SARS-CoV-2 大流行期间在线前分诊工具的效果和实用性：一项混合方法研究和患者观点，瑞士。
Effects and utility of an online forward triage tool during the SARS-CoV-2 pandemic: a mixed method study and patient perspectives, Switzerland.
机构信息
Department of Emergency Medicine, Inselspital, University Hospital, University of Bern, Bern, Switzerland
Department of Emergency Medicine, Inselspital, University Hospital, University of Bern, Bern, Switzerland.
出版信息
BMJ Open. 2022 Jul 12;12(7):e059765. doi: 10.1136/bmjopen-2021-059765.
OBJECTIVE
To assess the effects (quantitatively) and the utility (qualitatively) of a COVID-19 online forward triage tool (OFTT) in a pandemic context.
DESIGN
A mixed method sequential explanatory study was employed. Quantitative data of all OFTT users, between 2 March 2020 and 12 May 2020, were collected. Second, qualitative data were collected through key informant interviews (n=19) to explain the quantitative findings, explore tool utility, user experience and elicit recommendations.
SETTING
The working group e-emergency medicine at the emergency department developed an OFTT, which was made available online.
PARTICIPANTS
Participants included all users above the age of 18 that used the OFTT between 2 March 2020 and 12 May 2020.
INTERVENTION
An OFTT that displayed the current test recommendations of the Federal Office of Public Health on whether someone needed testing for COVID-19 or not. No diagnosis was provided.
RESULTS
In the study period, 6272 users consulted our OFTT; 40.2% (1626/4049) would have contacted a healthcare provider had the tool not existed. 560 participants consented to a follow-up survey and provided a valid email address. 31.4% (176/560) participants returned a complete follow-up questionnaire. 84.7% (149/176) followed the recommendations given. 41.5% (73/176) reported that their fear was allayed after using the tool. Qualitatively, seven overarching themes emerged namely (1) accessibility of tool, (2) user-friendliness of tool, (3) utility of tool as an information source, (4) utility of tool in allaying fear and anxiety, (5) utility of tool in medical decision-making (6) utility of tool in reducing the potential for onward transmissions and (7) utility of tool in reducing health system burden.
CONCLUSION
Our findings demonstrated that a COVID-19 OFTT does not only reduce the health system burden but can also serve as an information source, reduce anxiety and fear, reduce potential for cross infections and facilitate medical decision-making.
目的
评估 COVID-19 在线前分诊工具（OFTT）在大流行背景下的效果（定量）和效用（定性）。
设计
采用混合方法序贯解释性研究。收集了 2020 年 3 月 2 日至 2020 年 5 月 12 日期间所有 OFTT 用户的定量数据。其次，通过关键知情人访谈（n=19）收集定性数据，以解释定量发现，探讨工具效用、用户体验并征求建议。
设置
急诊部的工作组电子急救开发了一个 OFTT，并在线提供。
参与者
年龄在 18 岁以上，在 2020 年 3 月 2 日至 2020 年 5 月 12 日期间使用 OFTT 的所有用户。
干预
一个 OFTT，显示联邦公共卫生办公室当前关于是否需要对 COVID-19 进行检测的测试建议。没有提供诊断。
结果
在研究期间，有 6272 名用户咨询了我们的 OFTT；如果没有该工具，40.2%（1626/4049）的人将联系医疗保健提供者。560 名参与者同意进行后续调查并提供有效的电子邮件地址。31.4%（176/560）的参与者返回了完整的后续问卷。84.7%（149/176）遵循了建议。41.5%（73/176）报告说，使用该工具后，他们的恐惧得到了缓解。定性分析得出了七个总体主题，分别是（1）工具的可及性，（2）工具的易用性，（3）作为信息来源的工具的效用，（4）工具在缓解恐惧和焦虑方面的效用，（5）工具在医疗决策方面的效用，（6）工具在减少潜在传播方面的效用，以及（7）工具在减轻卫生系统负担方面的效用。
结论
我们的研究结果表明，COVID-19 OFTT 不仅可以减轻卫生系统负担，还可以作为信息来源，减轻焦虑和恐惧，减少潜在的交叉感染，并促进医疗决策。
Zotero 插件