encuentros

Telemedicine in an Apurímac implementing unit from the perspective of healthcare providers: A response to primary care

Authors
  • Sonia Utani Damian

    Universidad Tecnológica de los Andes, Abancay, Apurímac, Perú.
  • Jesus Ramon Arteaga Pinazo

    Universidad Tecnológica de los Andes, Abancay, Apurímac, Perú.
  • Christian David Corrales Otazú

    Universidad Continental, Perú.
  • Giuliana del Socorro Raggio Ramírez

    Universidad Nacional Mayor de San Marcos, Perú.
Keywords:
Primary Attention, Telemedicine, Teleworking, Pandemics.
Abstract

Health policies and proposals on preventive and community-based health care (PCHC) seem to be stagnating somewhat in Latin America. Telemedicine and teleworking, experienced in the recent pandemic context, however, seem to open up possibilities for strategies to enhance PCHC, especially in rural contexts, which are road- and geographically complex. This article reviews the problems facing the advancement of PCHC and contrasts them with the evidence, at the perceptual level, of telemedicine in an executing unit in Apurímac, a rural, indigenous and mestizo territory, with rugged mountainous relief in Peru. The qualitative approach was privileged on thematic patterns of conversations focused on operators and some patients. The results indicate that health teleworkers see unprecedented potential in telemedicine, above all, to re-empower and reflect on the possibilities of PCHC.

References

Aguirre Martens (2023). Salud en el Perú: De la cobertura en papel a la cobertura real. Publicado en América Latina y el Caribe. Banco Mundial. https://blogs.worldbank.org/es/latinamerica/cobertura-salud-peru

Bashshur, R., Shannon, G., Krupinski, E., & Grigsby, J. (2011). The taxonomy of telemedicine. Telemedicine Journal and E-Health, 17(6), 484-494.

Bashshur, R., Shannon, G., Smith, B., Alverson, D., Antoniotti, N., Barsan, W. & Weinstein, R. S. (2014). The empirical foundations of telemedicine interventions for chronic disease management. Telemedicine and e-Health, 20(9), 769–800. https://doi.org/10.1089/tmj.2014.9981

Brand, L., Hidalgo, L., Diez-Canseco, F., Araya, R., Mohr, D., Menezes, P., y Miranda, J. (2019). Addressing Depression Comorbid with Diabetes or Hypertension in Resource-Poor Settings: A Qualitative Study About User Perception of a Nurse-Supported Smartphone App in Peru. JMIR Publications - Advancing Digital Health and Open Science, 6(6), e11701. doi:10.2196/11701

Bruzos, E., Lumbreras, S., Buscemi, V., y Barber´a, V. (2022). Cancer patient´s experience during the COVID-19 pandemic and their satisfaction with telehealth. Psicooncología, 19(1), 27-43.

Castaño, A., García, C., y Medina, L. (2022). La Telemedicina como una estrategia de innovación en la alta gerencia en el sector Salud en Colombia. Fundacion Universitaria del Area Andina.

Chellaiyan, V., Nirupama, A., y Taneja, N. (2019). Telemedicine in India: Where do we stand? J Family Med Prim Care, 8(6), 1872-1876.

Colucci, M. (2015). Communication technologies through an etymological lens: looking for a classification, reflections about health, medicine and care. Med Health Care Philos, 18(4), 601–6. https://doi.org/10.1007/s11019-015-9657-2

Correa, A., y Guzmán, F. (2019). Telemedicine in Colombia. Moral and Legal Reality. Revista Científica Hermes, 25, 566-585.

Curioso, W. H., y Galán-Rodas, E. (2020). El rol de la telesalud en la lucha contra el COVID-19 y la evolución del marco normativo peruano. Acta Médica Peruana, 37(3): 366-375, jul-sep 2020. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1142025

De Almeida, S., Marabujo, T., y Do Carmo, M. (2021). Telemedicine satisfaction of primary care patients during COVID-19 pandemics. Medicina de familia. SEMERGEN, 47(4), 248-255.

De Arteche, M., Welsh, S., Santucci, M., y Carrillo, E. (2020). Telemedicina en Latinoamérica: caso Argentina, Bolivia y Colombia. Revista Venezolana de Gerencia, 25(91), 955-975.

Egoavil, M. S., Condor, D. F., Pinazo-Vidal, M. A., Quezada, J. M., Fazio, B. M., Bueno, J. C., y ez-Lu, J. E. (2017). Qualitative Study for the Development of a Telemedicine System in Palliative Care. Palliative Medicine and Hospice Care, 3(2), 14 - 21. doi: http://dx.doi.org/10.17140/PMHCOJ-3-122

Frydenrejn-Funderskov, K., Boe-Dnbjörg, D., Jess, M., Munk, L., Olsen-Swisler, A., y Dieperink, K. (2019). Telemedicine in specialised palliative care: Healthcare professionals' and their perspectives on video consultations - A qualitative study. The International Voice of Nursing Research, Theory and Practice, 36(9), 789 - 794. doi:https://doi.org/10.1111/jocn.15004

Galiero, R., Pafundi, P. C., Nevola, R., Rinaldi, L., Acierno, C., Caturano, A.,(...) & Salvatore, T. (2020). The Importance of Telemedicine during COVID-19 Pandemic: A Focus on Diabetic Retinopathy. J Diabetes Res, 2020, 1–8. https://doi.org/10.1155/2020/9036847

Gnittari, G., Khuman, R., Baldoni, S., Pallota, G., Battineneni, G., Sirignano, A., Amenta, F., y Ricci, G. (2019). Telemedicine Practice: Review of the Current Ethical and Legal Challenges. Review, 26(12), 1427- 1437.

