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What patients "see" doctors in online fever clinics during COVID-19 in Wuhan?
Gang Li1, Guorui Fan2, Yanyan Chen3
1Department of Outpatient Management, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Insights
Online fever clinics provided crucial support during the COVID-19 outbreak, helping patients manage concerns and reducing hospital burdens. These virtual services were vital for public health and preventing cross-infections.
Area of Science:
- Public Health
- Infectious Disease Management
- Telemedicine
Background:
- The COVID-19 pandemic necessitated innovative healthcare solutions.
- Online fever clinics emerged to alleviate pressure on traditional hospital services.
- These clinics aimed to reduce cross-infection risks and manage patient anxiety.
Purpose of the Study:
- To characterize patients utilizing online fever clinics.
- To identify primary patient concerns and questions during the COVID-19 outbreak.
- To evaluate the role of telemedicine in infectious disease control.
Main Methods:
- Retrospective analysis of data from an online fever clinic in Wuhan.
- Inclusion of records from January 24 to February 18, 2020.
- Extraction and classification of patient demographics and consultation inquiries.
Main Results:
- Over 64,000 patients used the online clinic, with a mean age of 30.4 years; 58.4% were female.
- Most patients were at home (81.2% without isolation, 17.29% isolated).
- Key patient concerns included diagnosis confirmation (60.61%) and seeking treatment (38.05%).
Conclusions:
- Online fever clinics effectively reduced patient panic and guided self-isolation.
- Telemedicine services proved instrumental in preventing hospital overcrowding and cross-contamination.
- The study highlights the importance of online fever clinics in COVID-19 prevention and control strategies.
Objective:
In December 2019, coronavirus disease 2019 (COVID-19) occurred in Wuhan, China. Online fever clinics were developed by hospitals, largely relieving the hospital's burden. Online fever clinics could help people stay out of crowded hospitals and prevent the risk of cross infections. The objective of our study was to describe the patient characteristics of an online fever clinic and explore the most important concerns and question of online patients.
Materials And Methods:
Our study extracted data from fever clinic records in medical information systems from January 24 to February 18, 2020 in a tertiary hospital in Wuhan. We described the characteristics of patients in fever clinic, then we extracted and classified questions of patient consultations through the online fever clinic dataset.
Results:
For the 64 487 patients who attended the online fever clinic, the average age was 30.4 years, and 37 665 (58.4%) were female patients. The current state of patients from online were home without isolation (52 360 [81.2%]), home isolated (11 152 [17.29%]), and outpatient observation (975 [1.51%]). From the 594 patient questions analyzed, confirming diagnosis and seeking medical treatment account for 60.61% and 38.05%, respectively, followed by treating (25.59%), preventing (4.38%), and relieving anxiety (1.68%).
Discussion:
Online fever clinics can effectively relieve patients' mood of panic, and doctors can guide patients with suspected of COVID-19 to isolate and protect themselves through online fever clinic. Online fever clinics can also help to reduce the pressure of hospital fever clinics and prevent cross infection.
Conclusions:
This study indicated the importance of online fever clinics during the COVID-19 outbreak for prevention and control.
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