The management of COVID-19 cases through telemedicine in Brazil

Montelongo, Alfredo; Becker, João Luiz; Roman, Rudi; Oliveira, Elise Botteselle de; Umpierre, Roberto Nunes; Gonçalves, Marcelo; Silva, Rodolfo; Doniec, Katarzyna; Yetisen, Ali K.

doi:10.1371/journal.pone.0254339

Cited by 16 publications

(13 citation statements)

References 41 publications

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“…This figure was similar to the results of studies from the United States and France. 21,24 The COVID-19 pandemic would have undoubtedly shifted the perspective toward telemedicine, 13,16,25 and it would be interesting to see how these statistics evolve in the post-pandemic world.…”

Section: Discussionmentioning

confidence: 99%

Cross‐sectional study on knowledge and attitude of telemedicine in medical students of Nepal

Kunwar

Dhungana

Aryal

et al. 2022

Health Science Reports

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Background and Aims Telemedicine is the delivery of healthcare services from distance using information and communication technology. It helps in overcoming the geographical physical barrier, increasing access to the healthcare services. Telemedicine has been growing in Nepal, with several hospitals and medical organizations providing services since 2006. COVID‐19 pandemic ignited significant interests in it, which previously remained unnoticed, realizing its importance for the present and future. The objective of this study was to evaluate the knowledge and attitude toward telemedicine among medical students in Nepal. Methods An observational study among medical students in 19 medical colleges in Nepal was performed from May to June using Google forms. The survey consisted of 27 questions including information on demography and telemedicine exposure, its status in Nepal, interest, and plans for its future utilization. Results Of 146 total surveyed students, 77.4% (n = 113) provided their views regarding telemedicine. Among students with knowledge of telemedicine, only 8.8% (n = 10) had attended some training. Only 6% (n = 4) of those who had previously consulted through telemedicine labeled their experience as poor. Exactly 88.5% (n = 100) were not satisfied with present telemedicine practices and coverage and 43.4% (n = 49) were optimistic about using telemedicine in future. Irrespective of location of medical colleges (Kathmandu Valley or outside) or levels of study (preclinical or clinical), students had similar knowledge and attitude regarding telemedicine. Conclusion The participants have good knowledge regarding the importance of telemedicine but only few of them are educated regarding its usage. Despite limited exposure to telemedicine, participants advocate for expansion and wide use of telemedicine due to economy, technological advancement, and topographic diversities. Internet, sense of reliability, privacy issue, and lack of proper curriculum seem to have raised question on their positive attitude. Formal and structured education may enable optimistic aspirants to integrate telemedicine skills with medical care delivery with ease.

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Section: Discussionmentioning

confidence: 99%

Cross‐sectional study on knowledge and attitude of telemedicine in medical students of Nepal

Kunwar

Dhungana

Aryal

et al. 2022

Health Science Reports

View full text Add to dashboard Cite

show abstract

“…On the other hand, a study conducted in Brazil showed that physicians based in towns with lower GDP per capita and with a higher number of reported cases were less likely to use the service [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Satisfaction of primary care physicians towards initiation of phone consultations during the COVID-19 pandemic management in Qatar: a cross-sectional study

et al. 2022

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Objectives To assess primary care physicians’ satisfaction towards initiation of phone consultation during COVID-19 pandemic management in Qatar and to identify the factors associated with dis/satisfaction. Design A cross-sectional web-based survey was conducted from 1 June to 30 July 2020. Setting All the available 27 public primary healthcare centers in Qatar at the time of the study. Participants Two hundred ninety-four primary care physicians working in the publicly run primary healthcare corporation in Qatar. Primary outcome measures Overall satisfaction of primary care physicians with the initiation of phone consultation during the COVID-19 pandemic in Qatar and their satisfaction towards each aspect of this management. Results Two hundred thirty-nine primary care physicians participated in the survey with a response rate of 53.1%. Overall, about 45% and 21% of respondents agreed that COVID-19 disease management has highly impacted and very highly impacted their daily practice, respectively. More than half of the physicians (59.9%) indicated being satisfied/highly satisfied with the initiation of telephone consultation service. On the other hand, few physicians were satisfied (14.3%) or highly satisfied (3.4%) with conducting telephone consultations with patients who lack previous electronic medical records. Also, only 20.3% and 3.8% of physicians were satisfied and highly satisfied with the lack of physical examination in telephone consultations, respectively. On bivariate analysis, primary care physicians’ age was significantly associated with the perceived level of impact of COVID-19 management on daily practice (P = 0.03). There was no significant association between participants’ characteristics and the level of satisfaction toward telephone consultations. On the other hand, there was a statistically significant association between physicians’ age (p = 0.048) and gender (p = 0.014) and their level of satisfaction toward communication and support.

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“…Such health services are valued as highly accessible, time-saving and contributing to ecological sustainability [ 33 ]. The COVID-19 pandemic multiplied the utilisation of telehealth consultations in Southern Ontario [ 34 ] and Brazil [ 35 ] showing that a rapid adoption of telehealth is possible. The diffusion of telehealth is dependent on digital skills and access to mobile and information technologies and communications networks.…”

Section: Discussionmentioning

confidence: 99%

Service quality and accessibility of healthcare facilities: digital healthcare potential in Ho Chi Minh City

La²,

Tykkyläinen

2022

BMC Health Serv Res

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Background Effective delivery of health services requires adequate quality in healthcare facilities and easy accessibility to health services physically or virtually. The purpose of this study was to reveal how the quality of healthcare facilities varies across the different parts of Ho Chi Minh City and how well residents (N = 9 million) can reach healthcare facilities. By demarcating the deficiently served areas of low accessibility, the study shows where urban planning and digital healthcare could improve accessibility to health services and the quality of services efficiently. Methods The analysis utilised geocoded information on hospitals, clinics, roads and population and the data of the quality scores of healthcare facilities. Quality scores were analysed by hot spot analysis and inverse distance weighting. Accessibility and formation of travel time-based service areas by travel time distances were calculated using road network, driving speed and population data. Results The results unveiled a centripetal spatial pattern of healthcare facilities and a similar pattern in their quality. Outside the travel time of 30 min for hospitals and 15 min for clinics, the deficiently served areas have a population of 1.1 to 1.2 million. Based on the results and the evidence of digital healthcare, this paper highlights how to develop and plan spatially effective service provision. Especially, it gives grounds to discuss how cost-effective digital healthcare could be applied to improve the accessibility and quality of health services in an urban structure of extensively varying accessibility to health services. Conclusions The results bring up the need and the means for improving the quality of health services and their cost-efficient availability by location optimisation, road improvements and implementing digital healthcare provided by hospitals and clinics in the city. At the same, this study provides a multidisciplinary approach for planning more equal and efficient health service provision geographically.

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The management of COVID-19 cases through telemedicine in Brazil

Cited by 16 publications

References 41 publications

Cross‐sectional study on knowledge and attitude of telemedicine in medical students of Nepal

Cross‐sectional study on knowledge and attitude of telemedicine in medical students of Nepal

Satisfaction of primary care physicians towards initiation of phone consultations during the COVID-19 pandemic management in Qatar: a cross-sectional study

Service quality and accessibility of healthcare facilities: digital healthcare potential in Ho Chi Minh City

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