USAGE OF TELEMEDICINE IN THE PROVISION OF PRIMARY HEALTH SERVICES: A LITERATURE REVIEW

Abstract

In the delivery of healthcare services, primary healthcare services occupy a central place in health systems due to giving priority for prevention, easy accessibility, lower costs, and adequate triage capability. Any efforts to further improve primary healthcare services significantly contribute to the enhancement of public health. In this context, increasing quality and cost-effectiveness can be made in the field of preventive healthcare through the use of telemedicine/e-health technologies in the primary healthcare sector. Our aim is to conduct a literature review on studies that incorporate the most accessible and cost-effective areas of telemedicine applications into primary healthcare delivery with the advancement of technology, and to assess the feasibility of using these areas in our countryIn conclusion, through the literature review, it is believed that the integration of primary healthcare services with telemedicine, particularly for chronic diseases that impose a significant disease burden, pediatric and psychiatric conditions, palliative care patients, and patients unable to manage their own triage due to health anxiety, can further improve health services.

Keywords

• TELEMEDİCİNE
• PRİMARY HEALTH CARE
• İNTEGRATİON

Birinci Basamak Sağlık Hizmetlerinin Sunumunda Teletıp Kullanımı: Bir Literatür Derlemesi

Abstract

Sağlık hizmeti sunumunda, sağlığı korumaya öncelik verilmesi, kolay erişim, düşük maliyet ve uygun yönlendirme yapılabilmesi gibi nedenlerle birinci basamak sağlık hizmetleri, sağlık sistemlerinin merkezinde yer almaktadır. Birinci basamak sağlık hizmetlerini iyileştirmek için yapılan her türlü çalışma, halk sağlığının geliştirilmesine büyük katkı sağlamaktadır. Bu bağlamda teletıp/telesağlık/e-sağlık uygulamaları olarak ifade edilen teknoloji tabanlı uzaktan sunulan hizmetlerin yaygınlığının arttırılması ile özellikle birinci basamak sağlık hizmetlerinde kalite artışı ve maliyet tasarrufu sağlamak mümkün olabilir. Bu derleme çalışmasında amacımız, gelişen teknoloji ile teletıp uygulamalarının uygun, erişilebilir ve düşük maliyetli kullanım alanlarını, birinci basamak sağlık hizmeti sunumuna dahil eden çalışmalar ile ilgili literatür taraması yaparak, bu hizmetlerin ülkemizde kullanım olanaklarını değerlendirebilmektir. Sonuç olarak yapılan literatür taraması ile özellikle ciddi hastalık yükü oluşturan kronik hastalıklarda, pediatrik ve psikiyatrik sağlık problemlerinde, palyatif bakım hastaları ve hastalık kaygısı ile kendi yönlendirmesini sağlayamayan hastalarda birinci basamak sağlık hizmetlerinin teletıp yöntemi ile entegre edilerek sunulması ile sağlık hizmetlerinin iyileştirilebileceği düşünülmektedir.

