Chaiyachati Krisda, Shea Judy, Ward Michaela, Nelson Maria, Ghosh Medha, Reilly Julianne, Kelly Sheila, Chisholm Deena, Barbati Zoe, Hemmons Jessica, Abdel-Rahman Dina, Ebert Jeffrey, Xiong Ruiying, Snider Christopher, Lee Kathleen, Friedman Ari, Meisel Zachary, Kilaru Austin, Asch David, Delgado M Kit, Morgan Anna
University of Pennsylvania.
Comcast NBCUniversal.
Res Sq. 2022 Nov 22:rs.3.rs-2234197. doi: 10.21203/rs.3.rs-2234197/v1.
COVID Watch is a remote patient monitoring program implemented during the pandemic to support home dwelling patients with COVID-19. The program conferred a large survival advantage. We conducted semi-structured interviews of 85 patients and clinicians using COVID Watch to understand how to design such programs even better. Patients and clinicians found COVID Watch to be comforting and beneficial, but both groups desired more clarity about the purpose and timing of enrollment and alternatives to text-messages to adapt to patients’ preferences as these may have limited engagement and enrollment among marginalized patient populations. Because inclusiveness and equity are important elements of programmatic success, future programs will need flexible and multi-channel human-to-human communication pathways for complex clinical interactions or patients who do not desire tech-first approaches.
“新冠观察”是在疫情期间实施的一项远程患者监测项目，旨在为居家的新冠肺炎患者提供支持。该项目带来了巨大的生存优势。我们对85名使用“新冠观察”的患者和临床医生进行了半结构化访谈，以了解如何更好地设计此类项目。患者和临床医生发现“新冠观察”令人安心且有益，但两组都希望在登记的目的和时间方面更加明确，并且希望有短信之外的其他方式来适应患者的偏好，因为短信在边缘化患者群体中的参与度和登记率可能有限。由于包容性和公平性是项目成功的重要因素，未来的项目将需要灵活的多渠道人际沟通途径，以应对复杂的临床互动或不希望优先采用技术手段的患者。
