Preserving Multidisciplinary Care Model and Patient Safety During Reopening of Ambulatory Cystic Fibrosis Clinic for Nonurgent Care: A Hybrid Telehealth Model

List, R.; Compton, Martina; Soper, Morgan; Bruschwein, Heather; Gettle, L.; Bailey, Molly; Starheim, E.; Kalmanek, John; Somerville, Lindsay; Albon, Dana

doi:10.1089/tmj.2020.0247

Cited by 19 publications

(15 citation statements)

References 5 publications

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“…Instead, telemedicine may be integrated into the health care system as a service that can be used for following up with patients rather than for a complete consultation, especially during a pandemic, to minimize unnecessary increased contact with patients, consumption of protective equipment, and patient load in health care facilities. 38,39 Previous studies highlighted the financial concerns raised by physicians in association with their use of telemedicine. 31,40,41 Our study tackled this issue when we asked the physicians about their patient load during the COVID-19 pandemic.…”

Section: Characteristic Frequency (%)mentioning

confidence: 99%

Utilization of Telemedicine by the Lebanese Physicians During Time of Pandemic

Shaarani

Ghanem

Jounblat

et al. 2022

Telemedicine and e-Health

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Background: The use of technology in the medical field has been rising rapidly and offering, in many cases, an alternative to traditional ways of practicing medicine, especially when remote medical services are required. This background has laid the foundation for telemedicine to play a role in controlling the current coronavirus disease 2019 (COVID-19) pandemic. Telemedicine has the potential to allow the facilitation of providing the necessary medical care to patients without exposing them to contact with other patients or the general population. Objective: The aim of this study was to investigate the utilization of telemedicine by the Lebanese physicians during the COVID-19 pandemic. Methods: This cross-sectional online study was conducted using LimeSurvey Ò through an e-mail-based questionnaire sent to physicians currently enrolled in both Beirut and Tripoli Lebanese Order of Physicians.Results: Four hundred one physicians completed the survey resulting in a response rate of 5.85%. Most of the respondents (N = 401, 75.8%) reported using telemedicine to provide health care services to patients without in-person visits during the pandemic. Among those using telemedicine (N = 304), around 40% reported that they started using it during COVID-19 pandemic. Discussion: Literature states that the average time of an inperson clinic consultation is more than 15 min. This implies that telemedicine can play a role in saving physicians' time; this conclusion is supported by other studies that consider telemedicine a time-saving method of providing health care services. Conclusions: Our study indicated that telemedicine is used by the majority of Lebanese physicians and that this use has been accelerated by the COVID-19 pandemic. Our results showed that telemedicine does have a potential that can allow it to be integrated in the health care system and implemented on a national organized level.

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Section: Characteristic Frequency (%)mentioning

confidence: 99%

Utilization of Telemedicine by the Lebanese Physicians During Time of Pandemic

Shaarani

Ghanem

Jounblat

et al. 2022

Telemedicine and e-Health

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“…The COVID-19 pandemic has become a serious world health problem that resulted in many healthcare systems rapidly transitioning to telemedicine in order to allow social distancing and reduction in viral transmission. Reports of swift and successful transition from in-person to telemedicine and hybrid multidisciplinary CF clinics have been published [107] , [108] , [109] , [110] . A recent survey of patients with chronic health conditions found that during the COVID-19 pandemic patients with CF had the highest telehealth utilization of all groups, perhaps driven in part by the finding that they reported perceiving a higher risk of severe disease due to COVID-19 [111] .…”

Section: Cystic Fibrosis and Telemedicinementioning

confidence: 99%

Telemedicine in cystic fibrosis

Desimone

Sherwood

Soltman

et al. 2021

Journal of Clinical & Translational Endocrinology

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Cystic Fibrosis (CF) requires lifetime multidisciplinary care to manage both pulmonary and extra pulmonary manifestations. The median age of survival for people with CF is rising and the number of adults with CF is expected to increase dramatically over the coming years. People with CF have better outcomes when managed in specialty centers, however access can be limited. Telemedicine and technology-based care solutions may help to overcome barriers to availability and improve access. This review outlines the use of telehealth for CF management. Telehealth has been utilized for CF across a broad variety of indications, even prior to the COVID-19 pandemic, and in general has been well accepted by patients and providers. There are a paucity of data, however, related to health outcomes, and the healthcare utilization specific to CF and its related comorbidities. Future studies are needed to address the questions of health outcomes, cost, burdens of telehealth and barriers to implementation.

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“…The coronavirus disease 2019 (COVID-19) pandemic has highlighted the importance and potential of digital technologies in patient care, and different strategies have been rapidly implemented (49)(50)(51). Scientific evidence for the feasibility, clinical benefit and cost-effectiveness of these interventions in patients with chronic conditions like CF is urgently needed to form the basis of a regulatory framework to authorize, integrate, and finance telemedicine services (52).…”

Section: Sample Size Calculationmentioning

confidence: 99%

A multi-centre, randomized, controlled trial on coaching and telemonitoring in patients with cystic fibrosis: conneCT CF

Thee

Stahl

Fischer³

et al. 2021

BMC Pulm Med

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Background The extend of lung disease remains the most important prognostic factor for survival in patients with cystic fibrosis (CF), and lack of adherence is the main reason for treatment failure. Early detection of deterioration in lung function and optimising adherence are therefore crucial in CF care. We implement a randomized controlled trial to evaluate efficacy of telemonitoring of adherence, lung function, and health condition in combination with behavior change interventions using innovative digital technologies. Methods This is a multi-centre, randomized, controlled, non-blinded trial aiming to include 402 patients ≥ 12 years-of-age with CF. A standard-of-care arm is compared to an arm receiving objective, continuous monitoring of adherence to inhalation therapies, weekly home spirometry using electronic devices with data transmission to patients and caring physicians combined with video-conferencing, a self-management app and professional telephone coaching. The duration of the intervention phase is 18 months. The primary endpoint is time to the first protocol-defined pulmonary exacerbation. Secondary outcome measures include number of and time between pulmonary exacerbations, adherence to inhalation therapy, changes in forced expiratory volume in 1 s from baseline, number of hospital admissions, and changes in health-related quality of life. CF-associated medical treatment and care, and health care related costs will be assessed by explorative analysis in both arms. Discussion This study offers the opportunity to evaluate the effect of adherence interventions using telemedicine capable devices on adherence and lung health, possibly paving the way for implementation of telemedicine in routine care for patients with CF. Trial registration: This study has been registered with the German Clinical Trials Register (Identifier: DRKS00024642, date of registration 01 Mar 2021, URL: https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00024642).

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Preserving Multidisciplinary Care Model and Patient Safety During Reopening of Ambulatory Cystic Fibrosis Clinic for Nonurgent Care: A Hybrid Telehealth Model

Cited by 19 publications

References 5 publications

Utilization of Telemedicine by the Lebanese Physicians During Time of Pandemic

Utilization of Telemedicine by the Lebanese Physicians During Time of Pandemic

Telemedicine in cystic fibrosis

A multi-centre, randomized, controlled trial on coaching and telemonitoring in patients with cystic fibrosis: conneCT CF

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