Remote Healthcare Program in Mexico in the Context of the COVID-19 Pandemic
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Objectives: Given the challenge of limiting the transmission of coronavirus disease 2019 while simultaneously continuingto provide medical care for other chronic and degenerative diseases and monitor therapy, a remote medical advice and guidanceprogram was created to help individuals receive health services at their homes. Methods: A descriptive, cross-sectional,and observational study was performed from April 13, 2020 to April 19, 2021 among Petroleos Mexicanos (PEMEX) healthservices beneficiaries. Mobile text messages were used to assign patients throughout Mexico to a doctor, who coordinateda video call with the nursing service for advice and remote care. Results: In total, 17,472 calls were registered, with an averageduration of 10.28 minutes. Almost half (49.4%) of the people who requested attention through the remote program wereworkers, 31.5% were workers’ relatives, and 19.1% were retired workers. The average age of the program users was 50.66 ±18.02 years. A total of 144 doctors from 28 different specialties participated. In this program, 7,163 calls were made becauseof respiratory symptoms, 1,514 for therapeutic monitoring (prescriptions), and 8,183 because of other diseases, includingmental health. Conclusions: Remote healthcare programs have shown the potential to support the health system. This programis the first to deploy real-time video calls with a health team utilizing institutional electronic clinical records in Mexico. The implementation of this pandemic management program impacted the number of consultations given remotely, resultingin effective triage.
Abstract
Objectives: Given the challenge of limiting the transmission of coronavirus disease 2019 while simultaneously continuingto provide medical care for other chronic and degenerative diseases and monitor therapy, a remote medical advice and guidanceprogram was created to help individuals receive health services at their homes. Methods: A descriptive, cross-sectional,and observational study was performed from April 13, 2020 to April 19, 2021 among Petroleos Mexicanos (PEMEX) healthservices beneficiaries. Mobile text messages were used to assign patients throughout Mexico to a doctor, who coordinateda video call with the nursing service for advice and remote care. Results: In total, 17,472 calls were registered, with an averageduration of 10.28 minutes. Almost half (49.4%) of the people who requested attention through the remote program wereworkers, 31.5% were workers’ relatives, and 19.1% were retired workers. The average age of the program users was 50.66 ±18.02 years. A total of 144 doctors from 28 different specialties participated. In this program, 7,163 calls were made becauseof respiratory symptoms, 1,514 for therapeutic monitoring (prescriptions), and 8,183 because of other diseases, includingmental health. Conclusions: Remote healthcare programs have shown the potential to support the health system. This programis the first to deploy real-time video calls with a health team utilizing institutional electronic clinical records in Mexico. The implementation of this pandemic management program impacted the number of consultations given remotely, resultingin effective triage.
참고문헌 (27)
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