Smartphone‐Based Application for Tele‐follow‐up of Patients with Endocrine Disorders in Context of a LMIC: A Compliance, Satisfaction, Clinical Safety and Outcome Assessment

Yadav, Sanjay Kumar; Jha, Chandan Kumar; Mishra, Saroj Kanta; Mishra, Anjali

doi:10.1007/s00268-019-05212-7

Cited by 11 publications

(6 citation statements)

References 22 publications

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“…As in other studies, reducing time and cost was the main part that contribute into the high satisfaction rate of the patients [7,8,11,18]. There was a difference in privacy issues comparing to regular clinic in favour of virtual clinic, however, there was no difference comparing to regular clinic in consultation and receiving information, similar results seen in other studies [11,15].…”

Section: Comparison With Existing Literaturesupporting

confidence: 82%

Patients’ Satisfaction on Virtual Clinic in Primary Health Care Centers in Prince Sultan Military Medical City, 2020-2021: A Qualitative Study

2022

J Family Med Prim Care Open Acc

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Settings and background: With technology evolvement and COVID-19 Pandemic Virtual clinics are increasing nowadays, there is no single qualitative study in Saudi Arabia that make us knows patients' opinion about this service, and this is what our study is about. Methods: It is a semi-structured phone interview of 36 participants who attended the virtual clinic in Prince Sultan Military Hospital in 2020, selected purposefully, then the interviews were transcribed then analyzed by thematic analysis. Results: 20 of the participants were males (55.5%) and 16 of them were females (44.4%), 6 were above or equal to 60 years of age (16.6%) and 30 participants were below 60 years of age (83.3%). In Theme 1: (Were the steps taken in the referral process to this service clear?) 75% (n=27) of them answered positively, 22.2% (n=8) answered negatively and one participant was neutral. In Theme 2: (Comparing to previous regular clinic visits, how did you find receiving information about your health in this clinic?) 27.7% (n=10) think it is better than regular clinic, However, 19.4% (n=6) think it is worse than the regular clinic, and the majority 55.5% (n=20) think they are the same. In Theme 3: was (Describe for us your experience in getting the medications form the pharmacy after the clinic) 77.7% (n=28) of participants were satisfied and 2 patients were not satisfied, remaining 6 did not take medicines. Conclusions: Virtual clinic is a good method in reducing costs and time in delivering health care, in patients' opinions. In general, virtual clinic had high satisfaction rate among who benefit from the service. However, there are some concerns need to be addressed like referral or booking process for virtual clinic services.

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Section: Comparison With Existing Literaturesupporting

confidence: 82%

Patients’ Satisfaction on Virtual Clinic in Primary Health Care Centers in Prince Sultan Military Medical City, 2020-2021: A Qualitative Study

2022

J Family Med Prim Care Open Acc

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“…Telemedicine was used in surgery for clinical care, appointment reminders, patient education, and provider training. Clinical care included pre‐operative assessment ( n = 10, 5.6%) [24–33], post‐operative assessment ( n = 71, 39.9%) [34–105], and provider‐provider consultations ( n = 16, 9.0%) [106–121] (Table 3).…”

Section: Resultsmentioning

confidence: 99%

Telemedicine in Surgical Care in Low‐ and Middle‐Income Countries: A Scoping Review

et al. 2022

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Background Access to timely and quality surgical care is limited in low- and middle-income countries (LMICs). Telemedicine, defined as the remote provision of health care using information, communication and telecommunication platforms have the potential to address some of the barriers to surgical care. However, synthesis of evidence on telemedicine use in surgical care in LMICs is lacking. Aim To describe the current state of evidence on the use and distribution of telemedicine for surgical care in LMICs. Methods This was a scoping review of published and relevant grey literature on telemedicine use for surgical care in LMICs, following the PRISMA extension for scoping reviews guideline. PubMed-Medline, Web of Science, Scopus and African Journals Online databases were searched using a comprehensive search strategy from 1 January 2010 to 28 February 2021. Results A total of 178 articles from 53 (38.7%) LMICs across 11 surgical specialties were included. The number of published articles increased from 2 in 2010 to 44 in 2020. The highest number of studies was from the World Health Organization Western Pacific region ( n = 73; 41.0%) and of these, most were from China ( n = 69; 94.5%). The most common telemedicine platforms used were telephone call ( n = 71, 39.9%), video chat ( n = 42, 23.6%) and WhatsApp/WeChat ( n = 31, 17.4%). Telemedicine was mostly used for post-operative follow-up ( n = 71, 39.9%), patient education ( n = 32, 18.0%), provider training ( n = 28, 15.7%) and provider-provider consultation ( n = 16, 9.0%). Less than a third ( n = 51, 29.1%) of the studies used a randomised controlled trial design, and only 23 (12.9%) reported effects on clinical outcomes. Conclusion Telemedicine use for surgical care is emerging in LMICs, especially for post-operative visits. Basic platforms such as telephone calls and 2-way texting were successfully used for post-operative follow-up and education. In addition, file sharing and video chatting options were added when a physical assessment was required. Telephone calls and 2-way texting platforms should be leveraged to reduce loss to follow-up of surgical patients in LMICs and their use for pre-operative visits should be further explored. Despite these telemedicine potentials, there remains an uneven adoption across several LMICs. Also, up to two-thirds of the studies were of low-to-moderate quality with only a few focusing on clinical effectiveness. There is a need to further adopt, develop, and validate telemedicine use for surgical care in LMICs, particularly its impact on clinical outcomes. Supplementary Information The online version co...

