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Telemedicine experience between two hospitals from Angola and Spain

Published online by Cambridge University Press:  09 November 2020

Eva Gil-Olivas ,
Fernando Salvador Open the ORCID record for Fernando Salvador [Opens in a new window] ,
Milagros Moreno ,
Cristina Bocanegra ,
María Luisa Aznar ,
Alberto Filipe ,
Agostinho Pessela ,
Raquel Mª Mateus ,
Adriano Zacarias  and
Teresa López
...Show all authors
Eva Gil-Olivas
Affiliation:
Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Universitat Autònoma de Barcelona, P° Vall d'Hebron 119-129, Barcelona08035, Spain Hospital Nossa Senhora da Paz, Cubal, Angola
Fernando Salvador*
Affiliation:
Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Universitat Autònoma de Barcelona, P° Vall d'Hebron 119-129, Barcelona08035, Spain
Milagros Moreno
Affiliation:
Hospital Nossa Senhora da Paz, Cubal, Angola
Cristina Bocanegra
Affiliation:
Hospital Nossa Senhora da Paz, Cubal, Angola Tropical Medicine and International Health Unit Vall d'Hebron-Drassanes, PROSICS Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
María Luisa Aznar
Affiliation:
Hospital Nossa Senhora da Paz, Cubal, Angola Tropical Medicine and International Health Unit Vall d'Hebron-Drassanes, PROSICS Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
Alberto Filipe
Affiliation:
Hospital Nossa Senhora da Paz, Cubal, Angola
Agostinho Pessela
Affiliation:
Hospital Nossa Senhora da Paz, Cubal, Angola
Raquel Mª Mateus
Affiliation:
Hospital Nossa Senhora da Paz, Cubal, Angola
Adriano Zacarias
Affiliation:
Hospital Nossa Senhora da Paz, Cubal, Angola
Teresa López
Affiliation:
Hospital Nossa Senhora da Paz, Cubal, Angola
Yolima Cossio
Affiliation:
Preventive Medicine and Epidemiology Department, Vall d'Hebron University Hospital, Barcelona, Spain
Adrián Sánchez-Montalvá
Affiliation:
Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Universitat Autònoma de Barcelona, P° Vall d'Hebron 119-129, Barcelona08035, Spain
Pau Bosch-Nicolau
Affiliation:
Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Universitat Autònoma de Barcelona, P° Vall d'Hebron 119-129, Barcelona08035, Spain
Israel Molina
Affiliation:
Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Universitat Autònoma de Barcelona, P° Vall d'Hebron 119-129, Barcelona08035, Spain
*
Author for correspondence: Fernando Salvador, E-mail: fmsalvad@vhebron.net
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Abstract

Objective

Telemedicine uses information and communication technologies to provide services in the field where the distance is a critical factor. The aim of the present study is to describe the experience of a synchronous telemedicine between two hospitals in Spain and Angola.

Methods

This is a retrospective observational study of all synchronous telemedicine sessions conducted between the Hospital Nossa Senhora da Paz in Angola and the Vall d'Hebron University Hospital in Spain from January 2011 to December 2014.

Results

Seventy-two cases were discussed in the telemedicine sessions. The average age of patients was 18.02 (SD 13.75) years and mostly women (54.38 percent). Reasons to discuss the cases were 46.47 percent doubts in the diagnosis and therapeutic management, 15.47 percent were purely formative cases, and only 8.45 percent treatment doubt. At the time of presentation, 29 percent of the patients were already diagnosed, 95 percent of whom with infectious disease diagnostic, and from the undiagnosed patients 36 percent presented a febrile syndrome.

Conclusion

This study shows the viability of synchronous telemedicine between European and African countries without an excessively sophisticated technology.

Keywords

AngolaGlobal HealthHealth Services AccessibilityTelemedicineTelehealth
Type
Assessment
Information
International Journal of Technology Assessment in Health Care , Volume 36 , Issue 6 , December 2020 , pp. 545 - 548
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

World Health Organization. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth. Global Observatory for eHealth Series; 2009.Google Scholar
Macabasag, RLA, Mae, K, Magtubo, P, Portia-Grace, H, Fernandez, M. Implementation of telemedicine services in lower-middle income countries: lessons for the Philippines. J Int Soc Telemed eHealth. 2016;4:e24.Google Scholar
Vinals, F, Mandujano, L, Vargas, G, Giuliano, A. Prenatal diagnosis of congenital heart disease using four-dimensional spatio-temporal image correlation (STIC) telemedicine via an Internet link: a pilot study. Ultrasound Obstet Gynecol. 2005;25:25–31.CrossRefGoogle ScholarPubMed
Ndlovu, K, Littman-Quinn, R, Park, E, Dikai, Z, Kovarik, CL. Scaling up a mobile telemedicine solution in Botswana: keys to sustainability. Front Public Health. 2014;2:275.CrossRefGoogle ScholarPubMed
Correia, A, Azevedo, V, Velez-Lapão, L. Implementation of telemedicine in cape verde: influencing factors. Acta Med Port. 2017;30:255–62.CrossRefGoogle ScholarPubMed
Martinez-Garcia, D, Bonnardot, L, Olson, D, Roggeveen, H, Karsten, J, Moons, P et al. A retrospective analysis of pediatric cases handled by the MSF tele-expertise system. Front Public Health. 2014;2:266.CrossRefGoogle ScholarPubMed
Griggs, R, Andronikou, S, Nell, R, O'Connell, N, Dehaye, A, Boechat, MI. World Federation of Pediatric Imaging (WFPI) volunteer outreach through tele-reading: the pilot project in South Africa. Pediatr Radiol. 2014;44:648–54.CrossRefGoogle ScholarPubMed
Lipoff, JB, Cobos, G, Kaddu, S, Kovarik, CL. The Africa Teledermatology Project: a retrospective case review of 1229 consultations from sub-Saharan Africa. J Am Acad Dermatol. 2015;72:1084–5.CrossRefGoogle ScholarPubMed
Pedro de Oliveira, AR. A telemedicina como um novo modelo na prestação de cuidados na saúde pública: implementação em Angola. Dissertação para obtenção de grau de Mestre em Gestão e Políticas Públicas no Instituto Superior de Ciências Sociais e Políticas; 2014. Available from: https://www.repository.utl.pt/bitstream/10400.5/8316/1/PDF%2010%20TRABALHO%20DISSERTA%C3%87%C3%83O.pdfGoogle Scholar
Jefee-Bahlou, H. Telemental health in the Middle East: overcoming the barriers. Front Public Health. 2014;2:86.Google Scholar
Resultados definitivos do recensamento geral da população e da habitação de Angola 2014. Instituto Nacional de Estadisitca, Governo de Angola; 2016. Available from: http://www.effaangola.org/AngolaCensus2014_ResultadosDefinitivos_Mar2016.pdfGoogle Scholar
Inquérito de Indicadores Múltiplos e de Saúde (IIMS) 2015-2016. Instituto Nacional de Estadistica de Angola- Ministério de Saúde; 2016. Available from: https://dhsprogram.com/pubs/pdf/FR327/FR327.pdfGoogle Scholar
Plano Nacional de Desenvolvimento Sanitário 2012-2025. República de Angola. Ministério de Saúde. Available from: https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/angola/plano_nacional_de_desenvolvimento_sanitario_pnds_2012-2025.pdfGoogle Scholar
Relatório Anual do Hospital Nossa Senhora da Paz 2016.Google Scholar