Benefits of Technology in the Age of COVID-19 and Diabetes. . .Mobile Phones From a Rwanda Perspective

Krisiunas, Edward; Sibomana, Laurien

doi:10.1177/1932296820930032

Cited by 8 publications

(13 citation statements)

References 2 publications

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“…Remote consultations have provided crucial support to patients with chronic conditions, reducing pressure on hospitals and minimizing the hazards of direct face-to-face exposure [11] , [12] . People with diabetes and their caregivers were open to using telemedicine, with the most used communication channel being phone calls [13] , [14] , [15] .…”

Section: Discussionmentioning

confidence: 99%

“…When telemedicine is not reimbursed, hospitals incur a financial loss even though the healthcare providers are running that service; conversely, telehealth seems to reduce overall costs, mitigating against the need for additional expensive procedures by providing competent care more efficiently [11] , [21] . Additionally, although telemedicine services are free of charge for individuals with diabetes in Italy, the issue of equity must be kept in mind [14] , [15] since a stable internet connection and quality digital devices are necessary preconditions. During the COVID-19 pandemic in Italy, however, 46% of families received new digital devices from their child’s school and 25% of families were provided with a paid internet connection to enable remote learning [22] , helping to reduce inequalities not just in education but also in telemedicine use.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of the COVID-19 pandemic on telemedicine in pediatric diabetes centers in Italy: Results from a longitudinal survey

Tornese

Schiaffini

Mozzillo

et al. 2021

Diabetes Research and Clinical Practice

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Aims In March and April 2020, at the start of the COVID-19 pandemic, our previous survey of Italian pediatric diabetes centers showed that 75% of telemedicine use was voluntary. We hypothesized that the COVID-19 pandemic has acted as a picklock to overcome barriers to telemedicine regulation, use, and reimbursement. Methods Between March 22nd and April 12th, 2021, the same survey administered in 2020 was sent to all 68 Italian pediatric diabetes centers belonging to the Italian Society for Pediatric Endocrinology and Diabetes (ISPED) to collect data on the demographic variables of respondents; information about the center; the use, codification, and reimbursement of telemedicine; and used tools. Descriptive data were evaluated to establish how the COVID-19 pandemic has changed telemedicine practice. Results Eighty-two percent of responder centers reported an increase in the use of telemedicine, with televisits by video calling implemented in over half of centers. There was a significant increase in the number of centers formally tracking telemedicine use and obtaining reimbursement from the national health service (42% vs. 29% and 62% vs. 32%; p < 0.001, respectively). No reimbursement was provided to centers not using televisits. Conclusions From a voluntary procedure with a lack of traceability, telemedicine has become a new structured reality that may help our pediatric patients beyond this pandemic.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The effect of the COVID-19 pandemic on telemedicine in pediatric diabetes centers in Italy: Results from a longitudinal survey

Tornese

Schiaffini

Mozzillo

et al. 2021

Diabetes Research and Clinical Practice

View full text Add to dashboard Cite

show abstract

“…For the daily care routine of patients such as T1D, telehealth initiatives were pushed forward especially after 2020 [66,69,73]. Telephone and video calls, electronic messages and use of telemedicine platforms were used by several groups worldwide [68,70,94]; however, there is a need for training in the use of digital tools [74], and an effort to reduce discrepancy in access, even in economically developed countries [77], which includes internet speed and safety. The most important question is the impact of distance care on patients' glycemic control and, although data are still limited, there is favorable evidence for improved glycemic control, reduction of severe hypoglycemia and in the incidence of DKA [65,71].…”

Section: Discussionmentioning

confidence: 99%

“…Telemedicine's usefulness, applied to diabetic retinopathy even before pandemics, has led to optimization of health care delivery in this field around the world [67]. Recently, the COVID19 pandemic made the telemedicine practice a necessary tool to ensure care worldwide [68][69][70]. Even during the most restricted lockdown, an Italian group of patients using rt-CGM and followed by telemedicine did not show worsening of their glycemic controls [71].…”

