Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA; Harvard Affiliated Emergency Medicine Residency Program, Boston, Massachusetts, USA.
Brigham Digital Innovation Hub, Brigham and Women's Hospital, Boston, Massachusetts, USA.
J Pain Symptom Manage. 2020 Oct;60(4):e20-e27. doi: 10.1016/j.jpainsymman.2020.07.016. Epub 2020 Jul 27.
The COVID-19 pandemic has highlighted the essential role of palliative care to support the delivery of compassionate, goal-concordant patient care. We created the Web-based application, PalliCOVID (https://pallicovid.app/), in April 2020 to provide all clinicians with convenient access to palliative care resources and support. PalliCOVID features evidence-based clinical guidelines, educational content, and institutional protocols related to palliative care for COVID-19 patients. It is a publicly available resource accessible from any mobile device or desktop computer that provides clinicians with access to palliative care guidance across a variety of care settings, including the emergency department, hospital ward, intensive care unit, and primary care practice.
The primary objective of this study was to evaluate usage patterns of PalliCOVID to understand user behavior in relation to this palliative care content platform during the period of the local peak of COVID-19 infection in Massachusetts.
We retrospectively analyzed deidentified usage data collected by Google Analytics from the first day of PalliCOVID's launch on April 7, 2020, until May 1, 2020, the time period that encompassed the local peak of the COVID-19 surge in Massachusetts. User access data were collected and summarized by using Google Analytics software that had been integrated into the PalliCOVID Web application.
A total of 2042 users accessed PalliCOVID and viewed 4637 pages from April 7 to May 1, 2020. Users spent an average of 2 minutes and 6 seconds per session. Eighty-one percent of users were first-time visitors, while the remaining 19% were return visitors. Most users accessed PalliCOVID from the United States (87%), with a large proportion of users coming from Boston and the surrounding cities (32% of overall users).
PalliCOVID is one example of a scalable digital health solution that can bring palliative care resources to frontline clinicians. Analysis of PalliCOVID usage patterns has the potential to inform the improvement of the platform to better meet the needs of its user base and guide future dissemination strategies. The quantitative data presented here, although informative about user behavior, should be supplemented with future qualitative research to further define the impact of this tool and extend our ability to deliver clinical care that is compassionate, rational, and well-aligned with patients' values and goals.
COVID-19 大流行凸显了姑息治疗的重要作用，有助于提供富有同情心、符合目标的患者护理。我们于 2020 年 4 月创建了基于网络的应用程序 PalliCOVID（https://pallicovid.app/），旨在为所有临床医生提供方便获取姑息治疗资源和支持的途径。PalliCOVID 具有基于证据的临床指南、教育内容和与 COVID-19 患者姑息治疗相关的机构方案。它是一个公共资源，可从任何移动设备或桌面计算机访问，为临床医生在各种护理环境中提供姑息治疗指导，包括急诊科、病房、重症监护病房和初级保健实践。
本研究的主要目的是评估 PalliCOVID 的使用模式，以了解在马萨诸塞州 COVID-19 感染高峰期期间用户对该姑息治疗内容平台的使用行为。
我们回顾性分析了自 2020 年 4 月 7 日 PalliCOVID 上线第一天至 2020 年 5 月 1 日（马萨诸塞州 COVID-19 疫情高峰期）期间通过 Google Analytics 收集的匿名使用数据。使用已集成到 PalliCOVID 网络应用程序中的 Google Analytics 软件收集和总结用户访问数据。
共有 2042 名用户在 2020 年 4 月 7 日至 5 月 1 日期间访问了 PalliCOVID 并查看了 4637 页内容。用户每次访问的平均时间为 2 分 6 秒。81%的用户是首次访问者，而其余 19%的用户是回访者。大多数用户来自美国（87%），其中很大一部分来自波士顿和周边城市（占总用户的 32%）。
PalliCOVID 是一种可扩展的数字健康解决方案的范例，可以为一线临床医生提供姑息治疗资源。对 PalliCOVID 使用模式的分析有可能为改进该平台提供信息，以更好地满足其用户群的需求，并指导未来的传播策略。虽然此处提供的定量数据提供了有关用户行为的信息，但应补充未来的定性研究，以进一步确定该工具的影响并扩展我们提供富有同情心、合理且与患者价值观和目标相符的临床护理的能力。
