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1.
Ann Intern Med ; 175(2): HO2-HO3, 2022 02.
Article in English | MEDLINE | ID: covidwho-1689834
2.
J Am Board Fam Med ; 34(Suppl): S21-S25, 2021 02.
Article in English | MEDLINE | ID: covidwho-1099983

##### ABSTRACT

Pharmacists' roles and training have evolved to prepare pharmacists to provide clinical patient care services as part of interdisciplinary teams in primary care settings. Especially now, amidst a global health crisis such as COVID-19, patients may become more aware of their health status and be exposed to increased medical information in the media. Additionally, some patients may have delayed routine care, which may result in exacerbations of chronic disease states. Pharmacists can help alleviate the burden on primary care providers by serving as a drug information resource for patients and staff while providing patient education on management of chronic disease states.

##### Subject(s)
Patient Care Team/organization & administration , Patient Education as Topic/organization & administration , Pharmacists/organization & administration , Primary Health Care/organization & administration , Professional Role , COVID-19/diagnosis , COVID-19/epidemiology , COVID-19/therapy , Chronic Disease , Humans , Pandemics , Patient Education as Topic/methods , Primary Health Care/methods , United States/epidemiology
3.
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200602, 2021.
Article in English, Portuguese | MEDLINE | ID: covidwho-1090509

##### ABSTRACT

OBJECTIVE: To report the experience of a Virtual Culture Circle with Brazilian families about coping with COVID-19, as a space that promotes health during the pandemic. METHOD: Experience resulting from an extension action, the Virtual Culture Circle was held based on Paulo Freire's Research Itinerary. It counted with the participation of seven families from different locations in Brazil. During the dialogues, a house was built: the foundation represented the thematic research; walls and roof, coding and decoding; doors and windows, the critical unveiling. RESULTS: The action-reflection-action process favored the approach and integration of the participants of the Culture Circle; despite the geographical distance, it is an innovative strategy for empowerment and health promotion. FINAL CONSIDERATIONS: The Virtual Culture Circle constituted a soft technology for health care and can be explored as a tool for promoting health, especially in scenarios where face-to-face meetings are an impossibility.

##### Subject(s)
Adaptation, Psychological , COVID-19/psychology , Health Promotion/methods , Patient Education as Topic/methods , Virtual Reality , Adult , Aged , Aged, 80 and over , Brazil , Female , Humans , Male , Middle Aged , Qualitative Research , SARS-CoV-2
4.
Cancer Control ; 28: 1073274821989709, 2021.
Article in English | MEDLINE | ID: covidwho-1076105

##### ABSTRACT

The 2019 novel coronavirus (COVID-19) pandemic has prompted the reorganization in the scheduling and method of care for many patients, including patients diagnosed with cancer. Cancer patients, who have an immunocompromised status, may be at a higher risk of severe symptoms from infection with COVID-19. While information is rapidly evolving regarding COVID-19, Canada, both nationally and provincially, has been conveying new information to patients online. We assessed the content and readability of COVID-19-related online Canadian patient education material (PEM) for cancer patients to determine if the content of the material was written at a grade reading level that the majority of Canadians can understand. PEMs were extracted from provincial cancer agencies and the national Canadian Cancer Society, evaluated using 10 readability scales, qualitatively analyzed to identify their themes and difficult word content. Thirty-eight PEMs from both national and provincial cancers associations were, on average, written above the recommended 7th grade level. Each of the associations' average grade levels were: BC Cancer (11.00 95% confidence interval [CI] 8.27-13.38), CancerControl Alberta (10.46 95% CI 8.29-12.62), Saskatchewan Cancer Agency (11.08 95% CI 9.37-12.80), Cancer Care Manitoba (9.55 95% CI 6.02-13.01), Cancer Care Ontario (9.35 95% CI 6.80-11.90), Cancer Care Nova Scotia (10.95 95% CI 9.86-12.04), Cancer Care Eastern Health Newfoundland and Labrador (10.14 95% CI 6.87-13.41), and the Canadian Cancer Society (10.06 95% CI 8.07-12.05). Thematic analysis identified 4 themes: public health strategy, information about COVID-19, patient instructions during COVID-19, and resources. Fifty-three percent of the complex words identified were medical jargon. This represents an opportunity to improve PEM readability, to allow for greater comprehension amongst a wider target audience.

