Nationwide implementation of a centralised telemedicine platform in Singapore to fight the COVID-19 pandemic.

Autor:	Kok TWK; Government of Singapore, Ministry of Health, Medical Operations and Policy Cell, Singapore., Chong SJ; Government of Singapore, Ministry of Health, Medical Operations and Policy Cell, Singapore., Yau WKJ; Government of Singapore, Ministry of Health, Medical Operations and Policy Cell, Singapore., Raj Kumar P; Government of Singapore, Ministry of Health, Medical Operations and Policy Cell, Singapore., Chua SBR; Government of Singapore, Ministry of Health, Medical Operations and Policy Cell, Singapore.
Jazyk:	angličtina
Zdroj:	Journal of telemedicine and telecare [J Telemed Telecare] 2024 Aug; Vol. 30 (7), pp. 1123-1131. Date of Electronic Publication: 2022 Aug 31.
DOI:	10.1177/1357633X221122890
Abstrakt:	Introduction: This study aims to share the experience of the Ministry of Health (Singapore) in deploying a centrally managed Telemedicine service to triage, and manage COVID-19 cases in the community during the COVID-19 Omicron wave. Material and Methods: Data from the deployed telemedicine system, Telemedicine Allocation and Reconciliation System, over a 14-week period (3 January 2022-10 April 2022) was analysed to determine the safety and efficacy of both the (i) National COVID-19 sorting logic algorithm and (ii) the use of a centralised telemedicine platform with privacy protection in a pandemic. Results: There was a total of 47,754 children (aged 1-11 years old), 75,702 adolescents and adult patients (aged 12-69 years old) and 55,774 geriatric patients (aged > = 70 years old) who were directly managed by this platform. Amongst them, 64,961 were from the higher-risk special populations (pregnant, end-stage renal failure and immunocompromised and geriatric population).The total number of patients requiring escalations to public health institutions were 4212. This accounts for 1.32%, 3.00% and 2.35% of the children, teenagers and adults, and geriatric population respectively. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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