在农村社区使用COVID虚拟医院进行COVID-19主动疾病管理
Gandhari Loomis1, Regina Rhodes2, Ed Bujold1
1Department of Family Medicine, UNC Health Blue Ridge, Morganton, NC.
Journal of patient-centered research and reviews
|July 24, 2023
概括
一个农村医院的COVID-19虚拟医院计划成功地在家中使用风险分层和远程监控来管理患者. 这种方法减少了急诊室的访问和住院,防止设施被淹没.
科学领域:
- 医疗保健管理的管理
- 传染病管理 传染病管理
- 远程医疗服务是远程医疗服务.
背景情况:
- 农村医院在管理公共卫生危机方面面临着独特的挑战,例如COVID-19大流行.
- 有效的患者分拣和监测对于防止医疗保健系统超载至关重要.
研究的目的:
- 评估农村环境中COVID-19患者的"在家医院"计划的患者结果和提供者的经验.
- 评估风险分层和远程监控在管理流行病护理方面的有效性.
主要方法:
- 建立了一个COVID虚拟医院 (CVH),招收适合门诊的COVID-19患者.
- 使用脉冲氧计进行家庭监测和根据风险评分进行护士领导的分拣.
- 进行虚拟访问和提供者调查,以评估结果和经验.
主要成果:
- 招募了1916名患者;4.7%需要住院治疗,7人死亡.
- 护士指导的急诊室访问导致更高的入院率 (86.3%),而不是自我指导的访问 (3.2%).
- 93-94%的受访医疗服务提供者认为CVH对患者和他们自己都有好处.
结论:
- 虚拟医院模型有效地对COVID-19患者进行了选,最大限度地减少了不必要的急诊室访问.
- 这种主动的,家庭式的方法帮助农村医院管理流行病的激增,避免被压倒.
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