Teleradiology in COVID-19: A Sustainable Innovative Solution

Ain, Hafiza Qurat Ul; Tahir, Muhammad Junaid; Waheed, Summaiya; Ahmad, Shoaib; Ullah, Irfan; Yousaf, Zohaib

doi:10.1016/j.acra.2021.06.020

Cited by 6 publications

(8 citation statements)

References 6 publications

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“…The COVID-19 pandemic has raised the awareness and application of telemedicine as the lockdown conditions had restricted movements. Telemedicine facilitates access to medical advice and approach for patients despite limited mobility ( 13 , 14 ).…”

Section: Discussionmentioning

confidence: 99%

Assessment of knowledge and attitude of healthcare professionals regarding the use of telemedicine: A cross-sectional study from rural areas of Sindh, Pakistan

Kumar¹,

Shardha²,

Tariq

et al. 2022

Front. Public Health

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BackgroundTelemedicine has proved its significance in the healthcare system, especially during the coronavirus disease 2019 (COVID-19) pandemic as it assists in the provision of early and effective healthcare to those in distant areas. This study aimed to assess the knowledge and attitude of healthcare professionals toward the use of telemedicine in the rural areas of Sindh, Pakistan.Materials and methodsThe cross-sectional study was conducted with 212 healthcare professionals including physicians, consultants, surgeons, residents, dentists, and house officers working in public sector hospitals. The face-to-face method was used for data collection. Chi-square test and logistic regression analysis were applied to find the association between different variables and knowledge and practice of telemedicine using SPSS V 24.ResultsThe knowledge of participants regarding the usability of telemedicine and various tools used for the provision of medical services (video consultations, conferencing, use of applications, software, and online groups) was good. A total of 52.2% of participants showed agreement when they were questioned about being aware of online healthcare service provision. In this study, 52.8% of the participants practiced telemedicine by delivering healthcare services through online consultations. The majority of the participants were surgeons (25.9%), residents (23.1%), and physicians (18.9%). The internet (42.4%) and public media (25.9%) were the major sources of information for telemedicine. A total of 70.5% of participants suggested that strategies and efforts should be directed toward the enhanced implementation of telemedicine. Training in telemedicine as a source of information [OR = 13.02 (95% CI = 3.9–43.6), p < 0.001)] and awareness regarding the effect of telemedicine in healthcare quality [OR = 10.25 (95% CI = 2.9–35.4), p < 0.001)] remained the predicting factors for the practice of telemedicine among healthcare workers using multivariate regression analysis.ConclusionTelemedicine has technologically revolutionized the medical sciences worldwide. The awareness level and usage of telemedicine were good among healthcare professionals in rural Sindh. Telemedicine should be utilized to provide quality healthcare in underprivileged areas by investing in infrastructure and education.

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Section: Discussionmentioning

confidence: 99%

Assessment of knowledge and attitude of healthcare professionals regarding the use of telemedicine: A cross-sectional study from rural areas of Sindh, Pakistan

Kumar¹,

Shardha²,

Tariq

et al. 2022

Front. Public Health

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“…So during the COVID-19 pandemic, we made use of Tele-radiology (Telenuclear medicine) in our nuclear medicine department for efficient utilization of our resources. 29 For in-house hospital physicians nuclear medicine reports were shared digitally through Picture Archiving and Communication System (PACS) or hospital management information system (HMIS).…”

