The impact of COVID-19 on the development and consolidation of telemedicine

Mariani, Alessandro Wasum; Pêgo-Fernandes, Paulo Manuel

doi:10.1590/1516-3180.2021.139305042021

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…2,6,20,21 It is important to understand the educational and economic sit- has become accessible and desired by a larger significant portion of the population. 22 A study of 949 patients on dialysis in the United States showed that 81% of them had smartphones, 72% reported using the Internet, and 60% were interested in using mHealth to manage their health. 23 Another study conducted on patients on dialysis in Australia found that 83.5% of them had mobile phones, although only 36.6% used applications.…”

Section: Discussionmentioning

confidence: 99%

Smartphone and application use in self-management of chronic kidney disease: a cross-sectional feasibility study

et al. 2023

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INTRODUCTIONChronic kidney disease (CKD) is a worldwide public health problem, with approximately 10% of the world population having some degree of CKD. It has significant social and financial implications for both developed and developing countries. [1][2][3] International estimates further indicate that the number of people who need renal replacement therapy (RRT) will increase from 2,618 million in 2010 to 5,439 million by 2030. 4 However, not everyone who needs RRT can access the treatment, because it is not universally covered worldwide. 5 In Brazil, RRT is universally covered by the Unified Health System. According to the Brazilian Society of Nephrology, the estimated number of new patients undergoing dialysis in 2019 was 45,852 -a 7.7% increase from 2018, along with a 3.9% mean increase in CKD prevalence in the same period. 6 Adherence to treatment poses an immense challenge for patients with CKD, their relatives, and health teams. The importance of individualized care has been emphasized, including realistic patient-centered goals and shared decision-making between the health team and patient. For this strategy to be effective, the patient's cognitive function, health knowledge, socioeconomic factors, and treatment experiences must be considered. 7,8 Hence, a viable alternative is to align therapeutic strategies with effervescent technological growth and include this as a tool to achieve better health outcomes via mobile health (mHealth).According to the International Telecommunication Union, 66.6% of the world's population were using mobile Internet at the beginning of 2021. The number of smartphones in use has increased by 7% per year, with an average of more than one million new smartphones coming into use every day. 9

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Section: Discussionmentioning

confidence: 99%

Smartphone and application use in self-management of chronic kidney disease: a cross-sectional feasibility study

et al. 2023

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A New Method for the Follow-Up of Patients with Alopecia Areata

Bortone,

Caro,

Ala

et al. 2024

JCM

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Background: Teledermatology is the application of information and telecommunication technologies in the field of dermatology to provide remote care services based on the exchange of clinical information within a network of professionals or between professionals and patients. Tele-trichoscopy is a non-invasive, inexpensive, and easy-to-use method that applies the principle of surface microscopy at different magnifications. Alopecia areata is a non-scarring alopecia with a chronic evolution, which often needs a close follow-up. Objectives: The aim of our work was to analyze the possible benefits of telemedicine for the follow-up of patients with alopecia areata. Materials and Methods: We enrolled patients with alopecia areata, identified during the first trichological evaluation, and we divided the patients into two groups. One group was provided with the devices necessary for a telemedicine follow-up. The other group had a conventional follow-up. The total follow-up time was one year. All of the patients’ photos were blindly evaluated by a team of expert dermatologists who were asked to indicate the quality of the images. The photos were also evaluated to identify disease markers. During the follow-up period, questionnaires were administered to both groups of patients to assess the quality of the visit, the level of patient satisfaction, and to identify any issues encountered by the patients. Results: There was a high degree of concordance between the images obtained by outpatient trichoscopy and those obtained by telemedicine. The satisfaction levels were the same between the patients followed via telemedicine and those seen in the outpatient clinic. Conclusions: Telemedicine applied to trichology using trichoscopy was proven to be a valid system for managing the follow-up of patients suffering from chronic recurrent scalp diseases and, above all, for maintaining continuity of care.

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The impact of COVID-19 on the development and consolidation of telemedicine

Cited by 2 publications

References 10 publications

Smartphone and application use in self-management of chronic kidney disease: a cross-sectional feasibility study

Smartphone and application use in self-management of chronic kidney disease: a cross-sectional feasibility study

A New Method for the Follow-Up of Patients with Alopecia Areata

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