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Position statement of the Czech Society of Rheumatology on remote care and telemedicine


Authors: Z. Dvořák 1;  M. Filková 2;  H. Šmucrová 2;  L. Šenolt 2;  Kolektiv Výboru Črs: Horák P. 3;  K. Pavelka 2;  H. Mann 2;  D. Tegzová 2;  M. Olejárová 2;  L. Bortlík 4;  T. Zitko 5;  E. Dokoupilová 6;  P. Doležalová 7;  S. Macháček 8;  M. Tomčík 2;  Zb. Hrnčíř 9;  J. Vencovský 2
Authors‘ workplace: Revmatologické oddělení EUC Klinika a. s. Nové Město na Moravě 1;  Revmatologický ústav Praha a Revmatologická klinika 1. LF UK, Praha 2;  III. Interní klinika – nefrologická, revmatologická a endokrinologická UP a FN, Olomouc 3;  BORMED, s. r. o., Ostrava 4;  ARTMEDI UPD, Hostivice 5;  MEDICAL PLUS, s. r. o, Uherské Hradiště 6;  KDDL, IVFN a 1. LF UK, Praha 7;  Revmatologie, Praha 8;  II. interní gastroenterologická klinika FN a LF UK, Hradec Králové 9
Published in: Čes. Revmatol., 32, 2024, No. 4, p. 132-139.
Category: Recomendation

Overview

Telemedicine involves the remote transmission of medical information between a patient and a physician using telecommunication and information technologies. Through bidirectional video, emails, smartphones, and other wireless communication tools, a patient’s health status is assessed, and remote healthcare is provided. Telemedicine and remote care expand access to necessary medical services, which proved crucial during the COVID-19 pandemic. The pandemic led to a rapid development of telemedicine and remote care, as traditional in-person care was significantly limited. The Czech Society of Rheumatology has decided to issue its own position statement on remote care and telemedicine in rheumatology, considering the standpoint of international organizations while also reflecting the specific situation in the Czech Republic. The Czech Society of Rheumatology views telemedicine and remote care as a suitable complement to face-to-face care, particularly for patients in a stable medical condition or for monitoring the safety of new treatments. Telemedicine can enhance the efficiency of triage, thereby expediting diagnosis. Additionally, it may help improve the accessibility and quality of rheumatologic care. However, the Czech Society of Rheumatology acknowledges that remote care imposes greater demands on providers’ technical equipment and expertise. Therefore, it advocates for the implementation of adequately reimbursed billing codes for remote consultations.

Keywords:

triage – Telemedicine – distance care – face-to-face care – Czech Society of Rheumatology


Sources

1. WHO. A health telematics policy in support of WHO’s Health-for-all strategy for global health development: report of the WHO Group Consultation on Health Telematics, 11–16 December, Geneva 1997. Geneva: World Health Organization 1998 [online]. Dostupné z: https://apps.who.int/iris/handle/10665/63857

2. WHO. Global strategy on digital health 2020–2025. Geneva: World Health Organization, 2021 [online]. Dostupné z: https://www.who.int/publications/i/item/9789240020924

3. 2022 EULAR points to consider for remote care in rheumatic and musculoskeletal diseases, de Thurah A, et al. Ann Rheum Dis. 2022; 81: 1065–1071. 

4. ACR Releases Position Statement on Telemedicine ACR NEWS, JUNE 29, 2020. 

5. APLAR recommendations on the practice of telemedicine in rheumatology. Int J Rheum Dis. 2022; 25(3): 247–258. 

6. Národní zdravotnický informací systém, Ústav zdravotnických informací a statistiky ČR [online]. Dostupné z: https://www.uzis.cz/index.php?pg=nzis

7. eMeDocS: elektronická výměna zdravotnické dokumentace v Kraji Vysočina je IT projektem roku 2011, ICZ a.s. [online]. Dostupné z: https://www.itpoint.cz/icz/?i=emedocs-elektronicka-
vymena-zdravotnicke-dokumentace-v-kraji-vysocina-je-it-pro
jektem-roku-2011-7842

8. Sviták R. Jak využíváme Emergency Card při výjezdech ZZS Plzeňského kraje, naše úvodní zkušenosti, Zdravotnická záchranná služba Plzeňského kraje [online]. Dostupné z: https://www.zzspk.cz/aktualne-2014/103-jak-vyuzivame-emergency-card-pri-vyjezdech-zzs-plzenskeho-kraje-nase-uvodni-zkusenosti.html