Keywords

• Teletıp
• birinci basamak sağlık hizmeti
• entegrasyon

References

1. Ahmed, A., Mutahar, M., Daghrery, A. A., Albar, N. H., Alhadidi, I. Q. I., Asiri, A. M., Boreak, N., Alshahrani, A. A. S., Shariff, M., Shubayr, M. A., & Al Moaleem, M. M. (2024). A Systematic Review of Publications on Perceptions and Management of Chronic Medical Conditions Using Telemedicine Remote Consultations by Primary Healthcare Professionals April 2020 to December 2021 During the COVID-19 Pandemic. Medical science monitor : international medical journal of experimental and clinical research, 30, e943383. https://doi.org/10.12659/MSM.943383
2. Bak, İ., & Çobanoğlu, N., (2024) Telehealth and telemedicine applications in Türkiye:Telehealth ethics. Telehealth, Telemedicine and Public Health. Ankara: Türkiye Klinikleri, 1(24), 119-22. Berendes, S., Gubijev, A., French, R., Hickson, F. C. I., & Free, C. (2023). A qualitative study exploring experiences of the safetxt digital health intervention to reduce sexually transmitted infections in young people in the UK. BMJ open, 13(10), e072701. https://doi.org/10.1136/bmjopen-2023-072701
3. Birinci, Ş. (2024) Telemedicine applications and the case study of Türkiye. Telehealth, Telemedicine and Public Health. Ankara: Türkiye Klinikleri, 1(4), 25-30.Blomqvist, J., Gunnarsson, K. U., Bendtsen, P., & Bendtsen, M. (2023). Effects of a text messaging smoking cessation intervention amongst online help-seekers and primary health care visitors: findings from a randomised controlled trial. BMC medicine, 21(1), 382. https://doi.org/10.1186/s12916-023-03073-5
4. Çalkar Özhan, C., Aksu, M.H., & Özaslan, A. (2024) Psychiatry and telemedicine. Telehealth, Telemedicine and Public Health. Ankara: Türkiye Klinikleri, 1(21), 102-6.
5. Demirbaş, O.B., & Aycan, S., (2024) Telemedicine practices in primary health care services. Telehealth, telemedicine and Public Health. Ankara: Türkiye Klinikleri, 1(13), 67-70.
6. Dikmen, K., & Altıner, S., (2024) Telehealth applications in surgical and postoperative care. Telehealth, Telemedicine and Public Health. Ankara: Türkiye Klinikleri, 1(17), 86-91.
7. Dilhani, W. N. S., Mitchell, S., Dale, J., Toor, K., Javaid, M., & MacArtney, J. I. (2024). A mixed-methods systematic review investigating the use of digital health interventions to provide palliative and end of-life care for patients in low- and middle-income countries. Palliative care and social practice, 18, 26323524241236965. https://doi.org/10.1177/26323524241236965
8. Espina, C., Feliu, A., González Vingut, A., Liddle, T., Jimenez-Garcia, C., Olaya-Caro, I., & Perula-De-Torres, L. Á. (2024). Population-Based Cancer Prevention Education Intervention Through mHealth: A Randomized Controlled Trial. Journal of medical systems, 48(1), 9. https://doi.org/10.1007/s10916-023-02026-y

