Effect of a model based on education and teleassistance for the management of obstetric emergencies in 10 rural populations from Colombia

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dc.contributor.authorFernanda Escobar, Maria
dc.contributor.authorPaula Echavarria, Maria
dc.contributor.authorCarlos Gallego, Juan
dc.contributor.authorRiascos, Natalia
dc.contributor.authorVasquez, Hilda
dc.contributor.authorNasner, Daniela
dc.contributor.authorPabon, Stephanie
dc.contributor.authorAlexandra Castro, Zindy
dc.contributor.authorAugusto Cardona, Didier
dc.contributor.authorMilena Castro, Ana
dc.contributor.authorRamos, Isabella
dc.contributor.authorAntonia Hincapie, Maria
dc.contributor.authorPedro Kusanovic, Juan
dc.contributor.authorMarcela Martinez-Ruiz, Diana
dc.contributor.authorAndres Carvajal, Javier
dc.date.accessioned2025-01-20T21:02:06Z
dc.date.available2025-01-20T21:02:06Z
dc.date.issued2022
dc.description.abstractIntroduction Pregnant women and health providers in rural areas of low-income and middle-income countries face multiple problems concerning high-quality obstetric care. This study was performed to identify changes in maternal and perinatal indicators after implementing a model based on education and telecare between a high-complexity hospital in 10 low-complexity hospitals in a southwestern region of Colombia. Methods A quasiexperimental study with a historic control group and without a pretest was conducted between 2017 and 2019 to make comparisons before and after obstetric emergency care through the use of teleassistance from 10 primary care centers to the referral center (Fundacion Valle del Lili, FVL). Results A total of 470 patients were treated before teleassistance implementation and 154 patients were treated after teleassistance implementation. After program implementation, the maternal clinical indicators showed a 65% reduction in the number of obstetric patients who were referred with obstetric emergencies. The severity of maternal disease that was measured at the time of admission to level IV through the Modified Early Obstetric Warning System score was observed to decrease. Conclusion The implementation of a model based on education and teleassistance between low-complexity hospitals and tertiary care centers generated changes in indicators that reflect greater access to rural areas, lower morbidity at the time of admission, and a decrease in the total number of emergency events.
dc.fuente.origenWOS
dc.identifier.doi10.1177/20552076221129077
dc.identifier.issn2055-2076
dc.identifier.urihttps://doi.org/10.1177/20552076221129077
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93014
dc.identifier.wosidWOS:000864146300001
dc.language.isoen
dc.revistaDigital health
dc.rightsacceso restringido
dc.subjectTelehealth
dc.subjectpregnancy
dc.subjectwomen health
dc.subjectpublic health
dc.subjectdigital health
dc.subjecteducation
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleEffect of a model based on education and teleassistance for the management of obstetric emergencies in 10 rural populations from Colombia
dc.typeartículo
dc.volumen8
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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