9. STAPRO [online]. Dostupné z: https://www.stapro.cz

10. CompuGroup Medical Česká republika s.r.o. [online]. Dostupné z: https://www.cgm.com/cze_cz/o-nas/kontakty.html

11. MEDEVIO [online]. Dostupné z: https://www.medevio.cz/o-nas

12. ALIANCE PRO TELEMEDICÍNU, digitalizaci zdravotnictví a sociál-
ních služeb [online]. Dostupné z: https://www.atdz.cz

13. Memoranda a dokumenty, ALIANCE PRO TELEMEDICÍNU, digitalizaci zdravotnictví a sociálních služeb [online]. Dostupné z: https://www.atdz.cz/memoranda?action=default

14. Národní strategie elektronického zdravotnictví na období 2016–2020. Ministerstvo zdravotnictví České republiky [online]. Dostupné z: https://mzd.gov.cz/narodni-strategie-elektronickeho-zdravotnictvi-na-obdobi-2016-2020/

15. Zpráva o průběhu realizaci Strategického rámce rozvoje péče o zdraví v ČR do roku 2030 (Zdraví 2030), Ministerstvo zdravotnictví České republiky [online]. Dostupné z: https://mzd.gov.cz/wp-content/uploads/2023/08/Zprava-o-prubehu-realizace-Zdravi-2030_po-VPR_pro-eKLEP.pdf

16. Seznam zdravotních výkonů. Ministerstvo zdravotnictví České republiky [online]. Dostupné z: https://szv.mzcr.cz

17. Nash P. Telemedicine and rheumatology. Joint Bone Spine 2022; 89(6): 105439. 

18. Pincus T, et al. RAPID3-an index of physical function, pain, and global status as „vital signs“ to improve care for people with chronic rheumatic diseases: Bull NYU Hosp Jt Dos. 2009; 67(2): 211–225. 

19. Pincus T, et al. RAPID3 (Routine Assessment of Patient Index Data) on an MDHAQ (Multidimensional Health Assessment Questionnaire): agreement with DAS28 (Disease Activity Score) and CDAI (Clinical Disease Activity Index) activity categories, scored in five versus more than ninety seconds. Arthritis Care Res. (Hoboken) 2010; 62: 181. 

20. Shaffu S, et al. Self-assessment of 28-joint disease activity scores by patients with rheumatoid arthritis on anti-TNF therapy. Rheumatology (Oxford) 2013; 52(3): 576–578. 

21. Gossec L, et al. Is the self-assessment of disease activity
(auto-DAS28) by patients a feasible and acceptable measure over the long term in rheumatoid arthritis (RA)? Three-year follow-up of a nurse-led program in 771 patients with established RA. Arthritis Rheumatol 2016; 68(Suppl 10): Abstract No 1410. 

22. Barlas N, Barlas SB, Basnyat S, Afdalier E. Telemedicine in rheumatoid arthritis: A review of PubMed literature. Mediterr
J Rheumatol. 2023; 34(1): 16–23. 

23. Avouac J, Marotte H, Balsa A, et al. Teleconsultation in rheumatology: A literature review and opinion paper. Semin. Arthr Rheum. 2023; 63: 152271. 

24. Dejaco Ch, Landewé RBM. Controversies in rheumatology: telemedicine – friend or foe? Rheumatology (Oxford) 2023; 62(8): 2661–2664. 

25. Spinelli FR, Govoni M, Iannone F, et al. Telemedicine for rheumatological consultation: the new semeiotics for rheumatic examination. Clin Exp Rheumatol. 2023; 41(5): 993–996. 

26. Gottlieb AB, Wells AF, Merola JF. Telemedicine and psoriatic arthritis: best practices and considerations for dermatologists and rheumatologists. Clin Rheumatol. 2022; 41(5): 1271–1283. 

27. Berg IJ, Tveter AT, Bakland G, et al. Follow-up of patients with axial spondyloarthritis in specialist health care with remote monitoring and self-monitoring compared with rebular face-to-face follow-up visits (theReMonit Study): Protokol for a randomized, controlled open-label noniferiority trial. JMIR Res Protoc. 2023; 12: e52872. 

28. Thomassen EEK, Berg IJ, Kristianslund EK, et al. Patients with axial spondyloarthritis reported willingness to use remote care and showed high adherence to electronic patient-reported outcome measures: an 18-month observational study. Rheumatol Int. 2024; 44(10): 2089–2098.

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Dermatology & STDs Paediatric rheumatology Rheumatology
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