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COVID-19 大流行对远程医疗和门诊就诊的影响:来自阿根廷一家急诊科的启示。

Impact of COVID-19 Pandemic on Telehealth and In-Person Visits: Implications from an Emergency Department in Argentina.

机构信息

Department of Health Informatics, Hospital Italiano de Buenos Aires, Ciudad de Buenos Aires, Argentina.

Emergency Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

出版信息

Stud Health Technol Inform. 2022 Jun 6;290:377-379. doi: 10.3233/SHTI220100.

DOI:10.3233/SHTI220100
PMID:35673039
Abstract

Since Argentina's government declared a national emergency to combat the COVID-19 pandemic with a lockdown status, it has produced consequences on the healthcare system. We aimed to quantify the effect on the Emergency Department (ED) visits at Hospital Italiano de Buenos Aires. Our electronic health data showed that ED in-person visits declined 46% during the COVID-19 pandemic, from an overall of 176,370 visits during 2019 to 95,421 visits during 2020. Simultaneously, there was a telehealth visits boom when mandatory quarantine began (March 20, 2020): from a median of 12 daily in February 2020 to a median of 338 daily in April 2020; reaching a maximum daily peak of 1,132 on March 26 2020. For a while, teleconsultations replaced ED visits. Then, when face-to-face visits began to increase, teleconsultations began to decrease slowly, as the phenomenon reversed.

摘要

自阿根廷政府宣布进入全国紧急状态以封锁状态对抗 COVID-19 大流行以来,其医疗体系受到了一定影响。我们旨在量化布宜诺斯艾利斯意大利医院急诊部(ED)就诊人数减少的情况。我们的电子健康数据显示,2019 年 ED 门诊就诊总人数为 176370 人,而在 2020 年下降了 46%,降至 95421 人。同时,自 2020 年 3 月 20 日强制隔离开始,远程医疗访问呈爆发式增长:从 2020 年 2 月的每日中位数 12 次增加到 4 月的每日中位数 338 次;2020 年 3 月 26 日达到每日峰值 1132 次。有一段时间,远程咨询代替了 ED 就诊。然后,当面对面就诊开始增加时,远程咨询就诊人数开始缓慢减少,这种现象出现了反转。

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