米蕾TY -的盟Marcolino索里亚诺盟想一想——迪尼斯那样不知满足、克拉拉苏萨盟——恰加斯,布鲁诺代理非盟-门德斯,Mayara桑托斯盟——睡午觉,拉奎尔AU - Pagano,阿德里亚娜AU -费雷拉,蒂亚戈卡斯特罗盟——Alkmim玛丽亚Beatriz Moreira AU -奥利维拉,克拉拉罗德里格斯阿尔维斯盟——博尔赫斯,伊莎贝拉Nascimento AU - Raposo,玛格达塞萨尔AU -里斯,Zilma对峙Nogueira盟——艰辛,玛丽亚克里斯蒂娜AU -里贝罗,莱昂纳多Bonisson AU -罗查,Gustavo Machado盟,卡多佐Clareci席尔瓦AU -里贝罗,安东尼奥·路易斯Pinho PY - 2022 DA - 2022/12/22 TI -同步远程咨询和监控服务针对COVID-19:利用见解Postpandemic医疗乔-地中海JMIR通知SP - e37591六世- 10 - 12 KW - COVID-19 KW -遥控KW -远程咨询KW -远程医疗KW -初级卫生保健KW -提供卫生保健KW -远程医疗KW -短信KW -移动健康KW -公共卫生KW -远程护理KW -数字医疗KW -可用性AB -背景:尽管在COVID-19大流行期间开发了大量远程会诊服务，但评估可用性和卫生保健提供者满意度的研究仍处于起步阶段。目的:本研究旨在描述巴西针对COVID-19症状患者的同步远程会诊服务的开发、实施和扩展，并评估其可用性和卫生保健专业人员的满意度。方法:这种混合方法研究分为5个阶段:(1)确定组件、技术和功能需求以及系统架构;(2)系统和用户界面的开发和验证;(3)在Divinópolis市进行试点测试;(4)为米纳斯吉拉斯州联邦大学的教师和学生扩大Divinópolis、Teófilo Otoni和贝洛奥里藏特等城市;(5)可用性和满意度评估，采用李克特量表和开放式问题。结果:在试点开发过程中，通过引入标准化的短信短信，解决了与用户联系的问题，并将短信短信发送给用户，获取用户反馈并跟踪用户。 Until April 2022, the expanded system served 31,966 patients in 146,158 teleconsultations. Teleconsultations were initiated through chatbot in 27.7% (40,486/146,158) of cases. Teleconsultation efficiency per city was 93.7% (13,317/14,212) in Teófilo Otoni, 92.4% (11,747/12,713) in Divinópolis, and 98.8% (4981/5041) in Belo Horizonte (university campus), thus avoiding in-person assistance for a great majority of patients. In total, 50 (83%) out of 60 health care professionals assessed the system’s usability as satisfactory, despite a few system instability problems. Conclusions: The system provided updated information about COVID-19 and enabled remote care for thousands of patients, which evidenced the critical role of telemedicine in expanding emergency services capacity during the pandemic. The dynamic nature of the current pandemic required fast planning, implementation, development, and updates in the system. Usability and satisfaction assessment was key to identifying areas for improvement. The experience reported here is expected to inform telemedicine strategies to be implemented in a postpandemic scenario. SN - 2291-9694 UR - https://medinform.www.mybigtv.com/2022/12/e37591 UR - https://doi.org/10.2196/37591 UR - http://www.ncbi.nlm.nih.gov/pubmed/36191175 DO - 10.2196/37591 ID - info:doi/10.2196/37591 ER -