Telemedicine Applications in a Tertiary Pediatric Hospital in Turkey During COVID-19 Pandemic

被引:17
作者
Aydemir, Sezin [1 ]
Ocak, Suheyla [2 ]
Saygili, Seha [3 ]
Hopurcuoglu, Duhan [4 ]
Haslak, Fatih [5 ]
Kiykim, Ertugrul [4 ]
Aktuglu Zeybek, Cigdem [4 ]
Celkan, Tiraje [2 ]
Demirgan, Ebru Burcu [3 ]
Kasapcopur, Ozgur [5 ]
Cokugras, Haluk [1 ]
Kiykim, Ayca [1 ]
Canpolat, Nur [3 ]
机构
[1] Istanbul Univ Cerrahpasa, Cerrahpasa Med Sch, Dept Pediat, Div Pediat Allergy & Immunol, TR-34098 Istanbul, Turkey
[2] Istanbul Univ Cerrahpasa, Cerrahpasa Med Sch, Dept Pediat, Div Pediat Hematol & Oncol, Istanbul, Turkey
[3] Istanbul Univ Cerrahpasa, Cerrahpasa Med Sch, Dept Pediat, Div Pediat Nephrol, Istanbul, Turkey
[4] Istanbul Univ Cerrahpasa, Cerrahpasa Med Sch, Dept Pediat, Div Inborn Disorders Metab, Istanbul, Turkey
[5] Istanbul Univ Cerrahpasa, Cerrahpasa Med Sch, Dept Pediat, Div Pediat Rheumatol, Istanbul, Turkey
关键词
telehealth; telemedicine; SARS-CoV-2; coronavirus; pandemics; pediatrics; health care; Turkey; Istanbul;
D O I
10.1089/tmj.2020.0381
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: A novel type of Coronavirus emerged at Wuhan in late 2019 involving preferentially the respiratory system. Owing to the rapid spread, almost 22 million people became infected and 700,000 died. Similar to other countries, the need for additional hospital beds and intensive care units required diversion of health care resources toward the care for those with COVID-19 in Turkey. Telemedicine appeared as a safe and low-cost alternative for the maintainability of pediatric health services during the pandemics. Within this context, we aimed to deliver the health services through telemedicine during the follow-up of chronic childhood diseases. Materials and Methods: This prospective study included five pediatric subspecialties, including allergy immunology, hematology and oncology, nephrology, rheumatology, and inborn metabolic disorders. After the interview, patients and involved physicians were requested to fill out a questionnaire designed to measure the level of satisfaction and the quality of the service we offered. Results: Of the 263 interviews, overall patient and physician satisfaction was 99% and 87%, respectively. As results of the interviews, 250 routine visits were performed, 181 acute complaints were assessed, drug changes were made in 118 patients, 9 patients were determined to be unable to get their drugs, and 12 who misused their drugs. The main advantage of the telemedicine declared by the patients was "not to waste time for transportation." The main concerns of the participants were inability to perform physical and laboratory examinations. Conclusion: Consequently, we considered telemedicine as a feasible alternative not only during pandemics but also in daily practice in Turkey.
引用
收藏
页码:1180 / 1187
页数:8
相关论文
共 12 条
  • [1] Abbas S.N., 2020, INT J INNOV SCI TECH, V2, P46
  • [2] Trends in Telemedicine Use in a Large Commercially Insured Population, 2005-2017
    Barnett, Michael L.
    Ray, Kristin N.
    Souza, Jeff
    Mehrotra, Ateev
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2018, 320 (20): : 2147 - 2149
  • [3] Telemedicine: Pediatric Applications
    Burke, Bryan L., Jr.
    Hall, R. W.
    [J]. PEDIATRICS, 2015, 136 (01) : E293 - E308
  • [4] Telehealth in the Context of COVID-19: Changing Perspectives in Australia, the United Kingdom, and the United States
    Fisk, Malcolm
    Livingstone, Anne
    Pit, Sabrina Winona
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2020, 22 (06)
  • [5] Using telemedicine to provide pediatric subspecialty care to children with special health care needs in an underserved rural community
    Marcin, JP
    Ellis, J
    Mawis, R
    Nagrampa, E
    Nesbitt, TS
    Dimand, RJ
    [J]. PEDIATRICS, 2004, 113 (01) : 1 - 6
  • [6] Masys DR, 1996, TELEMEDICINE GUIDE A
  • [7] Telemedicine is as effective as in-person visits for patients with asthma
    Portnoy, Jay M.
    Waller, Morgan
    De Lurgio, Stephen
    Dinakar, Chitra
    [J]. ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2016, 117 (03) : 241 - 245
  • [8] Family Perspectives on Telemedicine for Pediatric Subspecialty Care
    Ray, Kristin N.
    Ashcraft, Laura Ellen
    Mehrotra, Ateev
    Miller, Elizabeth
    Kahn, Jeremy M.
    [J]. TELEMEDICINE AND E-HEALTH, 2017, 23 (10) : 852 - 862
  • [9] The Use of Telemedicine to Address Access and Physician Workforce Shortages
    Rimsza, Mary Ellen
    Hotaling, Andrew J.
    Keown, Mary E.
    Marcin, James P.
    Moskowitz, William B.
    Sigrest, Ted D.
    Simon, Harold K.
    Basco, William T.
    Harris, Christopher E.
    McGuinness, Gail A.
    Mulvey, Holly J.
    Radabaugh, Carrie L.
    [J]. PEDIATRICS, 2015, 136 (01) : 202 - 209
  • [10] Tomines Alan, 2019, Adv Pediatr, V66, P55, DOI 10.1016/j.yapd.2019.04.005