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“…Выполнена в одной части публикаций речь идет именно о доступности помощи и соответственно ее большей эффективности, другая часть убедительно доказывает снижение стоимости лечения конкретного пациента при неизменном качестве лечения [19,21]. Предпосылками развития и актуализации этого направления в нашем случае может являться большая территория страны и низкая плотность населения в отдельных ее регионах, а также существующие различия в финансировании региональных систем здравоохранения на душу населения, местами низкая доступность специализированной и высокотехнологичной медицинской помощи [16,22].…”

Section: клинический примерunclassified

“…В литературе можно встретить много публикаций об использовании телемедицины или телекоммуникативных технологий в различных отраслях медицины: неврологии, нейрохирургии, психиатрии, онкологии, гинекологии. Основной целью использования телемедицины было снижение затрат на лечение и повышение эффективнос ти и доступности помощи [16,17,18,19,20,21]. При этом * http://www.americantelemed.org возможность непрерывного профессионального образования без отрыва от места работы.…”

Section: клинический примерunclassified

Complex Revision Arthroplasty Planning with Telemedicine Expert Advice

Belov

Rassamakhin²

2020

Traumatology and Orthopedics of Russia

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Актуальность. Увеличение количества ревизионных операций -неминуемый исход роста первичных артропластик. Несовершенство эндопротезов и несвоевременное обращение пациентов значительно увеличивают число сложных ревизионных вмешательств. Обширные дефекты кости после удаления нестабильной имплантатной системы заставляют задуматься о методе компенсации их и способах фиксации эндопротеза. Цель исследования -оценить современные возможности телекоммуникаций между медицинскими учреждениями, направленные на повышение качества предоперационного планирования сложных реконструктивных операций. Материал и методы. В исследование вошли 13 пациентов, которым в областном ортопедическом отделении выполнялись ревизионные вмешательства по поводу нестабильности эндопротезов на фоне обширных костных дефектов с использованием отложенных телеконсультаций. Результаты. В 12 наблюдениях операции выполнены согласно рекомендациям, полученным от специалистов НМИЦ ТО им. Р.Р. Вредена. В одном случае основным вариантом выбора конструкции была индивидуальная система, но предоперационный план был изменен в пользу стандартных ревизионных компонентов. Краткосрочные результаты операций расценены как удовлетворительные. Заключение. Использование современных технологий для предоперационного планирования позволяет более точно определить показания для выбора металлоконструкции. В особо сложных случаях возникает необходимость использования индивидуальных имплантатов. Верный окончательный выбор зависит от качественного предоперационного планирования и эффективного взаимодействия медицинских учреждений различного уровня.Ключевые слова: ревизионное эндопротезирование тазобедренного сустава, эндопротезирование коленного сустава, индивидуальный имплантат, телемедицина, предоперационное планирование.

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Smartphone‐Based Application for Tele‐follow‐up of Patients with Endocrine Disorders in Context of a LMIC: A Compliance, Satisfaction, Clinical Safety and Outcome Assessment

Cited by 11 publications

References 22 publications

Patients’ Satisfaction on Virtual Clinic in Primary Health Care Centers in Prince Sultan Military Medical City, 2020-2021: A Qualitative Study

Patients’ Satisfaction on Virtual Clinic in Primary Health Care Centers in Prince Sultan Military Medical City, 2020-2021: A Qualitative Study

Telemedicine in Surgical Care in Low‐ and Middle‐Income Countries: A Scoping Review

Complex Revision Arthroplasty Planning with Telemedicine Expert Advice

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