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Descriptive Analysis of a Telephone Based Community Monitoring Service for COVID-19.
Clarke, A C; Hull, S; Semciw, A I; Jessup, R L; Campbell, D; Fabri, A M; Tully, N; Bramston, C; Hayes, J.
  • Clarke AC; Hospital Without Walls Directorate, Northern Health, 1231 Plenty Road, Bundoora, Melbourne, VIC, 3083, Australia. Andrea.clarke4@nh.org.au.
  • Hull S; Hospital Without Walls Directorate, Northern Health, 1231 Plenty Road, Bundoora, Melbourne, VIC, 3083, Australia.
  • Semciw AI; Allied Health Research, Northern Health, Melbourne, Australia.
  • Jessup RL; School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
  • Campbell D; Allied Health Research, Northern Health, Melbourne, Australia.
  • Fabri AM; School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
  • Tully N; School of Rural Health, Monash University, Warragul, Australia.
  • Bramston C; Hospital Without Walls Directorate, Northern Health, 1231 Plenty Road, Bundoora, Melbourne, VIC, 3083, Australia.
  • Hayes J; Hospital Without Walls Directorate, Northern Health, 1231 Plenty Road, Bundoora, Melbourne, VIC, 3083, Australia.
J Community Health ; 46(6): 1124-1131, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1225001
ABSTRACT
The coronavirus disease (COVID-19) pandemic has required health services to rapidly respond to the needs of people diagnosed with the virus. Over 80% of people diagnosed with COVID-19 experience a mild illness and there is a need for community management to support these people in their home. In this paper we present, a telephone based COVID-19 community monitoring service developed in an Australian public health network, and we describe the rapid implementation of the service and the demographic and clinical characteristics of those enrolled. A retrospective mixed methods evaluation of the COVID-19 community monitoring service using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. Eight hundred and fifty COVID-19 positive patients were enrolled, 54% female, 45% male, mean age 34 years SD 17. Four hundred and nine (48%) patients were born outside Australia. Among the 850 patients, 305 (36%) were classified as having a high risk of serious illness from COVID-19. The most prevalent risk factors were cardiovascular disease (37%), lung disease (30%) and age over 60 years (26%). The most common reported ongoing symptoms were fatigue (55%), breathing issues (26%) and mental health issues such as low mood (19%). There were no deaths in patients that participated in the service. The process of risk stratification undertaken with telephone triage was effective in determining risk of prolonged illness from COVID-19. Telephone monitoring by trained health professionals has a strong potential in the effective management of patients with a mild COVID-19 illness.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Oceania Language: English Journal: J Community Health Year: 2021 Document Type: Article Affiliation country: S10900-021-00996-z

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Oceania Language: English Journal: J Community Health Year: 2021 Document Type: Article Affiliation country: S10900-021-00996-z