Telemedicine during COVID-19 Pandemic in Saudi Arabia: Oral and Maxillofacial Surgeons’ Knowledge and Implementation

Telemedicine can significantly improve health care delivery for patients with limited access to medical services. Innovative uses of this kind of technology in the provision of healthcare is increasing with the emergence of the virus causing the disease COVID-19, there is an urgency to expand the use of technology to help people who need routine care. This study aimed to assess oral and maxillofacial surgeons' knowledge of telemedicine and its applications, and incorporation of telemedicine into their clinical practice during the COVID-19 pandemic. Methodology: This is a cross section, Questionnaire based study conducted among oral and maxillofacial surgeons in Saudi Arabia from November 2020 to January 2021. The study sample included 200 oral and maxillofacial surgeons from different regions in Saudi Arabia which has been calculated depend on reality of the Saudi health workforce during the next ten years 2018-2027 book and the total number of OMS and oral surgeons who was registered was approximately 300. The self-administered questionnaire (which was constructed after extensive reviewing of the literature in the same context) was distributed among the selected surgeons using online platform; the components of that questionnaire were: socio demographic characteristics, knowledge of telemedicine technology, using of telemedicine before and during COVID-19 and security of telemedicine technology. A Scoring Criteria used to indicate the knowledge of OMS and oral surgeons towards the use of telemedicine technology. All statistical analyses were performed using SPSS version 21. Results: A total of 69 OM surgeons were responded, of which 52.2% were females. The knowledge of the surgeons regarding telemedicine was moderate among 43.5% (mean: 11.6; SD: 4.12, out of 20 points). Surgeons who were working in the private clinic (F=2.982; p=0.027), those who had heard of telemedicine (t=4.987; p<0.001) and those who implemented telemedicine at a current workplace before COVID-19 (t=3.873; p<0.001) had significantly better knowledge score than the rest. Conclusion: Although there was an increased implementation of telemedicine use during the covid-19 pandemic, the oral and maxillofacial surgeon’s knowledge about it seems to be low.

Patient and Provider Experience With Cystic Fibrosis Telemedicine Clinic

In response to the novel coronavirus (COVID-19) pandemic, all in-person cystic fibrosis (CF) appointments were converted to telemedicine visits at UCSF Benioff Children's Hospital. The purpose of our study was to learn about the experiences that patients, families, and providers had with telemedicine visits and to assess their interest in using telemedicine in the future. Our hypothesis was that most patients, families, and providers want to continue telemedicine visits in the future. An anonymous 11-question survey was distributed to patients, families, and providers in November and December 2020. The survey was completed by 46 of 72 families (64% response rate) and 24 of 25 providers (96% response rate). Thirty-seven families (80%) and 21 providers (88%) were satisfied with their telemedicine experience. Thirty-three families (72%) want to have telemedicine visits in the future. Thirty-five families (76%) and 22 providers (92%) were satisfied with their experience using Zoom. Forty families (87%) and 19 providers (90%) want 2 or more visits each year to be via telemedicine. Our study showed that most families and providers were satisfied with telemedicine, would like to continue using telemedicine, and prefer to have at least 2 of the 4 recommended annual CF visits via telemedicine. Our survey identified the following benefits to telemedicine: decreased travel time, decreased cost, and avoiding exposure to COVID. However, we need to ensure that we do not exacerbate existing health disparities for families that do not speak English and/or do not have the internet capabilities to support telemedicine technology.

E-Health Practices and Technologies: A Systematic Review from 2014 to 2019

E-health can be defined as a set of technologies applied with the help of the internet, in which healthcare services are provided to improve quality of life and facilitate healthcare delivery. As there is a lack of similar studies on the topic, this analysis uses a systematic literature review of articles published from 2014 to 2019 to identify the most common e-health practices used worldwide, as well as the main services provided, diseases treated, and the associated technologies that assist in e-health practices. Some of the key results were the identification of the four most common practices used (mhealth or mobile health; telehealth or telemedicine; technology; and others) and the most widely used technologies associated with e-health (IoT, cloud computing, Big Data, security, and systems).

