Perceptions and acceptance of telemedicine among medical oncologists before and during the COVID-19 pandemic in Turkey

Şahin, Elif; Kefeli, Umut; Çabuk, Devrim; Ercan, Ercan; Çakmak, Yağmur; Kaypak, Muhammed Ali; Seyyar, Mustafa; Uygun, Kazım

doi:10.1007/s00520-021-06290-x

Cited by 7 publications

(5 citation statements)

References 30 publications

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“…Recent literature highlights the importance of telemedicine and telediagnosis wherever possible. Recent studies (Sahin et al, 2021) have shown that telemedicine was highly valued by oncologists during the Covid 19 pandemic in Turkey, particularly the "stored and forward' method most commonly used in telediagnosis, which is also presented here.…”

Section: Discussionmentioning

confidence: 93%

Telediagnosis of dental caries: Possible or impossible? A pilot cross‐sectional study

Zotti

Rosolin

Simoncelli

et al. 2022

Clinical & Exp Dental Res

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Objectives: The aims of this study were to evaluate the effectiveness of teledentistry (based on a home intraoral imaging protocol) in detecting dental caries and to assess the accuracy of this method compared to clinical examination.Methods: Forty-three patients were recruited for the study. Using a protocol for taking intraoral photographs at home with a smartphone proposed by the Dental School of Verona, a remote diagnosis of dental caries (TD) was performed by an experienced dentist. The same caries sites were also assessed by clinical diagnosis (CD) by a second experienced dentist. Ten photos were taken at home in five different perspectives, with and without flash, and emailed to one of the authors.The best five photos were selected for telediagnosis. The International Caries Detection and Assessment System (ICDAS II) score was used for caries diagnosis.Statistical tests were performed: Sensitivity and specificity of TD, the positive and negative predictive value of TD (PPV-NPV), and Spearman correlation to evaluate the relationship between the scores of TD and CD.Results: A total of 430 photographs were submitted; TD was performed on 215 photographs and 43 patients were visited. A total of 1201 teeth were analyzed. The sensitivity of TD was 74.0, the specificity was 99.1, the PPV of TD was 91.7, and the NPV was 96.4. The Spearman correlation was 0.816, showing a very strong correlation between the values obtained with TD and CD. Conclusions:The study showed good potential for TD, which proved to be a feasible method to combine with routine caries diagnosis in daily preventive dentistry practice.

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Section: Discussionmentioning

confidence: 93%

Telediagnosis of dental caries: Possible or impossible? A pilot cross‐sectional study

Zotti

Rosolin

Simoncelli

et al. 2022

Clinical & Exp Dental Res

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“…Focusing on the eHealth adoption in recent times, the majority of the participants stated that they adopted either out of necessity or because there was no other alternative, clearly reflecting the impact of the COVID-19 pandemic on the surge in eHealth adoption in Saudi Arabia. Accordingly, studies in different countries [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ] reflected an increased adoption of eHealth technologies, especially mHealth applications, for consultation, appointment booking, medicine orders, remote monitoring of chronic conditions such as diabetes, etc. However, research identifying the intention to use eHealth technologies in post-COVID-19 times in various countries is lacking.…”

Section: Discussionmentioning

confidence: 99%

“…As further support for this statement, performance expectancy had no impact on the intention to use eHealth in a study conducted in Turkey [ 13 ]. Furthermore, all stakeholders, including physicians [ 14 , 15 ], patients, and especially older adults [ 16 , 17 , 18 ], reflected an increased use of eHealth applications in different countries.…”

Section: Introductionmentioning

confidence: 99%

Attitudes of Patients with Chronic Diseases toward Management eHealth Applications Systems in Post-COVID-19 Times

