Video consultations in primary and specialist care during the covid-19 pandemic and beyond

Car, Josip; Koh, Gerald Choon Huat; Foong, Pin Sym; Wang, C. Jason

doi:10.1136/bmj.m3945

Cited by 157 publications

(170 citation statements)

References 28 publications

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“…Also, other studies have shown that video consultation services, which provide a face-to-face interaction with the patient are more likely to be accepted than other telehealth services such as telephone-based or text messaging services. 17 Owing to the COVID-19 pandemic, telemedicine services have gained more usage among health care workers in all areas of medicine, including gastroenterology, 18 pediatrics, 19 oncology, 20 urology, 21 ophthalmology, 22 endocrinology, 23 and even palliative care. 24 Sofía's Coronaid was mainly focused on primary care consultations, including internal medicine and pediatrics.…”

Section: Discussionmentioning

confidence: 99%

An App-Based Telemedicine Program for Primary Care and Specialist Video Consultations During the COVID-19 Pandemic in Mexico

Morgenstern-Kaplan

Rocha-Haro

Canales-Albarrán

et al. 2022

Telemedicine and e-Health

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Background: The coronavirus disease 2019 (COVID-19) pandemic has disrupted the health care system in various ways, one of which is the implementation of telemedicine as a part of the daily clinical practice for many physicians. Sofía is a Mexican health care and technology startup that implemented an appbased telemedicine program during this pandemic in Mexico. Materials and Methods: The telemedicine program included on-demand video consultations with internal medicine specialists from March to September 2020. In the following study, we present a descriptive analysis of all the patients in the telemedicine program, called Coronaid. Results: 2,585 video consultations were conducted for a total of 1,545 patients and 44.4% of these were associated with respiratory symptoms. Of all patients, 46% were female and the mean age was 34 years, 52.2% were overweight or obese, and 25% presented at least one comorbid condition. Aside from respiratory complaints, the most common chief complaints were associated with gastrointestinal, psychiatric, and genitourinary symptoms. Patient satisfaction after video consultation services was >80%. Discussion: During the COVID-19 pandemic, an applicationbased telemedicine program had a high patient satisfaction rate in a significant sample of young patients, which can be attributed to the accessibility of the medical services and widespread use of smartphones in this patient demographic. Conclusion: Telemedicine has proven to be a useful, safe, and effective tool to improve patients' health, which has been boosted by the COVID-19 pandemic. The use of mobile applications and video consultation services can encourage patients to improve their health and prevent complications in the short and long terms.

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Section: Discussionmentioning

confidence: 99%

An App-Based Telemedicine Program for Primary Care and Specialist Video Consultations During the COVID-19 Pandemic in Mexico

Morgenstern-Kaplan

Rocha-Haro

Canales-Albarrán

et al. 2022

Telemedicine and e-Health

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“…In the present digital era, authors have used the WhatsApp web to effectively communicate with many parents of cleft children for counselling on treatment strategies and appointments for surgical works [ 5 ]. The WhatsApp video consultation also helped in scrutinizing the priorities of cleft surgery and other rehabilitation of patients at each age with the virtual examination of patients, understanding medical problems, and providing adequate time to make their children fit for surgeries.…”

Section: Challenges In Managing the Cleft And Craniofacial Patients During This Pandemicmentioning

confidence: 99%

COVID-19 and Cleft and Craniofacial Surgery in Indian Scenario

Ramanathan

Ravichandran

Parameswaran

2021

J. Maxillofac. Oral Surg.

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The coronavirus disease (COVID-19) had created the new normal approach towards the management of all maxillofacial problems as it is highly contagious and causing a threat to the health care professionals. The surgical management of patients with cleft and craniofacial deformities has caused lots of anxiety among patients and doctors in the recent COVID era as some essential treatment will be required for cleft babies from day one. Safety and protection for cleft children and parents must be the priority while dealing with this non-emergency disease. This article will highlight the important steps of management of the cleft and craniofacial cases during this pandemic by adhering to the protocols. It also throws light towards the strategies in revoking the cleft surgical management at least till this infection subsides.

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“…The COVID‐19 pandemic has changed many aspects of the framework for patient‐health‐care professional relationships 15 . In previous times of crisis, the professional perspective was that the patient experience may need to be sacrificed in the interest of clinical effectiveness 16,17 . COVID‐19 has introduced new health‐care scenarios and conditions of human interaction and has altered procedures that were established long ago, resulting in unexpected consequences for health‐care equity, accessibility, patient participation in the decision‐making process and the evaluation of results 12 .…”

Section: Introductionmentioning

confidence: 99%

Proposals for person‐centred care in the COVID‐19 era. Delphi study

Mira

Blanco

Cheikh-Moussa

et al. 2021

Health Expectations

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Background In this COVID‐19 era, we need to rethink the criteria used to measure the results of person‐centred care strategies. Objective To identify priorities, and criteria that health services can use to pursue actually the goal of achieving person‐centred care. Design Three‐phase online qualitative study performed during May–July of 2020 using the Delphi technique. Setting and Participants An online platform was used for a consensus meeting of 114 participants, including health planning experts, health‐care institution managers, clinicians and patients. Main Outcome Measures Criteria and indicators for the achievement of person‐centred care. Main Results The first round began with 125 proposals and 11 dimensions. After the second round, 28 ideas reached a high level of consensus among the participants. Ultimately, the workgroup agreed on 20 criteria for goals in the implementation of person‐centred care during the COVID‐19 era and 21 related indicators to measure goal achievement. Discussion Nine dimensions and 28 priorities were identified. These priorities are also in accordance with the quadruple aim approach, which emphasizes the need for care for health‐care professionals, without whom it is impossible to achieve a better quality of care. Conclusions Person‐centred care continues to be a key objective. However, new metrics are needed to ensure its continued development during the restoration of public health services beyond the control of COVID‐19. Patient or Public Contribution Twelve professionals and patient representatives participated voluntarily in the construction of the baseline questionnaire and in the selection of the criteria and indicators using an online platform for consensus meetings.

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Video consultations in primary and specialist care during the covid-19 pandemic and beyond

Cited by 157 publications

References 28 publications

An App-Based Telemedicine Program for Primary Care and Specialist Video Consultations During the COVID-19 Pandemic in Mexico

An App-Based Telemedicine Program for Primary Care and Specialist Video Consultations During the COVID-19 Pandemic in Mexico

COVID-19 and Cleft and Craniofacial Surgery in Indian Scenario

Proposals for person‐centred care in the COVID‐19 era. Delphi study

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