在COVID-19大流行期间住院后家庭监测计划:来自医院医学再工程网络 (HOMERuN) 的调查结果
Maralyssa Bann1,2, Efren Manjarrez3, Christopher P Kellner4
1University of Washington School of Medicine, Seattle, WA, USA. mbann@uw.edu.
Journal of general internal medicine
|December 27, 2023
概括
医院在COVID-19期间迅速创建了远程患者监测计划,但很少有人在流行病后标准化或持续. 这些计划跟踪了住院后患者的康复,但缺乏长期评估.
科学领域:
- 医疗保健创新 医疗保健创新
- 针对大流行病的应对措施.
- 数字健康数字健康
背景情况:
- 由于COVID-19的流行,医疗保健系统需要快速适应.
- 创新的反应包括远程患者监测计划.
- 关于这些放弃后计划的开发和部署的数据有限.
研究的目的:
- 在COVID-19大流行期间,描述部署远程医院后出院监测计划的特点.
- 了解这些计划的特点和可持续性.
主要方法:
- 电子调查分发给83家美国学术医院的领导人.
- 调查于2021年3月进行,并在2022年7月进行后续调查.
- 分析了35个初始和15个随访反应的数据.
主要成果:
- 63%的应答站点实施了出院后监测计划,其中16个是针对COVID-19的新计划.
- 通常使用生理监测设备 (例如脉冲氧计).
- 程序通常是基于电话的,有一些应用程序/EMR集成;大多数是在2020年初启动的,很少有人仍然活跃.
结论:
- 在疫情期间,远程监控计划的快速,临时开发发生了.
- 这些程序几乎没有显示出标准化或评估.
- 需要进一步的研究来评估益处,适用于其他疾病,以及未来的应急准备.
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