Implementasi Telemedicine untuk Pelayanan Pasien Bedah Saraf pada Masa Pandemi Covid-19 Di Asia Tenggara
Abstract
Tuntutan akan telemedicine di Asia Tenggara cukup tinggi, mengingat sebagian besar merupakan negara berkembang, persebaran tenaga kesehatan yang belum merata, maldistribusi fasilitas kesehatan, hambatan geografis yang menantang, serta kondisi pandemi Covid-19 dimana pelayanan tatap muka sangat terbatas dan berisiko meningkatkan penyebaran Covid-19. Penelitian ini bertujuan untuk mengidentifikasi, mengevaluasi dan mensintesis hasil penelitian implementasi pelayanan kesehatan berbasis teknologi (telemedicine) pasien bedah saraf pada masa pandemi Covid-19 di wilayah Asia Tenggara. Metode penelitian ini menggunakan systematic review sesuai pedoman PRISMA dari online database Proquest, Scopus, dan EBSCO hingga ditemukan 10 artikel. Hasil penelitian ini yaitu Telemedicine efektif mencegah penyebaran penyakit, melindungi pasien dan staf, dan meminimalkan penggunaan sumber daya yang terbatas. Telemedicine dapat menghemat anggaran rumah sakit dengan mengurangi jumlah pasien non darurat, melindungi pasien dari pemiskinan akibat perawatan serta meningkatkan perilaku pencarian kesehatan sehingga efektif menjangkau populasi yang lebih luas. Penerapan telemedicine berkembang sangat lambat di wilayah Asia Tenggara. Konsultasi tatap muka telah menjadi metode utama kunjungan rawat jalan. Keterbatasan infrastruktur internet, listrik, latar belakang sosial ekonomi masyarakat yang belum melek teknologi menjadi tantangan tersendiri dalam mengimplementasikan telemedicine pada pelayanan pasien bedah saraf. Komitmen antar rumah sakit sangat penting terkait privasi pasien dan sistem reimbursement klaim asuransi rumah sakit. Kesimpulannya yaitu telemedicine sudah diterapkan di negara-negara di rumpun Asia Tenggara, namun masih terdapat hambatan yang ditemui dalam pelaksanaannya, seperti sumber daya yang terbatas, infrastruktur jaringan belum memadai, kesiapan masyarakat terhadap perubahan teknologi serta regulasi pembiayaan yang belum terstandar sehingga masih diperlukan peraturan perundang-undangan penyelenggaraan telemedicine antar fasilitas pelayanan kesehatan.
Downloads
References
Barasabha, Thareq. (2020). Pemanfaatan Telemedicine untuk Penanganan Covid-19 di Indonesia. Fakultas Kedokteran Universitas Brawijaya.
Baticulon, Ronnie E., Nga, Vincent Diong Weng, Sobana, Mirna, Bahuri, Nor Faizal Ahmad, & Wittayanakorn, Nunthasiri. (2020). In Reply to the Letter to the Editor Regarding" Impact of COVID-19 on Neurosurgical Training in Southeast Asia". World Neurosurgery, 144, 332.
Bloem, Bastiaan R., Dorsey, E. Ray, & Okun, Michael S. (2020). The coronavirus disease 2019 crisis as catalyst for telemedicine for chronic neurological disorders. JAMA Neurology, 77(8), 927–928.
Campbell, William Wesley, & DeJong, Russell N. (2005). DeJong’s the neurologic examination. Lippincott Williams & Wilkins.
Center for Strategic and International Studies (CSIS). (2020). Southeast Asia Covid-19 Tracker. Center for Strategic and International Studies (CSIS).
Chang, Min Cheol, & Boudier-Revéret, Mathieu. (2020). Usefulness of telerehabilitation for stroke patients during the COVID-19 pandemic. American Journal of Physical Medicine & Rehabilitation.
Dewan Teknologi Informasi dan Komunikasi. (2020). Strategi Telemedicine Hadapi Covid-19. Wantiknas.
El-Matury, Herlina J. (2020). Comparising Case Fatality Rate (CFR) of Covid19 Pandemic in South East Asia Countries. Jurnal Inovasi Kesehatan Masyarakat, 1(2), 24–29.
