Directrices para una buena y segura atención telefónica en época de COVID-19

Vidal‐Alaball, Josep; Camps-Vilà, Laura

doi:10.1016/j.aprim.2020.12.006

Cited by 6 publications

(4 citation statements)

References 5 publications

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“…The pandemic has revolutionized the care model of health systems worldwide and has redirected the system toward telemedicine, with a remarkable increase in remote visits, including in the pediatrics setting [5,6]. It has increased the use of tools such as telephone consultations and eConsulta, a type of asynchronous remote consultation integrated into the Catalan public health system [7][8][9]. Others, such as video consultation, have been more limited [10].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of a Pediatric Acute Video Consultation Process Among Health Care Professionals in Primary Care in a Rural Setting: Protocol for a Prospective Validation Study

Castillo-Rodenas,

Vidal-Alaball,

Solanas-Bacardit

et al. 2024

JMIR Res Protoc

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Background For years, in Catalonia and in the rest of Spain, there has been a deficit and an unequal geographical distribution of health professionals specializing in pediatrics, especially in rural areas. Among the proposals to improve this situation is the promotion of the use of information and communication technologies (ICT) among users and professionals. Moreover, with the outbreak of COVID-19, the use of telehealth has become an essential tool, with an overall increase in non–face-to-face visits, including in primary care pediatrics. In this context, telemedicine, when used in primary care pediatrics, can be an effective means of improving families’ access to medical care. Currently, in Catalonia, telemedicine involving patients and health professionals is used in pediatric primary care through telephone consultation and asynchronous teleconsultation (eConsulta). Video consultation is in practice not used, although it could have different applications. Objective The aim of this study is to evaluate the feasibility of a video consultation process with physical examination in acute pediatric pathology in rural areas among primary care professionals. In addition, the level of satisfaction with these remote consultations will be assessed from the perspective of both the users and the health care professionals. Methods We will conduct a prospective experimental study to analyze the possibility of using video consultation in pediatric acute care in primary care in central Catalonia (Spain). A minimum of 170 children aged between 0 and 14 years attending the primary care center (PCC) for acute illness for a period of 1 year will be included in the study. Initially, the telemetric visit, including a physical examination, will include a nurse at the patient and family’s side and a pediatrician who will participate remotely. Subsequently, the pediatrician will visit the patient in person and the physical examination and diagnosis made during the remote visit will be compared with the physical examination and diagnosis of the face-to-face visit, which is considered the gold standard. Results Recruitment was planned to begin in the second half of 2023 and continue for at least 1 year. It is anticipated to be a good resource for a variety of acute pediatric conditions in primary care. The evaluation will focus on the feasibility of performing live remote visits and comparing their diagnostic accuracy with that of face-to-face visits. Conclusions We believe that this study could provide evidence on the feasibility and diagnostic accuracy of video consultation in pediatric acute primary care in a rural setting, as well as on satisfaction with video consultations among both users and professionals. If proven useful in addressing the acute needs of children in a variety of situations, it could become a digital health tool that improves the overall pediatric primary care service in rural areas, for both families and professionals. International Registered Report Identifier (IRRID) PRR1-10.2196/52946

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Section: Introductionmentioning

confidence: 99%

Feasibility of a Pediatric Acute Video Consultation Process Among Health Care Professionals in Primary Care in a Rural Setting: Protocol for a Prospective Validation Study

Castillo-Rodenas,

Vidal-Alaball,

Solanas-Bacardit

et al. 2024

JMIR Res Protoc

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“…Later, an oscillation in the number of calls was observed, although they remained at a higher value than in the period prior to the study. Therefore, the results suggest that telephone consultations have been one of the most widely used tools, both by users and professionals, to replace face-to-face visits during the pandemic [ 36 ]. This growth could be due to the ease of use of the telephone as well as to the organization of visits in PC centers, where it was established that the first patient assessment should always be made by telephone [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on the Pediatric Primary Care Model in Catalonia: Analysis of Changes in the Number and Type of Face-to-Face and Remote Visits

