Vuong Lan N, Huynh Nghia, Ngo Dat Q, Nguyen Vinh N, Duong Khoa D, Tran Nguyen N, Le Truyen P, Nguyen Nghia A, Doan Thao T P, Pham Duy L, Trinh Tu H K, Vu Quan T T, Nguyen Phong H, Tran Tuan D
University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Front Artif Intell. 2022 Apr 4;5:831841. doi: 10.3389/frai.2022.831841. eCollection 2022.
In response to a call for help during a surge in coronavirus disease-19 (COVID-19) cases in Ho Chi Minh City in July 2021, the University of Medicine and Pharmacy at Ho Chi Minh City developed and implemented a community care model for the management of patients with COVID-19. This was based on three main principles: home care; providing monitoring and care at a distance; and providing timely emergency care if needed. One team supported patients at home with frequent contacts and remote monitoring, while a second team transferred and cared for patients requiring treatment at field emergency care facilities. COVID-19-related mortality rates at the two districts where this approach was implemented (0.43% and 0.57%) were substantially lower than the overall rate in Ho Chi Minh City over the same period (4.95%). Thus, utilization of a community care model can increase the number of patients with COVID-19 who can be effectively managed from home, and use of field emergency care facilities limited the number of patients that had to be referred for tertiary care. Importantly, the community care model also markedly reduced the mortality rate compared with traditional methods of COVID-19 patient management.
为响应2021年7月胡志明市新冠肺炎（COVID-19）病例激增期间的求助呼吁，胡志明市医药大学制定并实施了一种针对COVID-19患者管理的社区护理模式。该模式基于三个主要原则：居家护理；远程监测和护理；以及在需要时提供及时的紧急护理。一个团队通过频繁联系和远程监测为居家患者提供支持，而另一个团队则转运并护理需要在现场急救设施接受治疗的患者。在实施该方法的两个区，COVID-19相关死亡率（分别为0.43%和0.57%）显著低于同期胡志明市的总体死亡率（4.95%）。因此，采用社区护理模式可以增加能够在家中得到有效管理的COVID-19患者数量，而现场急救设施的使用限制了必须转诊至三级医疗机构的患者数量。重要的是，与传统的COVID-19患者管理方法相比，社区护理模式还显著降低了死亡率。
