Emergency Department of Shenzhen University General Hospital, Shenzhen, China.
Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Sci Rep. 2023 Jul 27;13(1):12215. doi: 10.1038/s41598-023-37926-z.
To limit the epidemic of COVID-19, most countries and regions have adopted the policy of quarantine, providing an opportunity for the development of telemedicine. This study aims to develop a telemedicine system within a quarantined district and validate its effectiveness and safety in managing a variety of diseases within the population. Appling the private network and specialized set, telemedicine system and service process were constructed in the quarantine district. Based on the patients' conditions, the staffs supplied kinds of medical service for the patients in the quarantine district. The basic characteristics and results of patients in the quarantine area who used telemedicine system during January to September 2022 were statistically analyzed. Within this period, 2410 cases were included in this study, among which, 1803 patients directly saw a doctor by the Internet hospital in the Internet hospital of telemedicine system, 607 patients used telemedicine system, 166 patients achieved referral to a specific hospital via telemedicine system, and 162 cases made further consultation, with no infection cases in the quarantine zone and no death cases. The six most occurred diseases were respiratory disease (20.6%), ophthalmology and otorhinolaryngology (12.9%), cardiovascular diseases (12.7%), digestive system disease (12.5%), dermatological diseases (10.6%), and metabolic and endocrine diseases (7.6%). The top three referred cases were obstetric diseases (19.3%), others (12.0%) and respiratory disease (10.2%). There were statistically significant differences between the diseases of the cases using telemedicine system with and without referral (P < 0.001). It is feasible, effective and efficient to construct and use telemedicine system in quarantine area. It is an approach to manage many patients by indirectly contact. With the solution of follow-up related problems and the application of novel technologies, telemedicine may usher in greater development.
为了限制 COVID-19 的流行，大多数国家和地区都采取了隔离政策，这为远程医疗的发展提供了机会。本研究旨在开发一个隔离区内部的远程医疗系统，并验证其在管理人群中各种疾病方面的有效性和安全性。在隔离区内部，应用专用网络和专业设备，构建远程医疗系统和服务流程。根据患者的病情，工作人员为隔离区的患者提供各种医疗服务。对 2022 年 1 月至 9 月期间在隔离区使用远程医疗系统的患者的基本特征和结果进行了统计分析。在此期间，共有 2410 例患者纳入本研究，其中 1803 例患者直接通过远程医疗系统的互联网医院在线就诊，607 例患者使用远程医疗系统，166 例患者通过远程医疗系统转诊至特定医院，162 例患者进一步咨询，隔离区无感染病例，无死亡病例。发生频率最高的六种疾病是呼吸系统疾病（20.6%）、眼科和耳鼻喉科疾病（12.9%）、心血管疾病（12.7%）、消化系统疾病（12.5%）、皮肤科疾病（10.6%）和代谢和内分泌疾病（7.6%）。转诊最多的三种疾病是妇产科疾病（19.3%）、其他疾病（12.0%）和呼吸系统疾病（10.2%）。使用远程医疗系统的患者和未转诊患者的疾病存在统计学差异（P<0.001）。在隔离区构建和使用远程医疗系统是可行、有效和高效的。这是一种通过间接接触管理大量患者的方法。随着后续相关问题的解决和新技术的应用，远程医疗可能会迎来更大的发展。