##### Subject(s)
COVID-19/prevention & control , Health Services , Medical Oncology/methods , Neoplasms/therapy , Patient Education as Topic/methods , SARS-CoV-2/isolation & purification , COVID-19/epidemiology , COVID-19/virology , Canada , Comprehension , Health Literacy , Humans , Neoplasms/diagnosis , Pandemics , Patient Education as Topic/statistics & numerical data , Patient Education as Topic/trends , Reading , SARS-CoV-2/physiology
5.
Diabetes Metab Syndr ; 15(1): 243-247, 2021.
Article in English | MEDLINE | ID: covidwho-1065022

##### ABSTRACT

BACKGROUND AND AIMS: In Colombia, the government established mandatory isolation after the first case of COVID-19 was reported. As a diabetes care center specialized in technology, we developed a virtual training program for patients with type 1 diabetes (T1D) who were upgrading to hybrid closed loop (HCL) system. The aim of this study is to describe the efficacy and safety outcomes of the virtual training program. METHOD: ology: A prospective observational cohort study was performed, including patients with diagnosis of T1D previously treated with multiple doses of insulin (MDI) or sensor augmented pump therapy (SAP) who were updating to HCL system, from March to July 2020. Virtual training and follow-up were done through the Zoom video conferencing application and Medtronic Carelink System version 3.1 software. CGM data were analyzed to compare the time in range (TIR), time below range (TBR) and glycemic variability, during the first two weeks corresponding to manual mode with the final two weeks of follow-up in automatic mode. RESULTS: 91 patients were included. Mean TIR achieved with manual mode was 77.3 ± 11.3, increasing to 81.6% ± 7.6 (p < 0.001) after two weeks of auto mode use. A significant reduction in TBR <70 mg/dL (2,7% ± 2,28 vs 1,83% ± 1,67, p < 0,001) and in glycemic variability (% coefficient of variation 32.4 vs 29.7, p < 0.001) was evident, independently of baseline therapy. CONCLUSION: HCL systems allows T1D patients to improve TIR, TBR and glycemic variability independently of previous treatment. Virtual training can be used during situations that limit the access of patients to follow-up centers.

##### Subject(s)
COVID-19/epidemiology , Diabetes Mellitus, Type 1/epidemiology , Diabetes Mellitus, Type 1/therapy , Insulin Infusion Systems , Patient Education as Topic/methods , Telemedicine/methods , Adolescent , Adult , Aged , Blood Glucose Self-Monitoring/methods , COVID-19/prevention & control , Cohort Studies , Colombia/epidemiology , Female , Follow-Up Studies , Humans , Hypoglycemic Agents/administration & dosage , Male , Middle Aged , Prospective Studies , Young Adult
6.
Diabetes Technol Ther ; 23(6): 467-470, 2021 06.
Article in English | MEDLINE | ID: covidwho-1029729

##### ABSTRACT

Insulin pump training has traditionally been performed in-person. The coronavirus disease 2019 (COVID-19) pandemic necessitated vast increases in the number of virtual pump trainings for Tandem t:slim X2 insulin pump starts. A customized structured pump training curriculum specifically tailored to virtual learning was deployed in early 2020, and included (1) preparation for training with use of the t:simulator app, (2) use of the teach-back method during video training, and (3) automating data uploads for follow-up. Retrospective analysis from >23,000 pump training sessions performed from January 1, 2020 to July 28, 2020 showed sensor time-in-range for up to 6 months after training was 72% (60%-81%) for virtual training versus 67% (54%-78%) for in-person training. Higher user satisfaction (4.78 ± 0.52 vs. 4.64 ± 0.68; P < 0.01) and higher user confidence (4.61 ± 0.75 vs. 4.47 ± 0.0.85; P < 0.01) were reported after the virtual sessions. Virtual pump training was well received and proved safe and effective with the new virtual training curriculum.

