The Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural Colombia
Este estudio examina el impacto de la telemedicina en las variables de facilidad de programación, limpieza, tiempo de espera, profesionalidad y comunicación en entornos sanitarios rurales. El objetivo principal fue examinar el impacto de la innovación en los servicios de salud y la acreditación ambu...
- Autores:
-
de la Puente, Mario
Lugo Arias, Elkyn
Londoño Meza, Guillermo
Perez Camerano, Camilo
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2024
- Institución:
- Universidad Externado de Colombia
- Repositorio:
- Biblioteca Digital Universidad Externado de Colombia
- Idioma:
- spa
- OAI Identifier:
- oai:bdigital.uexternado.edu.co:001/15682
- Acceso en línea:
- https://bdigital.uexternado.edu.co/handle/001/15682
https://doi.org/10.18601/16578651.n35.06
- Palabra clave:
- Telemedicine;
rural healthcare;
patient satisfaction;
access to care;
healthcare delivery
telemedicina;
asistencia sanitaria rural;
satisfacción del paciente;
acceso a la asistencia;
prestación de asistencia sanitaria
- Rights
- openAccess
- License
- Mario de la Puente, Elkyn Lugo Arias, Guillermo Londoño Meza, Camilo Perez Camerano - 2024
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dc.title.spa.fl_str_mv |
The Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural Colombia |
dc.title.translated.eng.fl_str_mv |
The Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural Colombia |
title |
The Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural Colombia |
spellingShingle |
The Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural Colombia Telemedicine; rural healthcare; patient satisfaction; access to care; healthcare delivery telemedicina; asistencia sanitaria rural; satisfacción del paciente; acceso a la asistencia; prestación de asistencia sanitaria |
title_short |
The Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural Colombia |
title_full |
The Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural Colombia |
title_fullStr |
The Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural Colombia |
title_full_unstemmed |
The Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural Colombia |
title_sort |
The Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural Colombia |
dc.creator.fl_str_mv |
de la Puente, Mario Lugo Arias, Elkyn Londoño Meza, Guillermo Perez Camerano, Camilo |
dc.contributor.author.spa.fl_str_mv |
de la Puente, Mario Lugo Arias, Elkyn Londoño Meza, Guillermo Perez Camerano, Camilo |
dc.subject.eng.fl_str_mv |
Telemedicine; rural healthcare; patient satisfaction; access to care; healthcare delivery |
topic |
Telemedicine; rural healthcare; patient satisfaction; access to care; healthcare delivery telemedicina; asistencia sanitaria rural; satisfacción del paciente; acceso a la asistencia; prestación de asistencia sanitaria |
dc.subject.spa.fl_str_mv |
telemedicina; asistencia sanitaria rural; satisfacción del paciente; acceso a la asistencia; prestación de asistencia sanitaria |
description |
Este estudio examina el impacto de la telemedicina en las variables de facilidad de programación, limpieza, tiempo de espera, profesionalidad y comunicación en entornos sanitarios rurales. El objetivo principal fue examinar el impacto de la innovación en los servicios de salud y la acreditación ambulatoria hospitalaria en la percepción de la calidad de la atención en Colombia. El sondeo estuvo motivado por la necesidad de analizar los retos sin parangón que afrontan las comunidades en las provincias. Estos retos incluyen el acceso limitado a la atención especializada y las largas distancias de desplazamiento hasta los centros sanitarios. Se realizo una revisión exhaustiva de la literatura para explorar la comprensión existente sobre los servicios tele médicos y sus beneficios potenciales en las zonas provinciales. El examen utilizo un planteamiento de investigación de métodos mixtos, incorporando datos cuantitativos