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      Increase in Video Consultations During the COVID-19 Pandemic: Healthcare Professionals’ Perceptions about Their Implementation and Adequate Management

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          Abstract

          In response to the COVID-19 pandemic, health care modalities such as video consultations have been rapidly developed to provide safe health care and to minimize the risk of spread. The purpose of our study is to explore Spanish healthcare professionals’ perceptions about the implementation of video consultations. Based on the testimonies of 53 professionals, different categories emerged related to the four identified themes: benefits of video consultations (for professionals, patients, and the health system, and compared to phone calls), negative aspects (inherent to new technologies and the risk of a perceived distancing from the professional), difficulties associated with the implementation of video consultations (technological difficulties, lack of technical skills and refusal to use video consultation among professionals and patients), and the need for training (technological, nontechnical, and social-emotional skills, and adaptation of technical skills). Additionally, the interviewees indicated that this new modality of health care may be extended to a broader variety of patients and clinical settings. Therefore, since video consultations are becoming more widespread, it would be advisable for health policies and systems to support this modality of health care, promoting their implementation and guaranteeing their operability, equal access and quality.

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          Virtually Perfect? Telemedicine for Covid-19

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            Global Telemedicine Implementation and Integration Within Health Systems to Fight the COVID-19 Pandemic: A Call to Action

            On March 11, 2020, the World Health Organization declared the coronavirus disease 2019 (COVID-19) outbreak as a pandemic, with over 720,000 cases reported in more than 203 countries as of 31 March. The response strategy included early diagnosis, patient isolation, symptomatic monitoring of contacts as well as suspected and confirmed cases, and public health quarantine. In this context, telemedicine, particularly video consultations, has been promoted and scaled up to reduce the risk of transmission, especially in the United Kingdom and the United States of America. Based on a literature review, the first conceptual framework for telemedicine implementation during outbreaks was published in 2015. An updated framework for telemedicine in the COVID-19 pandemic has been defined. This framework could be applied at a large scale to improve the national public health response. Most countries, however, lack a regulatory framework to authorize, integrate, and reimburse telemedicine services, including in emergency and outbreak situations. In this context, Italy does not include telemedicine in the essential levels of care granted to all citizens within the National Health Service, while France authorized, reimbursed, and actively promoted the use of telemedicine. Several challenges remain for the global use and integration of telemedicine into the public health response to COVID-19 and future outbreaks. All stakeholders are encouraged to address the challenges and collaborate to promote the safe and evidence-based use of telemedicine during the current pandemic and future outbreaks. For countries without integrated telemedicine in their national health care system, the COVID-19 pandemic is a call to adopt the necessary regulatory frameworks for supporting wide adoption of telemedicine.
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              Video consultations for covid-19

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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                15 July 2020
                July 2020
                : 17
                : 14
                : 5112
                Affiliations
                [1 ]Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain
                [2 ]Department of Cardiology, Burgos University Hospital, 09006 Burgos, Spain; ebevidencia@ 123456gmail.com
                [3 ]Teaching Unit, Nursing Subcommittee, Primary Care District Poniente of Almeria, 04746 Almeria, Spain; jenrique.montoro.sspa@ 123456juntadeandalucia.es
                [4 ]Knowledge and Research Management Department, Primary Care District of Almeria, 04007 Almeria, Spain; mariam.rodriguez.salvador.sspa@ 123456juntadeandalucia.es (M.d.M.R.S.); rondalia@ 123456gmail.com (F.J.M.R.)
                [5 ]University Centre of Health Sciences San Rafael, San Juan de Dios Foundation, Nebrija University, 28036 Madrid, Spain
                Author notes
                [* ]Correspondence: d.jimenez@ 123456ual.es (D.J.-R.); oarrogan@ 123456nebrija.es (O.A.)
                Author information
                https://orcid.org/0000-0002-1169-0428
                https://orcid.org/0000-0002-7376-4170
                https://orcid.org/0000-0002-7400-6080
                https://orcid.org/0000-0001-6520-4619
                Article
                ijerph-17-05112
                10.3390/ijerph17145112
                7400154
                32679848
                eb03a88d-d63f-41ae-b170-28eae8ed99ce
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 16 June 2020
                : 12 July 2020
                Categories
                Article

                Public health
                clinical skills,covid-19,healthcare providers,implementation,interpersonal skills,perception,qualitative research,telemedicine,training,video consultation

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