[COVID-19大流行对全科医生和心脏病专家之间普遍电子咨询计划 (电子咨询) 的影响]
P Mazón-Ramos1,2,3, A Román-Rego1,2,3, B Díaz-Fernández1,2,3
1Servicio de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España.
Revista clinica espanola
|June 2, 2023
概括
随着COVID-19大流行,临床医生之间的电子咨询减少了,但更快的解决方案和更少的面对面访问与更好的患者结果有关,在大流行期间,健康状况没有整体恶化.
科学领域:
- 数字健康数字健康
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 虚拟医疗模式在COVID-19期间扩展,但临床医生对临床医生的模型仍未得到充分研究.
- 电子咨询计划促进了初级保健和专家之间的患者转诊.
研究的目的:
- 分析COVID-19大流行对电子咨询计划活动和健康结果的影响.
- 评估初级保健医生和心脏病科之间患者转诊的变化.
主要方法:
- 在2018年至2021年期间,对25121名电子咨询患者进行了回顾性分析.
- 检查了活动,等待时间,住院和死亡率,将流行病时期与2018年的数据进行比较.
主要成果:
- 在第一年流行期间,电子咨询推的数量显著减少,随后恢复.
- 较短的电子咨询解决时间和避免面对面的访问与更好的患者预后相关.
- 与2018年相比,流行病时期 (2019-2021) 并没有与更糟糕的健康结果有关.
结论:
- 尽管最初减少了,但电子咨询计划适应了大流行,而不会影响患者的治疗结果.
- 有效的电子咨询流程,特别是那些尽量减少面对面访问的流程,对于积极的健康结果至关重要.
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