##### Subject(s)
Diabetes Mellitus/drug therapy , Hypoglycemia/epidemiology , Hypoglycemic Agents/administration & dosage , Insulin Infusion Systems , Insulin/administration & dosage , Patient Education as Topic/methods , Telemedicine/methods , Adolescent , Adult , Age Factors , Aged , COVID-19 , Child , Curriculum , Diabetes Mellitus/metabolism , Educational Measurement , Feasibility Studies , Female , Glycated Hemoglobin/metabolism , Humans , Hypoglycemic Agents/therapeutic use , Infusion Pumps, Implantable , Insulin/therapeutic use , Male , Middle Aged , SARS-CoV-2 , Young Adult
7.
Math Biosci Eng ; 17(6): 7428-7441, 2020 10 28.
Article in English | MEDLINE | ID: covidwho-1004821

##### ABSTRACT

Since the initial identification of a COVID-19 case in Wuhan, China, the novel disease quickly becomes a global pandemic emergency. In this paper, we propose a dynamic model that incorporates individuals' behavior change in social interactions at different stages of the epidemics. We fit our model to the data in Ontario, Canada and calculate the effective reproduction number $\mathcal{R}_t$ within each stage. Results show that $\mathcal{R}_t$ > 1 if the public's awareness to practice physical distancing is rela-tively low and $\mathcal{R}_t$ < 1 otherwise. Simulations show that a reduced contact rate between the susceptible and asymptomatic/unreported symptomatic individuals is effective in mitigating the disease spread. Moreover, sensitivity analysis indicates that an increasing contact rate may lead to a second wave of disease outbreak. We also investigate the effectiveness of disease intervention strategies. Simulations demonstrate that enlarging the testing capacity and motivating infected individuals to test for an early diagnosis may facilitate mitigating the disease spread in a relatively short time. Results also indicate a significantly faster decline of confirmed positive cases if individuals practice strict physical distancing even if restricted measures are lifted.

##### Subject(s)
COVID-19/prevention & control , COVID-19/transmission , Patient Education as Topic/methods , Physical Distancing , Social Behavior , Algorithms , Basic Reproduction Number , COVID-19/epidemiology , Communicable Disease Control , Computer Simulation , Disease Outbreaks , Humans , Ontario/epidemiology , Pandemics , Reproducibility of Results , Sensitivity and Specificity
8.
J Glaucoma ; 30(3): e40-e46, 2021 03 01.
Article in English | MEDLINE | ID: covidwho-990867

##### ABSTRACT

PRCIS: Telepresence robots (TR) present the versatility to effectively provide remote educational sessions for patients affected by glaucoma to improve disease knowledge. Given COVID-19's effect on clinical practice, TR can maintain social distancing when educating patients. PURPOSE: TR are devices that allow remote users to have a mobile presence anywhere. We compared the effect of an education session given by an in-person educator versus a TR on glaucoma knowledge and identified factors that impact patient education. METHODS: Eighty-five glaucoma patients were split into control, human, and TR groups. We measured glaucoma knowledge scores (KS) using the National Eye Institute's Eye-Q Test. Human and TR groups had the education session with a human or TR followed by the questionnaire. The control group was administered the questionnaire without an education session. Treatment regimen recall (RR) >90% was considered a success. We used linear regression and binary logistic regression to determine variables that affect KS and RR, respectively. RESULTS: Mean age was 58.3±2.8 years. 49% were female. Mean KS were 5.8±0.7 in the control group (n=31), 7.9±0.5 in the TR group (n=26), and 8.4±0.5 in the human group (n=28). Control participants had a lower mean KS than the human or TR groups (P<0.001). Having the education session (2.5, P<0.001), education greater than high school (0.8, P=0.016), and diabetes (-0.7, P=0.037) affected KS. Having diabetes (odds ratio=0.14, P=0.014) negatively affected RR. Having the education session may affect RR (odds ratio=5.47, P=0.07), warranting additional studies. CONCLUSIONS: Education sessions with a human and TR improved patients' glaucoma KS. TRs may serve as an alternative to in-person education sessions and allow educators to safely and effectively educate patients remotely to adhere to COVID-19 social distancing guidelines.

