Consultoría telefónica en COT durante la pandemia por COVID-19. ¿Ha venido para quedarse?

Álvarez, Silvia Teresa; Ylla, A Bartra; Carreño, J Salvador; Castillon, Pierre; Cardona, C García; Crespo, F. Anglès

doi:10.1016/j.recot.2020.07.008

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Generally, studies analyzing the effectiveness of telemedicine use utility or clinical outcome measures, suggesting in which circumstances it may be most useful [ 2 , 14 ]. There are few studies that measure effectiveness in terms of the level of visit resolution [ 15 , 16 , 17 ], and even fewer that compare face-to-face and telemedicine models of care. The results of this study show that the resolution capacity of the non-face-to-face model is generally lower and generates more successive visits than the face-to-face model.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19

Mas

Aroca

Llandrich

et al. 2022

IJERPH

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Background: During the first months of COVID-19, the Gastroenterology, Hepatology and Nutrition service of the Hospital Sant Joan de Déu in Barcelona, a leading pediatric center in Spain, introduced a new model of non-face-to-face care. Objective: To evaluate the impact of telephone consultations compared to those conducted face-to-face on healthcare utilization. Methodology: Two main indicators of effectiveness are used: the degree of resolution (percentage of first telemedicine visits that did not generate any new visits in the following 4 and 12 months) and the average number of subsequent visits. A distinction was made between visits for general pathologies (less complex) and those for pathologies treated in monographic consultations (chronic or complex pathologies). Effectiveness at 4 and 12 months was also compared. Results: After 4 months from the first visit, the degree of resolution is lower in the first telemedicine visits than in face-to-face visits for both general pathologies and those of monographic agendas for chronic and complex pathologies. After twelve months, the first general telemedicine visits are less resolute than face-to-face visits, while the resolution rate is the same for chronic and complex pathology visits. Each telemedicine visit generates on average more visits than face-to-face visits. In the short term, 133.4% more in the case of general visits and 51.4% more in the case of chronic and complex visits. In the long term, general telemedicine visits generate 57.31% more visits, while no statistically significant difference is observed between chronic and complex face-to-face and telemedicine visits. Conclusion: The results of this study show that the resolution capacity of the non-face-to-face model in pediatric care in the pandemic context is generally lower and generates more successive visits than the face-to-face model. This lower performance of the telemedicine model should be counterbalanced with its advantages.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19

Mas

Aroca

Llandrich

et al. 2022

IJERPH

View full text Add to dashboard Cite

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Accuracy of Self-Estimated BMI in the Context of Telephone Assessment Before Elective General Surgery

Chowdhury¹,

Burford²,

Ainger³

et al. 2023

Cureus

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BackgroundThis study aimed to determine if self-estimated body mass index (BMI) from telephone consultation was accurate and useful for surgical planning prior to elective general surgery. MethodsA prospective cohort study was performed under a single surgeon at a district general hospital in the United Kingdom. Estimated BMI was collected from consecutive patients attending a pre-operative telephone consultation. Actual BMI was measured on the day of surgery and compared. Patient age and gender were also collected. ResultsData were collected from 124 participants (median age 59 years, 49.2% male). A total of 33 participants under-estimated, 53 over-estimated, and 38 accurately estimated their BMIs. The median change in BMI was 0.0 (IQR -0.1, 0.3, p = 0.003). The median change in males was 0.0 (-0.1, 0.2, p = 0.479) compared to 0.1 (0.0, 0.7, p = 0.002) in females. Those with an actual BMI > 29.9 had a significantly higher median change (0.2 {0.0, 1.1}) compared to those with BMI ≤ 29.9 (0.0 {-0.2, 0.1}; p <0.001). Only two patients could have required a change in surgeon on the day of the procedure and this was not statistically significant (p = 0.500). ConclusionsSelf-estimated BMI, collected via telephone consultation, is a suitable method for assessing patients for surgical planning ahead of elective general surgery procedures, particularly for males. However, it is important to be aware that those with higher BMIs, particularly females, may underestimate their BMIs.

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Consultoría telefónica en COT durante la pandemia por COVID-19. ¿Ha venido para quedarse?

Cited by 2 publications

References 13 publications

Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19

Evaluation of the Effectiveness of Telemedicine Visits in a Pediatric Gastroenterology Service in the Context of COVID-19

Accuracy of Self-Estimated BMI in the Context of Telephone Assessment Before Elective General Surgery

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