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Jun 23, 2023
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Abstract
Pendahuluan: COVID-19 telah berkembang menjadi pandemi dan menarik perhatian negara di penjuru dunia termasuk Indonesia. Adanya pembatasan mobilitas masyarakat berakibat pada berkurangnya akses pelayanan kesehatan bagi pasien non-COVID-19 dan mengakibatkan sebagian besar pasien dengan penyakit kronis enggan untuk melakukan perawatan. Pemberian layanan kesehatan perlu dipersiapkan dengan suatu strategi dimana transmisi COVID-19 dapat diminimalisir, namun layanan tetap dapat diberikan secara efektif, efisien, dan aman. Salah satu upaya yang dapat dilakukan dengan menggunakan telemedicine yang mencakup telekonsultasi, telemonitoring, dan telenutrisi. Di Indonesia, regulasi penggunaan telemedicine sudah diatur dalam undang-undang.
Tujuan: untuk mengetahui potensi implementasi dari telemedicine (telekonsultasi, telemonitoring, telenutrisi) pada penyakit kronis pasca pandemi COVID-19.
Metode: studi literatur yang telah dilakukan dalam rentang waktu publikasi 10 tahun terakhir yaitu 2011-2021 serta didapatkan dari database “PUBMED”, “Science Direct”, dan “Cochrane” dengan menggunakan kata kunci “Teleconsultation”, “Telenutrition”, “Telemonitoring”, dan “Chronic disease”.
Hasil dan Kesimpulan: Didapatkan 19 artikel yang valid dan reliabel berdasarkan kriteria inklusi menyatakan bahwa penggunaan telemedicine (telekonsultasi, telemonitoring dan telenutrisi) dapat meningkatkan kualitas hidup, memperbaiki outcome pasien serta menurunkan mortalitas dan morbiditas terutama pada pasien dengan penyakit kronis. Pasien juga merasa puas dan merekomendasikan penggunaan telemedicine dalam masa mendatang. Dibutuhkan studi lanjutan terkait penggunaan telemedicine pada pasien dengan penyakit kronis, terutama di masa pasca pandemi COVID-19.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
Prawestiningtyas, E., Hamada, M., Aulia, N., Puspitasari, D., Yusuf, V., & Amar, N. (2023). The Implementation Potential of Telemedicine (Teleconsultation, Telemonitoring, Telenutrition) in Chronic Diseases Post COVID-19 Pandemic as Indonesian Resilience Efforts). Jurnal Klinik Dan Riset Kesehatan, 2(3), 365-373. https://doi.org/10.11594/jk-risk.02.3.6
References
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14. Kamel, H., Hafez, M. S. and Bastawy, I. (2021) ‘Telemedicine Improves the Short-Term Medical Care of Acute ST-Segment Elevation Myocardial Infarction After Primary Percutaneous Coronary Intervention’, Frontiers in Cardiovascular Medicine, 8(July), pp. 1–9. doi: 10.3389/fcvm.2021.693731.
15. Dandge, S., Jeemon, P. and Reddy, P. S. (2019) ‘Technology enabled non-physician health workers extending telemedicine to rural homes to control hypertension and diabetes (TETRA): A pre-post demonstration project in Telangana, India’, PLoS ONE, 14(2), pp. 1–12. doi: 10.1371/journal.pone.0211551.
16. Venuthurupalli, S. K. et al. (2018) ‘Chronic Kidney Disease, Queensland (CKD.QLD) Registry: Management of CKD With Telenephrology’, Kidney International Reports, 3(6), pp. 1336–1343. doi: 10.1016/j.ekir.2018.07.013.
17. Pinar, U. et al. (2020) ‘Preliminary assessment of patient and physician satisfaction with the use of teleconsultation in urology during the COVID-19 pandemic’, World Journal of Urology, 39(6), pp. 1991–1996. doi: 10.1007/s00345-020-03432-4.
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19. Cheng, P.-C. and Kao, C.-H. (2021) ‘Telemedicine assists in the management of proatherogenic dyslipidemia and postprandial glucose variability in patients with type 2 diabetes mellitus: a cross-sectional study’, Endocrine Connections, 10(7), pp. 789–795. doi: 10.1530/ec-21-0209.
