MULTISYSTEM INFLAMMATORY SYNDROME IN CHILDREN: A RHEUMATOLOGY-PULMONOLOGY COLLABORATION

Abstract

Digital health and telemedicine would constitute a fine idea to implement in rural emergency medicine to make clinical work more efficient, faster responsive, and reduce patient outcomes in regions that lack sufficient medical attention.  The qualitative and quantitative methods applied in this study examined the impacts of utilising real-time tele-consultations on six rural emergency departments, looking at those cases that required urgent care, such as stroke, sepsis, myocardial infarction.  A quantitative investigation (studying 284 encounters that were made possible by telemedicine) revealed that an average of thirty-four percent or forty-two percent of the time (respectively) was saved upon initiating the system correspondingly in order to get-a-treatment and a consultation.  The calculated efficiency gain (E gain) and logistic regression modeling indicated that the shorter response time was related closely and significantly to the improved patient stabilization and a lower number of 30-day readmissions (p < 0.01).  Meanwhile, interviews based on qualitative research with 48 physicians working in rural settings identified similar themes of improved cooperation across disciplines, increased trust in clinical expertise or issues such as the inability to use technology or internet access.  Thematic analysis revealed that the perceptions of the providers and trends of the outcomes aligned with one another. That is why it is critical to align work and train employees.  The methodological illustration of the working process (Figure 1) presents all triage and clinical data and feedback systems and how they combine to ensure the success of telehealth.  This conclusion reveals the way, in which the telemedicine may transform the situation during a rural emergency and provides a model of expanding the use of digital medical care in resource-poor locations.