Implementation of tele visit healthcare services triggered by the COVID-19 emergency: the Trentino Province experience.
COVID-19
Digital health
Tele consult
Tele visit
Telemedicine
eHealth
Journal
Zeitschrift fur Gesundheitswissenschaften = Journal of public health
ISSN: 2198-1833
Titre abrégé: Z Gesundh Wiss
Pays: Germany
ID NLM: 9425271
Informations de publication
Date de publication:
2022
2022
Historique:
received:
16
09
2020
accepted:
27
05
2021
pubmed:
22
6
2021
medline:
22
6
2021
entrez:
21
6
2021
Statut:
ppublish
Résumé
In response to the SARS-CoV-2 emergency, the Competence Centre on digital health 'TrentinoSalute4.0' has developed TreC_Televisita, a tele visit solution that meets the needs of the Trentino healthcare system and maintains high-quality patient-doctor interactions while respecting social distancing. This paper highlights how 'TreC_Televisita' was integrated into the Trentino healthcare system and its potential to become a structural and durable solution for the future local healthcare service provisioning. This paper presents the multifactorial context that TreC_Televisita has faced for its implementation and the strategies adopted for its structural integration into the healthcare system. The analysis focuses on the main issues faced for the integration of the tele visits (e.g. privacy, payments) and how the context of TrentinoSalute4.0 permitted responding quickly to its implementation during the pandemic. It also describes how TreC_Televisita fits into the healthcare continuum from the organisational and technological standpoint, the end-user perspective and the barriers that could hamper the solution scalability. TreC_Televisita has demonstrated to be a technological solution that can be contextualised for different clinical domains beyond SARS-CoV-2. Moreover, it has shown its potential to scale up the solution beyond the COVID-19 emergency to the whole healthcare provisioning system in the long term. Being a positive experience in the first months of its implementation, the long-term goal is to transform TreC_Televisita into a structural pillar of the Trentino healthcare system, setting the bases for a sustainable, win-win situation for all the stakeholders involved in healthcare service provisioning.
Identifiants
pubmed: 34150467
doi: 10.1007/s10389-021-01609-8
pii: 1609
pmc: PMC8203489
doi:
Types de publication
Journal Article
Langues
eng
Pagination
77-92Informations de copyright
© The Author(s) 2021.
Déclaration de conflit d'intérêts
Conflicts of interest/competing interestsThe authors declare that they have no competing interests.
Références
Work. 2012;41 Suppl 1:4490-3
pubmed: 22317413
JAMA Neurol. 2020 Aug 1;77(8):927-928
pubmed: 32329796
Lancet. 2018 Nov 17;392(10160):2214-2228
pubmed: 30314860
J Biomed Inform. 2018 Jun;82:70-87
pubmed: 29729482
JMIR Form Res. 2021 May 31;5(5):e25713
pubmed: 33909586
Int J Environ Res Public Health. 2014 Jan 23;11(2):1279-98
pubmed: 24464237
J Biomed Inform. 2020 Feb;102:103359
pubmed: 31917253
Medicare Medicaid Res Rev. 2013 Dec 04;3(4):
pubmed: 24834368
Sociol Health Illn. 2019 Oct;41 Suppl 1:116-131
pubmed: 31599992
Mhealth. 2017 Jun 06;3:22
pubmed: 28736731
BMJ Open. 2017 May 29;7(5):e014617
pubmed: 28554917
Hum Resour Health. 2015 Jan 15;13:2
pubmed: 25588973
Telemed J E Health. 2007 Aug;13(4):425-31
pubmed: 17848110
Int J Cardiol Heart Vasc. 2020 Oct;30:100625
pubmed: 32905165
Nat Rev Dis Primers. 2020 Jun 1;6(1):45
pubmed: 32483168
BMJ. 2020 Mar 12;368:m998
pubmed: 32165352
JAMA. 2020 Jun 16;323(23):2375-2376
pubmed: 32421170
Telemed J E Health. 2014 May;20(5):496-504
pubmed: 24801522