Gao Jinghong, Ma Qianqian, Sun Dongxu, Yang Yiling, Ren Mingxing, Wang Lin, Fan Chaolin, Fan Zhaohan, Cao Mingbo, Zhao Jie
National Engineering Laboratory for Internet Medical Systems and Applications, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Institute for Hospital Management of Henan Province, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Telemed J E Health. 2023 Aug;29(8):1211-1223. doi: 10.1089/tmj.2022.0247. Epub 2023 Jan 4.
Background and Objectives:Based on practical services of the Henan Province Telemedicine Center (HTCC), the purpose of this study is to investigate the design, construction, implementation, and application effect of a specific telemedicine system in response to the coronavirus disease 2019 (COVID-19).
Methods:Data on COVID-19 cases from December 31, 2019, through October 17, 2022, were collected from official websites. Data and information of telemedicine services related to COVID-19 in HTCC were collected and analyzed, and relevant graphical representations were plotted.
Results:All the 147 COVID-19 designated hospitals in the Henan Province were covered by the specific telemedicine system. The cities near to the Hubei Province in the south of Henan tended to be with more COVID-19 cases, where more COVID-19-related telemedicine services were conducted. For the telemedicine system, function modules, including real-time monitoring, command and dispatch, intractable cases transfer, remote guidance, and data sharing, were designed and realized to deal with COVID-19. Through the system, telemedicine services involved COVID-19 such as epidemic surveillance, emergency rescue, case discussion, diagnosis and treatment, remote ward-round, and distance education were performed. During the period between February 2 and March 3, 2020, 646 COVID-19 patients were served by the telemedicine system, with an improvement rate of 73.2%.
Conclusions:Telemedicine can improve the diagnosis and treatment of COVID-19 patients, which play a helpful role in curbing the COVID-19 epidemic. Given the current global COVID-19 pandemic and the potential re-emerge of novel zoonotic pathogens in the future, the use of telemedicine would be imperative to fight against the pandemic.
基于河南省远程医学中心（HTCC）的实际服务情况，本研究旨在调查针对2019冠状病毒病（COVID-19）的特定远程医疗系统的设计、建设、实施及应用效果。
从官方网站收集2019年12月31日至2022年10月17日期间COVID-19病例的数据。收集并分析HTCC中与COVID-19相关的远程医疗服务数据和信息，并绘制相关图表。
河南省147家COVID-19定点医院均被该特定远程医疗系统覆盖。河南南部靠近湖北省的城市COVID-19病例较多，开展的与COVID-19相关的远程医疗服务也更多。针对远程医疗系统，设计并实现了包括实时监测、指挥调度、疑难病例转诊、远程指导和数据共享等功能模块，以应对COVID-19。通过该系统，开展了诸如疫情监测、紧急救援、病例讨论、诊断治疗、远程查房和远程教育等与COVID-19相关的远程医疗服务。在2020年2月2日至3月3日期间，该远程医疗系统为646例COVID-19患者提供了服务，改善率为73.2%。
远程医疗可改善COVID-19患者的诊断和治疗，对遏制COVID-19疫情发挥有益作用。鉴于当前全球COVID-19大流行以及未来新型人畜共患病原体可能再次出现，使用远程医疗对于抗击疫情至关重要。
