Exploring the adoption of telemedicine and virtual software for care of outpatients during and after COVID-19 pandemic

Anthony, Bokolo

doi:10.1007/s11845-020-02299-z

Cited by 299 publications

(332 citation statements)

References 31 publications

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“…Similar to other institutions, innovative models such as a 'virtual' outpatient clinic allows reliable review of outpatients with fewer face-to-face follow-up attendances [8,9]. We will review many nephrolithiasis patients in this way, as well as those requiring surveillance investigations (e.g.…”

Section: Discussionmentioning

confidence: 99%

Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre

et al. 2020

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Purpose Urological service provision has changed dramatically with the advent of the SARS-CoV-2, necessitating restructuring and reorganization. The aim of this study was to review the reorganization of our unit, map the change in volume of departmental activities and discuss potential solutions. Methods Departmental activities over the months of April and May 2020 and 2019 were analysed. Details of admissions, operations, diagnostic procedures, outpatient reviews, morbidities and mortalities were recorded. Operations were performed on two sites, with elective operation transferred to an offsite, COVID-free hospital. Results Seventy-four emergency operations were performed onsite, with 85 elective operations outsourced. A total of 159 operations were performed, compared with 280 in the same period in 2019. Five (5.0%) of 101 admitted patients to the COVID hospital contracted COVID-19. No patients outsourced to the COVID-free hospital were infected there. Outpatient referrals to urology service decreased from 928 to 481. There was a 66% decrease in new cancer diagnoses. A virtual review clinic was established, with remaining outpatients reviewed through a telephone clinic platform. Conclusion Compared with 2019, we performed fewer operations and outpatient procedures, had fewer admissions and diagnosed fewer patients with new cancers. However, outsourcing elective operation to designated non-COVID hospitals prevented the infection of any patient with COVID-19 in the post-operative period. The use of virtual clinic and telephone clinic has had some success in replacing traditional outpatient visits. The overall significant decrease in operative volume will likely precipitate a mismatch between demand and service provision in the coming months, unless capacity is increased.

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Section: Discussionmentioning

confidence: 99%

Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre

et al. 2020

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“…Freely accessible home-based telemedicine software platforms respecting privacy and security requirements are now available [91]. Telemedicine systems range from simple video conference tools to perform a secure medical consultation (interactive medicine) to sophisticated software and hardware combinations for diagnosing conditions and developing treatment plans (store and forward, and remote patient monitoring).…”

Section: Managing Ncd Outpatients In the Covid-19 Eramentioning

confidence: 99%

“…The store and forward type of telemedicine allows providers (primary care physicians) to share patient information with a specialist in another location. Remote patient monitoring permits providers to monitor their patients in their own homes [91,92]. Doxy.me is a free platform where the physician can create a virtual room and start providing telemedicine services to patients.…”

Section: Managing Ncd Outpatients In the Covid-19 Eramentioning

confidence: 99%

Indirect implications of COVID-19 prevention strategies on non-communicable diseases

Modesti

Wang

Damasceno

et al. 2020

BMC Med

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Background: After its outbreak in China, the novel COronaVIrus Disease 19 is spreading across the globe. It is an emergency the world has never seen before. Main text: The attention of health systems is mainly focused on COronaVIrus Disease 19 patients and on the risk that intensive care units might be overwhelmed by the serious pulmonary complications. Different countries are also attempting to establish infection prevention and control strategies which proved effective in China where the outbreak was initially reported. We reflect on important lessons to be learnt from different countries. The effects that infection prevention and control strategies, such as social distancing or isolation, can have on the care of millions of patients with non-communicable diseases, who may be indirectly affected, have not been taken into consideration so much. Conclusions: When dealing with COronaVIrus Disease 19, policy makers and healthcare personnel should consider the indirect effects on the treatment of non-communicable diseases.

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“…Virtual care delivery should be appropriately documented to facilitate billing [41]. National health coverage and commercial medical insurance should reconsider to revise their payment policy and provide reimbursement for telemedicine activities in response to pandemic [42]. Currently, telemedicine is more of a use to follow up cases and is not adequate for newly diagnosed of cancer or patients under evaluation.…”

Section: Impact On Patient Carementioning

confidence: 99%

An Asian Perspective of the Management of COVID-19: the Asian National Cancer Centers Alliance Led Regional Comparison

Dewi

Gatellier²,

Sabapathy³

et al. 2020

Asian Pac J Cancer Care

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Objective: To describe how the Asian National Cancer Centers Alliance (ANCCA) members preserve high standards of care for cancer patients while battling the COVID-19 pandemic and to propose new strategies in the Asian Cancer Centers’ preparedness to future pandemics. Methods: A 41-question-based survey was developed using an online survey tool and conducted among 15 major Asian National Cancer Centers, including 13 ANCCA members. Direct interviews of several specialists were conducted subsequently to obtain additional answers to key questions that emerged during the survey analysis. Result: Institution/country-specific results provided a strong insight on the diverse ways of managing the pandemic around Asia, while maintaining well-balanced cancer care. Pragmatic strategies were put in place in each NCC hospital, including zoning and intensive triage depending on the pandemic impact. Distancing strategies and telemedicine were implemented in different capacity depending on the national healthcare system. In addition, there was a diverse impact on the manpower and financial aspect of cancer care across surveyed NCCs relating to magnitude of the pandemic impact on the country. Conclusion: The priorities nevertheless remain on maintaining cancer care delivery while protecting both patients and health care workers from the risk of COVID-19 infection. The role of a think-tank such as ANCCA to help share experiences in a timely manner can enhance preparedness in future pandemic scenarios.

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Exploring the adoption of telemedicine and virtual software for care of outpatients during and after COVID-19 pandemic

Cited by 299 publications

References 31 publications

Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre

Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre

Indirect implications of COVID-19 prevention strategies on non-communicable diseases

An Asian Perspective of the Management of COVID-19: the Asian National Cancer Centers Alliance Led Regional Comparison

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