Telemedicine in Paediatric Subspecialty : A Low Cost Model for Developing Countries during the COVID-19 Pandemic

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dc.contributor.authorMazumder, Mastakim Ahmeden_US
dc.contributor.authorGulati, Sanjeeven_US
dc.contributor.authorSengar, Amritaen_US
dc.date.accessioned2023-06-17T08:34:31Z
dc.date.available2023-06-17T08:34:31Z
dc.date.issued2022-07
dc.description.abstractBackground : Telemedicine is the delivery of Health Care Services using information and communication technologies. Most models of Telemedicine in developed countries involve high-cost infrastructure. The COVID-19 pandemic imposed lockdowns and travel restrictions have highlighted the importance and the necessity of an economically viable model of telemedicine for resource-poor countries like India. Methods : We conducted a prospective study to assess the feasibility, acceptability and effectiveness of low-cost model of Telemedicine services for regular follow-up as well as for triaging. A combination of WhatsApp/email using smartphones and Electronic Medical Records (EMR) system was used to provide Telemedicine services. At the end of the e-consult, the patient/ parents were asked to rate their experience on a scale of 0 to 10. Results : A total of 155 children and 865 consults were included. The mean age of the children was 8.5 years. Forty-four consultations were given to 12 (7.7%) International patients. Thirty-eight (24.5%) patients were seen for the first time via Teleconsultation and the remaining 117 (75.5%) were follow-up patients. The most common diagnosis was Nephrotic Syndrome (51.6%) followed by Chronic Kidney Disease (21.9%), Urinary Tract Infection (10.3%), Kidney-transplant follow-up (6.4%), Acute Glomerulonephritis (3.8%), and Acute Kidney Injury (2.6%). Twenty-three patients were advised admission after the Teleconsultation and the remaining 122 children were advised follow-up e-consults. The mean satisfaction score reported for e-consults was 9.4. Conclusion : Our low-cost Telemedicine model offered a viable modality for delivery of Paediatric Nephrology Services during lockdown period and can be replicated by pediatricians practicing other subspecialties as wellen_US
dc.identifier.affiliationsDepartment of Nephrology, Fortis Escorts, Sukhdev Vihar, New Delhi 110025en_US
dc.identifier.affiliationsMD, DM, Associate Consultanten_US
dc.identifier.affiliationsMD, DM, Director and Corresponding Authoren_US
dc.identifier.affiliationsBSc, PG Dip, Clinical Research Co-ordinator, Department of Nephrology, Fortis Vasantkunj, New Delhi 110070en_US
dc.identifier.citationMazumder Mastakim Ahmed, Gulati Sanjeev, Sengar Amrita. Telemedicine in Paediatric Subspecialty : A Low Cost Model for Developing Countries during the COVID-19 Pandemic. Journal of The Indian Medical Association. 2022 Jul; 120(7): 11-15en_US
dc.identifier.issn0019-5847
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/216569
dc.languageenen_US
dc.publisherIndian Medical Associationen_US
dc.relation.issuenumber7en_US
dc.relation.volume120en_US
dc.source.urihttps://www.onlinejima.com/read_journals.php?article=972en_US
dc.subjectTelemedicineen_US
dc.subjectPaediatric Nephrologyen_US
dc.subjectTeleconsultationen_US
dc.subjectCOVID-19 pandemicen_US
dc.titleTelemedicine in Paediatric Subspecialty : A Low Cost Model for Developing Countries during the COVID-19 Pandemicen_US
dc.typeJournal Articleen_US
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