TY - JOUR AU - Lian、Wanmin AU - Wen、Li AU - Zhou、齐如AU - Zhu、魏杰AU -段、温州AU -肖、雄治AU - Mhungu、Florence AU -黄文臣AU - Li、崇冲AU - Cheng、魏斌AU -田俊章PY - 2020 DA - 20/11/24 TI -数字卫生技术在中国某三级医院应对新冠肺炎大流行:开发和可用性研究JO - J Med Internet Res SP - e24505 VL - 22 IS - 11kw -互联网医院KW - COVID-19 KW -自动筛查KW -症状KW -监测KW -网络咨询KW -心理支持KW -急诊KW -数字健康KW -医院KW -中国KW -筛查AB -背景:COVID-19的爆发引发了持续的全球大流行。医院是防控新冠肺炎不可或缺的环节;然而，在疫情期间，他们面临着许多挑战。目的:介绍国内某三级医院新冠肺炎网络服务平台的设计与实现的实践经验及初步实施效果。方法:在广东省第二总医院和互联网医院的医疗卫生系统内部署新冠肺炎网络服务平台;该平台的功能是为公众成员和非专业保健工作者提供基于网络的医疗服务。该系统的重点功能包括新冠病毒自动筛查、相关症状监测、网络咨询和心理支持;它还是COVID-19知识中心。介绍了各功能的设计和实现过程。 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. SN - 1438-8871 UR - //www.mybigtv.com/2020/11/e24505/ UR - https://doi.org/10.2196/24505 UR - http://www.ncbi.nlm.nih.gov/pubmed/33141679 DO - 10.2196/24505 ID - info:doi/10.2196/24505 ER -