Effect of a model based on education and teleassistance for the management of obstetric emergencies in 10 rural populations from Colombia
Introduction Pregnant women and health providers in rural areas of low-income and middle-income countries face multiple problems concerning high-quality obstetric care. This study was performed to identify changes in maternal and perinatal indicators after implementing a model based on education and...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-10-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076221129077 |
| _version_ | 1818025621380399104 |
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| author | María Fernanda Escobar María Paula Echavarria Juan Carlos Gallego Natalia Riascos Hilda Vasquez Daniela Nasner Stephanie Pabon Zindy Alexandra Castro Didier Augusto Cardona Ana Milena Castro Isabella Ramos María Antonia Hincapie Juan Pedro Kusanovic Diana Marcela Martínez-Ruíz Javier Andrés Carvajal |
| author_facet | María Fernanda Escobar María Paula Echavarria Juan Carlos Gallego Natalia Riascos Hilda Vasquez Daniela Nasner Stephanie Pabon Zindy Alexandra Castro Didier Augusto Cardona Ana Milena Castro Isabella Ramos María Antonia Hincapie Juan Pedro Kusanovic Diana Marcela Martínez-Ruíz Javier Andrés Carvajal |
| author_sort | María Fernanda Escobar |
| collection | DOAJ |
| description | Introduction Pregnant women and health providers in rural areas of low-income and middle-income countries face multiple problems concerning high-quality obstetric care. This study was performed to identify changes in maternal and perinatal indicators after implementing a model based on education and telecare between a high-complexity hospital in 10 low-complexity hospitals in a southwestern region of Colombia. Methods A quasiexperimental study with a historic control group and without a pretest was conducted between 2017 and 2019 to make comparisons before and after obstetric emergency care through the use of teleassistance from 10 primary care centers to the referral center (Fundación Valle del Lili, FVL). Results A total of 470 patients were treated before teleassistance implementation and 154 patients were treated after teleassistance implementation. After program implementation, the maternal clinical indicators showed a 65% reduction in the number of obstetric patients who were referred with obstetric emergencies. The severity of maternal disease that was measured at the time of admission to level IV through the Modified Early Obstetric Warning System score was observed to decrease. Conclusion The implementation of a model based on education and teleassistance between low-complexity hospitals and tertiary care centers generated changes in indicators that reflect greater access to rural areas, lower morbidity at the time of admission, and a decrease in the total number of emergency events. |
| first_indexed | 2024-12-10T04:19:01Z |
| format | Article |
| id | doaj.art-16327dcce08b4c1c93eca1287179360c |
| institution | Directory Open Access Journal |
| issn | 2055-2076 |
| language | English |
| last_indexed | 2024-12-10T04:19:01Z |
| publishDate | 2022-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj.art-16327dcce08b4c1c93eca1287179360c2022-12-22T02:02:29ZengSAGE PublishingDigital Health2055-20762022-10-01810.1177/20552076221129077Effect of a model based on education and teleassistance for the management of obstetric emergencies in 10 rural populations from ColombiaMaría Fernanda Escobar0María Paula Echavarria1Juan Carlos Gallego2Natalia Riascos3Hilda Vasquez4Daniela Nasner5Stephanie Pabon6Zindy Alexandra Castro7Didier Augusto Cardona8Ana Milena Castro9Isabella Ramos10María Antonia Hincapie11Juan Pedro Kusanovic12Diana Marcela Martínez-Ruíz13Javier Andrés Carvajal14 Department of Telemedicine, , Cali, Colombia Department of Obstetrics and Gynecology, School of Medicine, , Cali, Colombia Department of Obstetrics and Gynecology, School of Medicine, , Cali, Colombia Department of Obstetrics and Gynecology, School of Medicine, , Cali, Colombia Department of Telemedicine, , Cali, Colombia Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia High Complexity Obstetric Unit, Department of Obstetrics and Gynecology, , Cali, Colombia High Complexity Obstetric Unit, Department of Obstetrics and Gynecology, , Cali, Colombia High Complexity Obstetric Unit, Department of Obstetrics and Gynecology, , Cali, Colombia Department of Telemedicine, , Cali, Colombia Department of Obstetrics and Gynecology, School of Medicine, , Cali, Colombia Department of Obstetrics and Gynecology, School of Medicine, , Cali, Colombia Division of Obstetrics and Gynecology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia Department of Telemedicine, , Cali, ColombiaIntroduction Pregnant women and health providers in rural areas of low-income and middle-income countries face multiple problems concerning high-quality obstetric care. This study was performed to identify changes in maternal and perinatal indicators after implementing a model based on education and telecare between a high-complexity hospital in 10 low-complexity hospitals in a southwestern region of Colombia. Methods A quasiexperimental study with a historic control group and without a pretest was conducted between 2017 and 2019 to make comparisons before and after obstetric emergency care through the use of teleassistance from 10 primary care centers to the referral center (Fundación Valle del Lili, FVL). Results A total of 470 patients were treated before teleassistance implementation and 154 patients were treated after teleassistance implementation. After program implementation, the maternal clinical indicators showed a 65% reduction in the number of obstetric patients who were referred with obstetric emergencies. The severity of maternal disease that was measured at the time of admission to level IV through the Modified Early Obstetric Warning System score was observed to decrease. Conclusion The implementation of a model based on education and teleassistance between low-complexity hospitals and tertiary care centers generated changes in indicators that reflect greater access to rural areas, lower morbidity at the time of admission, and a decrease in the total number of emergency events.https://doi.org/10.1177/20552076221129077 |
| spellingShingle | María Fernanda Escobar María Paula Echavarria Juan Carlos Gallego Natalia Riascos Hilda Vasquez Daniela Nasner Stephanie Pabon Zindy Alexandra Castro Didier Augusto Cardona Ana Milena Castro Isabella Ramos María Antonia Hincapie Juan Pedro Kusanovic Diana Marcela Martínez-Ruíz Javier Andrés Carvajal Effect of a model based on education and teleassistance for the management of obstetric emergencies in 10 rural populations from Colombia Digital Health |
| title | Effect of a model based on education and teleassistance for the management of obstetric emergencies in 10 rural populations from Colombia |
| title_full | Effect of a model based on education and teleassistance for the management of obstetric emergencies in 10 rural populations from Colombia |
| title_fullStr | Effect of a model based on education and teleassistance for the management of obstetric emergencies in 10 rural populations from Colombia |
| title_full_unstemmed | Effect of a model based on education and teleassistance for the management of obstetric emergencies in 10 rural populations from Colombia |
| title_short | Effect of a model based on education and teleassistance for the management of obstetric emergencies in 10 rural populations from Colombia |
| title_sort | effect of a model based on education and teleassistance for the management of obstetric emergencies in 10 rural populations from colombia |
| url | https://doi.org/10.1177/20552076221129077 |
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