Humanized tele-accompaniment for users with chronic pathologies: a health promotion and self-care strategy towards the implementation of a salutogenesis model in Chile.

Abstract

Introduction: In a context of growing multimorbidity and increasing costs of the system, primary health care strategies are limited in terms of access and holistic care for the patient and family, making telenursing presented as a cost-effective alternative, but one that it requires being enhanced with a humanized approach focused on health promotion from the individual's own resources.Method: Reflective analysis of numbers theoretical sources regarding the concepts of telenursing, humanization and salutogénesis. The authors propose the linking of these three concepts in a holistic and humanized remote health model.Results: A paradigm shift is proposed from a vision of telenursing monitoring to one of teleaccompaniment focused on the generation of health and the holistic and humanized care of pacients. Conclusions: The development of humanized telecompanion strategies in the care of users with chronic pathologies integrated into a salutogenic model is presented as a promising solution to the difficulty of access to comprehensive care and the depersonalization that the technologization of health brings with it. The term "accompaniment" reinforces this vision of humanization of care strategies, highlighting the importance of a close and empathetic bond between the socio-health professional and the user and responding to the current needs of the health system.