A Building Blocks Approach to Implementing a Telehealth Clinic Model to Improve Primary Care Access in the Philippines: A Large-scale Pilot Project

Authors

  • Annalicia Pickering, MD Stanford University School of Medicine, California, United States
  • Wardah Rafaqat, MD Division of Trauma, Emergency General Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, Massachusetts, USA
  • Adi Balk Faculty of Health Sciences, Ben Gurion University of the Negev, Negev, Israel https://orcid.org/0000-0002-3279-8884
  • Milton Chen VSee Lab, San Jose, California https://orcid.org/0009-0008-4528-1631
  • Limuel Abrogena, MD Ateneo de Manila University School of Medicine and Public Health, Manila, Philippines
  • Shuhan He Division of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA https://orcid.org/0000-0002-9902-5077
  • Mary Showstark Yale University Physician Assistant Online Program, Affiliate Faculty Yale Institute of Global Health, New Haven, Connecticut, United States
  • Alexander Davis Lynbrook Highschool, San Jose, California, USA https://orcid.org/0009-0001-8960-1798
  • Aidan Chen Los Gatos Highschool, Los Gatos, California, USA https://orcid.org/0009-0002-6957-2122
  • Jarone Lee Division of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA https://orcid.org/0000-0002-4532-8523

DOI:

https://doi.org/10.30953/thmt.v9.456

Keywords:

digital, equitable access, low- and middle-income countries, Philippines, primary care, telecare, telehealth, telehealth clinic

Abstract

A limited number of healthcare workers and cost constraints limit primary care access in the Philippines. To test telehealth as a low-cost and effective solution, a large-scale digital health clinic was implemented in the selected urban and rural communities. In collaboration with local authorities, our pilot telemedicine clinic was implemented for 3 days in January 2023. Patients were registered and their vitals were assessed before they were seen by a remote United States-based licensed physician who provided recommendations for treatment. Medical devices with real-time streaming capabilities, such as electronic stethoscopes, were utilized to enhance remote examinations. A total of 322 patients were treated at the telehealth clinic, of which 218 completed a population health survey. A large proportion of patients had a doctor visit more than 12 months prior (39.2%) and had not received a dental examination (86.3%) or an eye examination within the past year (84.4%). Most patients had access to a smartphone (69.7%). A lower proportion had access to an internet connection that was sufficient for video calls (57.9%) or a laptop (8.5%). Our clinic demonstrated that telehealth is a feasible solution to improve primary care access for disadvantaged communities in the Philippines.

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Published

2024-02-28

How to Cite

Pickering, MD, A., Rafaqat, MD, W., Balk, A., Chen, M., Abrogena, MD, L., He, S., Showstark, M., Davis, A., Chen, A., & Lee, J. (2024). A Building Blocks Approach to Implementing a Telehealth Clinic Model to Improve Primary Care Access in the Philippines: A Large-scale Pilot Project. Telehealth and Medicine Today, 9(1). https://doi.org/10.30953/thmt.v9.456

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