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Evaluation of a Telehealth Program for High-Risk Pregnancy in a Health Service Provider Institution

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Abstract:

eHealth offers a solution to current challenges in maternal health. Telemonitoring can rethink antenatal care, achieving more personalized medicine, especially in high-obstetric risk conditions. A home care model mediated by the development of a mobile and web application that seeks support in clinical decision-making was created in our institution. The software architecture consists of an information system (HCIS, Health Care Information System), a database, an authentication server, and an interoperability bus. The usability of the software was assessed using the CSUQ version 3, as well as the satisfaction of the care model designed through a survey in a prospective observational study in 62 patients with a high-risk pregnancy. Participants were monitored in real-time through blood glucose, blood pressure, and weight measurements, and attended telemedicine appointments with an obstetrician from admission to six weeks postpartum. The CSUQ results show a good acceptance of the use of the application both in the global score and the different domains. Satisfaction results with the program are high in general and by domain. The findings of this study provide some suggestions for the implementation of a technological development and a care model from the patient's perspective.

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Telemedicine and Telehealth Implementation

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