線上門診在澳門地區新冠疫情高峰期間的分流作用和反思

Online outpatient service during the peak of COVID-19 in Macao: Reflections on triage and its impact

在2022年12月新冠疫情高峰期,同時急診的大批醫護人員相繼感染,令本院急診運作受到前所未有的壓力,為應付短期内急診求診人數大幅增加,家庭醫學科及時推出了“線上門診”服務,以電話問診的方式診治新冠病毒感染的輕症患者,有效地舒緩了急診的壓力,且受到澳門地區市民的廣泛的認同。但以“線上門診”形式應診新冠病毒感染者,盡管採用了標準化的問診方式和協議處方的方式,但與國内外現有“遠程醫療”的規範要求存有差距,值得我們總結與改善。

During the peak of the COVID-19 pandemic outbreak at the end of December 2022,a large number of medical staff in the emergency department became infected,putting unprecedented pressure on the functioning of the department.To cope with the significant increase in emergency patients within a short period of time,the Department of Family Medicine launched the"Online Outpatient Service"by conducting phone consultations to treat mild COVID-19 patients.This effectively relieved the pressure on the emergency department and gained widespread recognition in the Macao community.However,although standardized questioning and prescribing protocols were used in the"Online Outpatient Service"for COVID-19 patients,there may be discrepancies when compared to the standards of existing"telemedicine"practices both domestically and internationally.This highlights the need for us to summarize and improve these practices.