Learning from the COVID-19 pandemic: health care disturbances and telemedicine as an alternative rheumatology practice in Indonesia
Abstract Background Coronavirus disease 2019 (COVID-19) affects health care services. Our aim was to assess health care disruptions, treatment interruptions, and telemedicine reception regarding autoimmune rheumatic diseases (ARDs) in Indonesia. Method A cross-sectional population online-based quest...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-023-09389-5 |
| _version_ | 1797827629111312384 |
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| author | Faisal Parlindungan Sumariyono Sumariyono Rudy Hidayat Suryo Anggoro Kusumo Wibowo Anna Ariane Johanda Damanik Abirianty Priandani Araminta Khadijah Cahya Yunita |
| author_facet | Faisal Parlindungan Sumariyono Sumariyono Rudy Hidayat Suryo Anggoro Kusumo Wibowo Anna Ariane Johanda Damanik Abirianty Priandani Araminta Khadijah Cahya Yunita |
| author_sort | Faisal Parlindungan |
| collection | DOAJ |
| description | Abstract Background Coronavirus disease 2019 (COVID-19) affects health care services. Our aim was to assess health care disruptions, treatment interruptions, and telemedicine reception regarding autoimmune rheumatic diseases (ARDs) in Indonesia. Method A cross-sectional population online-based questionnaire was conducted in Indonesia from September to December 2021. Results A total of 311 ARD patients were included, of whom 81 (26.0%) underwent consultations via telemedicine during the COVID-19 pandemic. The respondents showed increased concern about their susceptibility to COVID-19 (score of 3.9/5). Approximately 81 (26.0%) avoided hospital visits, and 76 (24.4%) stopped taking the medication without medical advice. Respondents’ concerns correlated with their social distancing behaviors (p value 0.000, r 0.458). Respondent concerns, behaviors, and blocked access to the hospital during the pandemic were associated with avoiding hospital visits (p value 0.014; 0.001; 0.045; 0.008). Sex was associated with stopping medication (p value 0.005). In multivariate analysis, blocked access and sex remained significant. Approximately 81 (26%) respondents who used telemedicine services during the COVID-19 pandemic as an alternative medical consultation method showed high satisfaction (3.8/5). Conclusion Health care disruptions and treatment interruptions were affected by patients’ internal and external factors during the COVID-19 pandemic. Telemedicine may be the best option to address barriers to health care access in Indonesia’s rheumatology practice during and after the pandemic situation. |
| first_indexed | 2024-04-09T12:51:24Z |
| format | Article |
| id | doaj.art-308f081f7d504a4d96ba2eaae4d8b559 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-09T12:51:24Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-308f081f7d504a4d96ba2eaae4d8b5592023-05-14T11:12:19ZengBMCBMC Health Services Research1472-69632023-05-0123111110.1186/s12913-023-09389-5Learning from the COVID-19 pandemic: health care disturbances and telemedicine as an alternative rheumatology practice in IndonesiaFaisal Parlindungan0Sumariyono Sumariyono1Rudy Hidayat2Suryo Anggoro Kusumo Wibowo3Anna Ariane4Johanda Damanik5Abirianty Priandani Araminta6Khadijah Cahya Yunita7Rheumatology Division, Department of Internal Medicine, Faculty of Medicine, University of IndonesiaRheumatology Division, Department of Internal Medicine, Faculty of Medicine, University of IndonesiaRheumatology Division, Department of Internal Medicine, Faculty of Medicine, University of IndonesiaRheumatology Division, Department of Internal Medicine, Faculty of Medicine, University of IndonesiaRheumatology Division, Department of Internal Medicine, Faculty of Medicine, University of IndonesiaRheumatology Division, Department of Internal Medicine, Faculty of Medicine, University of IndonesiaRheumatology Division, Department of Internal Medicine, Faculty of Medicine, University of IndonesiaKRT Setjonegoro General HospitalAbstract Background Coronavirus disease 2019 (COVID-19) affects health care services. Our aim was to assess health care disruptions, treatment interruptions, and telemedicine reception regarding autoimmune rheumatic diseases (ARDs) in Indonesia. Method A cross-sectional population online-based questionnaire was conducted in Indonesia from September to December 2021. Results A total of 311 ARD patients were included, of whom 81 (26.0%) underwent consultations via telemedicine during the COVID-19 pandemic. The respondents showed increased concern about their susceptibility to COVID-19 (score of 3.9/5). Approximately 81 (26.0%) avoided hospital visits, and 76 (24.4%) stopped taking the medication without medical advice. Respondents’ concerns correlated with their social distancing behaviors (p value 0.000, r 0.458). Respondent concerns, behaviors, and blocked access to the hospital during the pandemic were associated with avoiding hospital visits (p value 0.014; 0.001; 0.045; 0.008). Sex was associated with stopping medication (p value 0.005). In multivariate analysis, blocked access and sex remained significant. Approximately 81 (26%) respondents who used telemedicine services during the COVID-19 pandemic as an alternative medical consultation method showed high satisfaction (3.8/5). Conclusion Health care disruptions and treatment interruptions were affected by patients’ internal and external factors during the COVID-19 pandemic. Telemedicine may be the best option to address barriers to health care access in Indonesia’s rheumatology practice during and after the pandemic situation.https://doi.org/10.1186/s12913-023-09389-5Health servicesHealth behaviorRheumatologyTelemedicineCOVID-19 |
| spellingShingle | Faisal Parlindungan Sumariyono Sumariyono Rudy Hidayat Suryo Anggoro Kusumo Wibowo Anna Ariane Johanda Damanik Abirianty Priandani Araminta Khadijah Cahya Yunita Learning from the COVID-19 pandemic: health care disturbances and telemedicine as an alternative rheumatology practice in Indonesia BMC Health Services Research Health services Health behavior Rheumatology Telemedicine COVID-19 |
| title | Learning from the COVID-19 pandemic: health care disturbances and telemedicine as an alternative rheumatology practice in Indonesia |
| title_full | Learning from the COVID-19 pandemic: health care disturbances and telemedicine as an alternative rheumatology practice in Indonesia |
| title_fullStr | Learning from the COVID-19 pandemic: health care disturbances and telemedicine as an alternative rheumatology practice in Indonesia |
| title_full_unstemmed | Learning from the COVID-19 pandemic: health care disturbances and telemedicine as an alternative rheumatology practice in Indonesia |
| title_short | Learning from the COVID-19 pandemic: health care disturbances and telemedicine as an alternative rheumatology practice in Indonesia |
| title_sort | learning from the covid 19 pandemic health care disturbances and telemedicine as an alternative rheumatology practice in indonesia |
| topic | Health services Health behavior Rheumatology Telemedicine COVID-19 |
| url | https://doi.org/10.1186/s12913-023-09389-5 |
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