Telemedicine is here to Stay: Success and Utility of Video Consultations in Neonatology

Z. A. Bhat, Nithya Babu Gracy, Femitha Pournami, Jyothi Prabhakar, A. Prithvi, A. Kolisambeevi, Naveen Jain
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Abstract

“Synchronous videoconference telemedicine in neonatal office-practice” (SyNTOP) has been a routine practice in our center since the start of the COVID-19-related lockdown. We recently reported our experience with the “success” of this practice in terms of removing the need to visit the hospital over the next 48 h after the teleconsult. Secondary results of this retrospective descriptive study which analyzed 829 consults are presented in this manuscript. Data from electronic medical records of those who availed teleconsultation facility between March 2020 and April 2021 were retrieved. Relevant information about clinical presentation, findings from the video call, demographic information, decisions made by the clinician, and outcomes were collected. Best efforts were made to obtain follow-up information by the clinical team or guest–patient relations officers. Fever (n = 118) and acute diarrheal disease (n = 58) were the common presenting complaints; most (80.5% and 95.5%, respectively) were resolved without physical examination; 265 developmental assessments were completed by video-facilitated checks. Fast-track vaccination visits where queries were resolved and bills paid online, were an innovation where well babies could avoid queues and possible exposure to crowds. One-fourths of SyNTOP were from outside the district, and 1.4% were from foreign countries. Teleconsults were successfully conducted in neonatal office practice for different health-care enquiries. Strategies such as fast-track vaccinations and online developmental follow-up assessments were performed by leveraging technology. We highlight the benefits of these innovations in our center with a view to enhance their uptake elsewhere. Such approaches have the potential to increase health equity and access to specialty health care.
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远程医疗将继续存在:新生儿科视频会诊的成功与实用性
自 COVID-19 相关封锁开始以来,"新生儿诊室同步视频会议远程医疗"(Synchronous videoconference telemedicine in neonatal office-practice,简称 SyNTOP)一直是我们中心的常规做法。我们最近报告了这一做法的 "成功 "经验,即在远程会诊后的 48 小时内无需到医院就诊。 本手稿介绍了这项回顾性描述研究的次要结果,该研究分析了 829 次会诊。研究人员从 2020 年 3 月至 2021 年 4 月期间使用远程会诊设施的患者的电子病历中检索了数据。研究收集了临床表现、视频通话结果、人口统计学信息、临床医生做出的决定和结果等相关信息。临床团队或客座患者关系官员已尽最大努力获取后续信息。 发热(118 例)和急性腹泻(58 例)是常见的主诉病症;大多数病症(分别为 80.5% 和 95.5%)无需体检即可解决;通过视频协助检查完成了 265 项发育评估。快速通道疫苗接种服务是一项创新,在这里,婴儿可以避免排队和可能的拥挤。四分之一的 SyNTOP 来自区外,1.4% 来自国外。 在新生儿诊室实践中,针对不同的医疗保健咨询成功开展了远程会诊。通过利用技术,实施了快速接种疫苗和在线发育跟踪评估等策略。我们强调了这些创新在我们中心的益处,以期在其他地方推广。这些方法有可能提高健康公平性,增加获得专业医疗保健的机会。
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审稿时长
27 weeks
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