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Difusión e implementación de un programa de telemedicina para proporcionar conocimientos especializados sobre
Robin L P Jump1,2, Taissa A Bej3, Amanda Vivo4
1Geriatric Research Education and Clinical Center (GRECC), Veterans Affairs (VA) Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Open forum infectious diseases
|August 27, 2025
Resumen
La telemedicina mejora el uso de antibióticos en instalaciones rurales que carecen de expertos en enfermedades infecciosas. El equipo de administración antimicrobiana de videoconferencia de VA (VAST) conectó con éxito los centros médicos rurales con especialistas en ID, mejorando la calidad de la atención.
Área de la Ciencia:
- La telemedicina
- Enfermedades infecciosas
- Gestión de los antimicrobianos
Sus antecedentes:
- La telemedicina mejora el uso de antibióticos y la administración de antimicrobianos en instalaciones desatendidas.
- La experiencia en enfermedades infecciosas (ED) es a menudo limitada en los entornos sanitarios rurales.
- El Departamento de Asuntos de Veteranos (VA) implementó un equipo de administración antimicrobiana por videoconferencia (VAST) para cerrar esta brecha.
Objetivo del estudio:
- Describir la aplicación y el impacto del programa VAST.
- Evaluar la efectividad de la telemedicina en la difusión de conocimientos especializados sobre el tratamiento de enfermedades infecciosas y antimicrobianas en los centros médicos de veteranos rurales (VAMC).
Principales métodos:
- Los VAST se implementaron en 10 VAMC rurales desde septiembre de 2021 hasta febrero de 2024.
- Las reuniones regulares de videoconferencia conectaron a los VAMC rurales con expertos en ID fuera del sitio para discusiones de casos clínicos y recomendaciones de prescripción.
- Los datos se recopilaron a través del almacén de datos corporativos de VA, encuestas a profesionales de la salud y entrevistas.
Principales resultados:
- Los VAST facilitaron 624 encuentros clínicos para 531 pacientes con infecciones comunes, incluidas las respiratorias, cutáneas y genitourinarias.
- >90% de los profesionales encuestados percibieron que los VAS mejoraban la calidad de la atención a los veteranos y la puntualidad de las recomendaciones.
- Todos los profesionales entrevistados encontraron que los VAS satisfacían una necesidad crítica y facilitaban la colaboración.
Conclusiones:
- Los programas de telesalud como VAST son efectivos para brindar experiencia especializada en identificación y administración antimicrobiana a los VAMC rurales.
- Este modelo demuestra una estrategia exitosa para aumentar la administración antimicrobiana en otros sistemas de atención médica.
- El programa VAST destaca el potencial de la colaboración virtual para superar las barreras geográficas en el cuidado de la salud.
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