PDF(Pubmed)
Abstract：
Elderly patients are associated with a higher risk of nosocomial cross infection during the COVID-19 pandemic. Providing medical services and primary care for elderly patients is a worldwide challenge. A new telegeriatrics system was established to provide medical services and primary care for elderly patients treated by family physicians. This study aimed to describe the operation mechanism of the new system and investigate the demands of telegeriatrics medical services for elderly patients treated by family physicians during the COVID-19 pandemic.
A total of 1,353 elderly patients (aged≥60) treated by family physicians were enrolled. The proportion of the top 10 diseases of elderly patients applying the new system was analyzed. Differences in main diseases between elderly patients applying telegeriatrics medical services and outpatients in hospitals were compared. Differences between the new telegeriatrics system in our study and telemedicine systems of other studies in other countries were analyzed.
Constituent ratios of chronic kidney disease, type 2 diabetes mellitus, and coronary heart disease have the highest rate in elderly patients applying the new telegeriatrics system. Digestive diseases, cardiovascular diseases, and neurology diseases were the top three diseases of elderly outpatients.
This is the first time that a new telegeriatrics system has been applied to provide medical services for elderly patients treated by family physicians during the COVID-19 pandemic. Chronic kidney disease, Type 2 diabetes mellitus, and coronary heart disease were found to be the top three diseases of elderly patients applying telegeriatrics medical services during the COVID-19 pandemic, which were different from the outpatients in general hospitals. The new telegeriatrics system guarantees elderly patients get equal rights to medical services. Results will provide a basis for the government health administrative department to formulate new telegeriatrics policies for elderly patients.
A total of 1,353 elderly patients (aged≥60) treated by family physicians were enrolled. The proportion of the top 10 diseases of elderly patients applying the new system was analyzed. Differences in main diseases between elderly patients applying telegeriatrics medical services and outpatients in hospitals were compared. Differences between the new telegeriatrics system in our study and telemedicine systems of other studies in other countries were analyzed.
Constituent ratios of chronic kidney disease, type 2 diabetes mellitus, and coronary heart disease have the highest rate in elderly patients applying the new telegeriatrics system. Digestive diseases, cardiovascular diseases, and neurology diseases were the top three diseases of elderly outpatients.
This is the first time that a new telegeriatrics system has been applied to provide medical services for elderly patients treated by family physicians during the COVID-19 pandemic. Chronic kidney disease, Type 2 diabetes mellitus, and coronary heart disease were found to be the top three diseases of elderly patients applying telegeriatrics medical services during the COVID-19 pandemic, which were different from the outpatients in general hospitals. The new telegeriatrics system guarantees elderly patients get equal rights to medical services. Results will provide a basis for the government health administrative department to formulate new telegeriatrics policies for elderly patients.
摘要：
在COVID-19大流行期间，老年患者发生医院交叉感染的风险较高。为老年患者提供医疗服务和初级保健是一项世界性挑战。建立了新的远程儿科系统，为家庭医生治疗的老年患者提供医疗服务和初级保健。本研究旨在描述新系统的运行机制，并调查在COVID-19大流行期间由家庭医生治疗的老年患者对远程儿科医疗服务的需求。
纳入由家庭医生治疗的1,353例老年患者（年龄≥60岁）。分析了应用新系统的老年患者前10位疾病的比例。比较了应用远程儿科医疗服务的老年患者与医院门诊患者之间主要疾病的差异。分析了我们研究中的新远程儿科系统与其他国家其他研究的远程医疗系统之间的差异。
慢性肾脏病的构成比，2型糖尿病,使用新的远程儿科系统，老年患者的冠心病发病率最高。消化系统疾病,心血管疾病,神经内科疾病是老年门诊患者的前三位疾病。
这是首次应用新的远程儿科系统，为COVID-19大流行期间由家庭医生治疗的老年患者提供医疗服务。慢性肾脏病,2型糖尿病,冠心病被发现是在COVID-19大流行期间应用远程儿科医疗服务的老年患者的前三名疾病，这与综合医院的门诊病人不同。新的远程儿科系统保证老年患者获得平等的医疗服务权利。结果将为政府卫生行政部门制定针对老年患者的远程儿科新政策提供依据。
纳入由家庭医生治疗的1,353例老年患者（年龄≥60岁）。分析了应用新系统的老年患者前10位疾病的比例。比较了应用远程儿科医疗服务的老年患者与医院门诊患者之间主要疾病的差异。分析了我们研究中的新远程儿科系统与其他国家其他研究的远程医疗系统之间的差异。
慢性肾脏病的构成比，2型糖尿病,使用新的远程儿科系统，老年患者的冠心病发病率最高。消化系统疾病,心血管疾病,神经内科疾病是老年门诊患者的前三位疾病。
这是首次应用新的远程儿科系统，为COVID-19大流行期间由家庭医生治疗的老年患者提供医疗服务。慢性肾脏病,2型糖尿病,冠心病被发现是在COVID-19大流行期间应用远程儿科医疗服务的老年患者的前三名疾病，这与综合医院的门诊病人不同。新的远程儿科系统保证老年患者获得平等的医疗服务权利。结果将为政府卫生行政部门制定针对老年患者的远程儿科新政策提供依据。
