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KIT 1(保持联系)项目——意大利因新冠疫情封锁期间癌症患者的远程问诊:建立远程医疗系统的真实世界经验

KIT 1 (Keep in Touch) Project-Televisits for Cancer Patients during Italian Lockdown for COVID-19 Pandemic: The Real-World Experience of Establishing a Telemedicine System.

作者信息

Casà Calogero, Corvari Barbara, Cellini Francesco, Cornacchione Patrizia, D'Aviero Andrea, Reina Sara, Di Franco Silvia, Salvati Alessandra, Colloca Giuseppe Ferdinando, Cesario Alfredo, Patarnello Stefano, Balducci Mario, Morganti Alessio Giuseppe, Valentini Vincenzo, Gambacorta Maria Antonietta, Tagliaferri Luca

机构信息

Fatebenefratelli Isola Tiberina-Gemelli Isola, Via di Ponte Quattro Capi 39, 00186 Rome, Italy.

Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.

出版信息

Healthcare (Basel). 2023 Jul 6;11(13):1950. doi: 10.3390/healthcare11131950.

Abstract

UNLABELLED

To evaluate the adoption of an integrated eHealth platform for televisit/monitoring/consultation during the COVID-19 pandemic.

METHODS

During the lockdown imposed by the Italian government during the COVID19 pandemic spread, a dedicated multi-professional working group was set up in the Radiation Oncology Department with the primary aim of reducing patients' exposure to COVID-19 by adopting de-centralized/remote consultation methodologies. Each patient's clinical history was screened before the visit to assess if a traditional clinical visit would be recommended or if a remote evaluation was to be preferred. Real world data (RWD) in the form of patient-reported outcomes (PROMs) and patient reported experiences (PREMs) were collected from patients who underwent televisit/teleconsultation through the eHealth platform.

RESULTS

During the lockdown period (from 8 March to 4 May 2020) a total of 1956 visits were managed. A total of 983 (50.26%) of these visits were performed via email (to apply for and to upload of documents) and phone call management; 31 visits (1.58%) were performed using the eHealth system. Substantially, all patients found the eHealth platform useful and user-friendly, consistently indicating that this type of service would also be useful after the pandemic.

CONCLUSIONS

The rapid implementation of an eHealth system was feasible and well-accepted by the patients during the pandemic. However, we believe that further evidence is to be generated to further support large-scale adoption.

摘要

未标注

评估在新冠疫情期间采用集成电子健康平台进行远程诊疗/监测/会诊的情况。

方法

在意大利政府因新冠疫情蔓延实施封锁期间,放射肿瘤学部门成立了一个专门的多专业工作组,主要目的是通过采用分散式/远程会诊方法,减少患者接触新冠病毒的机会。在就诊前对每位患者的临床病史进行筛查,以评估是建议进行传统临床就诊还是更倾向于远程评估。通过电子健康平台接受远程诊疗/远程会诊的患者以患者报告结局(PROMs)和患者报告体验(PREMs)的形式收集真实世界数据(RWD)。

结果

在封锁期间(2020年3月8日至5月4日),共管理了1956次就诊。其中,983次(50.26%)就诊通过电子邮件(用于申请和上传文件)及电话管理进行;31次(1.58%)就诊使用电子健康系统进行。基本上,所有患者都认为电子健康平台有用且用户友好,并一致表示这种服务在疫情后也会有用。

结论

在疫情期间,快速实施电子健康系统是可行的,并且患者接受度良好。然而,我们认为需要进一步提供证据以进一步支持大规模采用。

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