procedentes de encuestas a pacientes y datos cualitativos de entrevistas con profesionales sanitarios. La conclusión principal destaca los beneficios potenciales de la integración de tecnologías de telemedicina y el cumplimiento de las normas de acreditación para mejorar las experiencias y la satisfacción de los pacientes, sobre todo en comunidades rurales desatendidas, con acceso limitado a recursos sanitarios. Estas conclusiones ponen de relieve el potencial de la tecnología de los servicios tele médicos como valioso instrumento para perfeccionar la prestación y el acceso a la atención sanitaria en zonas de provincia. El estudio concluye con un análisis de las implicaciones de estos resultados, así como recomendaciones para los órganos sanitarios. |
publishDate |
2024 |
dc.date.accessioned.none.fl_str_mv |
2024-06-20T12:54:40Z 2024-06-21T07:45:23Z |
dc.date.available.none.fl_str_mv |
2024-06-20T12:54:40Z 2024-06-21T07:45:23Z |
dc.date.issued.none.fl_str_mv |
2024-06-20 |
dc.type.spa.fl_str_mv |
Artículo de revista |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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http://purl.org/coar/resource_type/c_6501 |
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Journal article |
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10.18601/16578651.n35.06 |
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2346-2159 |
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1657-8651 |
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https://bdigital.uexternado.edu.co/handle/001/15682 |
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https://doi.org/10.18601/16578651.n35.06 |
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spa |
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spa |
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https://revistas.uexternado.edu.co/index.php/opera/article/download/9563/16013 |
dc.relation.citationedition.spa.fl_str_mv |
Núm. 35 , Año 2024 : Julio-Diciembre |
dc.relation.citationendpage.none.fl_str_mv |
120 |
dc.relation.citationissue.spa.fl_str_mv |
35 |
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95 |
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Opera |
dc.relation.references.spa.fl_str_mv |
Ali, M. M., & Ghertner, R. (2023). Broadband access and telemedicine adoption for opioid use disorder treatment in the United States. The Journal of Rural Health, 39(1), 233-239. https://doi.org/10.1111/jrh.12699 Andaleeb, S. S. (2001). Service quality perceptions and patient satisfaction: a study of hospitals in a developing country. Social Science & Medicine, 52(9), 1359-1370. Aufa, B. A., Nurfikri, A., Mardiati, W., Sancoko, S., Yuliyanto, H., Nurmansyah, M. I., ... & Koire, I. I. (2023). Feasibility, acceptance and factors related to the implementation of telemedicine in rural areas: A scoping review protocol. Digital Health, 9, 20552076231171236. https://doi.org/10.1177/20552076231171236 Batbaatar, E., Dorjdagva, J., Luvsannyam, A., & Amenta, P. (2017). Conceptualisation of patient satisfaction: A systematic narrative literature review. Perspectives in Public Health, 137(5), 243-250. Bilal, W., Qamar, K., Siddiqui, A., Kumar, P., & Essar, M. Y. (2022). Digital health and telemedicine in Pakistan: Improving maternal healthcare. Annals of Medicine and Surgery, 81, 104425. https://doi.org/10.1016/j.amsu.2022.104425 Brown, A., Smith, J., & Davis, M. (2020). The impact of telemedicine on chronic disease management in older adults: A systematic review. Journal of Telemedicine and Telecare, 26(4), 189-199. Brunet, N., Moore, D. T., Lendvai Wischik, D., Mattocks, K. M., & Rosen, M. I. (2022). Increasing buprenorphine access for veterans with opioid use disorder in rural clinics using telemedicine. Substance Abuse, 43(1), 39-46. https://doi.org/10.1080/08897077.2020.17284 Chen, A., Ayub, M. H., Mishuris, R. G., Rodriguez, J. A., Gwynn, K., Lo, M. C., ... & Schmidt, S. (2023). Telehealth