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Nutrición Hospitalaria
On-line version ISSN 1699-5198Print version ISSN 0212-1611
Abstract
ABAD-GONZALEZ, Ángel Luis et al. Recommendations on the use of telemedicine as applied to nutritional pathology. Nutr. Hosp. [online]. 2022, vol.39, n.4, pp.863-875. Epub Oct 31, 2022. ISSN 1699-5198. https://dx.doi.org/10.20960/nh.03923.
Introduction:
telemedicine can improve the standards of clinical care and use of resources. The COVID-19 pandemic has required its implementation in routine practice. For this reason, a group of endocrinologists from Valencia, Murcia and the Balearic Islands created a committee for its development.
Objectives:
to establish recommendations in order to improve the quality of consultation in nutritional disorders, and to create indicators for its management.
Methodology:
the Delphi methodology was followed with the participation of 13 professionals in order to reach the widest consensus. A 16-item questionnaire was distributed within 3 rounds: in the first round, the degree of consensus was established; in the second round, the participants responded to the posed questions after having access to the first-round results. Agreement was considered if ≥ 75 % participants reached consensus, while strong agreement was considered if consensus was reached by ≥ 90 %. In addition, quality indicators were established. In a third round, these indicators were developed.
Results:
after 3 rounds and a revision 5 recommendations with strong agreement were established based on organizational aspects. Regarding administrative aspects, 6 recommendations with strong agreement were established while 4 recommendations reached the level of agreement. Eight quality indicators were selected and developed.
Conclusions:
this document compiles a list of recommendations about needs and requirements to be taken into account for a quality telematic consultation in patients with nutritional disorders. In addition, health care quality indicators have been created and developed.
Keywords : Telemedicine; Remote consultation; Quality indicator; Quality of health care; Clinical nutrition; Process assessment (health care).