Peculiarities of outpatient care for COVID-19 patients using telemedicine technologies

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Abstract

BACKGROUND: The use of telemedicine in providing outpatient care for COVID-19 patients is an integral part of the most intensively developing and promising areas of national health care.

AIM: This study aims to demonstrate the efficiency of using telemedicine technologies in outpatient care for COVID-19 patients.

MATERIALS AND METHODS: This study is the retrospective analysis of remote consultations for 57,256 patients with COVID-19 from April 1, 2020, to May 24, 2020.

RESULTS AND DISCUSSION: The results of human resource analyses, the physician workloads, and the categories of observed patient categories are presented. The majority of patients were asymptomatic (45%), a mild form of the disease was observed in 4534 (34%) patients, and moderate cases were observed in 2800 (21%) patients. Concomitant pathology was observed in 60.0% of patients. The capacity of the telemedicine center was 52.8 patients for one physician per shift.

CONCLUSIONS: The telemedicine structure of the center, which regulates the interactions of physicians with patients and other healthcare facilities, has enabled the appropriate use of human resources to ensure that therapeutic, diagnostic, and epidemiological activities are adequate and timely in outpatient settings.

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About the authors

Andrey A. Tyazhelnikov

Consultative diagnostic clinic No. 121; N.I. Pirogov Russian National Research Medical University

Author for correspondence.
Email: kdp121@zdrav.mos.ru
ORCID iD: 0000-0002-2191-0623

MD, Cand. Sci. (Med.)

Russian Federation, 87 Youthbutovskaya str., 117042, Moscow; Moscow

Natalya V. Polunina

N.I. Pirogov Russian National Research Medical University

Email: nvpol@rambler.ru
ORCID iD: 0000-0001-8772-4631

MD, Dr. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences

Russian Federation, Moscow

Elena V. Kostenko

N.I. Pirogov Russian National Research Medical University; Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow City Health Department

Email: ekostenko58@mail.ru
ORCID iD: 0000-0003-0629-9659

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow; Moscow

Valery S. Polunin

N.I. Pirogov Russian National Research Medical University

Email: lunapol@yandex.ru
ORCID iD: 0000-0002-2681-8527

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

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