远程医疗需求指数及其在管理COVID-19病例激增方面的实用性
Martin Yong Kwong Lee1, Kie Beng Goh1, Deanna Xiuting Koh1
1c/o Medical Operations and Policy Centre, Crisis Strategy and Operations Group, Ministry of Health, Singapore.
概括
新加坡开发了一个远程医疗需求指数 (TDI) 来预测COVID-19远程医疗需求. 对于人口水平需求估计,TDI显示出有希望的结果,尽管需要精细化以获得准确性.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 流行病学 流行病学
背景情况:
- 远程医疗对新加坡的COVID-19管理至关重要,为不同患者风险组提供主动和临时咨询.
- 准确预测远程医疗需求对于在流行病期间有效分配资源至关重要.
- 远程医疗需求指数 (TDI) 是为了预测远程医疗服务利用率而开发的.
研究的目的:
- 开发和评估远程医疗需求指数 (TDI) 以估计在COVID-19大流行期间人口层面的远程医疗需求.
- 通过将其估计值与现实世界远程医疗咨询数据进行比较来评估TDI的准确性.
主要方法:
- 使用三个关键因素来制定TDI:变种特征,医疗保健政策和寻求公共医疗保健的行为,产生11个系数.
- 需求被计算为TDI和COVID-19新病例数的乘积.
- 来自两个不同的时期 (2022年1月至3月和2022年3月至5月) 的现实数据被用来验证TDI估计与实际的远程咨询数字相比.
主要成果:
- 在第一个评估期间,TDI平均高估了远程医疗需求的11.4%.
- 在基于政策变化的调整之后,TDI在随后的期间平均低估了7.2%的需求.
- 这些结果表明了TDI的潜力,但强调了持续改进的必要性.
结论:
- 远程医疗需求指数 (TDI) 在迅速估计人口层面的远程医疗需求方面表现出初步的有效性.
- 该指数有助于通过使用历史数据和知情假设来评估当前的医疗保健能力和未来的需求.
- 建议进行进一步的研究,以加强TDI的组件,并扩大其在不同人群和环境中的适用性.
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