Bridging Learning in Medicine and Citizenship During the COVID-19 Pandemic: A Telehealth-Based Case Study.
Bridging Learning in Medicine and Citizenship During the COVID-19 Pandemic: A Telehealth-Based Case Study.
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DOI：
10.2196/24795
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发表时间：
2021-03-04
影响因子：
8.5
通讯作者：
Boaventura V
中科院分区：
文献类型：
--
作者：
Cerqueira-Silva T;Carreiro R;Nunes V;Passos L;Canedo BF;Andrade S;Ramos PIP;Khouri R;Santos CBS;Nascimento JDS;Paste AA;Paiva Filho IM;Santini-Oliveira M;Cruz Á;Barral-Netto M;Boaventura V
新冠肺炎不仅给医疗保健领域的人带来了巨大的挑战，也给正在接受医学培训的人带来了巨大的挑战。由于社会距离的要求，世界各地医疗保健服务的负担限制了医学生可获得的教育机会。在这篇文章中，我们描述了一种结合远程医疗和医疗培训的战略，以减轻新冠肺炎大流行的不利影响。免费电视筛选服务TelecoronaVirus于2020年3月开始运营。这项服务由受监督的医学生远程操作，并在巴西巴伊亚州的所有417个市政当局(1480万居民)提供。学生通过使用基于网络的应用程序记录临床和社会人口学数据，医疗志愿者可以同时访问该应用程序以进行监督，州卫生当局也可以进行流行病学监测和健康管理工作。与此同时，学生们通过教授们制作的教育短视频获得了有关新冠肺炎的最新科学信息。设计了一个不断更新的分诊算法，以提供一致的服务。该项目运作了大约4个月，涉及1396名医学生和133名医生。居住在343个城市的111,965人总共使用了这项服务。近70,000人被建议呆在家里，他们接受了避免疾病传播的指导，这可能有助于局部减少新冠肺炎的传播。此外，该计划还促进了医科学生的公民教育，他们在自己的社区内参与了一个现实生活中抗击疫情的机会。根据评估医生和学生看法的基于网络的项目后调查的结果，成功地实现了电信病毒计划的教育、组织和援助领域的目标。在长期大流行的情况下，远程工具和通过远程保健服务进行医疗监督的组合可能构成一种有用的战略，用于维持社会距离措施，同时保留医学教育的一些实际方面。除了为流行病学监测行动提供支持外，像电信病毒计划这样的低成本工具在资源有限的医疗保健方案中可能特别有价值。
COVID-19 presented great challenges for not only those in the field of health care but also those undergoing medical training. The burden on health care services worldwide has limited the educational opportunities available for medical students due to social distancing requirements. In this paper, we describe a strategy that combines telehealth and medical training to mitigate the adverse effects of the COVID-19 pandemic. A toll-free telescreening service, Telecoronavirus, began operations in March 2020. This service was operated remotely by supervised medical students and was offered across all 417 municipalities (14.8 million inhabitants) in the Brazilian state of Bahia. Students recorded clinical and sociodemographic data by using a web-based application that was simultaneously accessed by medical volunteers for supervision purposes, as well as by state health authorities who conducted epidemiological surveillance and health management efforts. In parallel, students received up-to-date scientific information about COVID-19 via short educational videos prepared by professors. A continuously updated triage algorithm was conceived to provide consistent service. The program operated for approximately 4 months, engaging 1396 medical students and 133 physicians. In total, 111,965 individuals residing in 343 municipalities used this service. Almost 70,000 individuals were advised to stay at home, and they received guidance to avoid disease transmission, potentially contributing to localized reductions in the spread of COVID-19. Additionally, the program promoted citizenship education for medical students, who were engaged in a real-life opportunity to fight the pandemic within their own communities. The objectives of the education, organization, and assistance domains of the Telecoronavirus program were successfully achieved according to the results of a web-based post-project survey that assessed physicians’ and students’ perceptions. In a prolonged pandemic scenario, a combination of remote tools and medical supervision via telehealth services may constitute a useful strategy for maintaining social distancing measures while preserving some practical aspects of medical education. A low-cost tool such as the Telecoronavirus program could be especially valuable in resource-limited health care scenarios, in addition to offering support for epidemiological surveillance actions.
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DOI：
10.22454/primer.2020.581719
发表时间：
2020-01-01
期刊：
PRiMER (Leawood, Kan.)
影响因子：
--
作者：
Carson, Samantha;Peraza, Lazaro R;Huynh, Jacqueline
通讯作者：
Huynh, Jacqueline
影响因子：
158.5
作者：
Beigel, John H.;Tomashek, Kay M.;Lane, H. Clifford
通讯作者：
Lane, H. Clifford
影响因子：
15.9
作者：
Bekerman, Elena;Neveu, Gregory;Einav, Shirit
通讯作者：
Einav, Shirit
影响因子：
158.5
作者：
Cao, B.;Wang, Y.;Wang, C.
通讯作者：
Wang, C.
影响因子：
168.9
作者：
Chen, Nanshan;Zhou, Min;Zhang, Li
通讯作者：
Zhang, Li