COVID-19 transforms health care through telemedicine: Evidence from the field
COVID-19 transforms health care through telemedicine: Evidence from the field
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DOI：
10.1093/jamia/ocaa072
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发表时间：
2020-07-01
影响因子：
6.4
通讯作者：
Nov, Oded
中科院分区：
文献类型：
--
作者：
Mann, Devin M.;Chen, Ji;Nov, Oded
这项研究提供了关于患者和提供者使用视频远程医疗的可行性和影响的数据，以及其对美国2019年冠状病毒病（COVID-19）爆发中心的一个大型卫生系统（纽约大学Langone Health）的紧急和非紧急医疗服务的影响。在2020年3月2日至4月14日期间，远程医疗访问从每天102.4次增加到每天801.6次。(683为应对COVID-19，在全系统范围内扩大虚拟紧急护理人员后，紧急护理的增长率为2.5%。在扩张后的所有虚拟就诊中，紧急和非紧急就诊分别占56.2%和17.6%。20至44岁的患者使用远程医疗最多，特别是在紧急护理方面。2019冠状病毒病大流行促使远程医疗在紧急护理和非紧急护理就诊中的使用迅速扩大，超过了基线期。这反映了远程医疗的一个重要变化，其他面临COVID-19大流行的机构应该预见到这一变化。
This study provides data on the feasibility and impact of video-enabled telemedicine use among patients and providers and its impact on urgent and nonurgent healthcare delivery from one large health system (NYU Langone Health) at the epicenter of the coronavirus disease 2019 (COVID-19) outbreak in the United States. Between March 2nd and April 14th 2020, telemedicine visits increased from 102.4 daily to 801.6 daily. (683% increase) in urgent care after the system-wide expansion of virtual urgent care staff in response to COVID-19. Of all virtual visits post expansion, 56.2% and 17.6% urgent and nonurgent visits, respectively, were COVID-19-related. Telemedicine usage was highest by patients 20 to 44 years of age, particularly for urgent care. The COVID-19 pandemic has driven rapid expansion of telemedicine use for urgent care and nonurgent care visits beyond baseline periods. This reflects an important change in telemedicine that other institutions facing the COVID-19 pandemic should anticipate.