Evidence map›Paper›PMID 35280611›Full record

ArticleJournal of family medicine and primary care2021

Study of the impact of a telemedicine service in improving pre-hospital care and referrals to a tertiary care university hospital in Nepal.

Pramendra Prasad Gupta, Surendra Uranw, Shital Gupta, Rakesh Kumar Das, Anish Bhattarai, Narendra Bhatta, Francois Chappuis, Antoine Geissbuhler

Open access · goldAbstract read
In one paragraph

Article in Journal of family medicine and primary care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Pramendra Prasad GuptaDepartment of General Practice and Emergency Medicine and Medical Coordinator in eHealth and Telemedicine Program, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Surendra UranwDepartment of Internal Medicine, Neglected Tropical Disease, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Shital GuptaDepartment of Basic and Clinical Physiology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Rakesh Kumar DasIT Head, Computer Section and Technical Coordinator in eHealth and Telemedicine Program, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Anish BhattaraiTechnical Coordinator, eHealth and Telemedicine Program, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Narendra BhattaDepartment of Internal Medicine and Focal Person in eHealth and Telemedicine Program, Pulmonology, Critical Care and Sleep Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Francois ChappuisTravel and Migration Medicine Unit, University of Geneva, Switzerland.
Antoine GeissbuhlerDepartment of Medical Informatics, University of Geneva, Switzerland.
B.P. Koirala Institute of Health Sciences · NPeHealth Initiative · USInternational Organization for Migration · CHUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Telemedicine is a process which involve medical experts to exchange valid information for diagnosis, clinical management, treatment and counseling for both healthcare workers and patients remotely in rural setting from urban healthcare center. Providing quality healthcare services in Nepal is challenging due to many reasons such as difficult geographic terrain, limited availability of funding and many other issues. Methods: The study design was a cross sectional and will adopt an interpretative case study approach which supports the researcher to develop a deep insight in to study phenomenon and outcomes. Study was conducted at in two rural-telemedicine programme implementation sites, namely Patle, Fikkal Bazaar and one central consultation site BPKIHS Dharan. Result: A total of 315 patients were undergone teleconsultation process during the study period. The total patients consulted after teleconsultation program in each of center were 1386 (Phikal) and 508 (Patle). Among them 205 (Phikal) and 110 (Patle) were called on the teleconsultation day. Among the patients who were seen via teleconsultation, 36 (2.6 %) from Phikal and 22 (4.3%) from Patle were referred to BPKIHS. The total number of referred patient from those center to other center were 327(Phikal) and 208 (Patle) among those referred 205 (Phikal) and 110 (Patle) came during teleconsultation Process. Conclusion: Telemedicine can be used as a critical component in the solution of the healthcare crisis. Telemedicine will be the best as a substitute to improve the access to healthcare, to provide the healthcare cost-effectively. The current paradigm of care can be taken by telemedicine due to which improved health outcomes can be achieved in cost effective Ways.

Indexed as

Health careteleconsultationtelemedicine

Identifiers

PMID35280611
PMCPMC8884304
OpenAlexW4206505455

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.