INFLUENCE OF TELEMEDICINE AND ITS DIMENSIONS ON HEALTH PROMOTION
Abstract
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.
Keywords
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
DOI: 10.5457/ams.v55i1.740
