INFLUENCE OF TELEMEDICINE AND ITS DIMENSIONS ON HEALTH PROMOTION
DOI:
https://doi.org/10.5457/ams.v55i1.740Keywords:
health promotion, telemedicine, teleconsultation, teleorientation, telemonitoringAbstract
Introduction: Multidisciplinary health promotion activities were interrupted during the pandemic with telemedicine temporarily replacing face-to-face patient care as an alternative. Objective: The objective of the research was to determine the influence of Telemedicine and its dimensions on health promotion. Method: The type of study is cross-sectional. It was carried out in a public hospital where 120 users participated during the period September - November 2022, using instruments validated by experts and having as inclusion criteria the patients attended in the four remote services: Teleconsultation, Teleguidance, Telemonitoring and Teleinterconsultation, being analyzed statistically by correlation coefficient and logistic regression. Results: A response rate of 76.4% was obtained, in which 58.3% presented a high level of satisfaction with the use of Telemedicine, showing a positive influence on health promotion (r=0.669, p<0.05; OR 9.28 [95 % CI, 4.54 - 18.98; p<0.05]). Conclusion: It was determined that there is a relationship between Telemedicine and its dimensions towards health promotion as well as high satisfaction on the part of the users.
References
Saigí-Rubió F, Torrent-Sellens J, Robles N, Pérez Palaci JE, Baena MI. Estudio sobre telemedicina internacional en América Latina: motivaciones, usos, resultados, estrategias y políticas. Estud sobre telemedicina Int en América Lat Motiv usos, Result estrategias y políticas. Published online 2021. doi:10.18235/0003438
Suarez V, Cabezas C. Amenazas a la salud pública en el Perú y la respuesta del Instituto Nacional de Salud. Rev Peru Med Exp Salud Publica. 2022;39(2):140-142. doi:10.17843/rpmesp.2022.392.11906
Gullón P, Lumbreras B, Sánchez-Martínez FI, de Montalvo-Jaaskeläinen F, Ruiz-Cantero MT. Public Health and Health Administration in the COVID-19 pandemic. SESPAS Report 2022. Gac Sanit. 2022;36:S1-S3. doi:10.1016/j.gaceta.2022.05.002
Alvarez-Risco A, Del-Aguila-Arcentales S, Yáñez JA. Telemedicine in Peru as a Result of the COVID-19 pandemic: Perspective from a country with limited internet access. Am J Trop Med Hyg. 2021;105(1):6-11. doi:10.4269/ajtmh.21-0255
Alexander GC, Tajanlangit M, Heyward J, Mansour O, Qato DM, Stafford RS. Use and Content of Primary Care Office-Based vs Telemedicine Care Visits during the COVID-19 Pandemic in the US. JAMA Netw Open. 2020;3(10):1-11. doi:10.1001/jamanetworkopen.2020.21476
Del Llano Núñez-Cortés A. Derecho de la salud pública: ¿hacia un marco jurídico de pandemias? Gac Sanit. 2023;37:1-2. doi:10.1016/j.gaceta.2022.102262
Silva CRDV, Lopes RH, Júnior ODGB, Fuentealba-Torres M, Arcêncio RA, Da Costa Uchôa SA. Telemedicine in primary healthcare for the quality of care in times of COVID-19: A scoping review protocol. BMJ Open. 2021;11(7):1-5. doi:10.1136/bmjopen-2020-046227
Equipo técnico de la Dirección de Telesalud R y U. Reglamento de La Ley N°30421, Ley Marco de Telesalud y Del Decreto Legislativo Que Fortalece Los Alcances de La Telesalud.; 2021. http://bvs.minsa.gob.pe/local/MINSA/5418.pdf
OPS. ESTRATEGIA Y PLAN DE ACCION SOBRE LA PROMOCION DE LA SALUD EN EL CONTEXTO DE LOS OBJETIVOS EN EL CONTEXTO DE LOS OBJETIVOS DE DESARROLLO SOSTENIBLE 2019-2030.; 2019. https://iris.paho.org/handle/10665.2/55950
Bashshur RL, Howell JD, Krupinski EA, Harms KM, Bashshur N, Doarn CR. The Empirical Foundations of Telemedicine Interventions in Primary Care. Telemed e-Health. 2016;22(5):342-375. doi:10.1089/tmj.2016.0045
Diaz-Lazo A, Montalvo Otivo R, Lazarte Nuñez E, Aquino Lopez É, Montalvo J, Diaz-Meyzan L. Factores asociados a mortalidad en pacientes con Covid-19 en un hospital público. Boletín Malariol y Salud Ambient. 2022;62(2):233-240. doi:10.52808/bmsa.7e6.622.014
Barcelona Health H. Estudio de la Consulta de Salud Virtual telemedicina y sus beneficios para los sistemas sanitarios. Published online 2020:1-78. https://barcelonahealthhub.com/wp-content/uploads/2020/07/aEstudio-de-la-Consulta-de-Salud-Virtual-telemedicina-y-sus-beneficios-para-los-sistemas-sanitarios.pdf.pdf
Eberly LA, Kallan MJ, Julien HM, et al. Patient Characteristics Associated With Telemedicine Access for Primary and Specialty Ambulatory Care During the COVID-19 Pandemic. JAMA Netw. 2020;3(12):1-12. doi:10.1001/jamanetworkopen.2020.31640
