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Health care in rural areas: proposal of a new telemedicine program assisted from the reference health centers, for a sustainable digitization and its contribution to the carbon footprint reduction

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Health care in rural areas: proposal of a new telemedicine program assisted from the reference health centers, for a sustainable digitization and its contribution to the carbon footprint reduction

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dc.contributor.author Moncho-Santonja, María es_ES
dc.contributor.author Aparisi-Navarro, Silvia es_ES
dc.contributor.author Defez Garcia, Beatriz es_ES
dc.contributor.author Davol, Andrew es_ES
dc.contributor.author Peris Fajarnes, Guillermo es_ES
dc.date.accessioned 2022-12-28T19:00:50Z
dc.date.available 2022-12-28T19:00:50Z
dc.date.issued 2022-07 es_ES
dc.identifier.uri http://hdl.handle.net/10251/190977
dc.description.abstract [EN] Introduction This paper studies and quantifies the environmental benefits of implementing a new telemedicine service for users of the public health system in a rural area of Alicante (Spain). The proposed telemedicine service is based on carrying out 20% of the follow-on consultations with a specialist virtually from the Reference Health Centres with the support of qualified staff. This way of providing medical care remotely will be a good transition to fully online medical services, especially for the elderly. The proposed model avoids the displacement of users to the Alcoy Hospital, reducing the distances to be travelled, which will be directly reflected in a reduction of the emission of pollutants (carbon footprint) generated by patients' vehicles. Methods Data from the Alcoy Health Department were used for 2019, the last year of normal activity of the health centres before Covid-19. Using data from the Department's health management report and the emission factors of the vehicles, we calculated the distances, hours, litres of fuel saved, as well as the tonnes of CO2 equivalent, CO2, CH4 and N2O. Results With the implementation of this type of telemedicine, journeys would be avoided, saving 447,279 km, 7,580 h and 38,019 L of fuel. The emission into the atmosphere of 79.26 metric tons of CO2, 74.5 kg of CH4 and 487.28 kg of N2O per year would be avoided. Conclusions The implementation of this telemedicine service contributes to a high degree to: (a) increasing the environmental sustainability of the rural health sector thanks to the reduction of traffic emissions (saving 9% of pollutants compared to the current system), (b) decongesting the health system by reducing face-to-face visits to specialists, (c) increasing the quality of life of patients by avoiding road travel (d) promoting the digitalisation of the rural population. es_ES
dc.description.sponsorship Silvia Aparisi-Navarro was supported by Universitat Politecnica de Valencia [PAID-01-2020]. Maria Moncho-Santonja was supported by Conselleria d'Educacio, Investigacio, Cultura i Esport [ACIF-20]. es_ES
dc.language Inglés es_ES
dc.publisher Elsevier es_ES
dc.relation.ispartof Heliyon es_ES
dc.rights Reconocimiento (by) es_ES
dc.subject Rural telemedicine es_ES
dc.subject Pollutants es_ES
dc.subject Sustainable digitization es_ES
dc.subject Carbon footprint es_ES
dc.subject Atmospheric emissions es_ES
dc.subject.classification EXPRESION GRAFICA EN LA INGENIERIA es_ES
dc.title Health care in rural areas: proposal of a new telemedicine program assisted from the reference health centers, for a sustainable digitization and its contribution to the carbon footprint reduction es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1016/j.heliyon.2022.e09812 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/UPV//PAID-01-2020/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/GVA//ACIF%2F2020/ es_ES
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Escuela Técnica Superior de Ingeniería Geodésica, Cartográfica y Topográfica - Escola Tècnica Superior d'Enginyeria Geodèsica, Cartogràfica i Topogràfica es_ES
dc.contributor.affiliation Universitat Politècnica de València. Centro de Investigación en Tecnologías Gráficas - Centre d'Investigació en Tecnologies Gràfiques es_ES
dc.contributor.affiliation Universitat Politècnica de València. Escuela Técnica Superior de Ingeniería del Diseño - Escola Tècnica Superior d'Enginyeria del Disseny es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Organización de Empresas - Departament d'Organització d'Empreses es_ES
dc.description.bibliographicCitation Moncho-Santonja, M.; Aparisi-Navarro, S.; Defez Garcia, B.; Davol, A.; Peris Fajarnes, G. (2022). Health care in rural areas: proposal of a new telemedicine program assisted from the reference health centers, for a sustainable digitization and its contribution to the carbon footprint reduction. Heliyon. 8(7):1-6. https://doi.org/10.1016/j.heliyon.2022.e09812 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.1016/j.heliyon.2022.e09812 es_ES
dc.description.upvformatpinicio 1 es_ES
dc.description.upvformatpfin 6 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 8 es_ES
dc.description.issue 7 es_ES
dc.identifier.eissn 2405-8440 es_ES
dc.identifier.pmid 35800252 es_ES
dc.identifier.pmcid PMC9254526 es_ES
dc.relation.pasarela S\470730 es_ES
dc.contributor.funder Generalitat Valenciana es_ES
dc.contributor.funder Universitat Politècnica de València es_ES
dc.subject.ods 03.- Garantizar una vida saludable y promover el bienestar para todos y todas en todas las edades es_ES
dc.subject.ods 11.- Conseguir que las ciudades y los asentamientos humanos sean inclusivos, seguros, resilientes y sostenibles es_ES
upv.costeAPC 1862,19 es_ES


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