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Teleconsultations at a Pediatrics Outpatient Service in COVID-19 Pandemic: First Results
Camila Marques de Valois Lanzarin1, Aldo von Wangenheim2, Thaïs Cristina Rejane-Heim1
1Pediatric Unit at University Hospital, Federal University of Santa Catarina, Trindade, Florianópolis, Santa Catarina, Brazil.
Insights
This study highlights the successful implementation of a synchronous teleconsultation service for pediatric subspecialty care during the pandemic. The telemedicine approach, utilizing chat, audio, and video, demonstrated high patient and healthcare personnel satisfaction.
Area of Science:
- Pediatric Subspecialty Care
- Telemedicine
- Public Health
Background:
- The COVID-19 pandemic necessitated innovative healthcare delivery models.
- Pediatric subspecialty follow-up care faced significant disruption.
- Telemedicine offered a potential solution for continuity of care.
Purpose of the Study:
- To describe experiences with a teleconsultation approach for pediatric subspecialty follow-up patients during the pandemic.
- To evaluate the feasibility and outcomes of a newly developed synchronous teleconsultation service.
Main Methods:
- A multiplatform/multimodality synchronous teleconsultation solution was developed, supporting chat, audio, and video on desktop and mobile devices.
- Informed consent was obtained from all participants.
- Data on patient numbers, consultation types, and attendance frequency were collected over a 3-month period.
Main Results:
- The service assisted 75 pediatric patients through 109 consultations within 3 months.
- 69.7% of consultations were conducted via chat.
- The average number of consultations per patient was 1.45.
Conclusions:
- This represents the first reported telemedicine service of its kind within the Brazilian public healthcare system.
- Both patients and healthcare personnel reported high levels of satisfaction with the teleconsultation service.
- The study demonstrates the effectiveness and acceptance of telemedicine for pediatric subspecialty care continuity.
Abstract:
Describe our experiences using teleconsultation approach to care for pediatric subspecialty follow-up patients during pandemic period. Synchronous teleconsultation solution was developed and implemented as a multiplatform/multimodality service, capable or running on desktop browsers and smartphones, and capable to handle chat, audio, and video. Term of consent was applied. Absolute number and percentage of patients assisted, as well as the form of consultation and the mean of attendance per patient were presented. A telemedicine service was started using tools provided by The Santa Catarina State Integrated Telemedicine and Telehealth System offering real-time chat, through an online-based teleconsultation service. We assisted 75 patients in 109 consultations in 3 months, of which 69.7% were performed by chat. Mean of consultations per patient was 1.45. To our knowledge this is the first service in offering this modality of medicine for Brazilian public health care system. Patients and health care personnel reported satisfaction.
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