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Remote Healthcare Program in Mexico in the Context of the COVID-19 Pandemic.

Authors
  • Mendoz, Rodolfo Lehmann1
  • Moreno, Gabriela Yanet Cortés2
  • Martinez Arredondo, Hilario Ascensión3
  • Jeanet, Anaya Aguilar Cynthia1
  • Rosales, Pedro Armando Chaidez4
  • Mundo, Ilicia González2
  • Nava, Armando Mejía1
  • Heald, Adrian H5
  • Torres Ruiz, Miguel Jesús6
  • Rivera, Miguel Félix Mata6
  • 1 Subdirección de Servicios de Salud de Petróleos Mexicanos (PEMEX), Mexico City, Mexico. , (Mexico)
  • 2 Department of Research, Subdirección de Servicios de Salud de Petróleos Mexicanos (PEMEX), Mexico City, Mexico. , (Mexico)
  • 3 Department of Preventive Medicine, Subdirección de Servicios de Salud de Petróleos Mexicanos (PEMEX), Mexico City, Mexico. , (Mexico)
  • 4 Department of Surrogate, Subdirección de Servicios de Salud de Petróleos Mexicanos (PEMEX), Mexico City, Mexico. , (Mexico)
  • 5 School of Medicine and Manchester Academic Health Sciences Centre, The University of Manchester, Manchester, UK.
  • 6 Instituto Politécnico Nacional, Mexico City, Mexico. , (Mexico)
Type
Published Article
Journal
Healthcare informatics research
Publication Date
Apr 01, 2022
Volume
28
Issue
2
Pages
152–159
Identifiers
DOI: 10.4258/hir.2022.28.2.152
PMID: 35576983
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Given the challenge of limiting the transmission of coronavirus disease 2019 while simultaneously continuing to provide medical care for other chronic and degenerative diseases and monitor therapy, a remote medical advice and guidance program was created to help individuals receive health services at their homes. A descriptive, cross-sectional, and observational study was performed from April 13, 2020 to April 19, 2021 among Petroleos Mexicanos (PEMEX) health services beneficiaries. Mobile text messages were used to assign patients throughout Mexico to a doctor, who coordinated a video call with the nursing service for advice and remote care. In total, 17,472 calls were registered, with an average duration of 10.28 minutes. Almost half (49.4%) of the people who requested attention through the remote program were workers, 31.5% were workers' relatives, and 19.1% were retired workers. The average age of the program users was 50.66 ± 18.02 years. A total of 144 doctors from 28 different specialties participated. In this program, 7,163 calls were made because of respiratory symptoms, 1,514 for therapeutic monitoring (prescriptions), and 8,183 because of other diseases, including mental health. Remote healthcare programs have shown the potential to support the health system. This program is the first to deploy real-time video calls with a health team utilizing institutional electronic clinical records in Mexico. The implementation of this pandemic management program impacted the number of consultations given remotely, resulting in effective triage.

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