Telehealth terhadap Pencegahan Readmisi Rawat Inap Pasien : Tinjauan Sistematis
Telehealth On Preventing Patient Readmissions From Hospitalization : Systematic Review
Abstract
Latar belakang: Readmission merupakan suatu penanda kualitas perawatan pasien di rumah sakit yang diidentifikasi oleh rencana kesehatan yang telah dibuat sebagai kunci dari komponen sebuah pelayanan yang diberikan. Intervensi telehealth menawarkan pendekatan berbasis bukti untuk memberikan perawatan yang hemat biaya, pendidikan, dan komunikasi jarak jauh tepat waktu.
Tujuan: Untuk mengetahui pengaruh telehealth terhadap pencegahan readmisi rawat inap pasien.
Metode: Menggunakan pendekatan meta-analysis dengan pencarian artikel dibeberapa database seperti Google Scholar, ProQuest, dan other sources (websites) Centers for Medicare and Medicaid Services (CMS) berdasarkan kriteria inklusi menggunakan PICO tool terdiri dari pasien rawat inap di Rumah Sakit (RS), follow-up, dan rawat jalan, yang mendapatkan intervensi telehealth dibandingkan dengan mendapatkan perawatan biasa, untuk mengetahui pengaruhnya terhadap readmission rate, dari semua desain studi. Artikel yang digunakan berbahasa Inggris, dipublikasi dalam waktu lima tahun (2018-2023) serta fullpaper dengan memasukkan kata kunci “Telehealth Readmission”, kemudian diseleksi menggunakan diagram alur PRISMA 2020, berdasarkan judul, abstrak, dan hasil. Tahap pemilihan dilakukan dengan sintesis hasil-hasil penelitian melalui pendekatan systematic review.
Hasil: Penelusuran artikel dibeberapa database menghasilkan 24.687 artikel dan setelah dilakukan skrining diperoleh 10 artikel yang sesuai dengan tujuan penelitian.
Kesimpulan: 10 artikel menyatakan bahwa dengan intervensi telehealth angka readmisi dapat diturunkan secara signifikan.
References
Susanto E, Garmelia E. Tinjauan Angka Rawat Ulang Dalam Mendukung Legalitas Perawatan Rumah Sakit di Era JKN. Jurnal Manajemen Informasi Kesehatan Indonesia [Internet]. 2021 Mar 7;9(1):54. Available from: https://jmiki.aptirmik.or.id/index.php/jmiki/article/view/322
Yoga I. Analisis Potensi Readmisi Pasien Jaminan Kesehatan Nasional Rawat Inap dengan Kode Casemix Main Group I di RS DKI Jakarta Tahun 2014 [Tesis]. Universitas Indonesia; 2016.
Atmiroseva A, Nurwahyuni A. Inpatient Readmission Insidence of National Health Insurance Patients at Partner Hospitals of BPJS-Health in Sukabumi 2015. Journal of Indonesian Health Policy and Administration. 2017;2(2):20–4.
Kemenkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor: 659/MENKES/PER/VIII/2019 tentang Rumah Sakit Indonesia Kelas Dunia. 2009.
Hisyam M. Evaluasi Penyebab Perbedaan Length Of Stay, Thirty Days-Hospital Readmission dan Hospital Cost Pada 5 Diagnosa Pasien BPJS Di Ruang Rawat Inap Rumah Sakit Haji Makassar. Universitas Hasanuddin; 2022.
Jackson AH, Fireman E, Feigenbaum P, Neuwirth E, Kipnis P, Bellows J. Manual and automated methods for identifying potentially preventable readmissions: a comparison in a large healthcare system. BMC Med Inform Decis Mak [Internet]. 2014;1 of 5. Available from: http://www.biomedcentral.com/1472-6947/14/28
Laely AJ, Marwati E. Studi Kualitatif?: Penyebab Readmisi Pasien Stroke. Jurnal Perawat Indonesia. 2022;6(3):1–10.
