Inpatient Transition to Virtual Care During COVID-19 Pandemic
Inpatient Transition to Virtual Care During COVID-19 Pandemic
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DOI：
10.1089/dia.2020.0206
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发表时间：
2020-05-12
影响因子：
5.4
通讯作者：
Buse, John B.
中科院分区：
文献类型：
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作者：
Jones, Morgan S.;Goley, April L.;Buse, John B.
导言：在冠状病毒病2019年(新冠肺炎)爆发期间，糖尿病护理的新方法被采用。住院和门诊环境中的护理都发生了很大的变化。在减少使用个人防护设备和减少患者和提供者暴露的需求的推动下，我们将住院糖尿病管理服务转变为主要在我们医院进行的虚拟或远程提供护理。方法：在北卡罗来纳大学内分泌科的指导下，于2019年7月启动了糖尿病共同管理服务的实施。为了应对新冠肺炎疫情，糖尿病服务于2020年3月在很大程度上过渡到虚拟护理模式。实现新冠肺炎患者自动会诊。对过渡到虚拟护理前后的血糖结果进行评估。结果：15周的数据显示，医院在糖尿病管理中使用虚拟护理是可行的，并且可以提供与传统面对面护理相似的结果。结论：新冠肺炎患者的自动会诊确保了重症患者得到专门的糖尿病护理。过渡到虚拟护理模式不会限制住院糖尿病护理的血糖结果，应该在新冠肺炎的背景下使用它来减少患者和提供者的暴露。这些发现可能对在挑战较小的时代减少医院感染有影响，并可能解决卫生保健提供者短缺的问题，特别是在偏远地区。
Introduction: During the coronavirus disease 2019 (COVID-19) outbreak, novel approaches to diabetes care have been employed. Care in both the inpatient and outpatient setting has transformed considerably. Driven by the need to reduce the use of personal protective equipment and exposure for patients and providers alike, we transitioned inpatient diabetes management services to largely "virtual" or remotely provided care at our hospital.Methods: Implementation of a diabetes co-management service under the direction of the University of North Carolina division of endocrinology was initiated in July 2019. In response to the COVID-19 pandemic, the diabetes service was largely transitioned to a virtual care model in March 2020. Automatic consults for COVID-19 patients were implemented. Glycemic outcomes from before and after transition to virtual care were evaluated.Results: Data over a 15-week period suggest that using virtual care for diabetes management in the hospital is feasible and can provide similar outcomes to traditional face-to-face care.Conclusion: Automatic consults for COVID-19 patients ensure that patients with serious illness receive specialized diabetes care. Transitioning to virtual care models does not limit the glycemic outcomes of inpatient diabetes care and should be employed to reduce patient and provider exposure in the setting of COVID-19. These findings may have implications for reducing nosocomial infection in less challenging times and might address shortage of health care providers, especially in the remote areas.