20. Joseph, P. (2013) ‘The Effectiveness of Telephone Consultation in the Management of Patients with Diabetes Mellitus “ Dissertation submitted in accordance with the’. Available at: http://chesterrep.openrepository.com/cdr/handle/10034/314379.
21. Sabesan, S. et al. (2014) ‘A tele-oncology model replacing face-to-face specialist cancer care: Perspectives of patients in North Queensland’, Journal of Telemedicine and Telecare, 20(4), pp. 207–211. doi: 10.1177/1357633X14529237.
22. Van Gurp, J. et al. (2015) ‘How outpatient palliative care teleconsultation facilitates empathic patient-professional relationships: A qualitative study’, PLoS ONE, 10(4), pp. 1–13. doi: 10.1371/journal.pone.0124387.
23. Margolis, K. L. et al. (2018) ‘Long-term Outcomes of the Effects of Home Blood Pressure Telemonitoring and Pharmacist Management on Blood Pressure Among Adults With Uncontrolled Hypertension: Follow-up of a Cluster Randomized Clinical Trial’, JAMA network open, 1(5), p. e181617. doi: 10.1001/jamanetworkopen.2018.1617.
24. Franke, K. J. et al. (2016) ‘Telemonitoring of home exercise cycle training in patients with COPD’, International Journal of COPD, 11(1), pp. 2821–2829. doi: 10.2147/COPD.S114181.
25. Jeong, J. Y. et al. (2018) ‘Smart Care Based on Telemonitoring and Telemedicine for Type 2 Diabetes Care: Multi-Center Randomized Controlled Trial’, Telemedicine and e-Health, 24(8), pp. 604–613. doi: 10.1089/tmj.2017.0203.
26. Wild, S. H. et al. (2016) ‘Supported Telemonitoring and Glycemic Control in People with Type 2 Diabetes: The Telescot Diabetes Pragmatic Multicenter Randomized Controlled Trial’, PLoS Medicine, 13(7), pp. 1–16. doi: 10.1371/journal.pmed.1002098.
27. Wood, S. et al. (2021) ‘Nutrition counseling and monitoring via tele-nutrition for healthy diet for people with spinal cord injury: A case series analyses’, Journal of Spinal Cord Medicine, 0(0), pp. 1–9. doi: 10.1080/10790268.2021.1871824.
28. Timmerberg, B. D. et al. (2011) ‘Feasibility of using videoconferencing to provide diabetes education: A pilot study’, Journal of Telemedicine and Telecare, 15(2), pp. 95–97. doi: 10.1258/jtt.2008.080813.
29. De Groot, J. et al. (2021) ‘Efficacy of telemedicine on glycaemic control in patients with type 2 diabetes: A meta-analysis’, World Journal of Diabetes, 12(2), pp. 170–197. doi: 10.4239/wjd.v12.i2.170.
30. Kapostasy Alex. (2017) ‘Effects of a 12-week Telenutrition Weight Loss Intervention on Diet Quality in Men’.
31. Marra, M. V. et al. (2019) ‘A pilot randomized controlled trial of a telenutrition weight loss intervention in middle-aged and older men with multiple risk factors for cardiovascular disease’, Nutrients, 11(2). doi: 10.3390/nu11020229.
32. Gao, M. et al. (2021) ‘Associations between body-mass index and COVID-19 severity in 6·9 million people in England: a prospective, community-based, cohort study’, The Lancet Diabetes and Endocrinology, 9(6), pp. 350–359. doi: 10.1016/S2213-8587(21)00089-9.
33. Fanelli, S. M. et al. (2020) ‘Poorer Diet Quality Observed Among US Adults With a Greater Number of Clinical Chronic Disease Risk Factors’, Journal of Primary Care and Community Health, 11. doi: 10.1177/2150132720945898.
2. World Health Organization (2021) ‘Coronavirus Disease 2019 (COVID-19) Situation Report - 65’.
3. IDI, Indonesia Ikatan Dokter. (2021) Kematian Dokter Indonesia Selama Pandemi Covid-19 (Update 17 Juli 2021). Available at: https://databoks.katadata.co.id/datapublish/2021/07/19/idi-114-dokter-gugur-akibat-covid-19-pada-juli-tertinggi-selama-pandemi.
