Zhao Xin, Huang Haitao, Zeng Guojun, Shi Qingke, Zhu Peijia, Zhang Longhao, Li Lei, Liu Lunxu, Huang Nan, Liu Wenguang, Yu Kexin
Emergency Office, West China Hospital, Sichuan University, Chengdu, China.
Department of Computer Application, Chengdu College of University of Electronic Science and Technology of China, Chengdu, China.
Exp Biol Med (Maywood). 2025 Apr 25;250:10349. doi: 10.3389/ebm.2025.10349. eCollection 2025.
Infectious diseases can sometimes lead to pandemics, often transmitted through public and social gatherings, including in-person hospital visits. Consequently, there is an urgent need for innovative approaches to prevent their spread. Taking COVID-19 as an example, we have explored a remote, contactless hospital online model that offers the public online medical consultations, professional psychological counseling, and chronic disease management consultations, thereby mitigating the risk of new transmissions resulting from hospital visits. This model was implemented, validated, and practiced at West China Hospital in China from 29 January 2020, to 12 March 2020. It was also applicable to other infectious diseases, such as influenza A. In this research, we utilized the hospital's internet platform, supplemented by telephone services, to offer the following to the public: 1) General medical education and consultation related to epidemics and psychological anxiety; 2) Online screening for at-risk populations; 3) Online prescription and medication delivery services for patients with chronic diseases. Consequently, over a period of more than 1 month, the online epidemic platform completed a total of 32,755 cases, including 8,783 internet consultations and 1,082 telephone consultations for the public, as well as 22,890 internet consultations for chronic disease patients. Among these, 289 high-risk individuals were identified, with 3 cases confirmed as COVID-19 during follow-up diagnoses, while no infections were detected in the remaining individuals. In conclusion, this innovative medical model serves as a significant supplement to existing healthcare systems and has the potential to be expanded to other hospitals and other infectious diseases. It is particularly beneficial in scenarios where medical resources are limited, populations are under quarantine, and there is a large demand for medical services and anxiety management during infectious disease pandemics.
传染病有时会引发大流行，通常通过公共和社交聚会传播，包括亲自前往医院就诊。因此，迫切需要创新方法来防止其传播。以新冠疫情为例，我们探索了一种远程、无接触的医院在线模式，为公众提供在线医疗咨询、专业心理咨询和慢性病管理咨询，从而降低因医院就诊导致新传播的风险。该模式于2020年1月29日至2020年3月12日在中国华西医院实施、验证和实践。它也适用于其他传染病，如甲型流感。在本研究中，我们利用医院的互联网平台，并辅以电话服务，为公众提供以下服务：1）与疫情和心理焦虑相关的一般医学教育和咨询；2）高危人群的在线筛查；3）慢性病患者的在线处方和送药服务。因此，在1个多月的时间里，在线疫情平台共完成32755例病例，包括为公众提供的8783次互联网咨询和1082次电话咨询，以及为慢性病患者提供的22890次互联网咨询。其中，识别出289名高危个体，随访诊断期间有3例确诊为新冠病例，其余个体未检测到感染。总之，这种创新的医疗模式是现有医疗体系的重要补充，有潜力扩展到其他医院和其他传染病。在医疗资源有限、人群处于隔离状态以及传染病大流行期间对医疗服务和焦虑管理有大量需求的情况下，它特别有益。
