Application of Internet hospitals for first-visit patients with COVID-19 during the pandemic in China.

Background There has been controversy over whether to carry out online medical inquiries and electronic prescription for first-visit patients. While Internet hospitals have become crucial to ensure providing online diagnosis and prescription needs for first-visit COVID-positive patients. Objective W...

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Publicado en:European Journal of Public Health Vol. 33; no. 5; pp. 789 - 796
Autores principales: Zhang, Ye, Huang, Jie, Dong, Liang
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Oct2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2023
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        atl: Application of Internet hospitals for first-visit patients with COVID-19 during the pandemic in China.
      aug:
        au:
          Zhang, Ye
          Huang, Jie
          Dong, Liang
        affil: Department of General Medicine, Affiliated Hospital of Jiaxing University , Jiaxing, China
      sug:
        subj:
          COVID-19 Pandemic China
          Internet
          Telemedicine
          COVID-19 Diagnosis
          COVID-19 Drug Therapy
          Outcomes (Health Care)
          Public Health
          Human
          Male
          Female
          Infant, Newborn
          Infant
          Child, Preschool
          Child
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Record Review
          Outpatients
          Outpatient Service
          COVID-19 Symptoms
          COVID-19 Testing
          Health Services Needs and Demand
          Drugs, Prescription Administration and Dosage
          Medication Errors Prevention and Control
          China
          Descriptive Statistics
          Retrospective Design
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background There has been controversy over whether to carry out online medical inquiries and electronic prescription for first-visit patients. While Internet hospitals have become crucial to ensure providing online diagnosis and prescription needs for first-visit COVID-positive patients. Objective We describe the results and advantages of online medical treatment during the coronavirus disease 2019 (COVID-19) outbreak and analyse the results and advantages of online medical treatment. Methods Data were collected from the patients who received online medical inquiry services through the COVID-19 Special Section of our Internet hospital. The user demographic characteristics, user behaviour, clinical symptoms and medical records were collected. Baseline data of offline outpatient patients were also collected. Results A total of 16 173 online medical inquiries were included. The daily online outpatient service volume reached a peak of 2446 person-times. The median age was 29.92 years (SD 15.59), ranging from 20–39 years (n  = 8870, 54.84%). A total of 89.20% (n  = 14 426/16 173) patients had epidemic-related symptoms. Moreover, 23.35% of the people were diagnosed as COVID-19-positive through antigen or nucleic acid testing. Furthermore, 86.61% (14 008/16 173) of the patients visited our hospital for the first time or had no offline physical outpatient service record within the past 3 months. The demand for medical inquiries was mainly for drug dispensing, followed by medication guidance and disease diagnosis. And 2.07% (334/16 173) of the patients needed to go to the offline hospital for further treatment. Conclusion The service model of the COVID-19 Special Section based on Internet hospitals provided the public with the necessary medical support during the COVID-19 outbreak. It provides a reference for future pandemics or public health emergencies.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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