Evaluation of Tele-rheumatology during the COVID-19 Pandemic in Asian Population: A Pilot Study.

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Telemedicine and Applications Pub Date : 2021-09-30 eCollection Date: 2021-01-01 DOI:10.1155/2021/5558826
Amit Sandhu, Amit Agarwal, Paramvir Kaur, Meenakshi Sharma, Harnoor Sra, Manvi Singh, Nishant Jaiswal, Anil Chauhan, Anju Gupta, Meenu Singh
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引用次数: 8

Abstract

Objective: Rheumatoid arthritis (RA) is a chronic autoimmune condition associated with a potential for deformities. It is one of the common conditions to seek health care. Hence, the present study was conducted to assess the telemedicine services for patients suffering from rheumatoid arthritis during the COVID-19 pandemic in an Asian Indian population.

Methods: A prospective study was conducted (March 2020-June 2020) in the telemedicine department of a premier northern Indian tertiary care institution. Out of the total patients enrolled (N = 7577) in telemedicine services, 122 rheumatoid arthritis patients (1.6%) were followed for 1 month to assess change in functional status by modified Health Assessment Questionnaire (mHAQ). Telephonic interviews of the enrolled patients were conducted to determine the level of understanding of advice given by consultants, barriers during the consultation, and satisfaction with teleconsultations for rheumatology clinics.

Results: For the native people, language of the clinicians was the main barrier (20%) in telerheumatology. Saving of time and money was observed as beneficial factors for patients. More than three-quarters of all rheumatoid arthritis patients were ready to use teleconsultation in the near future. A similar proportion of patients were in support for the recommendation of these services to other persons.

Conclusion: We report the successful use of telemedicine services in the evaluation and management of rheumatic diseases in the current COVID-19 pandemic situation.

Abstract Image

亚洲人群COVID-19大流行期间远程风湿病学评估:一项试点研究
目的:类风湿性关节炎(RA)是一种与潜在畸形相关的慢性自身免疫性疾病。这是寻求医疗保健的常见情况之一。因此,本研究旨在评估亚洲印度人群中2019冠状病毒病大流行期间类风湿关节炎患者的远程医疗服务。方法:一项前瞻性研究于2020年3月至2020年6月在印度北部一家主要三级医疗机构的远程医疗部门进行。在参与远程医疗服务的患者中(N = 7577), 122例(1.6%)类风湿关节炎患者随访1个月,通过改进的健康评估问卷(mHAQ)评估功能状态的变化。对入选患者进行电话访谈,以确定对咨询师建议的理解程度、咨询过程中的障碍以及对风湿病诊所远程咨询的满意度。结果:对土著居民来说,临床医生的语言是远程血液学的主要障碍(20%)。节省时间和金钱被认为是对患者有益的因素。超过四分之三的类风湿关节炎患者准备在不久的将来使用远程会诊。同样比例的病人支持向其他人推荐这些服务。结论:我们报告了在当前COVID-19大流行形势下,远程医疗服务在风湿病评估和管理中的成功应用。
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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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