Bindra Vimee
Apollo Hospitals, Hyderabad, India.
J Obstet Gynaecol India. 2020 Aug;70(4):279-282. doi: 10.1007/s13224-020-01346-0. Epub 2020 Jul 16.
BACKGROUND/PURPOSE OF STUDY: In view of restrictions on patients because of COVID-19 pandemic, face-to-face consultations are difficult. This short commentary tells us about the feasibility of telemedicine in this scenario in obstetrics and gynaecology.
The database from our teleconsultation application (Apollo 247 and Askapollo) was analysed to assess feasibility of telemedicine and to design a triage pathway to reduce hospital visits for non-emergency situations and also to identify emergency cases without delay during this lockdown phase. Existing guidelines by Ministry of Health and Family Welfare (MOHFW), Government of India, were accessed.
This was a single-doctor experience of 375 consultations done over 65 days. We also designed a triage pathway for obstetrics and gynaecology cases, and we discussed general practice for obstetricians and gynaecologists with its utility and limitations.
Telemedicine has provided us the opportunity to manage women health problems and pregnancy concerns during this pandemic of COVID-19, except a few instances where face-to-face consultation or hospital visit is must. If we implement the triage pathway, we can minimize the risk of exposure for both patients and healthcare teams during COVID-19 pandemic.
研究背景/目的:鉴于新冠疫情对患者造成的限制,面对面咨询变得困难。这篇简短评论介绍了在这种情况下妇产科远程医疗的可行性。
分析我们远程会诊应用程序(阿波罗247和Askapollo)的数据库,以评估远程医疗的可行性,并设计一种分诊途径,以减少非紧急情况的医院就诊次数,同时在此次封锁阶段及时识别紧急病例。查阅了印度政府卫生和家庭福利部(MOHFW)的现有指南。
这是一位医生在65天内进行375次会诊的个人经验。我们还为妇产科病例设计了一种分诊途径,并讨论了妇产科医生的一般做法及其效用和局限性。
在新冠疫情期间,远程医疗为我们提供了管理女性健康问题和妊娠相关问题的机会,除了少数必须进行面对面咨询或医院就诊的情况。如果我们实施分诊途径,在新冠疫情期间,我们可以将患者和医护团队的暴露风险降至最低。