Recommendations on the use of telemedicine as applied to nutritional pathology.

Ángel Luis Abad González, Miguel Civera Andrés, María Argente Pla, Katherine García Malpartida, Josefina Olivares Alcolea, José Ramón Domínguez Escribano, Mercedes Ferrer Gómez, Margarita González Boillos, Elena Hervás Abad, Guillermo Iván Negueruela Avella, Juan Ramón Urgelés Planella, Silvia Veses Martín, Carlos Sánchez Juan

telemedicine can improve the standards of clinical care and use of resources. The COVID-19 pandemic has required its implementation in routine practice. For this reason, a group of endocrinologists from Valencia, Murcia and the Balearic Islands created a committee for its development. to establish recommendations in order to improve the quality of consultation in nutritional disorders, and to create indicators for its management. the Delphi methodology was followed with the participation of 13 professionals in order to reach the widest consensus. A 16-item questionnaire was distributed within 3 rounds: in the first round, the degree of consensus was established; in the second round, the participants responded to the posed questions after having access to the first-round results. Agreement was considered if ≥ 75 % participants reached consensus, while strong agreement was considered if consensus was reached by ≥ 90 %. In addition, quality indicators were established. In a third round, these indicators were developed. after 3 rounds and a revision 5 recommendations with strong agreement were established based on organizational aspects. Regarding administrative aspects, 6 recommendations with strong agreement were established while 4 recommendations reached the level of agreement. Eight quality indicators were selected and developed. this document compiles a list of recommendations about needs and requirements to be taken into account for a quality telematic consultation in patients with nutritional disorders. In addition, health care quality indicators have been created and developed.