policy, practice, and education: a position statement of the Society of General Internal Medicine. Journal of General Internal Medicine, 1-8. https://doi.org/10.1007/s11606-023-08190-8 Chen, L., & Wang, H. (2021). The role of education in patient satisfaction with telemedicine services: A cross-sectional study. BMC Health Services Research, 21(1), 1-10. Chin, B. Z., Nashi, N., Lin, S., Yik, K., Tan, G., & Kagda, F. H. (2022). Telemedicine use in orthopaedics: Experience during the COVID-19 pandemic. Journal of telemedicine and telecare, 28(5), 373-379. https://doi.org/10.1177/1357633X211041011 Curtis, S. J., Taylor, R., Perry, L., Trewin, A., Were, K., Walsh, N., & McDermott, K. (2023). Telehealth for comprehensive care to quarantine residents: A novel approach and lessons learned. Journal of Patient Experience, 10, 23743735231183669. https://doi.org/10.1177/23743735231183669 Davis, R., & Wilson, S. (2021). Gender differences in patient satisfaction with telemedicine: A systematic review and meta-analysis. Journal of Medical Internet Research, 23(6), e25076. de la Puente Pacheco, M. A. (2018). Analysis of the Colombian medical tourism industry from a systemic competitiveness approach. Dimensión Empresarial, 16(2), 111-122. https://doi.org/10.15665/dem.v16i2.1503 de la Puente Pacheco, M. A., de Oro Aguado, C. M., Lugo Arias, E., Rico, H., & Cifuentes, D. (2021). Local Accreditation in Outpatient Care as an Alternative to Attract Foreign Patients to Colombian Medical Travel: A Case Study in the City of Barranquilla. SAGE Open, 11(4), 21582440211052553. https://doi.org/10.1177/21582440211052553 de la Puente Pacheco, M. A., de Oro Aguado, C. M., Lugo Arias, E., & Fontecha Pacheco, B. (2020). The role of outpatient care accreditation in enhancing foreign patients’ perception of Colombian medical tourism: A quasi-experimental design. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 57, 0046958020976826. https://doi.org/10.1177/0046958020976826 de la Puente Pacheco, M., Perez Hernandez, H. (2023). Assessing the impact of Brilliant.org on enhancing mathematics academic performance among high school students in Colombia: A quasi-experimental study. Mathematics Teaching Research Journal. 12(2). 82-103. https:// commons.hostos.cuny.edu/mtrj/wp-content/uploads/sites/30/2023/06/5DeLaPuente-Colombia-1.pdf DeGuzman, P. B., Abooali, S., Jain, N., Scicchitano, A., & Siegfried, Z. C. (2022). Improving equitable access to care via telemedicine in rural public libraries. Public Health Nursing, 39(2), 431-437. https://doi.org/10.1111/phn.12981 Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems. International Journal of Quality & Reliability Management, 35(6), 1195-1214. Harris, J., Martin, K., & Thompson, R. (2017). The impact of socioeconomic status on health outcomes: A systematic review. Social Science & Medicine, 178, 231-238. Hayes, C. J., Gannon, M. A., Woodward, E. N., Long, C. R., George, M., Ray-Griffith, S., ... & Goree, J. (2023). Implementation and preliminary effectiveness of a multidisciplinary Telemedicine pilot initiative for patients with chronic noncancer pain in rural and underserved areas at a major academic medical center. Journal of Pain Research, 55-69. https://www.tandfonline.com/doi/full/10.2147/JPR.S383212 Jaeger, L. R., McCartin, M. P., Haamid, A., Weber, J. M., & Tataris, K. L. (2023). TeleEMS: An EMS Telemedicine pilot program barriers to implementation: Preliminary investigation. Prehospital Emergency Care, 1-6. https://doi.org/10.1080/10903127.2023.2172495 Johnson, L., Davis, R., & Wilson, S. (2018). Gender differences in healthcare utilization and outcomes: A systematic review. Journal of Women’s Health, 27(10), 1221-1229. Karlin, N. J., & Weil, J. (2022). Need and potential use of telemedicine in two rural areas. Activities, Adaptation & Aging, 1-13. https://doi.org/10.1080/01924788.2022.2160689 Kennelly, A. M., McIntyre, B., Wood, A. C., Monteiro, S., & Voigt, R. G. (2022). Patient