Internet Hospitals Help Prevent and Control the Epidemic of COVID-19 in China: Multicenter User Profiling Study
Internet Hospitals Help Prevent and Control the Epidemic of COVID-19 in China: Multicenter User Profiling Study
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DOI：
10.2196/18908
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发表时间：
2020-04-14
影响因子：
7.4
通讯作者：
Wang, Zhanxiang
中科院分区：
文献类型：
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作者：
Gong, Kai;Xu, Zhong;Wang, Zhanxiang
背景：在新型冠状病毒病(新冠肺炎)流行期间，中国的互联网医院致力于疫情防控，为公众提供疫情相关的在线服务和医疗支持。目的：探讨互联网医院在中国新冠肺炎疫情防控中的作用。方法：收集新冠肺炎疫情期间中国多中心互联网医院的在线疫情咨询。对被咨询者进行了描述，并将其分为七种类型。记录症状，并与报告的新冠肺炎患者进行比较。在每个咨询者群体中检测疑病症怀疑和线下就诊动机，以评估疫情的社会恐慌和随之而来的就医行为。比较了被咨询者的动机和医生对线下访问的建议。采用Logistic回归模型探讨影响咨询者疑病倾向和线下访视动机的危险因素。结果：共纳入4913例咨询者，咨询者年龄中位数为28岁(智商22~33岁)。健康咨询者104人(2.12%)，疑病咨询者147人(2.99%)，暴露咨询者34人(0.69%)，轻度可疑咨询者853人(17.36%)，中度可疑咨询者42人(0.85%)，高度可疑咨询者3550人(72.26%)，重度可疑咨询者183人(3.72%)。共有94.20%(n=4628)的咨询者有与疫情有关的症状，其分布与新冠肺炎相似。疑病常见(n=2167，44.11%)。被咨询者的就诊动机与医生对线下就诊的建议不一致(P
Background: During the spread of the novel coronavirus disease (COVID-19), internet hospitals in China were engaged with epidemic prevention and control, offering epidemic-related online services and medical support to the public.Objective: The aim of this study is to explore the role of internet hospitals during the prevention and control of the COVID-19 outbreak in China.Methods: Online epidemic-related consultations from multicenter internet hospitals in China during the COVID-19 epidemic were collected. The counselees were described and classified into seven type groups. Symptoms were recorded and compared with reported patients with COVID-19. Hypochondriacal suspicion and offline visit motivation were detected within each counselees' group to evaluate the social panic of the epidemic along with the consequent medical-seeking behaviors. The counselees' motivation and the doctors' recommendation for an offline visit were compared. Risk factors affecting the counselees' tendency of hypochondriacal suspicion and offline visit motivation were explored by logistic regression models. The epidemic prevention and control measures based on internet hospitals were listed, and the corresponding effects were discussed.Results: A total of 4913 consultations were enrolled for analysis with the median age of the counselees at 28 years (IQR 22-33 years). There were 104 (2.12%) healthy counselees, 147 (2.99%) hypochondriacal counselees, 34 (0.69%) exposed counselees, 853 (17.36%) mildly suspicious counselees, 42 (0.85%) moderately suspicious counselees, 3550 (72.26%) highly suspicious counselees, and 183 (3.72%) severely suspicious counselees. A total of 94.20% (n=4628) of counselees had epidemic-related symptoms with a distribution similar to those of COVID-19. The hypochondriacal suspicion (n=2167, 44.11%) was common. The counselees' motivation and the doctors' recommendation for offline visits were inconsistent (P