with videoconferencing, such as the difficulty of its use [ 41 ], poor training [ 42 ], or the perception that videoconferencing may increase the clinical workload [ 43 ]. Also, previous findings indicate that patients with SMI prefer using the telephone rather than videoconferencing, as they believe it reduces the intensity of the sessions [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Teletherapy and hospitalizations in patients with serious mental illness during the COVID-19 pandemic: A retrospective multicenter study

Sánchez-Guarnido¹,

Urquiza²,

Sánchez³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

Background Interventions with patients with Serious Mental Illness (SMI) had to adapt rapidly to the COVID-19 safety restrictive measures, leading to the widespread use of teletherapy as an alternative. Objectives The aims of this study were to compare the use of different intervention modalities with patients with SMI during the first wave of the pandemic and examine their association with emergency hospital visits and hospitalization rates six months later. Methods Records of 270 service users of fifteen outpatient mental health services across Spain, were retrospectively assessed. We retrieved clinical data and data on the modality of intervention received (in-person, over the phone, videoconferencing) in three time points (before, during and after the first COVID-19 wave). Also, data were retrieved regarding the frequency of their emergency hospital visits and hospitalization rates, two, four and six months later. Results During the first wave of the pandemic, teletherapy (over the phone and videoconferencing) was the modality most widely used, whilst in-person therapy sessions were significantly reduced, though they seemed to return to pre-COVID levels after the first wave had passed. Importantly, patients receiving teletherapy during the first wave seemed to have significantly fewer emergency visits and hospitalization rates four and six months later (χ2 = 13.064; p < .001). Multilevel analyses revealed that patients receiving videoconferencing interventions had fewer hospitalizations six months after the first wave (OR = 0.25; p = .012). Conclusions Under challenging circumstances as those created by the COVID pandemic, teletherapy is a useful tool for protection against hospitalizations and can be used as an alternative to in-person therapy, to ensure continuity of care for patients with SMI.

show abstract

Section: Discussionmentioning

confidence: 99%

Teletherapy and hospitalizations in patients with serious mental illness during the COVID-19 pandemic: A retrospective multicenter study

Sánchez-Guarnido¹,

Urquiza²,

Sánchez³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

show abstract

Identification of Barriers and Facilitators of the Use of Digital Tools in Healthcare in Primary Care Home Settings

Luengo-Polo¹,

Muñoz-Ortega²

2023

Gerontechnology V

View full text Add to dashboard Cite

Inequities in hospitalisation in a South European country: Lessons learned from the last European recession

Sánchez-Recio

Alonso²,

Gil-Lacruz

et al. 2021

Health Social Care Comm

View full text Add to dashboard Cite

In Spain, regional health systems (universal access) depend on each Autonomous Communities (ACs). The management of the 2008 economic crisis has been different in the ACs, which may have led to an increase in inequities in the use of health services. The objective of this study was to analyse the impact of individual and regional characteristics on public hospitalisation inequities in Spain for the period 2003–2017. We developed a repeated cross‐sectional study through Spanish National Health Surveys (2003, 2006, 2011 and 2017) and the Spanish European Health Survey (2014; n = 118,499 subjects). Multilevel and Oaxaca decomposition analyses were conducted to analyse the effect of individual and regional factors in hospitalisation inequities. The results showed that the prevalence of hospitalisation was higher for women (2003: 11.2%; 2017: 9.0%) than for men (2003: 10.7%; 2017: 8.8%) and it decreased with time. Multilevel analyses showed that, after adjustment for variables related to healthcare demand, there were inequities in the probability of hospitalisation, mainly in women. The decomposition analyses showed a higher effect of the number of hospital beds available on hospitalisation in men than in women. There is a direct relationship between the number of hospital beds and the probability of hospitalisation in both sexes. In conclusion, a progressive decrease in hospitalisation use was observed in Spain in the context of the economic recession. Individual‐level and regional‐level factors were associated with hospitalisation inequities. It is necessary to guarantee equitable access to health services according to the need even in recession times.

show abstract

La eSalud en España: evolución, estado actual y perspectivas de futuro

Cited by 7 publications

References 6 publications

Teletherapy and hospitalizations in patients with serious mental illness during the COVID-19 pandemic: A retrospective multicenter study

Teletherapy and hospitalizations in patients with serious mental illness during the COVID-19 pandemic: A retrospective multicenter study

Identification of Barriers and Facilitators of the Use of Digital Tools in Healthcare in Primary Care Home Settings

Inequities in hospitalisation in a South European country: Lessons learned from the last European recession

Contact Info

Product

Resources

About