##### Subject(s)
COVID-19/epidemiology , Glaucoma/therapy , Health Knowledge, Attitudes, Practice , Intraocular Pressure/physiology , Pandemics , Patient Education as Topic/methods , Robotics/instrumentation , Comorbidity , Female , Glaucoma/epidemiology , Glaucoma/physiopathology , Humans , Male , Mental Recall , Middle Aged , SARS-CoV-2 , Surveys and Questionnaires
9.
Ann Acad Med Singap ; 49(9): 652-660, 2020 09.
Article in English | MEDLINE | ID: covidwho-972949

##### ABSTRACT

INTRODUCTION: Coronavirus Disease 2019 (COVID-19) has significantly affected the way healthcare is delivered in Singapore. Healthcare services such as renal transplantation had to rapidly adjust and meet the needs to (1) protect patients and staff, (2) ramp up, conserve or redeploy resources while (3) ensuring that critical services remained operational. This paper aims to describe the experience of the renal transplant programme at the Singapore General Hospital (SGH) in responding to the risks and constraints posed by the pandemic. METHODS AND MATERIALS: This is a review and summary of the SGH renal transplant programme's policy and protocols that were either modified or developed in response to the COVID-19 Pandemic. RESULTS: A multi-pronged approach was adopted to respond to the challenges of COVID-19. These included ensuring business continuity by splitting the transplant team into different locations, adopting video and tele-consults to minimise potential patient exposure to COVID-19, streamlining work processes using electronic forms, ensuring safe paths for patients who needed to come to hospital, ring-fencing and testing new inpatients at risk for COVID-19, enhancing precautionary measures for transplant surgery, ensuring a stable supply chain of immunosuppression, and sustaining patient and staff education programmes via video conferencing. CONCLUSIONS: Though the COVID-19 pandemic has reduced access to kidney transplantation, opportunities arose to adopt telemedicine into mainstream transplant practice as well as use electronic platforms to streamline work processes. Screening protocols were established to ensure that transplantation could be performed safely, while webinars reached out to empower patients to take precautions against COVID-19.

##### Subject(s)
COVID-19/prevention & control , Delivery of Health Care/organization & administration , Immunosuppressive Agents/supply & distribution , Kidney Transplantation , Telemedicine , Videoconferencing , COVID-19/diagnosis , COVID-19/epidemiology , Delivery of Health Care/methods , Graft Rejection/prevention & control , Humans , Immunosuppressive Agents/therapeutic use , Mass Screening , Organizational Policy , Patient Education as Topic/methods , Patient Education as Topic/organization & administration , Personnel Staffing and Scheduling , Physical Distancing , Singapore/epidemiology , Workflow
10.
MCN Am J Matern Child Nurs ; 45(6): 364-370, 2020.
Article in English | MEDLINE | ID: covidwho-884878

##### ABSTRACT

The COVID-19 pandemic has caused many changes in health care. The status quo has been upended. We have been challenged in many ways to maintain our ability to meet the needs of our clients while keeping them safe. The Center for Perinatal Education and Lactation at NYU Langone Hospitals, in one of the initial epicenters of the pandemic in New York City, had to abruptly transition the childbirth education program to a virtual format in March of 2020. The goal for this change was to continue to provide evidence-based support and guidance our to our expectant and new families through this crisis. This report focuses on the process and challenges of transitioning to and implementation of the virtual format in the context of the COVID-19 crisis. We discuss the rapidly evolving programmatic changes to our approach and reflect on the themes and changing landscape of our newly structured model. Questions and answers live discussion webinars "Ask the Educator" on various topics were a valuable tool in connecting with families and allaying anxiety and fear.

