Leveraging Telemedicine for Disaster Response: Longitudinal Study on Return-to-Work Programs During the COVID-19 Crisis.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Disaster Medicine and Public Health Preparedness Pub Date : 2024-10-28 DOI:10.1017/dmp.2024.181

Arie Arizandi Kurnianto, Faten Amer, Ananda Dellina Putri, Zsolt Nemeskéri, István Ágoston

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Abstract

Objective: Since COVID-19, Indonesia has legalized telemedicine in medical services, including Return to Work (RTW). RTW programs help occupational injury-disabled workers return to work. This research examines how telemedicine supports RTW for employees with occupational injuries.

Methods: The study used Interrupted Time Series Analysis (ITSA) to find patterns and trends in RTW program telemedicine case numbers and claim settlements over time. A total of 1 314 data were obtained from the Indonesian National Social Security Agency on Employment (BPJS Ketenagakerjaan) from July 1, 2015, to December 2022.

Results: Telemedicine reduces the frequency of recurrent occupational injuries in persons with impairments (Relative Risk [RR] = 0.59). In addition, the integration of telemedicine into health care practices exhibits promising prospects in terms of mitigating the financial burden on social security programs. This is supported by a robust RR (0.6).

Conclusions: Telemedicine reduced the number of repeat cases and optimized medical claims cost in the RTW program during the COVID-19 pandemic. The results will contribute to policy and assist health care professionals and employers in improving RTW outcomes for disabled people.

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利用远程医疗救灾：COVID-19 危机期间重返工作计划纵向研究》。

目的：自 COVID-19 会议以来，印度尼西亚已将包括重返工作岗位（RTW）在内的医疗服务中的远程医疗合法化。重返工作岗位计划帮助工伤致残工人重返工作岗位。本研究探讨了远程医疗如何支持工伤员工的 RTW：研究采用中断时间序列分析法（ITSA），以发现 RTW 计划远程医疗案例数量和理赔金额随时间变化的模式和趋势。研究从印度尼西亚国家就业社会保障局（BPJS Ketenagakerjaan）获得了从2015年7月1日至2022年12月的共计1314个数据：结果：远程医疗降低了残障人士再次发生工伤的频率（相对风险 [RR] = 0.59）。此外，将远程医疗纳入医疗保健实践，在减轻社会保障计划的财政负担方面前景广阔。结论：在 COVID-19 大流行期间，远程医疗减少了重复病例的数量，并优化了 RTW 计划的医疗索赔成本。研究结果将有助于制定相关政策，并帮助医疗保健专业人员和雇主改善残疾人的复工结果。

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来源期刊

Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

7.40%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.