Section: Telemedicine-routine Daily Carementioning

confidence: 99%

Newest Diabetes-Related Technologies for Pediatric Type 1 Diabetes and Its Impact on Routine Care: a Narrative Synthesis of the Literature

et al. 2021

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Purpose of Review This review aims to address the actual state of the most advanced diabetes devices, as follows: continuous subcutaneous insulin infusions (CSII), continuous glucose monitoring systems (CGM), hybrid-closed loop (HCL) systems, and "Do-it-yourself" Artificial Pancreas Systems (DIYAPS) in children, adolescents, and young adults. This review has also the objective to assess the use of telemedicine for diabetes care across three different areas: education, social media, and daily care. Recent Findings Recent advances in diabetes technology after integration of CSII with CGM have increased the popularity of this treatment modality in pediatric age and shifted the standard diabetes management in many countries. We found an impressive transition from the use of CSII and/or CGM only to integrative devices with automated delivery systems. Although much has changed over the past 5 years, including a pandemic period that precipitated a broader use of telemedicine in diabetes care, some advances in technology may still be an additional burden of care for providers, patients, and caregivers. The extent of a higher rate of "auto-mode" use in diabetes devices while using the HCL/DIYAPS is essential to reduce the burden of diabetes treatment. Summary More studies including higher-risk populations are needed, and efforts should be taken to ensure proper access to cost-effective advanced technology on diabetes care.

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“…The Coronavirus disease 2019 (COVID- 19) is caused by a novel coronavirus (SARS-CoV-2), which was reported for the first time in December 2019 to be transmitted from an animal to humans [1]. Currently, it spreads rapidly from a person to person via droplets or direct contact and touch of a contaminated surface.…”

Section: Introductionmentioning

confidence: 99%

Baseline knowledge and attitudes on COVID-19 among hotels’ staff: A cross-sectional study in Kigali, Rwanda

Hagabimana

Omolo²,

El‐Khatib³

et al. 2021

PLoS ONE

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Background The World Health Organization declared coronavirus disease 2019 (COVID-19) as a global pandemic on the 11th of March, 2020. Hotels and other public establishments have been associated with higher transmission rates. Sensitisation of staff and strengthening of Infection Prevention and Control (IPC) practices in such settings are important interventions. This study assessed the baseline knowledge and attitudes on COVID-19 among hotels’ representatives in Kigali, Rwanda. Methods A cross-sectional study was conducted among hotels’ staff in Kigali in July 2020. A structured questionnaire was self-administered to 104 participants. Baseline knowledge and attitudes were assessed using a number of pre-test questions and mean scores were used to dichotomise the participants’ responses as satisfactory or unsatisfactory. Results All of the 104 hotels’ staff completed the self-administered questionnaires. Sixty-seven percent (n = 70) were male and 58% (n = 60) were aged between 30 and 44 years. The satisfactory rate of correct answers was 63%±2.4 (n = 66) on knowledge and 68%±1.7 (n = 71) on attitudes evaluation. Participants with University education were more likely to have satisfactory knowledge (AOR: 2.6, 95% C.I: 1.07–6.58) than those with secondary education or less. The staff working in the front-office (AOR: 0.05; 95% CI 0.01–0.54) and housekeeping (AOR: 0.09; 95% C.I: 0.01–0.87) were less likely to have satisfactory attitudes than those working in the administration. Conclusions Hotels’ staff based in the capital of Rwanda have shown satisfactory knowledge and attitudes regarding appropriate IPC practices for preventing the COVID-19 transmission. Educational interventions are needed to improve their knowledge and attitudes for better prevention in this setting.

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Benefits of Technology in the Age of COVID-19 and Diabetes. . .Mobile Phones From a Rwanda Perspective

Cited by 8 publications

References 2 publications

The effect of the COVID-19 pandemic on telemedicine in pediatric diabetes centers in Italy: Results from a longitudinal survey

The effect of the COVID-19 pandemic on telemedicine in pediatric diabetes centers in Italy: Results from a longitudinal survey

Newest Diabetes-Related Technologies for Pediatric Type 1 Diabetes and Its Impact on Routine Care: a Narrative Synthesis of the Literature

Baseline knowledge and attitudes on COVID-19 among hotels’ staff: A cross-sectional study in Kigali, Rwanda

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