[Experiences with digital care of patients with chronic and acute lung diseases during the SARS-CoV-2 pandemic]. / Erfahrungen mit der digitalen Versorgung von Patienten mit chronischen und akuten Lungenerkrankungen während der SARS-CoV-2-Pandemie.
Internist (Berl)
; 63(3): 255-265, 2022 Mar.
Article
em De
| MEDLINE
| ID: mdl-35181796
ABSTRACT
BACKGROUND:
Management of patients with respiratory disorders, such as asthma or chronic obstructive pulmonary disease (COPD), became challenging during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic due to infection prevention measures. To maintain care, a remote monitoring program was initiated, comprising a smartphone app and a Bluetooth spirometry device.OBJECTIVE:
To assess patient- and physician-related experience with remote monitoring. MATERIAL ANDMETHODS:
Structured questionnaires were developed to rate experiences from the patient or physician perspective on six-level Likert scales. Interactions between patients and physicians via the digital platform and overall utilization was analyzed.RESULTS:
A total of 745 patients with asthma, COPD, post-coronavirus disease 2019 (COVID-19) and other respiratory diseases were enrolled from 31 centers in Germany. Mean follow-up was 49.4⯱ 12.6 weeks. Each participant submitted on average 289 measurements. Patient-reported experience with the remote monitoring program was positive, with the highest satisfaction reported for "Experience with home measurement" (1.4⯱ 0.5; 99% positive), followed by "Communication/interaction" (1.8⯱ 0.9; 83% positive) and "Overall satisfaction with program" (1.8⯱ 0.8; 87% positive). In all, 70% reported subjective quality of life improvements related to participation in the program. Physician satisfaction with the program was also high with a mean rating of 2.2⯱ 1.2.DISCUSSION:
App-based remote monitoring was successfully implemented in routine care during the SARS-CoV2 pandemic and demonstrated potential for improvements in care. Patient-relevant experience was positive in all dimensions and remote monitoring was well accepted. Physicians who participated in the program also expressed positive experiences, as demonstrated by a high level of interaction with the platform and positive evaluations of effects from the program.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
COVID-19
/
Pneumopatias
Tipo de estudo:
Qualitative_research
Limite:
Humans
Idioma:
De
Revista:
Internist (Berl)
Ano de publicação:
2022
Tipo de documento:
Article