背景:随着COVID-19已成为全球大流行,早期预防和控制疫情极为重要。远程医疗,其中包括通过电话提供的医疗建议,Internet,手机应用程序或其他类似方式,可能是减少医疗机构传播和压力的有效方法。
方法:我们搜索了MEDLINE,WebofScience,Embase,科克伦,CBM,从成立到3月31日,有关COVID-19,SARS和MERS的远程医疗使用文献的CNKI和万方数据库,2020年。我们纳入了有关咨询内容的研究(如症状,治疗和预防,政策,公共服务),对疑似病例进行筛查,向可能有症状或接触史的人提供建议。我们对研究的主要结果进行了荟萃分析。
结果:删除重复项后,共识别出2,041篇文章。阅读全文后,我们最终纳入了九项研究。人们最关心的是症状(64.2%),疫情和公共问题(14.5%),和COVID-19流行期间的心理问题(10.3%)。在SARS流行期间,要求咨询症状的人的比例,预防和治疗,心理问题占35.0%,22.0%,和23.0%,分别。两项研究表明,远程医疗可用于筛查可疑患者并提供建议。一项研究强调了跟进拨打热线的人的可能性有限,以及在识别所有可疑案件方面的困难。
结论:远程医疗服务应关注公众最关心的问题,如症状,疾病的预防和治疗,并为有症状的患者或有流行病史的人提供合理的建议。
BACKGROUND: As COVID-19 has become a global pandemic, early prevention and control of the epidemic is extremely important. Telemedicine, which includes medical advice given over telephone, Internet, mobile phone applications or other similar ways, may be an efficient way to reduce transmission and pressure on medical institutions.
METHODS: We searched MEDLINE, Web of Science, Embase, Cochrane, CBM, CNKI and Wanfang databases for literature on the use of telemedicine for COVID-19, SARS and MERS from their inception to March 31st, 2020. We included studies about the content of the consultation (such as symptoms, therapy and prevention, policy, public service), screening of suspected cases, the provision of advice given to those people who may have symptoms or contact history. We conducted meta-analyses on the main outcomes of the studies.
RESULTS: A total of 2,041 articles were identified after removing duplicates. After reading the full texts, we finally included nine studies. People were most concerned about symptoms (64.2%), epidemic situation and public problems (14.5%), and psychological problems (10.3%) during COVID-19 epidemic. During the SARS epidemic, the proportions of people asking for consultation for symptoms, prevention and therapy, and psychological problems were 35.0%, 22.0%, and 23.0%, respectively. Two studies demonstrated that telemedicine can be used to screen the suspected patients and give advice. One study emphasized the limited possibilities to follow up people calling hotlines and difficulties in identifying all suspect cases.
CONCLUSIONS: Telemedicine services should focus on the issues that the public is most concerned about, such as the symptoms, prevention and treatment of the disease, and provide reasonable advice to patients with symptoms or people with epidemic history.