ABSTRACT
BACKGROUND: This study proposes a system for teaching and surgical support with the benefits of online Information and Communications Technology (ITC) -based telementoring for laparoscopic bariatric surgery (LBS). MATERIAL AND METHODS: A system of telementoring was established between a university center and two community hospitals. Telementoring was performed via internet protocol using a direct point-to-point connection, ASDL 1.2 Mbps, time delay 150 ms, 256-bit advanced encryption standard (AES). In the period of time selected, all interventions for LBS in both hospitals were included. When patients agree with telementoring, data outcomes (operating time, hospital stay, conversion to open surgery and complications) were collected. The rest of these interventions were recorded. RESULTS: Thirty-six patients underwent elective LBS, 20 of whom were referred and accepted for telementoring. Patients selected without telementoring took longer: 200 (46) min vs 139 (33) min, p < 0.01. There were two conversions in non-mentored groups. The hospital stay was 4.6 (0.5) days for telementored interventions and 6.7 (0.5) days without mentoring (p < 0.01). Four patients (12,5%) in non-mentored groups suffered minor complications. CONCLUSIONS: This program supports the safety and feasibility of telementoring in LBS. Telementoring is an alternative in community hospitals because it can improve the quality of advanced procedures of laparoscopic surgery.
Subject(s)
Bariatric Surgery/methods , Laparoscopy/methods , Mentors , Telemedicine/methods , Adult , Body Mass Index , Elective Surgical Procedures/adverse effects , Elective Surgical Procedures/methods , Hospitals, Community/organization & administration , Hospitals, University/organization & administration , Humans , Internet , Laparoscopy/adverse effects , Length of Stay/statistics & numerical data , Middle Aged , Operative Time , Postoperative Complications/epidemiology , Socioeconomic Factors , Spain , Telemedicine/instrumentationABSTRACT
Objetivos: El presente estudio evalúa: la calidad de la información que se transmite entre el nivel primario de salud y un servicio de salud mental mediante los volantes de interconsulta, y las diferencias en la calidad que se observan cuando se compara el modelo de documento de interconsulta tradicional y el generado por el programa informático OMI-AP. Material y métodos: Se estudiaron 231 volantes de interconsulta obtenidos mediante muestreo aleatorio entre todas las interconsultas realizadas en 12 meses a un centro de salud mental. Resultados: Se observaron diferencias significativas en el grado de cumplimentación: cuando se compararon los niveles asistenciales entre sí y, también, al comparar los modelos de documento utilizado. Conclusiones: La calidad de la información que se transmite entre atención primaria y salud mental es mejorable y varía en función del tipo de documento utilizado (AU)
Subject(s)
Mental Health , Primary Health Care/organization & administration , Primary Health Care/standards , Information Services/organization & administration , Retrospective Studies , Epidemiology, Descriptive , Referral and Consultation/organization & administration , Referral and Consultation/trends , Referral and Consultation , Patient SelectionABSTRACT
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