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使用虚拟多学科诊所治疗新冠后患者。

Use of a Virtual Multi-Disciplinary Clinic for the Treatment of Post-COVID-19 Patients.

作者信息

Rahamim-Cohen Daniella, Kertes Jennifer, Feldblum Ilana, Shamir-Stein Naama, Shapiro Ben David Shirley

机构信息

Health Division, Maccabi Healthcare Services, Tel Aviv 6812509, Israel.

Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.

出版信息

Healthcare (Basel). 2024 Feb 1;12(3):376. doi: 10.3390/healthcare12030376.

Abstract

Post-COVID-19 has been recognized as possibly affecting millions of people worldwide. In order to optimize care and ensure equality, we established a multidisciplinary virtual Post-COVID-19 clinic (VPCC) within Maccabi Healthcare Services, the second largest HMO in Israel. This study aims to describe the structure, process and patient satisfaction with this clinic. The multidisciplinary team consisted of physicians, physiotherapists, social workers, occupational therapists and dieticians. Patient entry was to be at least four weeks after COVID-19 infection. A patient satisfaction survey was carried out 7-8 months after the clinic was closed. Demographic data were collected and compared to the general Maccabi COVID-19 population. The clinic treated 1614 patients, aged 16-91, over a period of 18 months. In total, 679 family physicians referred patients. In comparison to the general COVID-19 population, a higher percentage of the VPCC patients lived in the periphery of Israel, South (14.9% compared to 17.8%) and North (17.1% compared to 18.2%). In total, 249 patients answered the survey, and of them, 75% were highly satisfied with the medical care of the physician in the VPCC. A total of 54% of respondents would have preferred a face-to-face consultation, but 50% felt that communication was good in the virtual mode. In conclusion, the VPCC provided a dedicated service for patients, and the virtual format made it equally accessible to all parts of the country.

摘要

新冠后综合征已被认为可能影响全球数百万人。为了优化护理并确保公平性,我们在以色列第二大健康维护组织麦卡比医疗服务公司内设立了一个多学科虚拟新冠后综合征诊所(VPCC)。本研究旨在描述该诊所的结构、流程以及患者满意度。多学科团队由医生、物理治疗师、社会工作者、职业治疗师和营养师组成。患者需在新冠病毒感染后至少四周才能进入诊所。在诊所关闭7至8个月后进行了患者满意度调查。收集了人口统计学数据,并与麦卡比的新冠患者总体情况进行比较。该诊所在18个月内治疗了1614名年龄在16至91岁之间的患者。总共有679名家庭医生转诊了患者。与新冠患者总体情况相比,VPCC患者中居住在以色列南部(分别为14.9%和17.8%)和北部(分别为17.1%和18.2%)外围地区的比例更高。共有249名患者回答了调查,其中75%对VPCC医生的医疗护理高度满意。共有54%的受访者更喜欢面对面咨询,但50%的人认为虚拟模式下的沟通良好。总之,VPCC为患者提供了专门服务,虚拟形式使该国所有地区的患者都能平等获得服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae75/10855243/995b57602ae9/healthcare-12-00376-g001.jpg

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