Implementation of the teleconsultation service with an emphasis on gastroenterology in the San Pablo Clinic Network (Peru) during the COVID-19 pandemic
DOI:
https://doi.org/10.35434/rcmhnaaa.2022.154.1558Keywords:
Telemedicine, Telehealth, GastroenterologyAbstract
Objective: To describe the assistance provided by the teleconsultation service in the San Pablo Clinic Network (RCSP) during the COVID-19 pandemic, with an emphasis on the specialty of gastroenterology.
The study: Descriptive study. Data from the Electronic Medical Records System and the RCSP administrative system were reviewed.
Results: The RCSP includes 8 locations (5 in Lima). Between April 2020 and December 2021, 1,156,253 visits were made (6.6% of these by teleconsultation). The specialties with the most teleconsultations were internal medicine and endocrinology, and the specialties with the most face-to-face consultations were gynecology-obstetrics and traumatology. Gastroenterology was the ninth most frequent specialty in teleconsultation and the fifth in face-to-face consultation. The most frequent diagnoses of this specialty, both for face-to-face consultation and teleconsultation, were dyspepsia and gastroesophageal reflux disease
Conclusion: The implementation of the teleconsultation service in the RCSP is reported. In addition, lessons learned in this process are provided.
Downloads
Metrics
References
Telesalud - Gobierno del Perú [Internet]. Lima: MINSA; 2022 [citado 6 de abril de 2022]. Disponible en: https://www.gob.pe/telesalud
Cuba H. Pandemia en el Perú - Acciones, impactos y consecuencias del covid-19. [Internet]. Lima: Colegio Médico del Perú; 2021 [citado 6 de abril de 2022]. Disponible en: https://www.cmp.org.pe/wp-content/uploads/2021/05/La-Pandemia-CUBA-corregida-vale.pdf
Gozzer E. Una visión panorámica de las experiencias de Telesalud en Perú Una visión panorámica de las experiencias de Telesalud en Perú. Rev Peru Med Exp Salud Publica [Internet]. 2015 [citado 6 de abril de 2022];32(2):385-90. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1726-46342015000200027
Curioso WH, Galán-Rodas E. El rol de la telesalud en la lucha contra el COVID-19 y la evolución del marco normativo peruano. Acta Med Peru. 2020;37(3):366-75. doi: 10.35663/amp.2020.373.1004
Kane CK, Gillis K. The Use of Telemedicine By Physicians: Still The Exception Rather Than The Rule. Health Aff. 2018;37(12):1923-30. doi: 10.1377/hlthaff.2018.05077
Stotts MJ, Grischkan JA, Khungar V. Improving cirrhosis care: The potential for telemedicine and mobile health technologies. World J Gastroenterol. 2019;25(29):3849-56. doi: 10.3748/wjg.v25.i29.3849
Pomej K, Scheiner B, Hartl L, Balcar L, Meischl T, Mandorfer M, et al. (2021) COVID-19 pandemic: Impact on the management of patients with hepatocellular carcinoma at a tertiary care hospital. PLoS ONE 16(8): e0256544. doi: 10.1371/journal.pone.0256544
Serper M, Cubell AW, Deleener ME, Casher TK, Rosenberg DJ, Whitebloom D et al. Telemedicina en enfermedades hepáticas y más allá: ¿la crisis de COVID-19 puede llevar a la acción? hepatología. 2020;72:723–728.
Perisetti A, Goyal H. Successful distancing: Telemedicine in gastroenterology and hepatology during the COVID-19 pandemic. Dig Dis Sci. 2021;66(4):945–53. doi: 10.1007/s10620-021-06874-x
Velásquez JRM. Teleconsulta en la pandemia por Coronavirus: desafíos para la telemedicina pos-COVID-19. Rev Colomb Gastroenterol. 2020;35(Supl 1). doi: 10.22516/25007440.543
Altman M, Huang TT, Breland JY. Design Thinking in Health Care. Prev Chronic Dis. 2018;15:180128. doi: 10.5888/pcd15.180128.
Ministerio de transporte y comunicaciones. Declaratoria de Emergencia Sanitaria Nacional [Internet]. Lima: MTC; 2020. [citado 6 de abril de 2022]. Disponible en: https://www.gob.pe/institucion/mtc/informes-publicaciones/1074671-declaratoria-de-emergencia-sanitaria-nacional
Huapaya-Huertas O, Palomino-Rojas J, Calle-Texeira C, Alvarez-Huiman G, Montesinos-Segura R, Taype-Rondan A. Experiencia del Complejo Hospitalario San Pablo (Perú) en la implementación de un sistema de historias clínicas electrónicas. An Fac Med. 2021;82(4). doi: 10.15381/anales.v82i4.22211
Ministerio de Salud. Resolución Ministerial N° 117-2020-MINSA [Internet]. Lima: MINSA; 2020 [citado 9 de abril de 2022]. Disponible en: https://www.gob.pe/institucion/minsa/normas-legales/462720-117-2020-minsa
Marciano S, Haddad L, Plazotta F, Mauro E, Terraza S, Arora S, et al. Implementation of the ECHO ® telementoring model for the treatment of patients with hepatitis C. J Med Virol. 2017 ,89 (4): 660–664. doi:10.1002/jmv.24668
Ertel AE, Kaiser TE, Abbott DE, Shah SA. Use of video-based education and tele-health home monitoring after liver transplantation: Results of a novel pilot study. Surgery.2016;160(4):869-76. doi: 10.1016/j.surg.2016.06.016
Song B, Schulze M, Goldschmidt I, Haux R, Baumann U, Marschollek M. Home monitoring and decision support for international liver transplant children. Stud Health Technol Inform [Internet]. 2013 [citado el 12 de octubre de 2022];192:268–72. Available from: https://ebooks.iospress.nl/publication/34000
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2023 Oscar Huapaya-Huertas, Josselin Palomino-Rojas, Carlos Calle-Teixeira, Gabriel Alvarez-Huiman, María José Rojas-Puell, Alvaro Taype-Rondan
This work is licensed under a Creative Commons Attribution 4.0 International License.
