远程医疗在应对 COVID-19 大流行中的有效性。

Effectiveness of telemedicine in response to the COVID-19 pandemic.

机构信息

Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo - São Paulo (SP), Brazil.

出版信息

Rev Assoc Med Bras (1992). 2021 Oct;67(10):1427-1431. doi: 10.1590/1806-9282.20210611.

DOI:10.1590/1806-9282.20210611

PMID:35018970

Abstract

OBJECTIVE

The aim of this study was to evaluate the utility of the telemedicine care model implemented to treat and guide patients with COVID-19 related symptoms and indicators during the pandemic.

METHODS

This is a retrospective study with data collected from the electronic records of standardized forms for assistance. As a way of evaluating the work performed, the number of consultations, types of referrals, efficiency of care, and patient satisfaction were observed.

RESULTS

Between April 2 and October 15, 2020, 92 professionals attended 3,660 patients by telemedicine; out of them, 523 (14.3%) were referred to a COVID-19 attending room, 128 (3.5%) to other specialties, 123 (3.4%) to a general emergency department, and 2,886 (78.9%) were monitored via home care. Of the total number of patients, 81 (2.2%) were hospitalized, and 13 (0.35%) died.

CONCLUSION

Telemedicine offered useful tools for the care, treatment, and monitoring of patients with COVID-19 during the pandemic. The service was considered by most respondents as satisfactory, resolutive, or safe.

摘要

目的

本研究旨在评估在大流行期间实施的远程医疗护理模式在治疗和指导 COVID-19 相关症状和指标患者方面的效用。

方法

这是一项回顾性研究，数据来自标准化表格的电子记录以辅助收集。作为工作评估的一种方式，观察了咨询次数、转诊类型、护理效率和患者满意度。

结果

2020 年 4 月 2 日至 10 月 15 日，92 名专业人员通过远程医疗为 3660 名患者提供服务；其中 523 名（14.3%）被转诊到 COVID-19 就诊室，128 名（3.5%）转至其他专科，123 名（3.4%）转至普通急诊，2886 名（78.9%）通过家庭护理进行监测。在所有患者中，81 名（2.2%）住院，13 名（0.35%）死亡。