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The Impact of the Off-site Monitoring Clinic (Virtual Monitoring Clinic) on the Practice of Outpatient Rheumatology in a Tertiary Centre during the COVID-19 Pandemic.
Chew, Li Ching; Yeo, Siaw Ing; Thumboo, Julian.
  • Chew LC; Department of Rheumatology and Immunology, Singapore General Hospital, Singapore.
Ann Acad Med Singap ; 49(11): 905-908, 2020 11.
Article in English | MEDLINE | ID: covidwho-1001064
ABSTRACT
The ongoing pandemic in Singapore is part of a global pandemic caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). To control the spread of COVID-19 and prevent the healthcare system from being overwhelmed, 'circuit breaker' measures were introduced between 7 April and 1 June 2020 in Singapore. There is thus a crucial need for innovative approaches to the provision and delivery of healthcare in the context of safe-distancing by harnessing telemedicine, especially for patients with chronic diseases who have traditionally been managed in tertiary institutions. We present a summary of how the Virtual Monitoring Clinic has benefited the practice of our outpatient rheumatology service during the COVID-19 pandemic. The virtual consultations address the need for safe-distancing by limiting face-to-face appointments and unnecessary exposure of patients to the hospital where feasible. This approach ensures that the patients are monitored appropriately for drug toxicities and side-effects, maintained on good disease control, and provided with patient education.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Rheumatology / Rheumatic Diseases / Telemedicine / Antirheumatic Agents / COVID-19 Type of study: Experimental Studies / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Ann Acad Med Singap Year: 2020 Document Type: Article Affiliation country: Singapore

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Rheumatology / Rheumatic Diseases / Telemedicine / Antirheumatic Agents / COVID-19 Type of study: Experimental Studies / Prognostic study Limits: Humans Country/Region as subject: Asia Language: English Journal: Ann Acad Med Singap Year: 2020 Document Type: Article Affiliation country: Singapore