Telemedicine in Primary Care

Antoun, Jumana

doi:10.5772/36853

Cited by 1 publication

(2 citation statements)

References 32 publications

(50 reference statements)

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“…In the present study, we found that it took more than one hour to travel to the county seat by bus for half of the THCs in the vast and mountainous western China. The telemedicine in THCs in such areas may be more attractive to the residents who need the outpatient service for minor discomforts or the follow-up visits for chronic diseases [69]. On the contrary, the transportation in the eastern and central regions was much more developed, and the travel time to the county seat for about 90% of the THCs was no more than one hour, according to the results of our study.…”

Section: Regional Heterogeneity Of the Effect Of Telemedicine On The Thcssupporting

confidence: 56%

“…No significant difference was found in the number of outpatient visits of the THCs between the telemedicine adopters and nonadopters in the overall sample. Although the telemedicine has been widely used between the primary care system and other health care providers for specialist opinions or referral purpose around the world, few studies have investigated the effect of telemedicine on the utilization of the outpatient services of primary care facilities [69]. Nevertheless, telemedicine has been proved to be an effective way to safely conduct outpatient visits with high patient satisfaction, especially for the departments of paediatrics [70] and rehabilitation [71,72].…”

Section: Effects Of Telemedicine On the Inpatient And Outpatient Service Of Thcsmentioning

confidence: 99%

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Regional Heterogeneity of Application and Effect of Telemedicine in the Primary Care Centres in Rural China

Pan

Shunhua

et al. 2020

IJERPH

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The increasing concerns of the geographical maldistribution of medical resources have sparked worldwide interests in exploring the potential of telemedicine in the rural health system. This study aimed to investigate the application and effect of telemedicine as well as their regional heterogeneity in the primary care centres in rural China. Based on the stratified multistage cluster sampling, a cross-sectional study was conducted among 358 township health centres (THCs) from eastern, central and western China. A self-administered questionnaire was used and the data of the Health Statistical Annual Reports in 2017 were collected to investigate the implication of telemedicine as well as the performance and other characteristics of each THCs. Propensity score matching was used to estimate the effect of telemedicine application on the bed occupancy rate and the number of annual outpatient visits of the THCs, with comparison among the regions. The overall prevalence of telemedicine application was 58.66% in 2017, and it was found to increase the bed occupancy rate of the THCs in the national range (p < 0.1). When divided into different regions, telemedicine was found to improve the number of annual outpatient visits in western China (p < 0.05) and the bed occupancy rate in eastern China (p < 0.1). Disparities in the degree of remoteness and the capability of THCs among the regions were also found in this study, which may be the reasons for the regional heterogeneous effects of telemedicine. These findings suggested the potential of telemedicine in improving the utilization of primary care centres in rural areas. Further studies were needed to investigate the underlying reasons for its regional heterogeneous effects.

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Section: Regional Heterogeneity Of the Effect Of Telemedicine On The Thcssupporting

confidence: 56%

Section: Effects Of Telemedicine On the Inpatient And Outpatient Service Of Thcsmentioning

confidence: 99%

Regional Heterogeneity of Application and Effect of Telemedicine in the Primary Care Centres in Rural China

Pan

Shunhua

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

Telemedicine in Primary Care

Cited by 1 publication

References 32 publications

Regional Heterogeneity of Application and Effect of Telemedicine in the Primary Care Centres in Rural China

Regional Heterogeneity of Application and Effect of Telemedicine in the Primary Care Centres in Rural China

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