Current expert opinion and attitudes to optimize telemedicine and achieve control in patients with asthma in post-pandemic era : The COMETA consensus Opinión de los expertos para optimizar el control y la telemedicina en pacientes con asma en era pospandémica: consenso COMETA
Molina Paris, Jesús (Healthcare Center Francia)
Almonacid, Carlos (Hospital Universitario de Toledo. Servicio de Neumología)
Blanco-Aparicio, Marina (Hospital Universitario A Coruña. Servicio de Neumología)
Domínguez-Ortega, Javier (Hospital Universitario La Paz. Instituto de Investigación Sanitaria. Servicio de Alergias)
Giner, Jordi (Institut d'Investigació Biomèdica Sant Pau)
Sánchez Marcos, Navidad (Sociedad Española de Farmacia Clínica, Familiar y Comunitaria)
Plaza, Vicente (Institut d'Investigació Biomèdica Sant Pau)

Date:	2022
Abstract:	Objective: To collect perspectives and explore consensus for expert recommendations related to asthma control and the use of telemedicine among professionals who manage patients with asthma. Design: A Delphi-like questionnaire was designed to analyse the level of agreement about several recommendations formulated by an expert scientific committee about asthma control and the use of telemedicine with this purpose. A dedicated scientific committee validated the questionnaire, which included questions about the participants' profile and the use of technological tools at a personal level or in clinical practice. The experts expressed their agreement with a Likert-scale of 9 values: 1-3 was considered no agreement, 4-6 neutral, and 7-9 agreement. A rate ≥70% with the same answer was considered consensus. Site: The questionnaire was programmed and distributed as an internet-based survey. Participants: A pre-selected sample of 75 experts with experience in telemedicine (pulmonology, allergology, family medicine, nursing and community pharmacy) responded to a Delphi-like questionnaire composed by six questions and 52 items. Interventions: Consultation was performed in two consecutive waves: the first wave was carried out from 12th of July to 8th of September of 2021; the second wave, from 25th of October to 12th of November of 2021. Main measurements: Three questions about asthma control (actions for achieving or maintaining control of asthma at every visit, current problems that affect asthma control, and potential solutions to offset such problems), and three questions about the impact of telemedicine in asthma control (potential benefits of telemedicine, and potential reticence about telemedicine among both patients and healthcare professionals) were included. Results: From the 52 items inquired, 35 were agreed by consensus. The actions for achieving or maintaining control of asthma, the problems that affect asthma control, and their potential solutions were agreed by consensus. The potential benefits of telemedicine were validated by consensus. None of the potential reservations of patients about telemedicine were validated, while five out of 14 potential reservations of healthcare professionals were agreed by consensus. Conclusions: The COMETA consensus provides a current picture of the main problems for achieving asthma control, the benefits and the reservations about the use of telemedicine in the Spanish setting, and offers solutions. A wide interest in implementing telemedicine has been observed, although current limitations need to be overcome.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Castellà
Document:	Article ; recerca ; Versió publicada
Subject:	Telemedicine ; Asthma ; Consensus ; Delphi methodology
Published in:	Atencion Primaria, Vol. 54 Núm. 12 (diciembre 2022) , p. 102492, ISSN 1578-1275

DOI: 10.1016/j.aprim.2022.102492
PMID: 36272223

10 p, 1.6 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
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