Orozco-Beltran D, Sánchez-Molla M, Sanchez JJ, Mira JJ. Telemedicine in primary care for patients with Chronic conditions: The valcrònic quasi-experimental study. J Med Internet Res. 2017;19(12):1-13. doi:10.2196/jmir.7677
Andrews E, Berghofer K, Long J, Prescott A, Caboral-Stevens M. Satisfaction with the use of telehealth during COVID-19: An integrative review. Int J Nurs Stud Adv. 2020;2:1-9. doi:10.1016/j.ijnsa.2020.100008
Montenegro P, Pinillos L, Young F, et al. Telemedicine and the current opportunities for the management of oncological patients in Peru in the context of COVID-19 pandemic. Crit Rev Oncol Hematol. 2021;157:1-5. doi:10.1016/j.critrevonc.2020.103129
Itamura K, Rimell FL, Illing EA, et al. of Patient Experiences in Otolaryngology AssessmentVirtual Visits During the COVID-19 Pandemic. OTO Open. 2020;4(2):19-22. doi:10.1177/2473974X20933573
Marques S, Cruz JAW, da Cunha MAVC, et al. Patient and family experience with telemedicine and in-person pediatric and obstetric ambulatory encounters throughout 2020, during the COVID-19 epidemic: the distance effect. BMC Health Serv Res. 2022;22(1):1-8. doi:10.1186/s12913-022-08037-8
Scofano R, Monteiro A, Motta L. Evaluation of the experience with the use of telemedicine in a home dialysis program—a qualitative and quantitative study. BMC Nephrol. 2022;23(1):1-9. doi:10.1186/s12882-022-02824-5
Frydman JL, Li W, Gelfman LP, Liu B. Telemedicine Uptake among Older Adults during the COVID-19 Pandemic. Ann Intern Med. 2022;175(1):145-148. doi:10.7326/M21-2972.Telemedicine
Ryskina KL, Shultz K, Zhou Y, Lautenbach G, Brown RT. Older adults ’ access to primary care : Gender , racial , and ethnic disparities in telemedicine. J Am Geriatr Soc. 2021;(June):1-9. doi:10.1111/jgs.17354
Lutz de Araujo A, Moreira T de C, Rados DRV, et al. The use of telemedicine to support Brazilian primary care physicians in managing eye conditions : The TeleOftalmo Project. PLoS One. 2020;15(4):1-12. doi:10.1371/journal.pone.0231034
Holcomb D, Faucher MA, Bouzid J, Quint-Bouzid M, Nelson DB, Duryea E. Patient perspectives on audio-only virtual prenatal visits amidst the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. Obstet Gynecol. 2020;136(2):317-322. doi:10.1097/AOG.0000000000004026
Yadav D, Bhatia S, Ramam M, et al. Patient perception and satisfaction with a smartphone-based teledermatology service initiated during the COVID-19 pandemic at a tertiary care hospital in North India. Indian J Dermatol Venereol Leprol. 2022;88(5):623-632. doi:10.25259/IJDVL_608_2021
Polinski JM, Barker T, Gagliano N, Sussman A, Brennan TA, Shrank WH. Patients’ Satisfaction with and Preference for Telehealth Visits. J Gen Intern Med. 2016;31(3):269-275. doi:10.1007/s11606-015-3489-x
Contractor U, Hass W, Reed P, Osborne L, Tree J, Bosanquet DC. Patient Satisfaction with Tele- and Video-Consultation in the COVID-19 Era e A Survey of Vascular Surgical Patients. Ann VascSurg. 2020;85:105-109. doi:https://doi.org/10.1016/j.avsg.2022.05.009
Carrillo de Albornoz S, Sia KL, Harris A. The effectiveness of teleconsultations in primary care: systematic review. Fam Pract. 2022;39(1):168-182. doi:10.1093/fampra/cmab077
Rodriguez H. El Impacto de La Teleconsulta En Los Derechos Fundamentales de La Población Aislada – Rural, Conforme Reglamento de La Ley N°30421. Universidad cesar Vallejo; 2021. https://hdl.handle.net/20.500.12692/83825
Harrigan M, Cartmel B, Loftfield E, et al. Randomized trial comparing telephone versus in-person weight loss counseling on body composition and circulating biomarkers in women treated for breast cancer: The lifestyle, exercise, and nutrition (LEAN) study. J Clin Oncol. 2016;34(7):669-676. doi:10.1200/JCO.2015.61.6375
Lindegaard Pedersen J, Pedersen PU, Damsgaard EM. Nutritional follow-up after discharge prevents readmission to hospital - A randomized clinical trial. J Nutr Heal Aging. 2017;21(1):75-82. doi:10.1007/s12603-016-0745-7
Galan G. Calidad de Atención y Satisfacción de Los Pacientes Atendidos Por Telemonitoreo y Teleorientación En La Posta Médica Túcume –EsSalud. Universidad Cesar Vallejo; 2021. https://hdl.handle.net/20.500.12692/81104
Miziara RA, Maesaka JY, Matsumoto DRM, et al. Teleoncology Orientation of Low-Income Breast Cancer Patients during the COVID-19 Pandemic: Feasibility and Patient Satisfaction. Rev Bras Ginecol e Obstet. 2021;43(11):840-846. doi:10.1055/s-0041-1739425