Gómez, J., G., Rodr´ıguez, A., Loeb, S., Yueng, T., Ribal, M., Bloemberg, C., Ndow, J., Poppel, H., Gonzales, J., Esteban, M., y Rodríguez, M. (2020). Telemedicine and smart working: Spanish adaptation of the European Association of Urology recommendations. Actas Urol Esp, 44(10), 644- 652.

Gómez, T., Anaya, Y., Shih, K., y Tarn, D. (2021). A Qualitative Study of Primary Care Physicians’ Experiences with Telemedicine During COVID-19. Journal of the American Board of Family Medicine, 34(Supplement), S61 - S70. doi: 10.3122/jabfm.2021.S1.200517

Jessop, R. (2008). El Futuro del Estado Capitalista. Madrid: Editorial Catarata

Martín Zurro, A., Cano Pérez, J, Gené Badia, J. (2019). Atención primaria. Principios, organización y métodos Medicina de Familia. Barcelona: Elsevier.

Martínez, M., Bal, M., Santos, F., Ares, R., Suárez, R., Rodríguez, A., Pérez, A., y Casariego, E. (2020). Monitoring of CODID-19 patients by Telemedicine with telemonitoring. Revista Clínica Española, 220(8), 501-502.

Naciones Unidas (1985). El desarrollo de la Seguridad Social en America Latina. CEPAL. Santiago de Chile. https://repositorio.cepal.org/server/api/core/bitstreams/a62dc52d-e8ce-4d51-955e-8aca1a2ce6e7/content

Nochomovitz, M., & Sharma, R. (2018). Is It Time for a New Medical Specialty?: The Medical Virtualist. JAMA, 319(5), 437-438. https://doi.org/10.1001/jama.2017.17094

Organización Panamericana de la Salud (OPS). (2016). Marco de implementación de un Servicio de Telemedicina. Washington, D.C.: OPS.

Pascual, B., Palou, M., Márquez, C., y García, M. (2019). Effectiveness of interventions based on Telemedicine on health outcomes in patients with multimorbidity un Primary Care: A systematic review. Atención Primaria, 52(10), 759-769

Rolston, D., & Meltzer, J. (2015). Telemedicine i the Intensive Care Unit: Its Role in Emergencies and Disaster Management. Crit Care Clin, 31(2), 239–55. https://doi.org/10.1016/j.ccc.2014.12.004

San Martin, V., Caballero, A., Coronel, E. S., Larán, V., & Calderoli, F. (2021, December 30). Evaluation of the patient’s satisfaction in smoking cessation through the use of telemedicine in the Chair and Department of Pneumology of the Hospital de Clínicas. Anales de la Facultad de Ciencias Médicas (Asunción), 54(3), 61–66. https://doi.org/10.18004/anales/2021.054.03.61

Sharma, R., Nachum, S., Davidson, K. W., & Nochomovitz, M. (2019). It's Not Just FaceTime: Core Competencies for the Medical Virtualist. International Journal of Emergency Medicine, 12(1), 8. https://doi.org/10.1186/s12245-019-0226-y

Sigeris, H. (2006). Johann Peter Frank: Un Pionero de la Medicina Social. Salud colectiva, 2(3), 269-279. https://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1851-82652006000300005&lng=es&tlng=es.

Stolik, O., J´auregui, C., y Galeano, L. (2019). Telemedicina: Servicios de Salud y TIC. Revista Cubana de Economía Internacional, 6(2), 60-81

Tuckson, R. V., Edmunds, M., & Hodgkins, M. L. (2017). Telehealth. New England Journal of Medicine, 377(16), 1585-1592.

Wilcamango-Ríos, D., Castillo-Narváez, G., Mamani-Urrutia, V., Inga-Berrospi, F., & Revilla-Velásquez, M. E. (2022, October 26). Usabilidad del proceso de atención de salud virtual en el período de cuarentena en los meses de mayo a julio de 2020 por COVID-19 en el Instituto Nacional de Salud del Niño de Perú. Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo, 15(3), 342–348. https://doi.org/10.18004/anales/2021.054.03.61

World Health Organization (WHO). (1998). Report of the WHO group consultation on health telematics. Geneva: WHO.

Cover Image
Downloads
Published
2025-06-22
Section
Investigación
License

Copyright (c) 2025 Encuentros. Revista de Ciencias Humanas, Teoría Social y Pensamiento Crítico

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

How to Cite

Telemedicine in an Apurímac implementing unit from the perspective of healthcare providers: A response to primary care. (2025). Encuentros. Revista De Ciencias Humanas, Teoría Social Y Pensamiento Crítico, 24 (mayo-agosto), 337-352. https://doi.org/10.5281/zenodo.15460829

Similar Articles

1-10 of 37

You may also start an advanced similarity search for this article.