使用虚拟护理在社区中管理COVID-19:澳大利亚的观点
Phillip F Yang1,2, Belinda R Errington1,3, Jenna Bartyn1
1RPA Virtual Hospital, Sydney, NSW, Australia.
Journal of telemedicine and telecare
|November 11, 2024
概括
虚拟护理有效地管理了许多自我隔离的COVID-19患者,确保了安全并减少了医疗保健系统的压力. 这种方法证明了通过虚拟医院入院的患者接受度和潜在的成本节省.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 传染性疾病 传染性疾病
- 数字健康数字健康
背景情况:
- 由于COVID-19的流行,需要快速采用虚拟护理和远程监控.
- 早期评估受限于入学率低和数据可用性.
- 这项研究解决了对基于社区的COVID-19自我隔离的虚拟护理的有效性数据的需求.
研究的目的:
- 评估虚拟护理在澳大利亚COVID-19大流行期间在社区自我隔离和隔离中管理个人的有效性.
- 评估卫生服务的利用率,患者的治疗结果和成本效益.
主要方法:
- 在COVID-19三角洲波期间,在悉尼的一家虚拟医院接受治疗的个人的回顾性横截面研究.
- 纳入标准:阳性或阴性COVID-19测试需要自我隔离.
- 结果指标:医疗服务的使用,死亡率,患者报告的经验指标 (PREM) 和避免的急诊室 (ED) 费用.
主要成果:
- 9571人入院;89.3%的人患有COVID-19.
- 25.9%的临床状况恶化;6.4%需要住院治疗.
- 总体死亡率为0.2%;82.9%的人将虚拟护理评为"好"或"非常好".
- 由于避免了ED演示,估计节省了成本:691,214澳元 - 2,994,540澳元.
结论:
- 虚拟护理在COVID-19大流行期间成功管理了大量队列.
- 可扩展的远程医疗途径确保了安全性,可接受性,并减少了卫生系统的负担.
- 该研究强调了虚拟医院在管理传染病爆发方面的可行性.
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