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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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An integrative telehealth platform managed by nurses.

Vinícius Ynoe de Moraes1, César Biselli Ferreira2, Camila Kaory Kawagoe2

  • 1Alice Health, Av. Rebouças, 3506 - Pinheiros, São Paulo, SP, 05402-600, Brazil. vinicius.moraes@alice.com.br.

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Summary

Implementing Alice Agora telehealth in primary care demonstrated high patient satisfaction and efficient care resolution. This system effectively managed common complaints, reducing emergency room referrals and improving readmission rates.

Keywords:
Mobile health applicationsPrimary careTelehealth

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Area of Science:

  • Digital Health
  • Primary Care Innovation
  • Health Services Research

Background:

  • Primary care systems face challenges in optimizing health delivery.
  • Telehealth offers a potential solution for enhancing patient access and care efficiency.

Purpose of the Study:

  • To evaluate the feasibility and preliminary outcomes of integrating the Alice Agora telehealth system.
  • To assess its impact on health delivery within a new primary care setting.

Main Methods:

  • A telehealth system, Alice Agora, was implemented in a primary care setting.
  • Data on consultations, patient satisfaction, chief complaints, and resolution pathways were collected over six months.
  • Readmission rates for coordinated versus uncoordinated emergency room referrals were analyzed.

Main Results:

  • Over 4193 consultations, high patient satisfaction (4.92/5) was recorded.
  • Common complaints included upper respiratory, gastrointestinal, and musculoskeletal issues.
  • 64% of cases were resolved by nurses, with only 6.6% requiring emergency room referral.
  • Coordinated care pathways showed significantly lower 48-hour and 72-hour readmission rates compared to uncoordinated ER cases.

Conclusions:

  • The Alice Agora telehealth system is feasible and effective for optimizing health delivery in primary care.
  • Nurse-led digital solutions can significantly improve care efficiency and patient outcomes.
  • Telehealth integration can reduce emergency room utilization and improve patient readmission metrics.