COVID-19冠状病毒大流行期间三个存储转发网络的转诊活动

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Telemedicine and Applications Pub Date : 2021-05-03 eCollection Date: 2021-01-01 DOI:10.1155/2021/6644648
Richard Wootton, Hansel Otero, Meghan Moretti
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引用次数: 2

摘要

我们调查了三个完善的存储转发远程医疗网络,以确定2020年上半年的任何变化,这可能是由于COVID-19冠状病毒大流行对其远程医疗业务的影响。这三个网络都使用了Collegium Telemedicus系统。各种数量业绩指标,包括转诊次数和病例组合,都与前几年的数值进行了比较。在接受调查的三个网络中,有两个(A和B)为任何类型的医疗或外科病例提供远程医疗服务,而第三个(网络C)仅处理儿科放射病例。所有网络都在非洲运营,但网络A和C也在其他资源有限的区域提供服务。其中两个网络(网络B和网络C)使用当地工作人员提交推荐,而网络A主要依靠其外籍工作人员。2020年上半年,网络B的转诊数量大幅增加,而网络A的转诊数量则有所下降。2018年和2019年,这三家网络的转诊率都相对稳定。这三个网络提供的服务都得到了推荐人的高度评价。与其他两个网络相比,其中一个网络的运行效率相对较高,尽管尚不清楚这是否可持续。那些更依赖当地转诊人员的网络提交的病例几乎没有减少,甚至有所增加,而那些最依赖国际工作人员的网络提交的病例则大幅下降。这可能是由于国际旅行限制对其工作人员部署的影响。我们的结论是,想要建立或扩展远程医疗服务的组织应该考虑授权当地供应商作为他们的推荐人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Referral Activity in Three Store-and-Forward Networks during the COVID-19 Coronavirus Pandemic.

Referral Activity in Three Store-and-Forward Networks during the COVID-19 Coronavirus Pandemic.

Referral Activity in Three Store-and-Forward Networks during the COVID-19 Coronavirus Pandemic.

Referral Activity in Three Store-and-Forward Networks during the COVID-19 Coronavirus Pandemic.

We surveyed three well-established store-and-forward telemedicine networks to identify any changes during the first half of 2020, which might have been due to the effect of the COVID-19 coronavirus pandemic on their telemedicine operations. The three networks all used the Collegium Telemedicus system. Various quantitative performance indicators, which included the numbers of referrals and the case-mix, were compared with their values in previous years. Two of the three networks surveyed (A and B) provided telemedicine services for any type of medical or surgical case, while the third (network C) handled only pediatric radiology cases. All networks operated in Africa, but networks A and C also provided services in other resource-constrained regions. Two of the networks (networks B and C) used local staff to submit referrals, while network A relied mainly on its expatriate staff. During the first half of 2020, the numbers of referrals received on network B increased substantially, while in contrast, the numbers of referrals on network A declined. All three networks had relatively stable referral rates during 2018 and 2019. All three networks delivered a service that was rated highly by the referrers. One network operated at relatively high efficiency compared to the other two, although it is not known if this is sustainable. The networks which were more reliant on local referrers saw little reduction-or even an increase-in submitted cases, while the network that had the most dependence on international staff saw a big fall in submitted cases. This was probably due to the effect of international travel restrictions on the deployment of its staff. We conclude that organizations wanting to build or expand their telemedicine services should consider deliberately empowering local providers as their referrers.

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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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