Fast, cheap and feasible: Implementation of pediatric telemedicine in a public hospital during the Covid-19 pandemic
| Autor: | Anarella Penha Meirelles de Andrade, Pedro Carpini de Oliveira, Sylvia Costa Lima Farhat, Danilo Yamamoto Nanbu, Thomaz Bittencourt Couto, Claudio Schvartsman, Hany Simon Junior, Rafael da Silva Giannasi Severini |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Telemedicine
Coronavirus disease 2019 (COVID-19) Developing country Pediatric emergency 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Pandemic medicine Humans 030212 general & internal medicine Child Pandemics Children Retrospective Studies Service (business) Pediatric business.industry Hospitals Public SARS-CoV-2 Emergency department COVID-19 medicine.disease Test (assessment) Pediatrics Perinatology and Child Health Public hospital Original Article Medical emergency business |
| Zdroj: | Jornal de Pediatria, Volume: 98, Issue: 2, Pages: 183-189, Published: 20 APR 2022 Jornal De Pediatria Jornal de Pediatria v.98 n.2 2022 Jornal de Pediatria Sociedade Brasileira de Pediatria (SBP) instacron:SBPE |
| Popis: | Objective In Brazil, telemedicine was allowed as an exception during the coronavirus disease (COVID-19) pandemic. Despite its recognized value and availability, telemedicine is not universally used, suggesting that some barriers prevent its adoption and acceptance within the community. This study aims to describe the implementation of a low-cost telemedicine service in a pediatric hospital in Brazil. Method Retrospective descriptive study reporting the first three months (April to June 2020) of the experience of implementing a low-cost telemedicine emergency care program in a public tertiary hospital. The service was available to patients up to 18 years of age enrolled in this hospital. A tool for assessing the severity of the patient was developed, the aim of standardizing the procedure, while maintaining quality and safety. Guardian's satisfaction was assessed with a questionnaire sent after teleconsultations. Results 255 teleconsultations were carried out with 140 different patients. Of the total consultations, 182 were from 99 patients that had performed the Real-Time Polymerase Chain Reaction (RT-PCR) test for the new coronavirus (SARS-Cov-2) or had direct contact with a person known to be positive for COVID-19. Only 26 (14%) were referred to an in-person consultation. No deaths, adverse events or delayed diagnosis were recorded. 86% of the patients who answered the satisfaction questionnaire were satisfied and 92% would use telemedicine again. Conclusion This study presents an innovative implementation of a telemedicine program in a public and exclusively pediatric tertiary service, serving as a reference for future implementation in other public services in Brazil and developing countries. |
| Databáze: | OpenAIRE |
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