Research Outputs
Contribución de la telemedicina en la Unidad de NeurologÃa del Hospital Las Higueras de Talcahuano
La Telemedicina es la entrega remota de servicios de atención médica e información clÃnica utilizando tecnologÃa de telecomunicaciones. La pandemia de SARS-CoV-2 ha catalizado la adopción de esta estrategia. En esta revisión analizamos su desarrollo local, considerando como modelo la Unidad de Teleprocesos del hospital Las Higueras de Talcahuano (HHT) en conjunto con la Unidad de NeurologÃa (UN). Demostramos alta satisfacción usuaria, reducción en lista de espera de primera consulta, cobertura de la enfermedad neurológica ambulatoria y alto nivel de resolutividad. Esta experiencia ofrece una alternativa para mejorar la resolutividad médica a nivel nacional y mejorar la eficacia del sistema de salud especialmente en los nuevos escenarios causados por la pandemia. Finalmente, exponemos nuestras nuevas acciones centradas en educación, seguimiento de pacientes SARS-CoV-2 positivos y contactos estrechos, ampliación de prestaciones telemédicas a domicilio y creación de plataforma web junto a la comunidad.
Characterization of the teleneurology patients at the Hospital Las Higueras de Talcahuano—Chile
Background: Chile has a shortage of medical experts, including neurologists. The remote neurology program at Las Higueras Hospital in Talcahuano (HHT) was implemented in 2015 to decrease the number of patients waiting for their first appointment. Methods: This retrospective study analyzed a cohort of 2,904 ambulatory patients evaluated in the teleneurology program at the HHT between 2015 and 2019 who were referred from 16 primary and 3 tertiary healthcare centers. Results: Out of the 2,904 patients included in the study, 1,020 patients (35%) were male, and 1,884 (65%) were female. In total, 1,346 (46.0%) patients were under 60 years old (408 male and 938 female), and 1,558 (54%) were over 60 years old (612 male and 946 female). The patients were referred to a neurologist in the teleneurology program from different primary healthcare centers (93.5%) and tertiary healthcare centers (6.5%). The most common diseases diagnosed through teleneurology were, in decreasing order, headache (29.4%), Alzheimer's disease and other dementias (15.9%), and epilepsy (11.4%). From July 2018, we analyzed the patients' destination after the first teleneurology consultation. In the cohort of 634 patients who had their first consultation via the teleneurology program, 547 (86.3%) were instructed to continue follow-up via telemedicine. Conclusions: Data from this study show, for the first time in Chile, the significant contribution of the teleneurology program at the HHT to the diagnosis of a broad range of diseases in a substantial number of patients referred from primary and tertiary healthcare centers.