Introduction
With the outbreak of coronavirus and the disease known as CoVID-19 in 211 countries,
the disease has become a global crisis. Various ways to spread and prevalence the
disease, including person-to-person transmission in the everywhere, have been announced.
On the one hand, the low ratio of the number of medical centers and medical staff
to the people at risk in the community, and on the other hand, the unreasonable visits
of some people in these centers have caused to contact CoVID-19 patients and increased
the risk of contaminating them. In this situation, one of the effective methods to
monitor individuals in the community without referring to limited health care centers
is the use of telemedicine, which prevents the unnecessary referral of healthy and
suspicious people to medical centers.
Zhai et al. described in their article how telemedicine was able to help the Chinese
government fight COVID-19. The Chinese government has set up a teleconsulting center
on Chinese mobile phones and Huawei technologies to prevent and control coronavirus
called the Emergency Medical Counseling System. The results showed that out of 654
patients with coronavirus who received counseling from this center, 420 were discharged
from the hospital after 20 days. Another benefit of this counseling center is the
prevention of direct physical contact between physicians, nurses, and patients, thus
preventing the possible transmission of infection to caregivers. Also, because of
specialized treatment groups limitation through this center, it is possible to communicate
with patients through technologies such as video conferencing [1].
Au said in his study the elderly patients with a variety of subspecialty medical needs
are one of the most important client group in hospital, where high-risk area for them.
From the first confirmation of CoVID-19 in Hong Kong on January 23, 2020 to February
4, 2020, the number of patients not attending clinics at the specified time has increased
from 4% to 42.1%. During this period, 586 patients (29.4%) canceled their appointments
for various reasons. The results of this study showed that the main reason for this
(52%) was the concern about being in the hospital environment and the possibility
of the risk of CoVID-19 disease. Also, 61.8% of these 586 patients were elderly people
aged 65 and over. Therefore, in quarantine days, hospitals with telemedicine, not
only to save their resources and manpower to help infected people, but also prevented
the further transmission of the disease from person to person. In addition, the elderly
and patients with chronic diseases who need regular visits to health care centers
can go to e-service kiosks during quarantine, receive their medications and health
care services [2].
Boehm et al. assessed telemedicine from patients' perspectives. They interviewed 399
outpatients with appointments at a center between October 2019 and February 2020.
Their studies showed valuable information from patients' perspectives on teleconsulting
during CoVID-19 epidemic. Overall, 54.1% of patients were eligible for telemedicine
and wished for teleconsultation. A total of 338 patients (84.7%) wished for a telemedical
consultation in case of pandemic and 252 patients (63.2%) were eligible for telemedicine
however, 2.5% of patients wanted to have personal contact with their doctor. Therefore,
given that the CoVID-19 epidemic puts significant pressure on hospital resources,
and also from the perspective of patients on telemedicine, this technology seems to
be a good solution for providing care [3].
In their research, Rao and Vazquez emphasized the need to identify patients with the
coronavirus through mobile-based machine learning algorithms [4]. Moazzami et al.
noted that telemedicine can be used by smartphones or computers with webcams, allowing
physicians to diagnose patients with early signs of COVID-19 disease. They are evaluated
effectively before they get to the hospital [5]. In another study by Wernhart et al.
an e-visit to primary health care using a cell phone could provide an accurate monitoring
of the condition of patients with coronavirus [6].
Conclusion
Thus, with the outburst of the COVID-19 crisis, the importance of telemedicine has
become increasingly clear, and one of the future goals of health care centers seems
to be to focus more on the development of this technology. It also facilitates communication
between community members, hospitals, and health care providers by implementing apps
that can be installed on mobile phones. Healthcare officials need to address some
of the challenges, such as the cost of building the infrastructure needed for telemedicine
technology, as well as training clients to prepare for emergencies that may occur
in the future. In addition, those who live in remote areas and are not able to access
to health care centers will be provided with healthcare services.
Authors’ contribution
S.A. has contributed significantly to the conception and design of the study, participated
in drafting, reviewed, revised and approved the manuscript.
M.M. conceived the study, conducted the literature search, prepared, and approved
the manuscript.
Declaration of Competing Interest
None declared.