互联网医院在新型冠状病毒肺炎防控中的作用

Effects of internet hospital inprevention and control of COVID-19

目的:通过开通互联网医院新型冠状病毒肺炎义诊团队在线服务,为患者在疫情期间提供必要的防范指导,降低一线门急诊接待压力和线下人群集中交叉感染风险。方法:自2020年1月新型冠状病毒肺炎疫情暴发以后,四川省绵阳市中心医院迅速反应,组建了抗击新型冠状病毒肺炎的互联网义诊项目工作组,根据实际情况,分析需求,按需设置线上专科门诊,对义诊专家实施针对性的培训,优化患者端智能导诊,简化流程后通过互联网医院紧急上线。结果:互联网医院专家义诊团队于2020年1月26日上线,截至2020年2月1日,7 d时间义诊专家团队完成线上问诊4120人次,其中咳嗽、咳痰、发热等呼吸道症状咨询2489人次,占60.4%。598人次咨询新型冠状病毒肺炎相关知识,425人次咨询焦虑、恐惧相关心理问题。筛查出发热及(或)有新型冠状病毒肺炎流行病学史患者共622例,其中既有发热又有流行病学史患者5例。结论:通过互联网医院帮助患者区分普通感冒和新型冠状病毒肺炎,排查疑似病患并进行心理干预,减少社会恐慌,在医院诊治之前,构建了第一道抗疫防线。

Objective To carry out online free medical consultation of the internet hospital to fight the COVID-19 so as to provide a necessary prevention guidance for patients,and reduce the consultation stress in Outpatient and Emergency Department and risk of crowed cross infection.Methods Mianyang Central Hospital of Sichuan Province quickly responded since then COVID-19 had outbroken in January 2020.Our hospital established the internet free medical consultation project team which set up online specialized clinic based on actual state and demand analysis,provided targeted training for consultation experts,optimized intelligent hospitalization guidance in patient port,simplified process and was online urgently by the internet hospital.Results Free medical consultation team of internet hospital was online on January 26th,2020.Free medical consultation team completed 4120 person-time online consultation within 7 days up to February 1st,2020,of which,2489(60.4%)person-time consulting respiratory symptoms,such as cough,expectoration and fever,598 person-time consulting COVID-19 related knowledge and 425 consulting psychological problems,such as anxiety and fear.The online consultation screened out 622 patients with fever or epidemiologic history of COVID-19,including 5 cases with fever and epidemiologic history.Conclusions The internet hospital helped patients distinguish the common cold and COVID-19,eliminated the suspected patients,provided psychological intervention and reduced social panic which built an anti-epidemic defense line before hospital treatment.