Department of General Medicine, The Royal Children's Hospital Melbourne, Parkville, Australia; EMR Project Team, The Royal Children's Hospital Melbourne, Parkville, Australia; Department of Paediatrics, University of Melbourne, Australia; Murdoch Children's Research Institute, Parkville, Australia.
Department of Paediatrics, University of Melbourne, Australia.
Int J Med Inform. 2021 May;149:104407. doi: 10.1016/j.ijmedinf.2021.104407. Epub 2021 Feb 6.
COVID-19 has radically changed the delivery of healthcare in Australia. Central to a tertiary paediatric institution's (The Royal Children's Hospital Melbourne (RCH) response was a digital health approach comprising a broad suite of informatics and technology solutions including optimising a fully integrated electronic medical record (EMR).
This comprehensive approach spanned all patient care areas and encompassed a broad range of hospital operations. They included patient triage, registration, COVID-19 screening clinic operations, electronic ordering, prescribing and documentation, telehealth, reporting and analytics and research.
This paper outlines key aspects of our COVID-19 digital health strategy, highlighting the rapid transition to telehealth and the development of a remote "virtual telehealth" strategy for clinicians which proved popular and allowed true "working from home".
COVID-19 has inadvertently focussed the spotlight on the utility of digital health for clinical care. The speed and uptake of digital health within this pandemic has been remarkable and unprecedented in both an Australian and global setting. Whilst many of these changes have been beneficial, some may have been rushed or forced with minimal consideration of ongoing governance. Key stakeholders and enablers should be identified for post-pandemic consideration in future digital health implementation and adoption strategies.
COVID-19 极大地改变了澳大利亚的医疗保健服务方式。作为一家三级儿科机构（墨尔本皇家儿童医院（RCH））的应对措施的核心，是一种数字健康方法，包括一系列信息学和技术解决方案，包括优化完全集成的电子病历（EMR）。
这种全面的方法涵盖了所有患者护理领域，并包含了广泛的医院运营。它们包括患者分诊、登记、COVID-19 筛查诊所运营、电子订单、处方和文件、远程医疗、报告和分析以及研究。
本文概述了我们 COVID-19 数字健康战略的关键方面，强调了向远程医疗的快速过渡以及为临床医生开发远程“虚拟远程医疗”策略，事实证明这一策略非常受欢迎，并允许真正的“在家工作”。
COVID-19 无意中将焦点集中在数字健康在临床护理中的实用性上。在澳大利亚和全球范围内，这场大流行中数字健康的速度和采用都非常显著，前所未有。虽然这些变化中的许多都有益处，但有些可能是仓促或被迫进行的，而没有考虑到持续的治理。在未来的数字健康实施和采用策略中，应确定关键利益相关者和推动者，以便在大流行后进行考虑。
