Telemedicina: desafíos para Chile a la luz de la experiencia de Estados Unidos durante la pandemia

Alonso, Pamela; Mendoza-Alonzo, Jennifer

doi:10.4067/s0034-98872021000801198

Cited by 5 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…En relación a esa barrera, en Chile, se autorizó la prestación de servicios de telemedicina por parte de los proveedores de salud mediante la modificación de la Ley N º 20.584 al inicio de la pandemia. Además, el Ministerio de Salud autorizó temporalmente el uso de códigos del Fondo Nacional de Salud (FONASA) para las consultas de telemedicina (Mendoza-Alonzo et al, 2021).…”

Section: Discussionunclassified

Experiencia de fonoaudiólogos sobre la atención por telepráctica a personas adultas y mayores durante la pandemia por COVID-19 en Chile

Mohammad-Jiménez,

Matus-Rosas,

Quezada

2024

Rev. Chil. Fonoaudiol.

View full text Add to dashboard Cite

La telepráctica es una estrategia de atención remota con una larga trayectoria en el campo de la fonoaudiología en países desarrollados, que cobró relevancia en Chile de manera abrupta debido a la pandemia de COVID-19. Este estudio tiene como objetivo caracterizar la atención por telepráctica brindada por fonoaudiólogos a personas adultas y mayores durante la crisis sanitaria. Se aplicó una encuesta a 38 fonoaudiólogos, que fueron analizadas temáticamente y luego se realizó un análisis estadístico descriptivo con las pruebas exactas de Fischer. Las entrevistas mostraron que la mayoría de los pacientes tenían entre 60 y 79 años y estaban afiliados al Fondo Nacional de Salud. Se identificaron barreras importantes relacionadas con la alfabetización digital, el acceso a dispositivos y el entorno de los usuarios. Sin embargo, también destacaron factores facilitadores, como el acceso continuo a terapias, la reducción de los tiempos de traslado y la posibilidad de trabajar con coterapeutas. Al comparar la atención en el sector público y privado, se encontraron diferencias significativas en la calidad del entorno de los usuarios (p=0.03) y la alfabetización digital (p=0.008). En conclusión, los participantes señalaron más barreras que facilitadores en la implementación de la telepráctica durante la pandemia. A pesar de ello, la consideran una herramienta eficaz que puede complementar la atención presencial. Es crucial desarrollar buenas prácticas para la atención remota, teniendo en cuenta las barreras relacionadas con los recursos materiales que pueden limitar el acceso. Además, se deben considerar las implicaciones de esta modalidad en la formación de los fonoaudiólogos.

show abstract

Section: Discussionunclassified

Experiencia de fonoaudiólogos sobre la atención por telepráctica a personas adultas y mayores durante la pandemia por COVID-19 en Chile

Mohammad-Jiménez,

Matus-Rosas,

Quezada

2024

Rev. Chil. Fonoaudiol.

View full text Add to dashboard Cite

show abstract

“…A regulation specifying the requirements for this type of medical care is also required. In addition, the definitive incorporation of telemedicine into routine clinical practice in a public health system based on the provision of services needs the definition of a clear and stable business model that incorporates telemedicine into the administration’s portfolio of services and reduces inequalities in access to health, in a service based on new technology, and an understanding that telemedicine must be an innovative strategy for effective change management [ 3 , 12 , 17 , 24 , 27 , 35 , 49 , 53 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

Telemedicine Management: Approaches and Perspectives—A Review of the Scientific Literature of the Last 10 Years