Ferraris, Kevin Paul, Golidtum, Jared Paul, Zuñiga, Brian Karlo W., Bautista, Maria Cristina G., Alcazaren, Jose Carlos, Seng, Kenny, & Navarro, Joseph Erroll. (2020). Recapitulating the Bayesian framework for neurosurgical outpatient care and a cost-benefit analysis of telemedicine for socioeconomically disadvantaged patients in the Philippines during the pandemic. Neurosurgical Focus, 49(6), E14.
Grossman, Scott N., Han, Steve C., Balcer, Laura J., Kurzweil, Arielle, Weinberg, Harold, Galetta, Steven L., & Busis, Neil A. (2020). Rapid implementation of virtual neurology in response to the COVID-19 pandemic. Neurology, 94(24), 1077–1087.
Intan Sabrina, Mohamad, & Defi, Irma Ruslina. (2021). Telemedicine guidelines in south East Asia—a scoping review. Frontiers in Neurology, 11, 1760.
Lauren, Christopher, Iskandar, Angel, Suranta, Samuel Edhi, Mawardy, Reza, Malelak, Elric Brahm, & Argie, Donny. (2020). The Adjustment of Neurosurgery Practices During COVID-19 “Adapting to New Habits†Era in East Nusa Tenggara. Neurologico Spinale Medico Chirurgico, 3(3).
Leong, Adriel Z., Lim, Jia Xu, Tan, Choo Heng, Teo, Kejia, Nga, Vincent D. W., Lwin, Sein, Chou, Ning, & Yeo, Tseng Tsai. (2020). COVID-19 response measures–a Singapore Neurosurgical Academic Medical Centre experience segregated team model to maintain tertiary level neurosurgical care during the COVID-19 outbreak. British Journal of Neurosurgery, 1–6.
Manusubroto, Wiryawan, Wicaksono, Adiguno Suryo, Tamba, Daniel Agriva, Sudiharto, Paulus, Pramusinto, Handoyo, Hartanto, Rachmat Andi, & Basuki, Endro. (2020). Neurosurgery services in Dr. Sardjito General Hospital, Yogyakarta, Indonesia, during the COVID-19 pandemic: experience from a developing country. World Neurosurgery, 140, e360–e366.
Mihalj M., et all. (2020). Telemedicine untuk penilaian pra operasi selama pandemi COVID-19: Rekomendasi untuk perawatan klinis. Praktisi Terbaik Res Clin Anaesthesiol, 34(2), 345–351. https://doi.org/10.1016
Moazzami, Bobak, Razavi-Khorasani, Niloofar, Moghadam, Arash Dooghaie, Farokhi, Ermia, & Rezaei, Nima. (2020). COVID-19 and telemedicine: Immediate action required for maintaining healthcare providers well-being. Journal of Clinical Virology, 126, 104345.
Moher, David, Liberati, Alessandro, Tetzlaff, Jennifer, Altman, Douglas G., & Group, Prisma. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine, 6(7), e1000097.
Mouchtouris, Nikolaos, Lavergne, Pascal, Montenegro, Thiago S., Gonzalez, Glenn, Baldassari, Michael, Sharan, Ashwini, Jabbour, Pascal, Harrop, James, Rosenwasser, Robert, & Evans, James J. (2020). Telemedicine in neurosurgery: lessons learned and transformation of care during the COVID-19 pandemic. World Neurosurgery, 140, e387–e394.
Munusamy, Thangaraj, Karuppiah, Ravindran, Bahuri, Nor Faizal A., Sockalingam, Sutharshan, Cham, Chun Yoong, & Waran, Vicknes. (2021). Telemedicine via smart glasses in critical care of the neurosurgical patient—COVID-19 pandemic preparedness and response in neurosurgery. World Neurosurgery, 145, e53–e60.
Pinzon, Rizaldy, Paramitha, Dessy, & Wijaya, Vincent Ongko. (2020). Acceleration Of Telemedicine Use For Chronic Neurological Disease Patients During Covid-19 Pandemic In Yogyakarta, Indonesia: A Case Series Study. Kesmas, 15(2), 28–31.
