AN INTEGRATED CARE MODEL BASED ON HOSPITAL AND HOME DURING THE COVID-19 PANDEMIC: TELEHEALTH

Objective: In this study, we aimed to present the details of a successfully implemented telehealth model in a university hospital during the COVID-19 pandemic. Materials and Methods: Istanbul Faculty of Medicine (IFM) is a university hospital where the first confirmed case of COVID-19 in Turkey was...

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Bibliographic Details
Main Authors: Meryem Merve Ören Çelik, Nuray Özgülnar, Sevgi Canbaz, Selma Karabey, Ayşe Emel Önal, Mustafa Oral Öncül
Format: Article
Language:English
Published: Istanbul University Press 2022-01-01
Series:İstanbul Tıp Fakültesi Dergisi
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Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/D25F7542D7D04786B8AE8E5B723AB69A
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Summary:Objective: In this study, we aimed to present the details of a successfully implemented telehealth model in a university hospital during the COVID-19 pandemic. Materials and Methods: Istanbul Faculty of Medicine (IFM) is a university hospital where the first confirmed case of COVID-19 in Turkey was detected. In IFM, patients who were diagnosed with COVID-19 and received outpatient or inpatient treatment were followed up by telehealth for 21-28 days after leaving the hospital. The distinguishing features of this service are the provision of remote outpatient clinical monitoring personally by physicians and the use of web-based IP information technologies. Results: Between March 15 and July 1, 2020, 1,042 individuals were followed up at least once, 860 patients for 21 days or more by the 26 physicians providing the telehealth service. A total of 11,736 calls were made by the physicians and 7,342 of those calls were answered and a total of 1,086 calls were made by patients. The median number of calls per patient was 4 (1-23). The median duration of the completed calls was 2.8 min (<1–50 min). During these follow-ups patients were informed about the importance of isolation. Most of the patients expressed their satisfaction with these follow-ups by thanking the calling physician. Conclusion: In a pandemic such as COVID-19, telehealth services may increase adherence to treatment and isolation precautions among patients with diseases that require follow-up without hospitalization after diagnosis. Telehealth will facilitate early recognition of symptoms that may require hospitalization, ensuring these patients receive the care they need. Therefore, this approach should be widely adopted.
ISSN:1305-6441