数字医疗技术在中国三级医院应对新冠肺炎疫情中的应用卡塔尔世界杯8强波胆分析A Lian,Wanmin, A Wen,Li, A Zhou,Qiru， %A Zhu， %A Duan，温州，%A Xiao，雄志，%A Mhungu,Florence， %A Huang，文辰，%A Li,Chongchong， %A Cheng, wei斌，%A Tian,Junzhang +广州市海珠区新港中路466号，广东省第二总医院医疗保健人工智能应用研究所，510317,86 13929587509chwb817@gmail.com %K互联网医院%K COVID-19 %K自动筛查%K症状%K监测%K网络咨询%K心理支持%K急诊%K数字健康%K医院%K中国%K筛查%D 2020 %7 24.11.2020 %9原论文%J J医学互联网研究%G英语%X背景:COVID-19的爆发已引起持续的全球大流行。医院是控制和预防COVID-19不可或缺的一部分;然而，他们在疫情期间面临着许多挑战。目的:介绍国内某三级医院基于web的新型冠状病毒肺炎服务平台的设计与实施的实践经验及实施的初步结果。方法:在广东省第二总医院和互联网医院的卫生保健系统内部署基于web的COVID-19服务平台;该平台的功能是为公众和非专业医护人员提供基于网络的医疗服务。该系统的重点功能包括COVID-19自动筛查、相关症状监测、网络咨询和心理支持;它还充当了COVID-19知识中心。 The design and process of each function are introduced. The usage data for the platform service were collected and are represented by three periods: the pre-epidemic period (December 22, 2019, to January 22, 2020, 32 days), the controlled period (January 23 to March 31, 2020, 69 days), and the postepidemic period (April 1 to June 30, 2020, 91 days). Results: By the end of June 2020, 96,642 people had used the automated COVID-19 screening and symptom monitoring systems 161,884 and 7,795,194 times, respectively. The number of general web-based consultation services per day increased from 30 visits in the pre-epidemic period to 122 visits during the controlled period, then dropped to 73 visits in the postepidemic period. The psychological counseling program served 636 clients during the epidemic period. For people who used the automated COVID-19 screening service, 160,916 (99.40%) of the total users were classified in the no risk category. 464 (0.29%) of the people were categorized as medium to high risk, and 12 people (0.01%) were recommended for further COVID-19 testing and treatment. Among the 96,642 individuals who used the COVID-19 related symptoms monitoring service, 6696 (6.93%) were symptomatic at some point during the monitoring period. Fever was the most frequently reported symptom, with 2684/6696 symptomatic people (40.1%) having had this symptom. Cough and sore throat were also relatively frequently reported by the 6696 symptomatic users (1657 people, 24.7%, and 1622 people, 24.2%, respectively). Conclusions: The web-based COVID-19 service platform implemented at a tertiary hospital in China is exhibited to be a role model for using digital health technologies to respond to the COVID-19 pandemic. The digital solutions of automated COVID-19 screening, daily symptom monitoring, web-based care, and knowledge propagation have plausible acceptability and feasibility for complementing offline hospital services and facilitating disease control and prevention. %M 33141679 %R 10.2196/24505 %U //www.mybigtv.com/2020/11/e24505/ %U https://doi.org/10.2196/24505 %U http://www.ncbi.nlm.nih.gov/pubmed/33141679