The Meaning of the Italian Fight against COVID-19

Gabbrielli, Francesco; Bertinato, Luigi

doi:10.4324/9781315170220-19

Cited by 3 publications

(4 citation statements)

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“…In a study interviewing caregivers of people with dementia, some of them reported the importance of covering immediate needs, and others highlighted the importance of long-term needs during the pandemic and suggested methods to compensate for those needs, such as using tele-consultation [27]. In addition, distance health services have been developed in Italy for people with dementia and for providing support to caregivers [28]. Furthermore, in Spain, telemedicine was found to be inadequate in terms of supporting patients with mild cognitive impairment/dementia who were living at home [29].…”

Section: Discussionmentioning

confidence: 99%

How Well Did the Healthcare System Respond to the Healthcare Needs of Older People with and without Dementia during the COVID-19 Pandemic? The Perception of Healthcare Providers and Older People from the SI4CARE Project in the ADRION Region

et al. 2023

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One major challenge during the COVID-19 pandemic was the limited accessibility to healthcare facilities, especially for the older population. The aim of the current study was the exploration of the extent to which the healthcare systems responded to the healthcare needs of the older people with or without cognitive impairment and their caregivers in the Adrion/Ionian region. Data were collected through e-questionnaires regarding the adequacy of the healthcare system and were anonymously administered to older individuals and stakeholder providers in the following countries: Slovenia, Italy (Calabria), Croatia, Bosnia and Herzegovina, Greece, Montenegro, and Serbia. Overall, 722 older people and 267 healthcare stakeholders participated in the study. During the COVID-19 pandemic, both healthcare stakeholders and the older population claimed that the healthcare needs of the older people and their caregivers increased dramatically in all countries, especially in Italy (Calabria), Croatia and BiH. According to our results, countries from the Adrion/Ionian regions faced significant challenges to adjust to the special needs of the older people during the COVID-19 pandemic, which was possibly due to limited accessibility opportunities to healthcare facilities. These results highlight the need for the development of alternative ways of providing medical assistance and supervision when in-person care is not possible.

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Section: Discussionmentioning

confidence: 99%

How Well Did the Healthcare System Respond to the Healthcare Needs of Older People with and without Dementia during the COVID-19 Pandemic? The Perception of Healthcare Providers and Older People from the SI4CARE Project in the ADRION Region

et al. 2023

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“…Specifically, during the pandemic, digital tools, such as telemedical platform, aim to bring medical services to isolated patients to ensure monitoring and treatment without physical contact to minimize the risk of transmission. 14 Despite the importance of this tool and the significant increase in its use during the pandemic, some barriers limit its use, both in HCWs and patients. 30 – 37 For example, a 2016 systematic literature review investigating barriers to adopting telemedicine worldwide identified the issues with technically challenged staff, resistance to change, cost and reimbursement, age, and the level of education of patient.…”

Section: Discussionmentioning

confidence: 99%

“…In this way it was possible to assess the patients daily, monitor vital parameters, visit them at a distance and prescribe treatment or hospitalization in case of clinical worsening. 13 , 14 …”

Section: Introductionmentioning

confidence: 99%

The “Lazio ADVICE” telemedicine platform: First results of general practitioners’ usage, facilitators and barriers in the Local Health Authority Roma 1

et al. 2023

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Background Telemedical approaches represent a valuable tool for the management of coronavirus disease 2019 patients, allowing daily clinical assessment, monitoring of vital parameters, remote visits, and prescription of treatment or hospitalization in case of clinical worsening. This cross-sectional study aims to evaluate the use, barriers and facilitators of the “Lazio ADVICE” telemedical platform, a regional system for remote assistance for coronavirus disease 2019 patients at home, according to General Practitioners and Family Pediatricians of the Local Health Authority Roma 1, during the coronavirus disease 2019 pandemic. Methods An interview-based survey was performed between December 2020 and January 2021. The survey investigated the demographic information of General Practitioner and Family Pediatricians, the knowledge of the platform, frequency of utilization, usefulness, strengths and weaknesses, and hypothesis of future implementation proposed. Results We interviewed 214 physicians and 89 (41.6%) were classified as users and 125 (58.4%) as non-users. Older age and working in District 1, 14 and 15 (vs. District 13) significantly reduced the probability of using the platform physician. Among the 89 users, 19 (21.3%) used the platform every day or even several times a day, 40 (44.9%) several times a week but less than one access per day, 30 (33.7%) used the platform several times a month up to one entry per week. Most of them (92.3%) consider the platform useful. Barriers were poor integration with software and work routine (76.4%), and usability issues (53.9%). Among the 125 non-users, 14 (11.2%) didn’t know the existence of the platform, 60 (48.0%) never tried it and 51 (40.8%) tried to use it. Reported reasons for the interruption of use were not very user-friendly (45.1%), perceived useless (37.3%), non-optimal functioning (23.5%), and lack of time (19.6%). Conclusion The pandemic accelerated the implementation of telemedicine services around Lazio Region, starting a positive and continuous exchange of experiences, activities and best practices among physicians.

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“…This was mainly due to a shortage of healthcare personnel, monitoring devices, and intensive care unit beds. In April 2020, the Istituto Superiore di Sanità published recommendations for telemedicine services with indications and solutions for the planning and managing of patients [80]. Practical recommendations for the telemonitoring of chronic patients have been released, but they are not put into full practice.…”

Section: Italymentioning

confidence: 99%

Telemedicine in the COVID-19 Era: A Narrative Review Based on Current Evidence

Nittari

Savva

Tomassoni

et al. 2022

IJERPH

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During the recent COVID-19 pandemic, healthcare providers have been encouraged to increase their use of telemedicine and to adopt telemedicine platforms for the majority of their clients who have chronic illnesses. Due to the outbreak itself, almost all countries worldwide were placed under emergency lockdowns. In this paper, we reviewed the literature regarding the use of telemedicine during the COVID-19 pandemic. Consequentially, we identified the adoption of telemedicine in various countries worldwide and evaluated their future steps in order to increase the adoption of e-health technologies. As a result of COVID-19, the e-health agenda, especially telemedicine, has been accelerated in several countries. COVID-19 is affecting individuals’ daily lives and has created major difficulties in the management of healthcare facilities for both infected and non-infected patients. A large portion of the rapid increase in the use of telemedicine can be attributed to evidence from previous pandemics as well as progress made by the field in response to COVID-19, especially in industrialized countries. A lack of effective treatment, large numbers of unvaccinated individuals, as well as social distancing and lockdown measures suggest telemedicine is the safest and most appropriate way of working with patients and doctors. In spite of this willingness, a large number of barriers need to be overcome in order for the telemedicine system to function properly and effectively throughout countries. In order for telemedicine to be sustainable and beneficial beyond the pandemic, several technical, educational, infrastructure, legal, and economic issues must be addressed and solved.

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The Meaning of the Italian Fight against COVID-19

Cited by 3 publications

References 0 publications

How Well Did the Healthcare System Respond to the Healthcare Needs of Older People with and without Dementia during the COVID-19 Pandemic? The Perception of Healthcare Providers and Older People from the SI4CARE Project in the ADRION Region

How Well Did the Healthcare System Respond to the Healthcare Needs of Older People with and without Dementia during the COVID-19 Pandemic? The Perception of Healthcare Providers and Older People from the SI4CARE Project in the ADRION Region

The “Lazio ADVICE” telemedicine platform: First results of general practitioners’ usage, facilitators and barriers in the Local Health Authority Roma 1

Telemedicine in the COVID-19 Era: A Narrative Review Based on Current Evidence

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