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Learning from the COVID-19 pandemic: health care disturbances and telemedicine as an alternative rheumatology practice in Indonesia.
Parlindungan, Faisal; Sumariyono, Sumariyono; Hidayat, Rudy; Wibowo, Suryo Anggoro Kusumo; Ariane, Anna; Damanik, Johanda; Araminta, Abirianty Priandani; Yunita, Khadijah Cahya.
  • Parlindungan F; Rheumatology Division, Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia. faisal.parlindungan@alumni.ui.ac.id.
  • Sumariyono S; Department of Internal Medicine, University of Indonesia Hospital, Depok, Indonesia. faisal.parlindungan@alumni.ui.ac.id.
  • Hidayat R; Rheumatology Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia. faisal.parlindungan@alumni.ui.ac.id.
  • Wibowo SAK; Rheumatology Division, Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.
  • Ariane A; Rheumatology Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.
  • Damanik J; Rheumatology Division, Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.
  • Araminta AP; Rheumatology Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.
  • Yunita KC; Rheumatology Division, Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.
BMC Health Serv Res ; 23(1): 451, 2023 May 08.
Article in English | MEDLINE | ID: covidwho-2318018
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Rheumatology / Telemedicine / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Journal: BMC Health Serv Res Journal subject: Health Services Research Year: 2023 Document Type: Article Affiliation country: S12913-023-09389-5

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Rheumatology / Telemedicine / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Journal: BMC Health Serv Res Journal subject: Health Services Research Year: 2023 Document Type: Article Affiliation country: S12913-023-09389-5