Telemedicine in the face of the COVID-19 pandemic

Josep Vidal-Alaball, Ruthy Acosta-Roja, Nuria Pastor Hernández, Unai Sanchez Luque, Danielle Morrison, Silvia Narejos Pérez, Jesús Perez-Llano, Angels Salvador Vèrges, Francesc López Seguí, Josep Vidal-Alaball, Ruthy Acosta-Roja, Nuria Pastor Hernández, Unai Sanchez Luque, Danielle Morrison, Silvia Narejos Pérez, Jesús Perez-Llano, Angels Salvador Vèrges, Francesc López Seguí

Abstract

The novel coronavirus SARS-CoV-2 is a positive single-stranded RNA virus that can be immediately translated and integrated into the host cell with its own RNA messenger, facilitating replication inside the cell and infectivity. The rapid progression of the disease presents a real challenge for the whole world. As the usual capacity for citizen care is exceeded, health professionals and governments struggle. One of the most important strategies to reduce and mitigate the advance of the epidemic are social distance measures; this is where telemedicine can help, and provide support to the healthcare systems, especially in the areas of public health, prevention and clinical practices, just as it is doing in others sectors. Telemedicine connects the convenience, low cost, and ready accessibility of health-related information and communication using the Internet and associated technologies. Telemedicine during the coronavirus epidemic has been the doctors' first line of defense to slow the spread of the coronavirus, keeping social distancing and providing services by phone or videoconferencing for mild to focus personal care and limited supplies to the most urgent cases.

Keywords: Brote; Coronavirus; Covid-19; Infecciones; Infections; Outbreak; Telemedicina; Telemedicine; Virus; Viruses.

Copyright © 2020 The Author(s). Publicado por Elsevier España, S.L.U. All rights reserved.