Portnoy, Jay, Waller, Morgan, & Elliott, Tania. (2020). Telemedicine in the era of COVID-19. The Journal of Allergy and Clinical Immunology: In Practice, 8(5), 1489–1491.
Pramusinto, Handoyo, Tamba, Daniel Agriva, Subagio, Yoyok, Numberi, Tommy J., Pramujo, Bangun, Sinanu, Franklin L., Ariasthapuri, Gheanita, Bismantara, Haryo, & Meliala, Andreasta. (2020). The adjustment of neurosurgical procedures during the COVID-19 pandemic: a case study at Dr. Sardjito General Hospital as a part of an academic health system. Neurosurgical Focus, 49(6), E8.
Raffiq, Azman, Seng, Liew Boon, San, L. I. M. Swee, Zakaria, Zaitun, Yee, Ang Song, Fitzrol, Diana Noma, Hassan, Wan Mohd Nazaruddin Wan, Idris, Zamzuri, Ghani, Abdul Rahman Izaini, & Rosman, Azmin Kass. (2020). COVID-19 Pandemic and Its Impact on Neurosurgery Practice in Malaysia: Academic Insights, Clinical Experience and Protocols from March till August 2020. The Malaysian Journal of Medical Sciences: MJMS, 27(5), 141.
Roy, Bhaskar, Nowak, Richard J., Roda, Ricardo, Khokhar, Babar, Patwa, Huned S., Lloyd, Thomas, & Rutkove, Seward B. (2020). Teleneurology during the COVID-19 pandemic: a step forward in modernizing medical care. Journal of the Neurological Sciences, 414, 116930.
Schünemann, Holger J., Oxman, Andrew D., Higgins, Julian P. T., Vist, Gunn E., Glasziou, Paul, & Guyatt, Gordon H. (2008). Presenting results and ‘Summary of findings’ tables. Cochrane Handbook for Systematic Reviews of Interventions, 5, 0.
Suryaningtyas, Wihasto, Wahyuhadi, Joni, Turchan, Agus, Subagio, Eko Agus, Parenrengi, Muhammad Arifin, Apriawan, Tedy, Al Fauzi, Asra, & Bajamal, Abdul Hafid. (2020). Neurosurgery at the epicenter of the COVID-19 pandemic in Indonesia: experience from a Surabaya academic tertiary hospital. Neurosurgical Focus, 49(6), E5.
Susilawathi, Ni Made, Tini, Kumara, Wijayanti, Ida Ayu Sri, Rahmawati, Putu Lohita, Sudira, Putu Gede, Wardhana, Dewa Putu Wisnu, & Samatra, Dewa Putu Gde Purwa. (2020). TATA LAKSANA PEMERIKSAAN NEUROLOGIS VIRTUAL DI ERA PANDEMI CORONA VIRUS DISEASE 2019. Callosum Neurology, 3(3), 106–117.
Turolla, Andrea, Rossettini, Giacomo, Viceconti, Antonello, Palese, Alvisa, & Geri, Tommaso. (2020). Musculoskeletal physical therapy during the COVID-19 pandemic: is telerehabilitation the answer? Physical Therapy, 100(8), 1260–1264.
WHO. (2009). Telemedicine Oppurtunities and Developments in Memver States: Report on The Second Global Survey on eHealth. Global Observatory for EHealth Series, 2.
Wittayanakorn, Nunthasiri, Nga, Vincent Diong Weng, Sobana, Mirna, Bahuri, Nor Faizal Ahmad, & Baticulon, Ronnie E. (2020). Impact of COVID-19 on neurosurgical training in Southeast Asia. World Neurosurgery, 144, e164–e177.
Wulandari, Fitria Kusumawati, & Achadi, Anhari. (2017). Analisis Karakteristik dan Persepsi Pengguna Pelayanan Terhadap Pemanfaatan Puskesmas Sebagai Gatekeeper di Dua Puskesmas Kota Bekasi Tahun 2016. Jurnal Ekonomi Kesehatan Indonesia, 2(1).
Copyright (c) 2021 Faza Khairani Batubara, Pujiyanto Pujiyanto, Lutfan Lazuardi
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