satisfaction in neurodevelopmental pediatrics: In-person vs telemedicine. Journal of Child Neurolog y, 37(3), 181-185. https://doi.org/10.1177/08830738221075451 Khalil, K., Tsapepas, D., & West-Thielke, P. (2022). Transplant pharmacists’ experience with telehealth during the COVID-19 pandemic. Journal of Pharmacy Practice, 08971900221132594. Kiburg, K. V., Turner, A., & He, M. (2022). Telemedicine and delivery of ophthalmic care in rural and remote communities: Drawing from Australian experience. Clinical & Experimental Ophthalmology, 50(7), 793-800. https://doi.org/10.1111/ceo.14147 Kim, J., & Lee, H. (2020). The influence of education level on patient satisfaction with telemedicine: A cross-sectional study in South Korea. International Journal of Environmental Research and Public Health, 17(15), 5425. Kruse, C. S., Krowski, N., Rodríguez, B., Tran, L., Vela, J., & Brooks, M. (2017). Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open, 7(8), e016242. Mahmoud, M. A., Daboos, M., Gouda, S., Othman, A., Abdelmaboud, M., Hussein, M. E., & Akl, M. (2022). Telemedicine (virtual clinic) effectively delivers the required healthcare service for pediatric ambulatory surgical patients during the current era of COVID-19 pandemic: A mixed descriptive study. Journal of pediatric surgery, 57(4), 630-636. https://doi.org/10.1016/j. jpedsurg.2021.11.018 Miller, A., Taylor, B., & Anderson, C. (2019). The impact of telemedicine on patient satisfaction and health outcomes: A systematic review. Journal of Telemedicine and Telecare, 25(6), 359-368. Ministerio de Salud Protección Social de Colombia (n. d.) NORMATIVIDAD_NUEVO //, Ministerio de Salud y Protección Social. Available at: https://www.minsalud.gov.co/Normatividad_Nuevo/Forms/DispForm.aspx?ID=5754. Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). McGraw-Hill. Owusu Kwateng, K., Darko-Larbi, O., & Amanor, K. (2022). A modified UTAUT2 for the study of telemedicine adoption. International Journal of Healthcare Management, 1-17. https://doi.org/10.1080/20479700.2022.2088068 Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12-40. Purcărea, V. L., Gheorghe, I. R., & Petrescu, C. M. (2013). The assessment of perceived service quality of public health care services in Romania using the SERVQUAL scale. Procedia Economics and Finance, 6, 573-585. Saifan, A. R., Alarabyat, I. A., Alrimawi, I., & Al-Nsair, N. (2022). Utilizing telehealth intervention to support patients with cardiovascular diseases in Jordan: a qualitative study. Applied Nursing Research, 68, 151641. https://doi.org/10.1016/j.apnr.2022.151641 Shukla, P. S., & Shamurailatpam, S. D. (2022). Telemedicine and healthcare ecosystem in India: A review, critique and research agenda. Telemedicine: The Computer Transformation of Healthcare, 215-229. https://doi.org/10.1007/978-3-030-99457-0_13 Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53-55. Thomas, E. E., Haydon, H. M., Mehrotra, A., Caffery, L. J., Snoswell, C. L., Banbury, A., & Smith, A. C. (2022). Building on the momentum: sustaining telehealth beyond COVID-19. Journal of telemedicine and telecare, 28(4), 301-308. https://doi.org/10.1177/1357633X20960638 Tong, L., George, B., Crotty, B. H., Somai, M., Taylor, B. W., Osinski, K., & Luo, J. (2022). Telemedicine and health disparities: Association between patient characteristics and telemedicine, in-person, telephone and message-based care during the COVID-19 pandemic. Ipem-translation, 3, 100010. https://doi.org/10.1016/j.ipemt.2022.100010 Upadhyay, N., Kamble, A., & Navare, A. (2023). Virtual healthcare in the new normal: Indian healthcare consumers adoption of electronic government telemedicine service. Government Information Quarterly, 40(2), 101800. https://doi.org/10.1016/j.giq.2022.101800 Wardlow, L., Leff, B., Biese, K., Roberts, C., Archbald‐ Pannone, L., Ritchie, C., ... & Collaborative for Telehealth and Aging. (2023). Development of telehealth principles and guidelines for older adults: A modified Delphi approach. Journal of the American Geriatrics Society, 71(2), 371-382. https://doi.org/10.1111/jgs.18123 |
