Alice Health, Av. Rebouças, 3506 - Pinheiros, São Paulo, SP, 05402-600, Brazil.
BMC Res Notes. 2022 Sep 17;15(1):301. doi: 10.1186/s13104-022-06197-8.
Our aim was to assess the feasibility and preliminary results of implementing a telehealth system, Alice Agora, as a tool for optimizing health delivery in a new primary care-based health system.
We had 4193 consultations over the last 6 months (February and August 2021). Preliminary results show patients high level of satisfaction (Consumer satisfaction score of 4.92). The chief complaints were related to upper respiratory tract (n = 1542; 28.5%), gastrointestinal (n = 781; 14.43%), musculoskeletal (n = 607; 11.22%), and other (n = 643; 11.88%). We found that 20.1% (842) of the cases were solved digitally, that is, by a chat only with a nurse, through the use of health protocols, and 43.9% were solved by nurses with medical assistance. Only 6.6% (277) of the cases had to be referred to the emergency room (ER). This means that 64% of the cases were completely resolved by our nurses-driven system. Forty-eight hours readmission rates were higher for the uncoordinated ER cases compared with the coordinated cases (14.81% vs. 5.87%; p = 0.016). The same pattern was observed for the 72-h readmission rates (16.67 vs. 7.26%; p = 0.02).
我们旨在评估 Alice Agora 远程医疗系统作为一种优化新基层医疗保健系统中医疗服务的工具的可行性和初步结果。
在过去的 6 个月（2021 年 2 月和 8 月）中，我们共进行了 4193 次咨询。初步结果显示患者满意度高（消费者满意度评分为 4.92）。主要投诉与上呼吸道（n=1542；28.5%）、胃肠道（n=781；14.43%）、肌肉骨骼（n=607；11.22%）和其他（n=643；11.88%）有关。我们发现，20.1%（842）的病例通过数字方式解决，即仅通过护士聊天，使用健康协议解决，43.9%的病例由护士在医疗协助下解决。仅 6.6%（277）的病例需要转至急诊室（ER）。这意味着我们的护士主导系统完全解决了 64%的病例。与协调病例相比，未协调 ER 病例的 48 小时再入院率更高（14.81%比 5.87%；p=0.016）。72 小时再入院率也呈现相同模式（16.67%比 7.26%；p=0.02）。