##### Subject(s)
Coronavirus Infections , Delivery of Health Care/methods , Pandemics , Parents/education , Patient Education as Topic/methods , Pneumonia, Viral , Prenatal Care/methods , Telemedicine/methods , Virtual Reality , Adult , Betacoronavirus , COVID-19 , Family , Female , Humans , Male , New York City/epidemiology , Pregnancy , SARS-CoV-2
11.
West J Emerg Med ; 21(6): 52-60, 2020 Oct 06.
Article in English | MEDLINE | ID: covidwho-869235

##### ABSTRACT

The current coronavirus disease 2019 (COVID-19) pandemic is forcing healthcare systems around the word to organise care differently than before. Prompt detection and effective triage and isolation of potentially infected and infectious patients are essential to preventing unnecessary community exposure. Since there are as yet no medications to treat or vaccines to prevent COVID-19, prevention focuses on self-management strategies, creating patient education challenges for physicians doing triage and testing. This article describes a five-step process for effectively educating, at discharge, patients who are suspected of being infectious and instructed to self-isolate at home. We are proposing the CEdRIC strategy as a practical, straightforward protocol that meets patient education and health psychology science requirements. The main goal of the CEdRIC process is to give patients self-management strategies aimed at preventing complications and disease transmission. The COVID-19 pandemic is challenging clinicians to rapidly teach their patients self-management strategies while managing the inherent pressures of this emergency situation. The CEdRIC strategy is designed to deliver key information to patients and standardize the discharge process. CEdRIC is currently being tested at triage centres in Belgium. Formal assessment of its implementation is still needed.

##### Subject(s)
Coronavirus Infections/prevention & control , Delivery of Health Care/organization & administration , Pandemics/prevention & control , Patient Education as Topic/methods , Pneumonia, Viral/prevention & control , Belgium , Betacoronavirus , COVID-19 , Humans , SARS-CoV-2 , Triage/methods
12.
Diabetes Technol Ther ; 23(2): 104-109, 2021 02.
Article in English | MEDLINE | ID: covidwho-651928

##### ABSTRACT

Background: The coronavirus disease 2019 (COVID-19) pandemic has challenged the ability to do face-to-face training on advanced diabetes management technologies. In the United States, Medtronic Diabetes shifted from occasional to 100% virtual training on all diabetes devices in mid-March 2020. We studied the outcomes of virtual training on the MiniMed™ 670 G hybrid closed-loop system in type 1 diabetes. Methods: From March 20, 2020, to April 22, 2020 (intra-COVID-19), virtual training on the MiniMed 670 G system was completed using Zoom with satisfaction captured through online post-training surveys. Training efficiency was measuring by the days between the date of product shipment and the date of the first and final trainings. Patient satisfaction with training on the MiniMed 670 G was determined by Net Promotor Score® (NPS®). Uploads from CareLink™ Personal and CareLink Professional and calls to the Medtronic 24-h technical support team requesting educational/software assistance and/or help with health care provider telehealth visits were recorded. Continuous glucose monitoring (CGM) results were measured using the CareLink Personal database. All results except for the Zoom satisfaction survey were compared with data from January 20, 2020, to February 22, 2020, (Pre-COVID-19) when training was performed in-person. Results: The CGM metrics were comparable between pre- and intra-COVID-19 training. The Zoom video conferencing application had 98% satisfaction. The NPS rose from 78 to 84. The time between the pump shipment and the first and last (automode) training was significantly reduced from 14 ± 7 days to 11 ± 5 days (P < 0.001) and from 19 ± 7 days to 15 ± 15 days (P < 0.01), respectively. There was a decrease in the calls for educational assistance to the technical support team but an increase in requests for login and software installation support. Conclusions: Virtual training of individuals with diabetes on the MiniMed 670 G system resulted in high satisfaction and short-term glycemic results comparable with in-person training.