References

    1. Modrow S., Falke D., Truyen U., Schätzl H. Viruses with single-stranded positive-sense RNA genomes. Mol Virol. 2013:209. doi: 10.1007/978-3-642-20718-1_14.
    1. Pelczar M.J., Chan E.C.S., Krieg N.R. Book Tata McGraw-Hill; 2010. Microbiology: application based approach; p. 656.
    1. La Fayette Cecil R., Goldman L., Schafer A. 24 ed. Elsevier Health Sciences; 2012. Goldman's Cecil medicine, expert consult premium edition; p. 2103.
    1. Smith R.D. Responding to global infectious disease outbreaks: lessons from SARS on the role of risk perception, communication and management. Soc Sci Med. 2006;63:3113–3123. doi: 10.1016/j.socscimed.2006.08.004.
    1. World Health Organization . 2020. Middle East respiratory syndrome coronavirus (MERS-CoV)
    1. The first COVID-19 case originated on November 17, according to Chinese officials searching for’patient zero’.
    1. Huang C., Wang Y., Li X., Ren L., Zhao J., Hu Y. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497–506. doi: 10.1016/S0140-6736(20)30183-5.
    1. Gale J. China Pneumonia outbreak spurs WHO action as mystery lingers. Bloomberg. Updated on January 14th, 2020 12:18 CET.
    1. World Health Organization. Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). )
    1. Tang X., Wu C., Li X., Song Y., Yao X., Wu X. On the origin and continuing evolution of SARS-CoV-2. Natl Sci Rev. 2020 doi: 10.1093/nsr/nwaa036.
    1. Cascella M., Rajnik M., Cuomo A., Dulebohn S.C., Napoli R.D. StatPearls. StatPearls Publishing; Treasure Island (FL): 2020. Features, evaluation and treatment coronavirus (COVID-19)
    1. Adlhoch C, Baka A, Ciotti M, Gomes J, Kinsman J, Leitmeyer K, et al. Considerations relating to social distancing measures in response to the COVID-19 epidemic. European Centre for Disease Prevention and Control.
    1. CDC's implementation of mitigation strategies for communities with local COVID-19 transmission.
    1. Anderson RM, Heesterbeek H, Klinkenberg D, Déirdre T, Hollingsworth. How will country-based mitigation measures influence the course of the COVID-19 epidemic? com Published online March 6, 2020.
    1. Xia W, Liao J, Li C, Li Y, Qian X, Sun X, et al. Transmission of coronavirus disease 2019 during the incubation period may lead to a quarantine loophole. medRxiv (preprint 2020). 10.1101/2020.03.06.20031955.
    1. Hollander J.E., Carr B.G. Virtually perfect? Telemedicine for Covid-19. N Engl J Med. 2020
    1. Lurie N., Carr B.G. The role of telehealth in the medical response to disasters. JAMA Intern Med. 2018;178:745. doi: 10.1001/jamainternmed.2018.1314. .
    1. Department of Health & Human Services (CDC), USA. 2020.
    1. Hopwood S. The benefits and challenges of working with remote employees.
    1. Greeven M. Commentary: On sick leave, but China still makes great leap forward in Med Tech. Channel News Asia. 9 March 2020 .
    1. López Seguí F., Franch Parella J., Gironès García X., Mendioroz Peña J., García Cuyàs F., Adroher Mas C. A cost-minimization analysis of a medical record-based, store and forward and provider-to-provider telemedicine compared to usual care in catalonia: more agile and efficient especially for users. Int J Environ Res Public Health. 2020;17:2008. doi: 10.3390/ijerph17062008.
    1. Alvandi M. 2017. The American Journal of Accountable Care. Telemedicine and its role in revolutionizing healthcare delivery. .
    1. European Centre for Disease Prevention and Control; 2020. Outbreak of novel coronavirus disease 2019 (COVID-19): increased transmission globally – fifth update. .
    1. Hick J.L., Hanfling D., Wynia M.K., Pavia A.T. National Academy of Medicine; Washington, DC: 2020. Duty to plan: health care, crisis standards of care, and novel coronavirus SARS-CoV-2. NAM perspectives. Discussion paper.
    1. Eurosurveillance Editorial Team Latest updates on COVID-19 from the European Centre for Disease Prevention and Control. Eur Commun Dis BullEuro Surv: Bull Eur Mal Trans. 2020;25:2002131. .
    1. Worldometers.COVID-19 coronavirus pandemic.
    1. Paul G. Business Insider; 2020. ZTE and China Telecom enabled the first remote diagnosis of coronavirus via a 5G telehealth system [Internet] .
    1. Zhai Y., Wang Y., Zhang M., Gittell J.H., Jiang S., Chen B. 2020. From isolation to coordination: how can telemedicine help combat the COVID-19 Outbreak?
    1. Centers for Medicare & Medicaid. President trump expands telehealth benefits for medicare beneficiaries during COVID-19 Outbreak.
    1. Vilatimo R. Primary Care Director. Personal communication 24/03/2020.
    1. 2020. Site “la meva salut”. .
    1. 2020. I want to take care of myself more! Public-private health collaboration.
    1. Phones could track the spread of Covid-19. Is it a good idea?.
    1. Hutchinson A. US government looking to use cell phone location data to halt the spread of COVID-19.
    1. European Data Protection Board. Statement by the EDPB Chair on the processing of personal data in the context of the COVID-19 outbreak.
    1. Thomas JC, Barrett DH, Ortmann LW, Herrera Guibert DJ. Key ethical issues discussed at CDC-sponsored international, regional meetings to explore cultural perspectives and contexts on pandemic influenza preparedness and response.
    1. Hall J.L., McGraw D. For telehealth to succeed, privacy and security risks must be identified and addressed. Health affairs. Early evidence, future promise of connected health. Health Aff. 2014;33:216–221. .
    1. Hall J.L., McGraw D. For telehealth to succeed privacy and security risks must be identified and addressed. Health Aff (Millwood) 2014;33:216–221.
    1. Luxton D.D., Kayl R.A., Mishkind M.C. mHealth data security: the need for HIPAA-compliant standardization. Telemed J E Health. 2012;18:284–288.
    1. Paul N., Kohno T., Klonoff D. A review of the security of insulin pump infusion systems. J Diabetes Sci Technol. 2011;5:1557–1562. .

Source: PubMed

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