Contactless: a new personalised telehealth model in chronic pediatric diseases and disability during the COVID-19 era.
Contactless: a new personalised telehealth model in chronic pediatric diseases and disability during the COVID-19 era.
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DOI：
10.1186/s13052-021-00975-z
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发表时间：
2021-02-12
影响因子：
3.6
通讯作者：
De Belvis AG
中科院分区：
文献类型：
--
作者：
Mercuri E;Zampino G;Morsella A;Pane M;Onesimo R;Angioletti C;Valentini P;Rendeli C;Ruggiero A;Nanni L;Chiaretti A;Vento G;Korn D;Meneschincheri E;Sergi P;Scambia G;Ricciardi W;Cambieri A;De Belvis AG
在COVID-19大流行期间暂停普通护理活动，因此有必要寻找替代路线，以遵守护理建议，不仅适用于急性健康需求，还适用于需要随访和多学科就诊的患者。我们提出了“非接触式”模式，这是一种综合性的操作工具，包括远程提供的多种服务，根据复杂性梯度进行结构化，旨在覆盖慢性儿科患者的诊断程序和监测疾病进展。与患者协会合作，招募了一个多学科和多专业项目小组，以绘制一组可用的循证解决方案，并在充分尊重个性化医疗概念的情况下满足个人需求。这些解决方案包括从视频咨询到更有条理的视频培训课程等一系列服务。一个由四个三个宏观复杂性级别（非接触式基础、中级和高级）组成的模块化框架显示为一组递增的服务和运营规划，建立了每个阶段，从影响资格的因素到提供最准确和最复杂的护理水平。多模式、多学科的“非接触式”模式允许我们儿科的所有单位和有残疾儿童或复杂慢性病的家庭参加。该项目的优势在于其在儿科之外的可复制性，以及实际影响患者、护理人员和参与护理过程的专业人员所需的有限资源。该计划在未来的实施可能有助于减少住院时间、金钱和父母缺勤。在线版本包含补充材料，可通过10.1186/s13052-021-00975-z获得。
Suspending ordinary care activities during the COVID-19 pandemic made it necessary to find alternative routes to comply with care recommendations not only for acute health needs but also for patients requiring follow-up and multidisciplinary visits. We present the ‘Contactless’ model, a comprehensive operational tool including a plurality of services delivered remotely, structured according to a complexity gradient, aimed to cover diagnostic procedures and monitor disease progression in chronic pediatric patients. A multidisciplinary and multiprofessional project team was recruited, in collaboration with patients’ associations, to map a panel of available Evidence-Based solutions and address individual needs in full respect of the concept of personalized medicine. The solutions include a number of services from videoconsultations to more structure videotraining sessions. A modular framework made up of four three Macro-levels of complexity - Contactless Basic, Intermediate and Advanced - was displayed as an incremental set of services and operational planning establishing each phase, from factors influencing eligibility to the delivery of the most accurate and complex levels of care. The multimodal, multidisciplinary ‘Contactless’ model allowed the inclusion of all Units of our Pediatric Department and families with children with disability or complex chronic conditions. The strengths of this project rely on its replicability outside of pediatrics and in the limited resources needed to practically impact patients, caregivers and professionals involved in the process of care. Its implementation in the future may contribute to reduce the duration of hospital admissions, money and parental absence from work. The online version contains supplementary material available at 10.1186/s13052-021-00975-z.
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DOI：
10.3390/ijerph16245044
发表时间：
2019-12-02
影响因子：
--
作者：
Palmer, Katie;Carfi, Angelo;Onder, Graziano
通讯作者：
Onder, Graziano
影响因子：
4.7
作者：
Winegard, Billie;Miller, Elissa G.;Slamon, Nicholas B.
通讯作者：
Slamon, Nicholas B.
影响因子：
9.9
作者：
Rametta SC;Fridinger SE;Gonzalez AK;Xian J;Galer PD;Kaufman M;Prelack MS;Sharif U;Fitzgerald MP;Melamed SE;Malcolm MP;Kessler SK;Stephenson DJ;Banwell BL;Abend NS;Helbig I
通讯作者：
Helbig I
影响因子：
3.3
作者：
Palmer, Katie;Marengoni, Alessandra;Onder, Graziano
通讯作者：
Onder, Graziano
影响因子：
4.6
作者：
Mauro, Vigano;Lorenzo, Mantovani;Sergio, Harari
通讯作者：
Sergio, Harari