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Mario de la Puente, Elkyn Lugo Arias, Guillermo Londoño Meza, Camilo Perez Camerano - 2024 |
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de la Puente, MarioLugo Arias, ElkynLondoño Meza, GuillermoPerez Camerano, Camilo2024-06-20T12:54:40Z2024-06-21T07:45:23Z2024-06-20T12:54:40Z2024-06-21T07:45:23Z2024-06-20Este estudio examina el impacto de la telemedicina en las variables de facilidad de programación, limpieza, tiempo de espera, profesionalidad y comunicación en entornos sanitarios rurales. El objetivo principal fue examinar el impacto de la innovación en los servicios de salud y la acreditación ambulatoria hospitalaria en la percepción de la calidad de la atención en Colombia. El sondeo estuvo motivado por la necesidad de analizar los retos sin parangón que afrontan las comunidades en las provincias. Estos retos incluyen el acceso limitado a la atención especializada y las largas distancias de desplazamiento hasta los centros sanitarios. Se realizo una revisión exhaustiva de la literatura para explorar la comprensión existente sobre los servicios tele médicos y sus beneficios potenciales en las zonas provinciales. El examen utilizo un planteamiento de investigación de métodos mixtos, incorporando datos cuantitativos procedentes de encuestas a pacientes y datos cualitativos de entrevistas con profesionales sanitarios. La conclusión principal destaca los beneficios potenciales de la integración de tecnologías de telemedicina y el cumplimiento de las normas de acreditación para mejorar las experiencias y la satisfacción de los pacientes, sobre todo en comunidades rurales desatendidas, con acceso limitado a recursos sanitarios. Estas conclusiones ponen de relieve el potencial de la tecnología de los servicios tele médicos como valioso instrumento para perfeccionar la prestación y el acceso a la atención sanitaria en zonas de provincia. El estudio concluye con un análisis de las implicaciones de estos resultados, así como recomendaciones para los órganos sanitarios.This study examines the impact of telemedicine on the variables of Ease of Scheduling, Cleanliness, Waiting Time, Professionalism, and Communication in rural healthcare settings. The main objective of the study was to examine the impact of innovation in healthcare services and hospital ambulatory accreditation on the perception of quality of care in Colombia. The probe was motivated by the necessity to analyze the unparalleled challenges vied by provincial communities. These challenges include narrow access to specialized attention and lengthy travel distances to healthcare facilities. A comprehensive literature review was conducted to explore the existing comprehension on telemedical services and their potential profits in provincial areas. The examination utilized a mixed-methods research approaches, incorporating quantitative data from patient surveys and qualitative data from interviews with healthcare providers. The main conclusion highlights the potential benefits of integrating telemedicine technologies and adhering to accreditation standards in enhancing patient experiences and satisfaction, particularly in underserved rural communities with limited access to healthcare resources. These conclusions highlight the potential of telemedical services technology as a valuable implement for refining healthcare delivery and access in provincial areas. The examination concludes by discussing the implications of these findings and suggesting recommendations for healthcare organizations and policymakers to integrate telemedicine into provincial healthcare practices effectively.application/pdf10.18601/16578651.n35.062346-21591657-8651https://bdigital.uexternado.edu.co/handle/001/15682https://doi.org/10.18601/16578651.n35.06spaFacultad de