4. Ridlo, I. A. (2020) ‘Pandemi COVID-19 dan Tantangan Kebijakan Kesehatan Mental di Indonesia’, INSAN Jurnal Psikologi dan Kesehatan Mental, 5(2), p. 162. doi: 10.20473/jpkm.v5i22020.162-171.
5. Verhoeven, V. et al. (2020) ‘Impact of the COVID-19 pandemic on the core functions of primary care: Will the cure be worse than the disease? A qualitative interview study in Flemish GPs’, BMJ Open, 10(6). doi: 10.1136/bmjopen-2020-039674.
6. Wang, B. et al. (2020) ‘Does comorbidity increase the risk of patients with COVID-19’, Aging, 12(7), pp. 6049–6057.
7. Kemenkes (2019) ‘Peraturan menteri kesehatan republik indonesia nomor 20 tahun 2019 tentang penyelenggaraan pelayanan’, (April 2005), p. 3.
8. Lubis, Z. I. (2021) ‘Analisis Kualitatif Penggunaan Telemedicine sebagai Solusi Pelayanan Kesehatan di Indonesia pada Masa Pandemik COVID-19’, Physiotherapy Health Science (PhysioHS), 2(2), pp. 76–82. doi: 10.22219/physiohs.v2i2.15148.
9. Koonin, L. M. et al. (2020) ‘Trends in the Use of Telehealth During the Emergence of the COVID-19 Pandemic — United States, January–March 2020’, MMWR. Morbidity and Mortality Weekly Report, 69(43), pp. 1595–1599. doi: 10.15585/mmwr.mm6943a3.
10. Pearlman, P. C. (2020) ‘Promise of Smartphone-Enabled Teleconsultation for Global Cancer Prevention’, JCO Global Oncology, (6), pp. 1389–1391. doi: 10.1200/go.20.00424.
11. Wootton, R. (2012) ‘Twenty years of telemedicine in chronic disease management-an evidence synthesis’, Journal of Telemedicine and Telecare, 18(4), pp. 211–220. doi: 10.1258/jtt.2012.120219.
12. Baudier, P. et al. (2021) ‘Patients’ perceptions of teleconsultation during COVID-19: A cross-national study’, Technological Forecasting and Social Change, 163, p. 120510. doi: 10.1016/j.techfore.2020.120510.
13. Salzano, A. et al. (2020) ‘Heart failure management during the COVID-19 outbreak in Italy: a telemedicine experience from a heart failure university tertiary referral centre’, European Journal of Heart Failure, 22(6), pp. 1048–1050. doi: 10.1002/ejhf.1911.
14. Kamel, H., Hafez, M. S. and Bastawy, I. (2021) ‘Telemedicine Improves the Short-Term Medical Care of Acute ST-Segment Elevation Myocardial Infarction After Primary Percutaneous Coronary Intervention’, Frontiers in Cardiovascular Medicine, 8(July), pp. 1–9. doi: 10.3389/fcvm.2021.693731.
15. Dandge, S., Jeemon, P. and Reddy, P. S. (2019) ‘Technology enabled non-physician health workers extending telemedicine to rural homes to control hypertension and diabetes (TETRA): A pre-post demonstration project in Telangana, India’, PLoS ONE, 14(2), pp. 1–12. doi: 10.1371/journal.pone.0211551.
16. Venuthurupalli, S. K. et al. (2018) ‘Chronic Kidney Disease, Queensland (CKD.QLD) Registry: Management of CKD With Telenephrology’, Kidney International Reports, 3(6), pp. 1336–1343. doi: 10.1016/j.ekir.2018.07.013.
17. Pinar, U. et al. (2020) ‘Preliminary assessment of patient and physician satisfaction with the use of teleconsultation in urology during the COVID-19 pandemic’, World Journal of Urology, 39(6), pp. 1991–1996. doi: 10.1007/s00345-020-03432-4.
18. Tan, J. et al. (2018) ‘Telenephrology: Providing Healthcare to Remotely Located Patients with Chronic Kidney Disease’, American Journal of Nephrology, 47(3), pp. 200–207. doi: 10.1159/000488004.