Castillo-Rodenas,

Vicente Gómez,

Fuster-Casanovas

et al. 2024

JMIR Pediatr Parent

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Background The outbreak of COVID-19 has turned the care model of health systems around the world upside down. The health care crisis has led to opportunities for digital health to deliver quality care, and the system has been redirected toward telemedicine. In Catalonia, Spain, as of March 2020, the pattern of visits in primary care pediatric consultations changed, such that face-to-face visits decreased in favor of non–face-to-face visits. Objective This study aimed to analyze variations in the types of pediatric visits in primary care centers in Catalonia before and after the onset of COVID-19. Methods This was a descriptive observational study based on administrative data. The number and type of visits to primary care pediatric services in Catalonia between January 2019 and December 2022 were studied. Results A drop of more than 80% in face-to-face visits and an increase of up to 15 times in remote visits were observed as of March 2020 compared to the previous year. Subsequently, the face-to-face attendance rate began to recover, although it did not reach the same rate as before COVID-19. Non–face-to-face visits were maintained, representing more than 20% of the total after more than 2 years of the pandemic. Conclusions COVID-19 has been the trigger for a transition in the types of visits to primary care pediatric services. The COVID-19 pandemic was a clear catalyst for the integration of telemedicine in Catalan pediatric health care. In this context, although face-to-face consultations have recovered in absolute numbers, after the pandemic period, the weight of telemedicine has increased.

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“…Así, teniendo en cuenta la existencia de algunas experiencias exitosas referente a la creación de centros de atención telefónica dedicados a resolver consultas sobre la COVID19 (7,8,9) , desde la Dirección de Atención Primària Metropolitana Nord (DAP MN) se decidió apostar por la creación de una Unidad de Enlace Centralizada de Vacunación contra la COVID29 (UECeV) gestionada por los FAP. Su función fue resolver las consultas relacionadas con la vacunación contra el virus SARS-CoV-2 tanto de los profesionales sanitarios como de la población.…”

Section: Introductionunclassified

“…Los FAP del territorio fueron los responsables del funcionamiento y actividad de las UECeV. La gestión de las consultas se planteó básicamente vía telefónica dentro del contexto de la pandemia para minimizar al máximo el riesgo de contagio (7) .…”

Section: Introductionunclassified

Implantación de una Unidad de Enlace Centralizada de Vacunación contra la COVID-19 gestionada por farmacéuticos-farmacólogos de Atención Primaria

Vallès Fernández,

Franzi Sisó,

García Vicente

et al. 2023

Pharm Care Esp

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Introducción: La Unidad de Enlace Centralizada de Vacunación contra la COVID19 (UECeV) de la Dirección de Atención Primaria Metropolitana Nord del Institut Català de la Salut se creó para resolver las consultas de usuarios y/o profesionales sanitarios relacionadas con la vacunación contra el virus SARS-CoV-2. El objetivo principal del presente análisis fue describir la actividad de la UECeV. Método: Realizamos un estudio observacional retrospectivo a partir del registro de consultas atendidas desde la UECeV entre 31 de abril y 31 de octubre de 2021. Población de referencia: 1.139.411 habitantes adultos asignados. La UECeV se creó en tres sedes territoriales atendidas cada una por dos farmacéuticos/farmacólogos de Atención Primaria (FAP) y un administrativo. La atención telefónica fue a jornada completa adaptable según actividad. Variable principal del análisis: número y tipos de consultas atendidas. Se calculó valores absolutos y porcentajes, medianas y desviación estándar para las variables cuantitativas y para las variables cualitativas se realizó un análisis descriptivo. Resultados: 3.103 consultas gestionadas de 3.030 usuarios; 2.180 (70,25%) contestadas por el FAP. Consulta más frecuente: compatibilidad vacuna según patología/medicación de base 1.008 (32,5%). 2.830 (93,4%) usuarios se vacunaron después de la intervención (2.210 consultaron antes de la primera dosis y 618 antes de la segunda). La vacuna mayoritaria fue la Comirnaty®. Conclusiones: Las UECeV coordinadas por el FAP con atención directa a los usuarios y/o profesionales sanitarios constituyen un elemento de apoyo a los equipos de vacunación de atención primaria para la gestión experta de las consultas de vacunación contra la COVID19.

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Directrices para una buena y segura atención telefónica en época de COVID-19

Cited by 6 publications

References 5 publications

Feasibility of a Pediatric Acute Video Consultation Process Among Health Care Professionals in Primary Care in a Rural Setting: Protocol for a Prospective Validation Study

Feasibility of a Pediatric Acute Video Consultation Process Among Health Care Professionals in Primary Care in a Rural Setting: Protocol for a Prospective Validation Study

Impact of COVID-19 on the Pediatric Primary Care Model in Catalonia: Analysis of Changes in the Number and Type of Face-to-Face and Remote Visits

Implantación de una Unidad de Enlace Centralizada de Vacunación contra la COVID-19 gestionada por farmacéuticos-farmacólogos de Atención Primaria

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