Section: Vmentioning

confidence: 99%

Optimizing Cancer Hospital Services in the Era of COVID-19 Pandemic

Riaz

Babar

Khurshid

et al. 2022

MRAJ

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The public sector cancer hospitals in Pakistan adopted a resource constrained approach to optimize cancer care delivery to their patients owing to the challenges imposed by COVID-19 pandemic. The cancer patients are immune-deficient, with lymphopenia and neutropenia, either due to the disease process or treatment induced (chemotherapy or radiotherapy). This makes them more vulnerable to all sorts of infections including COVID-19. The smart lockdown approach and transport restrictions enforced by the government remained very effective in controlling the spread of COVID-19, however these brought numerous logistic hurdles both to the cancer patients as well as to the cancer care providers. To prevent overcrowding at the workplace and maintain social distancing, the entire hospital staff was put on staggered duties and patients’ appointments were limited and curtailed. A triage was set at hospital entry point where COVID-19 risk scoring was carried out to filter out patients as well as hospital staff suspected of COVID-19. A pass “COVID-19 risk score” of less than 3 was set to allow entry into the hospital. Awareness posters were displayed at hospital entry point, reception, registration, and waiting areas to guide patients and public about COVID-19 and the importance of adopting the preventive measures such as wearing of facemasks, hand sanitation and social distancing. The education and training of hospital staff regarding COVID-19 prevention, infection control, sanitization and disinfection of hospital building and equipment, donning and doffing of personnel protective equipment (PPEs) was carried out side by side. The cancer care services in nuclear medicine department were curtailed. All non-urgent nuclear medicine scans and aerosol generating procedures such as lung ventilation scan, cardiac stress testing and I-131 nuclear medicine therapy were cancelled or delayed. Alternate testing measures and other supportive therapies were prescribed, and patients were counseled to remain in contact with the hospital through teleconsultation. In oncology department all indoor admissions were closed and patients were put on faster “day-care metronomic chemotherapy regimens” or oral maintenance therapies. In radiotherapy department radiotherapy start (RT-Start) prioritization was adopted, after a detailed peer review of each individual patient keeping in mind the urgent or emergent clinical state of the patient without compromising the treatment outcome. During the COVID-19 pandemic, out of the 2091 cancer patients who underwent radiation treatment 27.6% were treated under priority-1 (RT-start within a week), 29.3% were treated under priority-2 (RT-start between 1-4 weeks) and 43.1% were treated under priority-3 (RT-start after 4 weeks). The radiotherapy workload volume was reduced by changing the standard of care radiation treatment protocols to quicker “hypofractionantion protocols” with similar treatment outcome, approved for pandemic situations by national and international radiation oncology societies. We found that this multifaceted optimization applied at various levels in our hospital helped in mitigating COVID-19 spread to the cancer patients along with continued and uninterrupted delivery of services by the hospital, during the era of COVID-19 pandemic.

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“…El uso de la teleradiología y soluciones de teletrabajo ha sido identificado como crucial en la gestión de departamentos de radiología durante el brote de COVID-19, ayudando a afrontar el nuevo paradigma impuesto por la pandemia (Martín-Noguerol et al, 2020). Además, se ha reconocido a la teleradiología como una solución sostenible e innovadora en el contexto de COVID-19 (Ain et al, 2021).…”

Section: Introductionunclassified

Medicina en la era digital: alcances y perspectivas

2024

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El libro Medicina en la era digital: alcances y perspectivas fue realizado gracias al auspicio del Programa de Apoyo a Proyectos de Investigación e Innovación Tecnológica (papiit) de la Universidad Nacional Autónoma de México, con el proyecto TA400322 titulado “Medicina en la era digital”. Su objetivo es reconocer los avances que se han realizado en materia de medicina digital en nuestro país, así como los retos y dilemas que el uso de la tecnología plantea para los profesionales de la salud, los pacientes, tomadores de decisiones y la sociedad en general. Dividido en dos grandes secciones, la primera busca reconocer los antecedentes históricos, paradigmas, evolución y legislación en nuestro país de la salud digital. La segunda sección del libro busa analizar las problemáticas propias del uso de la medicina digital en distintos escenarios clínicos. Esta obra en su conjunto ofrece un panorama nacional de la implementación, adopción y legislación de la medicina digital en nuestro país planteando las bases históricas, epistemológicas y juridicas, así como los dilemas a los que estas nuevas tecnologías se enfrentan en distintos escenarios de la práctica médica. Esperamos que los análisis y discusiones expresadas generen interés en las y los lectores abonando a la argumentación plural y crítica de un tema relevante para la sociedad actual mexicana.

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Teleradiology in COVID-19: A Sustainable Innovative Solution

Cited by 6 publications

References 6 publications

Assessment of knowledge and attitude of healthcare professionals regarding the use of telemedicine: A cross-sectional study from rural areas of Sindh, Pakistan

Assessment of knowledge and attitude of healthcare professionals regarding the use of telemedicine: A cross-sectional study from rural areas of Sindh, Pakistan

Optimizing Cancer Hospital Services in the Era of COVID-19 Pandemic

Medicina en la era digital: alcances y perspectivas

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