Finanzas, Gobierno y Relaciones Internacionaleshttps://revistas.uexternado.edu.co/index.php/opera/article/download/9563/16013Núm. 35 , Año 2024 : Julio-Diciembre1203595OperaAli, M. M., & Ghertner, R. (2023). Broadband access and telemedicine adoption for opioid use disorder treatment in the United States. The Journal of Rural Health, 39(1), 233-239. https://doi.org/10.1111/jrh.12699Andaleeb, S. S. (2001). Service quality perceptions and patient satisfaction: a study of hospitals in a developing country. Social Science & Medicine, 52(9), 1359-1370.Aufa, B. A., Nurfikri, A., Mardiati, W., Sancoko, S., Yuliyanto, H., Nurmansyah, M. I., ... & Koire, I. I. (2023). Feasibility, acceptance and factors related to the implementation of telemedicine in rural areas: A scoping review protocol. Digital Health, 9, 20552076231171236. https://doi.org/10.1177/20552076231171236Batbaatar, E., Dorjdagva, J., Luvsannyam, A., & Amenta, P. (2017). Conceptualisation of patient satisfaction: A systematic narrative literature review. Perspectives in Public Health, 137(5), 243-250.Bilal, W., Qamar, K., Siddiqui, A., Kumar, P., & Essar, M. Y. (2022). Digital health and telemedicine in Pakistan: Improving maternal healthcare. Annals of Medicine and Surgery, 81, 104425. https://doi.org/10.1016/j.amsu.2022.104425Brown, A., Smith, J., & Davis, M. (2020). The impact of telemedicine on chronic disease management in older adults: A systematic review. Journal of Telemedicine and Telecare, 26(4), 189-199.Brunet, N., Moore, D. T., Lendvai Wischik, D., Mattocks, K. M., & Rosen, M. I. (2022). Increasing buprenorphine access for veterans with opioid use disorder in rural clinics using telemedicine. Substance Abuse, 43(1), 39-46. https://doi.org/10.1080/08897077.2020.17284Chen, A., Ayub, M. H., Mishuris, R. G., Rodriguez, J. A., Gwynn, K., Lo, M. C., ... & Schmidt, S. (2023). Telehealth policy, practice, and education: a position statement of the Society of General Internal Medicine. Journal of General Internal Medicine, 1-8. https://doi.org/10.1007/s11606-023-08190-8Chen, L., & Wang, H. (2021). The role of education in patient satisfaction with telemedicine services: A cross-sectional study. BMC Health Services Research, 21(1), 1-10.Chin, B. Z., Nashi, N., Lin, S., Yik, K., Tan, G., & Kagda, F. H. (2022). Telemedicine use in orthopaedics: Experience during the COVID-19 pandemic. Journal of telemedicine and telecare, 28(5), 373-379. https://doi.org/10.1177/1357633X211041011Curtis, S. 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Journal of the American Geriatrics Society, 71(2), 371-382. https://doi.org/10.1111/jgs.18123Mario de la Puente, Elkyn Lugo Arias, Guillermo Londoño Meza, Camilo Perez Camerano - 2024info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.http://creativecommons.org/licenses/by-nc-sa/4.0https://revistas.uexternado.edu.co/index.php/opera/article/view/9563Telemedicine;rural healthcare;patient satisfaction;access to care;healthcare deliverytelemedicina;asistencia sanitaria rural;satisfacción del paciente;acceso a la asistencia;prestación de asistencia sanitariaThe Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural ColombiaThe Influence of Telemedicine Adoption and Facility Accreditation on Patient Satisfaction and Outcomes: A Quasi-Experimental Study in Rural ColombiaArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Textinfo:eu-repo/semantics/articleJournal articlehttp://purl.org/redcol/resource_type/ARTREFinfo:eu-repo/semantics/publishedVersionPublicationOREORE.xmltext/xml2843https://bdigital.uexternado.edu.co/bitstreams/3f87d19c-ef30-4c11-ac79-d0d4b068b07f/downloade2de81e5a56b652a1c8f44b99e6ff35fMD51001/15682oai:bdigital.uexternado.edu.co:001/156822024-06-21 02:45:23.603http://creativecommons.org/licenses/by-nc-sa/4.0Mario de la Puente, Elkyn Lugo Arias, Guillermo Londoño Meza, Camilo Perez Camerano - 2024https://bdigital.uexternado.edu.coUniversidad Externado de Colombiametabiblioteca@metabiblioteca.org |