ALsharif

2022

IJERPH

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Introduction: There has been an increase in the adoption of eHealth technologies and applications by health consumers globally because of the restrictions imposed due to the COVID-19 pandemic in the last two years. The sudden change in the users’ attitudes toward eHealth adoption needs to be critically evaluated and understood, as it can be the stepping stone toward rapid digitalization of healthcare operations in Saudi Arabia as a part of Vision 2030. Purpose: The purpose of this study was to evaluate the attitudes of the patients with chronic diseases toward eHealth applications in post-COVID times. Methods: A cross-sectional study design was adopted using the online questionnaire as a data collection instrument. All the health consumers using eHealth services aged above 18 years and living in Saudi Arabia were included in the survey. The survey was conducted for 3 weeks, resulting in a final sample of 234 participants. Results: Overall, 73.8% of the participants stated that they adopted eHealth only out of necessity, while 37.3% stated that they adopted it because no other services were available. Only 10.3% stated that they adopted eHealth out of interest. In relation to the future use of eHealth, 51.5% of the participants stated that they would definitely not use eHealth applications, and 33.6% stated that they would probably them once the pandemic ends. Only 4.4% of the participants stated that they would very much probably, and 10.5% stated they would probably not use eHealth applications once the pandemic ends. a significant difference in opinions in relation to the future adoption of eHealth applications was observed among the male and female participants, and also between the age groups of younger (age <35 years) and older (age ≥35 years) participants. Conclusions: For the change in attitudes (increased adoption of eHealth) to be sustained, policymakers need to develop relevant strategies promoting the use of eHealth in Saudi Arabia.

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“…As a third limitation, the acceptance by patients and providers is another unknown in the application of such technologies. During the COVID-19 pandemic, the use of telecare has been well accepted by both the clinicians and the patients in Turkey [26], [51]. For our data calculations, we made assumptions of secondary visits to be performed over video platforms and supported this assumption by the expert cardio-vascular specialists, however the acceptance among patients is not clear.…”

Section: Limitationsmentioning

confidence: 99%

“…In the case of Turkey, telemedicine acceptance was fast during the Covid pandemic, yet for any new system to be successful it requires the capacity for expansion, financing, policies, governance, and partnership [26], [27]. The hypothetical benefits of adopting telemedicine presented in this work could inform and motivate future policies in this space.…”

Section: Introductionmentioning

confidence: 99%

The role of telemedicine towards improved sustainability in health care and societal productivity in Turkey

Özen,

Kaynar,

Korkut

et al. 2024

Preprint

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The COVID-19 pandemic increased utilization of telemedicine for diagnosis and treatment. While telemedicine is not the panacea for the increasing health care burden, it can alleviate the problem. Here, the hypothetical impact of delivering telehealth care to patients in a busy tertiary cardio-vascular clinic in Istanbul, Turkey, is examined. Additionally, the potential environmental and societal ramifications of telemedicine are also examined. Demographics, health care costs, wages, productivity, and patient-specific data were exploited to develop a hypothetical telemedicine framework for the Turkish health care landscape. Specifically, the distance traveled and travel time to receive care using real-life location of the clinics and patients addresses seeking care are tabulated. Data from August 3, 2015 to January 25, 2023 resulted in 45,602 unique encounters with 448 unique diagnoses recorded for the patient encounters. The patients in the top 5% of the most common diagnoses traveled 23.82 +/- 96.3 km to reach the clinics. Based on our model and the related literature that telehealth care for chronic diseases is not inferior to face-to-face care, 656,258 km would have been saved if all patients were to take the first visit in person followed by telemedicine visits. The travel-associated carbon footprint and wage losses for in-person care in lieu of telehealth appointments is calculated and it was observed that exploiting telemedicine could have saved approximately 30% carbon footprint and prevented approximately $878,000 wage loss. As a result, it is found that application of telemedicine could ease the burden on patients, environment, increase access, and prevent the wage losses caused by unnecessary hospital visits.

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Perceptions and acceptance of telemedicine among medical oncologists before and during the COVID-19 pandemic in Turkey

Cited by 7 publications

References 30 publications

Telediagnosis of dental caries: Possible or impossible? A pilot cross‐sectional study

Telediagnosis of dental caries: Possible or impossible? A pilot cross‐sectional study

Attitudes of Patients with Chronic Diseases toward Management eHealth Applications Systems in Post-COVID-19 Times

The role of telemedicine towards improved sustainability in health care and societal productivity in Turkey

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