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Published on: September 30, 2021
COVID emergency: an opportunity to increase the interaction between hepatologist and primary care physician
Giovanni Casella1, Fabio Ingravalle2, Adriana Ingravalle3
1ATS Brianza, Limbiate, Monza-Brianza, Italy - caselgio@tiscali.it.
Insights
The COVID-19 pandemic highlighted telemedicine
Area of Science:
- Medical Informatics
- Public Health
- Infectious Diseases
Background:
- The Coronavirus disease 2019 (COVID-19) pandemic necessitated innovative healthcare delivery methods.
- Increased interaction between specialists and primary care physicians (PCPs) became evident during the crisis.
- The pandemic underscored the potential of telemedicine in healthcare services.
Purpose of the Study:
- To explore the role and benefits of telemedicine in managing healthcare during the COVID-19 pandemic.
- To assess the potential for enhanced collaboration between specialists and PCPs facilitated by telemedicine.
- To examine how telemedicine can support the care of liver disease patients by reducing travel to specialized centers.
Main Methods:
- Review of telemedicine's application during the COVID-19 pandemic.
- Analysis of telemedicine's advantages (cost-effectiveness, safety) and limitations (licensing, infrastructure).
- Discussion of the collaborative model between hepatologists and PCPs for liver disease management.
Main Results:
- Telemedicine proved to be a safe, low-cost tool for delivering healthcare at a distance during the COVID-19 epidemic.
- It enabled the treatment of urgent and routine specialist cases, minimizing infection risk, especially for vulnerable populations.
- The crisis facilitated the adoption of telemedicine, despite existing barriers.
Conclusions:
- Telemedicine is a valuable tool for healthcare delivery, particularly during pandemics.
- Enhanced collaboration between specialists and PCPs, supported by telemedicine, is crucial for managing chronic conditions like liver disease.
- Addressing telemedicine's limitations is key to its broader implementation and effectiveness.
Abstract:
The outbreak of Coronavirus disease 2019 (COVID-19) worldwide had evidenced the opportunity to increase the interaction between specialist and primary care physician (PCP). COVID 19, started in December 2019 in China, has been considered a public health emergency by the Department of Health and Human Services and, now, it is a pandemic disease with worldwide diffusion. The COVID-19 crisis permits to increase the role of telemedicine as a tool for the delivery of health care services at distance and to slow down the virus diffusion. This technology is cheap and easy to use but it is limited by governmental licensing restrictions, reimbursement barriers, lesser extent of infrastructure and difficulties related to the change. During COVID-19 epidemy, telemedicine is safe, low cost and-permits to treat urgent and routine specialist cases without human proximity and contact which would spread infection, particularly to the elderly and immunocompromised patients. In COVID-19 era, the goal of PCP is to reduce travels and visits in specialized center for liver disease patients. A strict collaboration between specialized hepatologist and PCP is needed.
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