Center for Medicare & Medicaid Services MS. Hospital Readmissions Reduction Program (HRRP) [Internet]. Centers for Medicare & Medicaid Services. 2023 [cited 2023 Mar 12]. Available from: https://www.cms.gov/about-cms/agency-information/omh/research-and-data/health-care-disparities-data/data-highlights
Afridayani M, Khusna L, Siregar K, Wicaksana AL. Literature Review: Peran Telehealth sebagai Upaya Pencegahan Readmisi Pasien dengan Acute Miocard Infark. Jurnal Kesehatan [Internet]. 2020 Dec 8;11(3):483. Available from: http://ejurnal.poltekkes-tjk.ac.id/index.php/JK/article/view/1968
Badan Pusat Statistik. Statistik Indonesia 2023 [Internet]. Vol. 1101001, Badan Pusat Statistik. 2023. Available from: https://www.bps.go.id/publication/2020/04/29/e9011b3155d45d70823c141f/statistik-indonesia-2020.html
Sulastri L, Trisyani Y, Mulyati T. Manfaat Health Education pada Pasien Acute Coronary Syndrome (ACS): Tinjauan Literatur. Journal of Nursing Care. 2020;3(2):100–9.
Davis SM, Jones A, Jaynes ME, Woodrum KN, Canaday M, Allen L, et al. Designing a multifaceted telehealth intervention for a rural population using a model for developing complex interventions in nursing. BMC Nurs [Internet]. 2020 Dec 4;19(1):9. Available from: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-020-0400-9
Dixon P, Hollinghurst S, Ara R, Edwards L, Foster A, Salisbury C. Cost-effectiveness modelling of telehealth for patients with raised cardiovascular disease risk: evidence from a cohort simulation conducted alongside the Healthlines randomised controlled trial. BMJ Open. 2016;6(9):1–8.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ [Internet]. 2021 Mar 29;n71. Available from: https://www.bmj.com/lookup/doi/10.1136/bmj.n71
Martin C, Hinkley N, Stockman K, Campbell D. Capitated Telehealth Coaching Hospital Readmission Service in Australia: Pragmatic Controlled Evaluation. J Med Internet Res [Internet]. 2020 Dec 1;22(12):e18046. Available from: https://www.jmir.org/2020/12/e18046
Ye S, Hiura G, Fleck E, Garcia A, Geleris J, Lee P, et al. Hospital Readmissions After Implementation of a Discharge Care Program for Patients with COVID-19 Illness. J Gen Intern Med [Internet]. 2021 Mar 14;36(3):722–9. Available from: https://link.springer.com/10.1007/s11606-020-06340-w
Bhatt SP, Patel SB, Anderson EM, Baugh D, Givens T, Schumann C, et al. Video Telehealth Pulmonary Rehabilitation Intervention in Chronic Obstructive Pulmonary Disease Reduces 30-Day Readmissions. Am J Respir Crit Care Med [Internet]. 2019 Aug 15;200(4):511–3. Available from: https://www.atsjournals.org/doi/10.1164/rccm.201902-0314LE
Hoppe KK, Thomas N, Zernick M, Zella JB, Havighurst T, Kim K, et al. Telehealth with remote blood pressure monitoring compared with standard care for postpartum hypertension. Am J Obstet Gynecol [Internet]. 2020 Oct;223(4):585–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0002937820305548
Pedretti A, Marquez Fosser S, Pasquinelli R, Vallone M, Plazzotta F, Luna D, et al. Risk of readmission to the emergency department in mild COVID-19 outpatients with telehealth follow-up. Rev Fac Cienc Med Cordoba [Internet]. 2021 Aug 23;78(3):249–56. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/32414
Keeley DW. Deploying Telehealth to Reduce Hospital Readmissions in Rural , Low Income Communities. 2021;
Hilgeman BC, Lamb G. Ambulatory Intensive, Multidisciplinary Telehealth for High-Risk Discharges: Program Development, Implementation, and Early Impact. WMJ. 2023;122(1):26–31.
Bratcher TL. The Role of Telehealth in Reducing Hospital Readmissions for Heart Failure Patients The Role of Telehealth in Reducing Hospital Readmissions for Heart Failure Patients. 2022;
Finlayson K, Chang AM, Courtney MD, Edwards HE, Parker AW, Hamilton K, et al. Transitional care interventions reduce unplanned hospital readmissions in high-risk older adults. BMC Health Serv Res [Internet]. 2018 Dec 12;18(1):956. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3771-9
Van Dyk L. A Review of Telehealth Service Implementation Frameworks. Int J Environ Res Public Health [Internet]. 2014 Jan 23;11(2):1279–98. Available from: http://www.mdpi.com/1660-4601/11/2/1279
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