##### Subject(s)
COVID-19 , Diabetes Mellitus, Type 1/drug therapy , Insulin Infusion Systems , Patient Education as Topic/methods , Patient Satisfaction , Self Care/methods , Telemedicine , Videoconferencing , Adolescent , Adult , Aged , Aged, 80 and over , Blood Glucose/metabolism , Blood Glucose Self-Monitoring , Child , Diabetes Mellitus, Type 1/metabolism , Female , Humans , Male , Middle Aged , SARS-CoV-2 , Treatment Outcome , Young Adult
13.
Int J Radiat Oncol Biol Phys ; 108(2): 479-482, 2020 10 01.
Article in English | MEDLINE | ID: covidwho-739853
14.
Dis Mon ; 66(9): 101055, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-679852
15.
Prev Chronic Dis ; 17: E63, 2020 07 16.
Article in English | MEDLINE | ID: covidwho-653091

##### ABSTRACT

Data suggest that more men than women are dying of coronavirus disease 2019 (COVID-19) worldwide, but it is unclear why. A biopsychosocial approach is critical for understanding the disproportionate death rate among men. Biological, psychological, behavioral, and social factors may put men at disproportionate risk of death. We propose a stepwise approach to clinical, public health, and policy interventions to reduce COVID-19-associated morbidity and mortality among men. We also review what health professionals and policy makers can do, and are doing, to address the unique COVID-19-associated needs of men.

##### Subject(s)
Betacoronavirus , Coronavirus Infections/mortality , Coronavirus Infections/psychology , Health Policy , Pneumonia, Viral/mortality , Pneumonia, Viral/psychology , Angiotensin-Converting Enzyme 2 , COVID-19 , Coronavirus Infections/epidemiology , Coronavirus Infections/immunology , Female , Health Promotion , Humans , Male , Pandemics , Patient Education as Topic/methods , Peptidyl-Dipeptidase A/blood , Peptidyl-Dipeptidase A/metabolism , Pneumonia, Viral/epidemiology , Pneumonia, Viral/immunology , Preventive Medicine , Public Health , Risk Factors , SARS-CoV-2 , Sex Factors , United States/epidemiology
16.
Recenti Prog Med ; 111(7): 398-401, 2020.
Article in Italian | MEDLINE | ID: covidwho-643395

##### ABSTRACT

The SARS-CoV-2 pandemic has lifted the veil about how medical knowledge is produced and disseminated. Action Bias, together with economic, academic and media-related interests, has concurred to generate and spread low-value and even unreliable information about some hypothetical therapeutic interventions for CoViD-19. Not only this "infodemic" has weakened people's ability to make informed health choices, but it also has influenced the process of new evidence generation through the violation of the equipoise principle. The CoViD-19 infodemic has further highlighted the need for reliable health information and for people to enter the process of understanding and promoting valuable research. Through a randomized controlled trial, the Informed Health Choices project has shown that it is not impossible neither quixotic to better orient people about health choices since primary school. Similar competencies should be disseminated to everyone through sources that are selected and validated for their capability of reporting evidence based health information about the effects of treatments.