The Consult Station® innovation for primary care: a proof of concept study for generalisation of teleconsultation devices (Preprint)

BACKGROUND Telemedicine technology is a growing field, especially in the context of the Covid-19 pandemic. Consult Station® is the first telemedicine device enabling a complete remote medical consultation including clinical parameter collection in a single space-time. OBJECTIVE Here, we report the multisite urban and suburban implantation of Consult Station® for primary care and its contribution to healthcare pathways in medical low-density areas. METHODS In a proof-of-concept multisite prospective cohort study, 2034 consecutive patients having a teleconsultation were included. Consultation characteristics were analysed from the patient and the practitioner perspectives. RESULTS In this study, the main users of Consult Station® were young patients consulting for seasonal infections of low severity. Interestingly, hypertension, diabetes and preventive medical consultations were almost absent, while they represent almost 50% of consultations with a GP. We showed that in the whole territory where the Consult Station® was implanted, the number of consultations increased when GP density decreased. The study of practitioner characteristics showed their motivation to work with this device, while continuing to live in metropolitan areas with a high level of technical acceptability. CONCLUSIONS Multisite implantation of Consult Station® booths is relevant for primary cares but it also could meet the challenge of medical deserts. In addition, further studies should be addressed to evaluate its possible contribution to limit work absenteeism.

Persepsi Dokter Hewan Praktisi Hewan Kecil terhadap Telemedicine di Masa Pandemi Covid-19

Telemedicine is defined as remote diagnose and patient care using telecommunications technology. Recently telemedicine technology was introduced to the field of veterinary medicine. Due to the nature of telecommunications, a veterinarian will utilize telemedicine technology as a means of assessing patient severity and providing medical advice. The perception of veterinarians, especially small animal practitioners, to telemedicine is influenced by many factors, for example: age, desire (expectation), attention (focus), information obtained, and other factors. This study aims to determine the factors that influence veterinarians' perceptions of telemedicine. This research is expected to be an input in implementing telemedicine in practice. The design of this study is descriptive method, where the sampling method uses a questionnaire filled out by small animal practitioners online. The results showed that the pandemic had no impact on veterinary services. But there is an adaptation of practice procedure. Respondents are neutral towards the application of telemedicine, but the majority of respondents who have implemented telemedicine think that the application of telemedicine has a good impact on health services. There are many obstacles felt by respondents in implementing telemedicine.

Evaluation of a Novel Teleradiology Technology for Image-Based Distant Consultations: Applications in Neurosurgery

In emergency settings, fast access to medical imaging for diagnostic is pivotal for clinical decision making. Hence, a need has emerged for solutions that allow rapid access to images on small mobile devices (SMD) without local data storage. Our objective was to evaluate access times to full quality anonymized DICOM datasets, comparing standard access through an authorized hospital computer (AHC) to a zero-footprint teleradiology technology (ZTT) used on a personal computer (PC) or SMD using national and international networks at a regional neurosurgical center. Image datasets were sent to a senior neurosurgeon, outside the hospital network using either an AHC and a VPN connection or a ZTT (Image Over Globe (IOG)), on a PC or an SMD. Time to access DICOM images was measured using both solutions. The mean time using AHC and VPN was 250 ± 10 s (median 249 s (233–274)) while the same procedure using IOG took 50 ± 8 s (median 49 s (42–60)) on a PC and 47 ± 20 s (median 39 (33–88)) on a SMD. Similarly, an international consultation was performed requiring 23 ± 5 s (median 21 (16–33)) and 27 ± 1 s (median 27 (25–29)) for PC and SMD respectively. IOG is a secure, rapid and easy to use telemedicine technology facilitating efficient clinical decision making and remote consultations.

The Role of Telemedicine Services in Reducing Emergency Department Overload in Saudi Arabia

Background: ED overcrowding is described as one of the main issues in emergency departments (EDs) of any hospital. In Saudi Arabia, the ministry of health applied new telemedicine technology to serve patients by using the mobile application which include Sehha application and 937 medical call center. The main aim of this study is to determine the role of different telemedicine services in reducing non-urgent visits to EDs in Saudi Arabia. Methods: A cross-section study was conducted during August 2020 - May 2021 among 319 patients were using two telemedicine services in Saudi Arabia, including medical call center, and Sehha smart phone application. The primary endpoint of this study aims to determine the role of different telemedicine services in reducing non-urgent visits to EDs in Saudi Arabia. Results: This study analyzed the data from 319 patients who completed the survey provided by the Saudi Ministry of Health that concerning on information related to their health status, and ED visits. Among patients that had the intention to visit the ED (N=159), 53 of them did not go to EDs after using telemedicine services (p-value &lt; 0.01). Regarding medical call center and Sehha application, 9.6% and 24.4%, respectively of the patients used these telemedicine services had changed their mind concerning visiting ED after taking the medical advice (p-values &lt; 0.01).Conclusion: The implemented telemedicine services in Saudi Arabia, namely Sehha application and medical call center showed to be effective in reducing ED overload by providing medical advices to less- and non-urgent patients and deal with their minor medical issues.