Thomas NA, Drewry A, Racine Passmore S, Assad N, Hoppe KK. Patient perceptions, opinions and satisfaction of telehealth with remote blood pressure monitoring postpartum. BMC Pregnancy Childbirth. 2021;21(1):1-11. doi:10.1186/s12884-021-03632-9
Kirkland E, Schumann SO, Schreiner A, et al. Patient Demographics and Clinic Type Are Associated with Patient Engagement within a Remote Monitoring Program. Telemed e-Health. 2021;27(8):843-850. doi:10.1089/tmj.2020.0535
Kirkland EB, Marsden J, Zhang J, et al. Remote patient monitoring sustains reductions of hemoglobin A1c in underserved patients to 12 months. Prim Care Diabetes. 2021;15(3):459-463. doi:10.1016/j.pcd.2021.01.005
Randal MH, Haulsee ZM, Zhang J, Marsden J, Moran WP, Kirkland EB. The Effect of Remote Patient Monitoring on the Primary Care Clinic Visit Frequency among Adults with Type 2 Diabetes. Int J Med Inf. 2020;143(5):139-148. doi:10.1016/j.ijmedinf.2020.104267.
Stulock R, Montgomery J, Parker M, Soric A, Zeleznikar E. Pharmacist involvement in a comprehensive remote monitoring and telemanagement program. Am J Heal Pharm. 2022;79(11):888-895. doi:10.1093/ajhp/zxac025
Hanley J, Pinnock H, Paterson M, McKinstry B. Implementing telemonitoring in primary care: Learning from a large qualitative dataset gathered during a series of studies. BMC Fam Pract. 2018;19(1):1-11. doi:10.1186/s12875-018-0814-6
Sin DYE, Guo X, Yong DWW, et al. Assessment of willingness to Tele-monitoring interventions in patients with type 2 diabetes and/or hypertension in the public primary healthcare setting. BMC Med Inform Decis Mak. 2020;20(1):1-11. doi:10.1186/s12911-020-1024-4
Georghiou T, Sherlaw-Johnson C, Massou E, et al. The impact of post-hospital remote monitoring of COVID-19 patients using pulse oximetry: A national observational study using hospital activity data. eClinicalMedicine. 2022;48:101441. doi:10.1016/j.eclinm.2022.101441
Beaney T, Clarke J, Alboksmaty A, et al. Population-level impact of a pulse oximetry remote monitoring programme on mortality and healthcare utilisation in the people with COVID-19 in England: a national analysis using a stepped wedge design. Emerg Med J. 2022;39(8):575-582. doi:10.1136/emermed-2022-212378
Gutierrez BG. CALIDAD DE LAS TELEINTERCONSULTAS EN LA RED ASISTENCIAL DE MOQUEGUA 2021 PRESENTADO POR SERVICIOS DE SALUD LIMA – PERÚ. Universidad San Martin de Porres, Perú; 2022. https://hdl.handle.net/20.500.12727/10615
Tostes JG, Benedita C, Cruz RP, Mota G, Assis C De, Alves R. Tele-interconsultation and the challenges for maintaining health care in pandemic times. Rev Cienc Saude. 2021;11(2):5-9. doi:10.21876/rcshci.v11i2.1069
Downloads
Published
Issue
Section
License
Copyright transfer
The listed authors warrant that they are the authors and sole owners of the submitted manuscript. The authors also warrant that the work is original; that it has not been previously published in print or electronic format and is not under consideration by another publisher or electronic medium; that it has not been previously transferred, assigned, or otherwise encumbered; and that the authors have full power to grant such rights. With respect to the results of this work, the manuscript of this or substantially similar content will not be submitted to any other journal until the review process in the Acta Medica Salinianana has been officially completed (acceptance or rejection of the manuscript). The paper will not be withdrawn from the review process by the Acta Medica Saliniana Editorial Board until the review process is completed. The authors will comply with the requests of the Acta Medica Saliniana Editors and reviewers to improve the paper for publication. The eventual disagreements will be submitted in a written form; the authors are aware that the disagreement(s) with the Acta Medica Saliniana requests may result in the rejection of the manuscript. The authors hereby grant to the Acta Medica Saliniana the right to edit, revise, abridge, and condense the manuscript. If the manuscript is accepted for publication in the Acta Medica Saliniana, the authors hereby transfer the copyright of the paper to the Acta Medica Saliniana. The authors permit the Acta Medica Saliniana to allow third parties to copy any part of the journal without asking for permission, provided that the reference to the source is given. For papers with more than one author: All other co-authors agree to allow the corresponding author to make decisions regarding prepublication release of the information in the paper to the media, federal agencies, or both.