9. Gerber, B. S., Biggers, A., Tilton, J. J., Smith Marsh, D. E., Lane, R., Mihailescu, D., Lee, J., & Sharp,L. K. (2023). Mobile Health Intervention in Patients With Type 2 Diabetes: A Randomized Clinical Trial. JAMA network open, 6(9), e2333629. https://doi.org/10.1001/jamanetworkopen.2023.33629 Norman S. the use of telemedicine in psychiatry. J Psychiatr ment Health Nurs. 2006;13(6):771-7
10. Güler, Ç. & Akın, L. (2006) HALK SAĞLIĞI Temel Bilgiler, Hacettepe Üniversitesi Yayınları. Ankara, 2006.
11. Han, C. Y., Zhang, J., Ye, X. M., Lu, J. P., Jin, H. Y., Xu, W. W., Wang, P., & Zhang, M. (2023). Telemedicine-assisted structured self-monitoring of blood glucose in management of T2DM results of a randomized clinical trial. BMC medical informatics and decision making, 23(1), 182. https://doi.org/10.1186/s12911-023-02283-4
12. Idris, H., Nugraheni, W. P., Rachmawati, T., Kusnali, A., Yulianti, A., Purwatiningsih, Y., Nuraini, S., Susianti, N., Faisal, D. R., Arifin, H., & Maharani, A. (2024). How Is Telehealth Currently Being Utilized to Help in Hypertension Management within Primary Healthcare Settings? A Scoping Review. International journal of environmental research and public health, 21(1), 90. https://doi.org/10.3390/ijerph21010090
13. Keadle, S., Hasanaj, K., Leonard-Corzo, K., Tolas, A., Crosley-Lyons, R., Pfisterer, B., Legato, M., Fernandez, A., Lowell, E., Hollingshead, K., Yu, T. Y., Phelan, S., Phillips, S. M., Watson, N., Hagobian, T., Guastaferro, K., & Buman, M. P. (2024). StandUPTV: Preparation and optimization phases of a mHealth intervention to reduce sedentary screen time in adults. Contemporary clinical trials, 136, 107402. https://doi.org/10.1016/j.cct.2023.107402
14. Markkanen, J. O., Oikarinen, N., Savolainen, M. J., Merikallio, H., Nyman, V., Salminen, V., Virkkula, T.,Karppinen, P., Oinas-Kukkonen, H., & Hukkanen, J. (2024). Mobile health behaviour change support system as independent treatment tool for obesity: a randomized controlled trial. International journal of obesity, 48(3), 376–383. https://doi.org/10.1038/s41366-023-01426-x
15. Mudiyanselage, S. B., Stevens, J., Toscano, J., Kotowicz, M. A., Steinfort, C. L., Hayles, R., & Watts, J. J. (2023). Cost-effectiveness of personalised telehealth intervention for chronic disease management: A pilot randomised controlled trial. PloS one, 18(6), e0286533. https://doi.org/10.1371/journal.pone.0286533
16. OECD (2023), Health at a Glance 2023: OECD Indicators, OECD Publishing, Paris, https://doi.org/10.1787/7a7afb35-en.
17. Östh, J., Danielsson, A. K., Lundin, A., Wennberg, P., Andréasson, S., & Jirwe, M. (2024). Keeping Track of My Drinking - Patient Perceptions of Using Smartphone Applications as a Treatment Complement for Alcohol Dependence. Substance use & misuse, 59(2), 291–299. https://doi.org/10.1080/10826084.2023.2269578
18. Shahin, L., Olesen, T. B., Olsen, M. H., Laursen, D. H., Christensen, J. R., & Brandt, C. J. (2024). The Impact of Education Level on Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program in Denmark: A Randomized Controlled Trial. Nutrients, 16(6), 795. https://doi.org/10.3390/nu16060795
19. Şimşek, AÇ. (2024) Telehealth experiences and telehealt policies around the world. Telehealth, Telemedicine and Public Health. Ankara: Türkiye Klinikleri, 1(4) ,15-24.
20. T.C. Sağlık Bakanlığı Sağlık Bilgi Sistemleri Genel Müdürlüğü (2020) https://konferansyardim.saglik.gov.tr/
21. World Health Organization (2016), Global diffusion of eHealth: making universal health coverage achievable. Report of the third global survey on eHealth. Geneva: World Health Organization World Health Organization (2024), Guiding optimal development anfd use of digital health toward improved health outcomes. https://www.who.int/westernpacific/activities/guiding-optimal-development-and-use-of-digital-health-towards-improved-health-outcomes
22. Yang, X., Li, X., Jiang, S., & Yu, X. (2024). Effects of Telemedicine on Informal Caregivers of Patients inPalliative Care: Systematic Review and Meta-Analysis. JMIR mHealth and uHealth, 12, e54244. https://doi.org/10.2196/54244
23. Yapar, D., & Demirköse, H., (2024) COVID-19 pandemic: The critical role of telehealth applications. Telehealth, Telemedicine and Public Health. Ankara: Türkiye Klinikleri, 1(23), 112-8.
24. Zakiyah, N., Marulin, D., Alfaqeeh, M., Puspitasari, I. M., Lestari, K., Lim, K. K., & Fox-Rushby, J. (2024). Economic Evaluations of Digital Health Interventions for Patients With Heart Failure: Systematic Review. Journal of medical Internet research, 26, e53500. https://doi.org/10.2196/53500Zhang, X., Xiao, H., & Chen, Y. (2019). Evaluation of a WeChat-based life review programme for cancer patients: A quasi-experimental study. Journal of advanced nursing, 75(7), 1563–1574. https://doi.org/10.1111/jan.14018