La pandemia de COVID-19 ha planteado un desafío mundial a los sistemas de la salud, requiriendo de soluciones innovadoras que permitan optimizar la respuesta ante esta contingencia. A nivel mundial se han utilizado diversos métodos para controlar la propagación del virus; como el aislamiento social, las medidas extremas de cuarentena y la localización de los casos de contacto. Sin embargo, es posible que esas medidas no sean plenamente eficaces para combatir la progresión del COVID-19, lo que constituye un reto para el sistema de salud nacional.
Para hacer frente a esta pandemia en el Estado de Baja California, se integró un equipo multidisciplinario con la colaboración y cooperación de diferentes Instituciones liderado por el Dr. Carlos Vera, la Dra. Amellayi Mendias y la Dra. Cristián Castillo-Olea. La Facultad de Medicina y Psicología de la Universidad Autónoma de Baja California puso a disposición sus estudiantes, médicos internos y pasantes, la Secretaria de Salud sus recursos organizativos, además el Centro de Control Comando, Comunicación y Computo de la Fiscalía General del Estado de Baja California (C4) sus instalaciones y equipo, los colegios de médicos, psicólogos y enfermeras su personal voluntario. La población en general accede a este apoyo marcando el número de emergencia 911 y dependiendo de su llamada se deriva la profesional de salud correspondiente, ya sean médicos, psicólogos o del área de nutrición. Los objetivos de esta iniciativa son proporcionar información sobre el COVID-19, dar seguimiento diario a los pacientes en cuarentena domiciliaria y sus contactos, identificar las emergencias reales canalizándolas a las clínicas correspondientes o enviando una ambulancia. Esto permite descongestionar la línea 911, las ambulancias y los hospitales; así como disminuir el riesgo de exposición, no sólo a profesionales de la salud, sino también a la población en general.
En el período comprendido del 1 de abril al 28 de agosto de 2020, el Sistema de Telesalud COVID-19 ha recibido 8,293 llamadas canalizadas desde el sistema de emergencias 911, desde el cual se han enviado 5,883 ambulancias. Los voluntarios del MPSS, MIP y el psicólogo hicieron 16,035 llamadas de seguimiento de pacientes en cuarentena, dando orientación médica o psicológica. Todo esto ha acumulado 9,759 horas de trabajo y un ahorro económico estimado de $5,753,000 pesos mexicanos. El Sistema de Telesalud COVID-19 ha demostrado un nivel de atención sin precedentes a los ciudadanos de Baja California en respuesta a la pandemia de coronavirus. Se creó y desplegó rápidamente un sistema superior de respuesta de Telesalud utilizando recursos gubernamentales, académicos, del sector privado y de voluntarios. La Telesalud ofrece capacidades para la detección, cuidado y tratamiento a distancia; adicionalmente ayuda a la supervisión, vigilancia, detección, prevención y mitigación de los efectos directos e indirectos del COVID-19. También ayuda a prevenir la sobresaturación en las instituciones de salud; por lo que es una gran herramienta para mejorar el tratamiento recibido por los pacientes con COVID-19.
Dra. Cristián Castillo Olea
Docente-Investigadora en la Facultad de Medicina y Psicología en la Universidad Autónoma de Baja California.
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