From the Oregon Health & Science University, Portland, OR (AC, HA, NH, KS, EB, EH, CM, FB, KP, DJC, JD); unaffiliated (CS, BS).
J Am Board Fam Med. 2021 Feb;34(Suppl):S170-S178. doi: 10.3122/jabfm.2021.S1.200178.
To respond to the COVID-19 pandemic and recover from its aftermath, primary care teams will face waves of overwhelming demand for information and the need to significantly transform care delivery.
Oregon Health & Science University's primary care team envisioned and implemented the COVID-19 Connected Care Center, a statewide telephone "hotline" service.
The hotline has taken more than 5825 calls from patients in 33 of Oregon's 36 counties in less than 3 months. In preliminary survey data, 86% of patients said their questions were answered during the call, 90% would recommend this service, and 70% reported a reduction in stress levels about coronavirus. In qualitative interviews, patients reported their questions answered, short wait times, nurses spent time as needed, and appropriate follow-up was arranged.
Academic health centers may have the capacity to leverage their extensive resources to rapidly launch a multiphased pandemic response that meets peoples' need for information and access to primary care, while minimizing risk of infection and emergency department use and rapidly supporting primary care teams to make the necessary operational changes to do the same in their communities. Such efforts require external funding in a fee-for-service payment model.
为应对 COVID-19 大流行并从其后续影响中恢复,初级保健团队将面临一波又一波对信息的巨大需求,以及对护理服务进行重大转型的需求。
俄勒冈健康与科学大学的初级保健团队构想并实施了 COVID-19 互联护理中心,这是一个全州范围的电话“热线”服务。
在不到 3 个月的时间里,该热线已接听来自俄勒冈州 36 个县中 33 个县的 5825 多名患者来电。在初步调查数据中,86%的患者表示他们在电话中得到了答复,90%的患者会推荐这项服务,70%的患者报告说他们对冠状病毒的紧张程度有所降低。在定性访谈中,患者报告说他们的问题得到了回答,等待时间短,护士会根据需要花费时间,并且已经安排了适当的后续措施。
学术医疗中心可能有能力利用其广泛的资源,迅速启动多阶段的大流行应对措施,满足人们对信息和初级保健的需求,同时最大限度地降低感染风险和急诊部门的使用,并迅速支持初级保健团队在其社区中进行必要的运营变革。此类工作需要在按服务收费的支付模式下提供外部资金。