Aguirre-Sosa

Vargas-Merino

2023

Behavioral Sciences

View full text Add to dashboard Cite

This research paper describes the approaches and perspectives of telemedicine worldwide. The objective of this literature review was to analyze the theoretical and empirical studies that address telemedicine management in the last 10 years based on the scientific literature obtained from the Scopus, Scielo, Ebsco, ProQuest, Dialnet, and Redalyc databases, from which 50 articles were selected. The inclusion criteria were the last 10 years, scientific articles, language, variables, and open access. The non-inclusion criteria were repeated articles, not addressing the variable, and not open access. The results show a tendency to manage telemedicine through various approaches and scenarios. These can be grouped into humanistic, socioeconomic, ethical, contingency in the Armed Forces—NASA, and application in the field of medicine with teaching to the entire chain of users, as well as controls and monitoring of patients. In this sense, it is concluded that telemedicine management worldwide faces challenges that must be overcome to reduce still-existing barriers and achieve better access to health systems worldwide.

show abstract

“…Chile is located in the extreme south of the American continent, with a population of 19,678,363 inhabitants according to the latest census data [1]. As with any other country on the planet, the coronavirus disease 2019 (COVID-19) pandemic has impacted healthcare guidelines and modalities of patient consultation to face the challenges of different degrees of confinement during quarantine periods [2][3][4]. In 2020, the country ranked relatively high in worldwide COVID-19-related morbidity [5] and mortality [2].…”

Section: Introductionmentioning

confidence: 99%

Changes in Televisit Modalities Due to the COVID Pandemic in Chile: A Comparison of Patient Satisfaction

Constanzo,

Benavides,

Garcés

et al. 2024

Cureus

View full text Add to dashboard Cite

Background: The coronavirus disease 2019 (COVID-19) pandemic has impacted healthcare guidelines and modalities of patient consultation worldwide. The frequent cycles of quarantine confinement in Chile have caused mobility restrictions for patients and physicians, forcing the Hospital Las Higueras de Talcahuano (HHT) to replace the assisted televisit modality with a more classic televisit program. Here we have described if this change in televisit modality and type of outpatient may have impacted patients’ satisfaction. Methods: The patient’s perception of satisfaction was evaluated through self-administered survey questionnaires previously validated in Spanish. Cohorts were grouped according to the following two relational models: (i) assisted televisit, 503 neurology patients from 2018 to 2019, and (ii) televisit, 831 patients from different specialties treated during 2020. Perception of satisfaction was compared by gender, age, and type of televisit, and internal consistency (Cronbach alpha) and reliability (factorial analysis of principal components) were assessed. Finally, we compared the patient satisfaction of both modalities. Results: Questionnaires showed excellent internal consistency; all items showed point biserial correlations greater than 0.30. Assisted televisit and televisit cohorts comprised 64.2% and 67.6% females, respectively, and patients under the age of 65 years were 62.2% and 75%, respectively. Assisted televisit patients showed very high 94.4% (n=475) and high 5.2% (n=26) satisfaction levels, while televisit patients showed very high 22.3% (n=185), high 63.9% (n=531), and moderate 13.1% (n=109) satisfaction levels; this difference was statistically significant at p<0.001. Conclusion: Lower perception of satisfaction due to the change in televisit relational modality underscores the importance of primary care professionals who support the specialist in the assisted televisit model. However, the televisit modality showed high patient satisfaction and suggested that this modality can be a plausible alternative according to each location's reality. The results of this study indicate that both assisted televisit and televisit contribute to delivering an integrative solution that helps to alleviate the system's fragmentation.

show abstract

Telemedicina: desafíos para Chile a la luz de la experiencia de Estados Unidos durante la pandemia

Cited by 5 publications

References 0 publications

Experiencia de fonoaudiólogos sobre la atención por telepráctica a personas adultas y mayores durante la pandemia por COVID-19 en Chile

Experiencia de fonoaudiólogos sobre la atención por telepráctica a personas adultas y mayores durante la pandemia por COVID-19 en Chile

Telemedicine Management: Approaches and Perspectives—A Review of the Scientific Literature of the Last 10 Years

Changes in Televisit Modalities Due to the COVID Pandemic in Chile: A Comparison of Patient Satisfaction

Contact Info

Product

Resources

About