##### Subject(s)
Betacoronavirus , Information Dissemination , Pandemics , Antiviral Agents/therapeutic use , Betacoronavirus/immunology , COVID-19 , Communication , Coronavirus Infections/drug therapy , Coronavirus Infections/prevention & control , Decision Making , Drug Repositioning , Evidence-Based Medicine , Health Services Needs and Demand , Humans , Information Seeking Behavior , Off-Label Use , Pandemics/prevention & control , Patient Education as Topic/methods , Pneumonia, Viral/drug therapy , Pneumonia, Viral/prevention & control , Randomized Controlled Trials as Topic/ethics , Randomized Controlled Trials as Topic/methods , SARS-CoV-2 , Therapeutic Equipoise , Viral Vaccines , COVID-19 Drug Treatment
17.
Res Social Adm Pharm ; 17(1): 2002-2004, 2021 01.
Article in English | MEDLINE | ID: covidwho-625282

##### ABSTRACT

BACKGROUND: Community pharmacists and their teams are easy accessible healthcare providers with an important role in primary care. As a consequence of the COVID-19 epidemic, (pharmaceutical) care and specifically communication between patients and healthcare providers is compromised. OBJECTIVE: To describe the impact of the COVID-19 epidemic on the provision of pharmaceutical care in the Netherlands. METHODS: A cross-sectional study with an online questionnaire was sent to community pharmacies in the Netherlands. The questionnaire covered the following main topics: changes in pharmacy setting and logistic procedures, communication about medication and baseline characteristics. RESULTS: Pharmacies implemented hygiene measures and minimized direct patient-provider contact, e.g. by delivering medication at home to a wider range of patients (47.0%), temporarily not conducting medication reviews (55.8%) and only performing inhalation instructions via telephone (22.3%). Only a small number of pharmacies used telepharmacy, such as video calling during patient education and counseling. A total of 76.7% of the participants expressed concerns towards the pharmaceutical care for vulnerable patients. CONCLUSIONS: Our results show considerable impact of the COVID-19 epidemic on both logistic procedures and services regarding patient education and counseling. Pharmacies should be stimulated to implement telepharmacy or remote service to optimally support patients during the COVID-19 epidemic.

##### Subject(s)
COVID-19/epidemiology , Community Pharmacy Services/organization & administration , Pharmacists/organization & administration , Adult , Communication , Cross-Sectional Studies , Female , Health Services Accessibility , Humans , Male , Middle Aged , Netherlands , Patient Education as Topic/methods , Primary Health Care/organization & administration , Professional Role , Surveys and Questionnaires , Telemedicine/organization & administration
18.
Gynecol Oncol ; 158(1): 32-33, 2020 07.
Article in English | MEDLINE | ID: covidwho-270775
19.
J Am Med Inform Assoc ; 27(8): 1326-1330, 2020 08 01.
Article in English | MEDLINE | ID: covidwho-244077

##### ABSTRACT

OBJECTIVE: The study sought to evaluate early lessons from a remote patient monitoring engagement and education technology solution for patients with coronavirus disease 2019 (COVID-19) symptoms. MATERIALS AND METHODS: A COVID-19-specific remote patient monitoring solution (GetWell Loop) was offered to patients with COVID-19 symptoms. The program engaged patients and provided educational materials and the opportunity to share concerns. Alerts were resolved through a virtual care workforce of providers and medical students. RESULTS: Between March 18 and April 20, 2020, 2255 of 3701 (60.93%) patients with COVID-19 symptoms enrolled, resulting in over 2303 alerts, 4613 messages, 13 hospital admissions, and 91 emergency room visits. A satisfaction survey was given to 300 patient respondents, 74% of whom would be extremely likely to recommend their doctor. DISCUSSION: This program provided a safe and satisfying experience for patients while minimizing COVID-19 exposure and in-person healthcare utilization. CONCLUSIONS: Remote patient monitoring appears to be an effective approach for managing COVID-19 symptoms at home.

##### Subject(s)
Betacoronavirus , Coronavirus Infections/therapy , Patient Satisfaction , Pneumonia, Viral/therapy , Telemedicine , Adult , COVID-19 , Delivery of Health Care, Integrated , Female , Health Personnel , Humans , Male , Minnesota , Organizational Case Studies , Pandemics , Patient Education as Topic/methods , Patient Generated Health Data , SARS-CoV-2 , Students, Medical , Time Factors