19. Cheng, P.-C. and Kao, C.-H. (2021) ‘Telemedicine assists in the management of proatherogenic dyslipidemia and postprandial glucose variability in patients with type 2 diabetes mellitus: a cross-sectional study’, Endocrine Connections, 10(7), pp. 789–795. doi: 10.1530/ec-21-0209.
20. Joseph, P. (2013) ‘The Effectiveness of Telephone Consultation in the Management of Patients with Diabetes Mellitus “ Dissertation submitted in accordance with the’. Available at: http://chesterrep.openrepository.com/cdr/handle/10034/314379.
21. Sabesan, S. et al. (2014) ‘A tele-oncology model replacing face-to-face specialist cancer care: Perspectives of patients in North Queensland’, Journal of Telemedicine and Telecare, 20(4), pp. 207–211. doi: 10.1177/1357633X14529237.
22. Van Gurp, J. et al. (2015) ‘How outpatient palliative care teleconsultation facilitates empathic patient-professional relationships: A qualitative study’, PLoS ONE, 10(4), pp. 1–13. doi: 10.1371/journal.pone.0124387.
23. Margolis, K. L. et al. (2018) ‘Long-term Outcomes of the Effects of Home Blood Pressure Telemonitoring and Pharmacist Management on Blood Pressure Among Adults With Uncontrolled Hypertension: Follow-up of a Cluster Randomized Clinical Trial’, JAMA network open, 1(5), p. e181617. doi: 10.1001/jamanetworkopen.2018.1617.
24. Franke, K. J. et al. (2016) ‘Telemonitoring of home exercise cycle training in patients with COPD’, International Journal of COPD, 11(1), pp. 2821–2829. doi: 10.2147/COPD.S114181.
25. Jeong, J. Y. et al. (2018) ‘Smart Care Based on Telemonitoring and Telemedicine for Type 2 Diabetes Care: Multi-Center Randomized Controlled Trial’, Telemedicine and e-Health, 24(8), pp. 604–613. doi: 10.1089/tmj.2017.0203.
26. Wild, S. H. et al. (2016) ‘Supported Telemonitoring and Glycemic Control in People with Type 2 Diabetes: The Telescot Diabetes Pragmatic Multicenter Randomized Controlled Trial’, PLoS Medicine, 13(7), pp. 1–16. doi: 10.1371/journal.pmed.1002098.
27. Wood, S. et al. (2021) ‘Nutrition counseling and monitoring via tele-nutrition for healthy diet for people with spinal cord injury: A case series analyses’, Journal of Spinal Cord Medicine, 0(0), pp. 1–9. doi: 10.1080/10790268.2021.1871824.
28. Timmerberg, B. D. et al. (2011) ‘Feasibility of using videoconferencing to provide diabetes education: A pilot study’, Journal of Telemedicine and Telecare, 15(2), pp. 95–97. doi: 10.1258/jtt.2008.080813.
29. De Groot, J. et al. (2021) ‘Efficacy of telemedicine on glycaemic control in patients with type 2 diabetes: A meta-analysis’, World Journal of Diabetes, 12(2), pp. 170–197. doi: 10.4239/wjd.v12.i2.170.
30. Kapostasy Alex. (2017) ‘Effects of a 12-week Telenutrition Weight Loss Intervention on Diet Quality in Men’.
31. Marra, M. V. et al. (2019) ‘A pilot randomized controlled trial of a telenutrition weight loss intervention in middle-aged and older men with multiple risk factors for cardiovascular disease’, Nutrients, 11(2). doi: 10.3390/nu11020229.
32. Gao, M. et al. (2021) ‘Associations between body-mass index and COVID-19 severity in 6·9 million people in England: a prospective, community-based, cohort study’, The Lancet Diabetes and Endocrinology, 9(6), pp. 350–359. doi: 10.1016/S2213-8587(21)00089-9.
33. Fanelli, S. M. et al. (2020) ‘Poorer Diet Quality Observed Among US Adults With a Greater Number of Clinical Chronic Disease Risk Factors’, Journal of Primary Care and Community Health, 11. doi: 10.1177/2150132720945898.