Harvard Medical School, Boston, Massachusetts (Messrs Akama-Garren, Zinzuwadia, and Bartuska, Ms Shah, and Drs Chu, Kruse, and Cohen); and Massachusetts General Hospital, Boston (Ms Hashimoto and Drs Chu, Kruse, and Cohen).
J Ambul Care Manage. 2021;44(3):197-206. doi: 10.1097/JAC.0000000000000380.
In response to the coronavirus disease-2019 (COVID-19) pandemic, we developed and launched a student-led telemedicine program in Chelsea. From April to November 2020, over 200 student volunteers contacted over 1000 patients to assess COVID-19 symptoms, provide counseling, and triage patients. Through a retrospective cohort study, we determined that student triage decision was associated with patient outcomes, including hospitalization status, COVID-19 test administration, and COVID-19 test result. These results quantify the outcomes of a student-led telemedicine clinic to combat the ongoing pandemic and may serve as a model for implementation of similar clinics to alleviate mounting health care system burden.
针对 2019 冠状病毒病(COVID-19)大流行,我们在切尔西成立并启动了一个由学生主导的远程医疗项目。在 2020 年 4 月至 11 月期间,200 多名学生志愿者联系了 1000 多名患者,以评估 COVID-19 症状、提供咨询,并对患者进行分诊。通过回顾性队列研究,我们确定了学生分诊决策与患者结局相关,包括住院状态、COVID-19 检测实施和 COVID-19 检测结果。这些结果量化了由学生主导的远程医疗诊所对抗持续大流行的效果,可为实施类似诊所以减轻日益增加的医疗系统负担提供借鉴。