Telemonitoring for Patients With COVID-19: Recommendations for Design and Implementation

被引:53
作者
Silven, Anna, V [1 ,2 ]
Petrus, Annelieke H. J. [1 ,2 ]
Villalobos-Quesada, Maria [1 ,2 ]
Dirikgil, Ebru [3 ]
Oerlemans, Carlijn R. [3 ]
Landstra, Cyril P. [3 ,4 ]
Boosman, Hileen [5 ]
van Os, Hendrikus J. A. [2 ,6 ,7 ]
Blanker, Marco H. [8 ]
Treskes, Roderick W. [9 ]
Bonten, Tobias N. [1 ,2 ]
Chavannes, Niels H. [1 ,2 ]
Atsma, Douwe E. [2 ,9 ]
Teng, Y. K. Onno [3 ]
机构
[1] Leiden Univ, Dept Publ Hlth & Primary Care, Med Ctr, Leiden, Netherlands
[2] Leiden Univ, Natl eHlth Living Lab, Med Ctr, Leiden, Netherlands
[3] Leiden Univ, Dept Nephrol, Med Ctr, Leiden, Netherlands
[4] Leiden Univ, Med Ctr, Dept Endocrinol, Leiden, Netherlands
[5] Leiden Univ, Med Ctr, Dept Qual & Patient Safety, Leiden, Netherlands
[6] Leiden Univ, Med Ctr, Dept Neurol, Leiden, Netherlands
[7] Leiden Univ, Med Ctr, Dept Clin Epidemiol, Leiden, Netherlands
[8] Univ Med Ctr Groningen, Dept Gen Practice & Elderly Care Med, Groningen, Netherlands
[9] Leiden Univ, Med Ctr, Dept Cardiol, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
关键词
telemonitoring; telemedicine; eHealth; digital health; COVID-19; EARLY WARNING SCORE; HEALTH LITERACY; FRAMEWORK;
D O I
10.2196/20953
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Despite significant efforts, the COVID-19 pandemic has put enormous pressure on health care systems around the world, threatening the quality of patient care. Telemonitoring offers the opportunity to carefully monitor patients with a confirmed or suspected case of COVID-19 from home and allows for the timely identification of worsening symptoms. Additionally, it may decrease the number of hospital visits and admissions, thereby reducing the use of scarce resources, optimizing health care capacity, and minimizing the risk of viral transmission. In this paper, we present a COVID-19 telemonitoring care pathway developed at a tertiary care hospital in the Netherlands, which combined the monitoring of vital parameters with video consultations for adequate clinical assessment. Additionally, we report a series of medical, scientific, organizational, and ethical recommendations that may be used as a guide for the design and implementation of telemonitoring pathways for COVID-19 and other diseases worldwide.
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页数:10
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