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ORIGINAL PAPER
The attitude of Polish rheumatology patients towards telemedicine in the age of the COVID-19 pandemic
 
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Department of Rheumatology, Medical University of Łódź, Poland
 
 
Submission date: 2020-03-30
 
 
Final revision date: 2020-04-22
 
 
Acceptance date: 2020-06-02
 
 
Online publication date: 2020-06-29
 
 
Publication date: 2020-06-29
 
 
Reumatologia 2020;58(3):134-141
 
KEYWORDS
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ABSTRACT
Introduction:
n response to the outbreak of the SARS-CoV-2 coronavirus pandemic, the Polish government has enabled specialist teleconsultations. Due to this, Polish patients have gained access to continuation of outpatient specialist healthcare using information and communication technologies. The goal of the study was to recognize the needs and expectations as well as the main concerns of Polish rheumatology patients in regard to teleconsultations.

Material and methods:
An online-based questionnaire comprising 17 single choice and multiple choice, open-end questions was collected among Polish rheumatology patients directly after the introduction of specialist teleconsultations.

Results:
244 respondents completed the survey. Mean age of the respondents was 40.6 ±10.5 and 92.6% of them were female. 48% of the respondents lived not further than 20 kilometres from their outpatient rheumatology clinic. The mean severity of current symptoms, assessed by patients on a visual-analogue scale, was 4.9 ±2.4. 82% of the respondents selected telephone consultations as the most convenient form of receiving rheumatology advice. The patients highlighted the lack of physical examination (43%) and additional tests (43.9%) as the factors discouraging them from teleconsultations; 8.2% of respondents were against maintaining rheumatology teleconsultations after the SARS-CoV-2 pandemic; 3.7% of the respondents received information on teleconsultations from a medical professional.

Conclusions:
The community of Polish rheumatology patients is eager to benefit from specialist teleconsultations. Telephone consultations are the most eagerly chosen form of remote consultations. Medical professionals should actively promote this form of patient in order to reach the patients who do not use the computer readily.

REFERENCES (21)
1.
Stajszczyk M, Brzosko M. Statement of the Polish Society of Rheumatology and the national consultant in the field of rheumatology to patients and physicians in connection with the infection COVID-19. Available at: http://www.reumatologia.ptr.ne... (access: 21.04.2020).
 
2.
Perricone C, Gerli R. Being a rheumatologist and a patient with a rheumatic disease today: a perspective at the time of COVID-19. Eur J Rheumatol 2020, DOI: 10.5152/eurjrheum.2020.2057 [Epub ahead of print]. Misra DP, Agarwal V, Gasparyan AY, Zimba O. Rheumatologists’ perspective on coronavirus disease 19 (COVID-19) and potential therapeutic targets. Clin Rheumatol 2020, DOI: 10.1007/s10067-020-05073-9 [Epub ahead of print].
 
3.
Ryu S. Telemedicine: opportunities and developments in member states: report on the second global survey on eHealth 2009 (Global Observatory for eHealth Series, Volume 2) Healthc Inform Res 2012; 18: 153-155, DOI: 10.4258/hir.2012.18.2.153.
 
4.
Attachment 1a and 1c to the Minister of the National Health Fund Ordinance on the implementation of contracts for the provision of healthcare services such as outpatient specialist care number 182/2019/DSOZ. Available at: https://www.nfz.gov.pl/zarzadz... (access: 26.03.2020).
 
5.
Amendment to the Act on the information system in health care number 63/2015/DSOZ. Available at: https://www.nfz.gov.pl/zarzadz... (access: 21.04.2020).
 
6.
Szpakowski R, Maślińska M, Dykowska G, Zając P. Analysis of information on rheumatology from a selected Internet forum in the context of the need for telemedicine solutions. Reumatologia 2015; 53: 260-267, DOI: 10.5114/reum.2015.55829.
 
7.
Krzystanek M, Borkowski M, Krysta K. Psychiatry as a leader of contemporary telemedicine in Poland. Reumatologia 2018; 56: 65-66, DOI: 10.5114/reum.2018.75515.
 
8.
Glinkowski WM, Karlińska M, Karliński M, Krupiński EA. Telemedicine and eHealth in Poland from 1995 to 2015. Adv Clin Exp Med 2018; 27: 277-282, DOI: 10.17219/acem/74124.
 
9.
Nikiphorou E, Alunno A, Carmona L, et al. Patient-physician collaboration in rheumatology: a necessity, RMD Open 2017; 3: e000499, DOI: 10.1136/rmdopen-2017-000499.
 
10.
Poulsen KA, Millen CM, Lakshman UI, et al. Satisfaction with rural rheumatology telemedicine service. Int J Rheum Dis 2015; 18: 304-314, DOI: 10.1111/1756-185X.12491.
 
11.
Kulcsar Z, Albert D, Ercolano E, Mecchella JN. Telerheumatology: a technology appropriate for virtually all. Semin Arthritis Rheum 2016; 46: 380-385, DOI: 10.1016/j.semarthrit.2016.05.013.
 
12.
Castrejõn I, McCollum L, Tanriover MD, Pincus T. Importance of patient history and physical examination in rheumatoid arthritis compared to other chronic diseases: results of a physician survey. Arthritis Care Res (Hoboken) 2012; 64: 1250-1255, DOI: 10.1002/acr.21650.
 
13.
Graham LE, McGimpsey S, Wright S, et al. Could a low-cost audio-visual link be useful in rheumatology? J Telemed Telecare 2000; 6 (Suppl 1): 35-37, DOI: 10.1258/1357633001934078.
 
14.
Leggett PF, Graham L, Steele K, et al. Telerheumatology – diagnostic accuracy and acceptability to patient, specialist, and general practitioner. Br J Gen Pract 2001; 51: 746-748.
 
15.
Nguyen-Oghalai TU, Hunter K, Lyon M. Telerheumatology: the VA experience. South Med J 2018; 111: 359-362, DOI: 10.14423/SMJ.0000000000000811.
 
16.
de Thurah A, Stengaard-Pedersen K, Axelsen M, et al. Tele-health follow-up strategy for tight control of disease activity in rheumatoid arthritis: results of a randomized controlled trial. Arthritis Care Res (Hoboken) 2018; 70: 353-360, DOI: 10.1002/acr.23280.
 
17.
Ferucci ED, Holck P, Day GM, et al. Factors associated with use of telemedicine for follow-up of rheumatoid arthritis. Arthritis Care Res (Hoboken) 2019, DOI: 10.1002/acr.24049 [Epub ahead of print].
 
18.
Lewandowski LB, Hsieh E. Global rheumatology in the time of COVID-19. Lancet Rheumatol 2020; 2: e254-e255, DOI: 10.1016/S2665-9913(20)30091-6.
 
19.
Rheumatology patients treatment jeopardized by coronavirus pandemic. https://www.globaldata.com/rhe...- patients-treatment-jeopardized-by-coronavirus-pandemic/.
 
20.
Kirby T. Rheumatologists rapidly adjust patient care during COVID-19 pandemic. Lancet Rheumatol 2020; 2: e258, DOI: 10.1016/s2665-9913(20)30094-1.
 
21.
Cai K, He J, Wong PK, Manolios N. The impact of COVID-19 on rheumatology clinical practice and university teaching in Sydney, Australia. Eur J Rheumatol 2020, DOI: 10.5152/eurjrheum.2020.20060 [Epub ahead of print].
 
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