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Title: | A perspective on the scope of videoconferencing-based telemedicine in respiratory diseases outpatient clinic | Other Titles: | Göğüs hastalıkları polikliniğinde videokonferansa dayalı teletıp deneyimi | Authors: | Çetin, N. Bostan, P. Altinişik, G. |
Keywords: | Outpatient clinic respiratory diseases telemedicine telepulmonology videoconference adult aged Article asthma cachexia chronic obstructive lung disease chronic respiratory tract disease clinical evaluation comorbidity assessment controlled study demography descriptive research digital clubbing disease transmission electronic health record evaluation and follow up female geographic distribution health care personnel health program hospital discharge hospitalization human interstitial lung disease interview life course perspective lung fibrosis major clinical study male middle aged observational study outpatient care pandemic patient counseling personalized medicine physical examination pulmonologist pulmonology respiratory tract disease retrospective study skin defect sociodemographic features telemedicine telepulmonology tuberculosis undergraduate education videoconferencing asthma outpatient department procedures prospective study videoconferencing Ambulatory Care Facilities Asthma Female Humans Male Prospective Studies Retrospective Studies Telemedicine Videoconferencing |
Publisher: | Ankara University | Abstract: | Introduction: Telemedicine is rapidly expanding across various fields world-wide. While it finds application in respiratory diseases due to the imperative need for protection against the risk of transmission and the close monitoring of patients with chronic diseases, there is a scarcity of publications detailing telemedicine experiences in respiratory diseases. This study aims to retrospec-tively evaluate the prospective management of patients with respiratory diseases through videoconference-based telemedicine, intending to establish a foundation for its judicious application in pulmonology cases. Materials and Methods: In this descriptive study, anonymized medical records of all 478 patients assessed via videoconference-based telemedicine over an eight-month period from June 2020 to February 2021 were reviewed. The analysis included demographic characteristics, disease history, attendance methods, the necessity for in-person physical examination after the initial videoconference (VC) session, the inclusion of investigations, pre-diagnosis, diagnosis processes, follow-up period, and outcomes. Follow-up data for all patients included in the study were reviewed at the end of June 2021. Results: Median age of the patients was 55 (44-67), with a male predomi-nance of 55%. Approximately 30% resided in a city other than the one in which the physician offering telemedicine was situated. Seventy-nine (16.7%) individuals received telemedicine via VC sessions without the requirement for any in-person examinations. The most prevalent disease among those who applied for telemedicine was asthma. Median duration of the initial VC session was 13 (8-18) minutes. At least half of the individuals seeking videoconfer-ence-based telemedicine for chronic respiratory disorders, such as asthma, COPD, and interstitial lung disease, had previously been followed by either the telemedicine provider or another physician in the same hospital. However, the vast majority of telemedicine applications in disease categories such as COVID, post-COVID, pulmonary nodules, and lung cancer were submitted by first-time applicants. Conclusion: This pioneering study suggests that videoconference-based telemedicine may be an alternative/complementary tool for patients, particularly those with chronic respiratory diseases. © 2023 by Tuberculosis and Thorax. | URI: | https://doi.org/10.5578/tt.20239602 https://hdl.handle.net/11499/56301 |
ISSN: | 0494-1373 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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