Mobile field hospitals, an effective way of dealing with COVID-19 in China: sharing our experience

Zhi, Chen; He, Shan; Fan, Lijun; Yin, Junxiang; Chen, Xiaoliang

doi:10.5582/bst.2020.01110

Cited by 39 publications

(39 citation statements)

References 3 publications

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“…Hospitals have been restructured to better streamline the increasing number of patients and to separate suspected and confirmed COVID-19 cases from patients without COVID-19 to avoid nosocomial infections [ 5 ]. In certain countries, field hospitals and drive-through screening facilities have been built to reduce the load on local health institutions and decrease the community transmission rate [ 6 , 7 ]. Medical and surgical units have been converted for the care of patients with COVID-19 and intensive care units as well as operating rooms were reshaped to prepare for a large number of patients in need of acute respiratory support [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Using mHealth to Increase the Reach of Local Guidance to Health Professionals as Part of an Institutional Response Plan to the COVID-19 Outbreak: Usage Analysis Study

Windisch¹,

Zamberg²,

Zanella³

et al. 2020

JMIR Mhealth Uhealth

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Background The ongoing coronavirus disease (COVID-19) pandemic forced health jurisdictions worldwide to significantly restructure and reorganize their medical activities. In response to the rapidly evolving body of evidence, a solid communication strategy is needed to increase the reach of and adherence to locally drafted and validated guidance to aide medical staff with COVID-19–related clinical decisions. Objective We present a usage analysis of a dedicated mobile health (mHealth) platform as part of an institutional knowledge dissemination strategy of COVID-19–related guidance to all health care workers (HCWs) in a large academic hospital. Methods A multidisciplinary team of experts drafted local guidance related to COVID-19. In total, 60 documents and 17 external links were made available through the platform. Documents were disseminated using a recently deployed mHealth platform for HCWs. Targeted dissemination of COVID-19–related content began on March 22, 2020. Using a third-party statistics tool, data concerning user activity and content use was anonymously collected. A quantitative analysis of user activity was performed over a 4-month period, separated into 3 periods: 2 months before (Period A), 2 weeks after (Period B), and 6 weeks following (Period C) targeted dissemination. Regional epidemiological data (daily new COVID-19 cases and total COVID-19–related hospitalizations) was extracted from an official registry. Results During the study period, the platform was downloaded by 1233 new users. Consequently, the total number of users increased from 1766 users before Period A to a total of 2999 users at the end of Period C. We observed 27,046 document views, of which 12,728 (47.1%) were COVID-19–related. The highest increase in activity occurred in Period B, rapidly following targeted dissemination, with 7740 COVID-19–related content views, representing 71.2% of total content views within the abovementioned period and 550 daily views of COVID-19–related documents. Total documents consulted per day increased from 117 (IQR 74-160) to 657 (IQR 481-1051), P<.001. This increase in activity followed the epidemiological curbing of newly diagnosed COVID-19 cases, which peaked during Period B. Total active devices doubled from 684 to 1400, daily user activity increased fourfold, and the number of active devices rose from 53 (IQR 40-70) to 210 (IQR 167-297), P<.001. In addition, the number of sessions per day rose from 166 (IQR 110-246) to 704 (IQR 517-1028), P<.001. A persistent but reduced increase in total documents consulted per day (172 [IQR 131-251] versus 117 [IQR 74-160], P<.001) and active devices (71 [IQR 64-89] versus 53 [IQR 40-70]) was observed in Period C compared to Period A, while only 29.8% of the content accessed was COVID-19–related. After targeted dissemination, an immediate increase in activity was observed after push notifications were sent to users. Conclusions The use of an mHealth solution to disseminate time-sensitive medical knowledge seemed to be an effective solution to increase the reach of validated content to a targeted audience.

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Section: Introductionmentioning

confidence: 99%

Using mHealth to Increase the Reach of Local Guidance to Health Professionals as Part of an Institutional Response Plan to the COVID-19 Outbreak: Usage Analysis Study

Windisch¹,

Zamberg²,

Zanella³

et al. 2020

JMIR Mhealth Uhealth

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“…As the recent literature [6][7][8][9][10][11][12] and news around the world [13][14][15] show, the idea to convert a public place into a temporary hospital has been widely used during the COVID-19 emergency, especially in China, with the opening of 16 "Ark/Fangcang" shelter hospitals in Wuhan, treating more than 12,000 patients in stadiums and In conclusion, it is clear that this paper has a time-dependent limitation for now, due to lack of data about patients admitted and team working dynamics; nevertheless, the urgent need for information pushed us to share our experience, in a moment in which all available data can be useful to fight the problem better. https://www.cambridge.org/core/terms.…”

Section: Discussionmentioning

confidence: 95%

COVID-19 Surge Capacity Solutions: Our Experience of Converting a Concert Hall into a Temporary Hospital for Mild and Moderate COVID-19 Patients

Sacchetto¹,

Raviolo²,

Beltrando³

et al. 2020

Disaster med. public health prep.

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The Coronavirus Disease 2019 (COVID-19) pandemic has stressed the health-care system in Italy as well as around the world, with hospitals implementing their surge capacity to increase the number of available beds for patients positive to the virus. At the end of March, the Piemonte (Northern Italy) Government decided to build a temporary rapid-assembly emergency hospital for the treatment of mild and moderate COVID-19 patients, converting an existing concert hall in the city of Turin. The decision was prompted not only by the urgent need of hospital beds, but also by a forward-looking approach for the months immediately after the emergency, when it will be essential for conventional hospitals to return to a normal configuration. This paper documents the temporary hospital project, describing the site, the layout and the equipment, the idea behind structural choices and the staff involved. The aim of the work is to share the experience and to provide some practical recommendations to other professionals who are fighting the COVID-19 pandemic worldwide.

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“…This has included the rapid building or converting of non-health buildings into temporary health facilities dedicated to managing COVID-19 patients. [1][2][3] This increase was primarily in health systems expecting, approaching or already exhausting existing health care capacity, such as in China, South Korea and Italy. 2,4,5 In April 2020, the World Health Organization recommended that health systems prepare and activate designated COVID-19 hospitals in response to various stages of community transmission.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] This increase was primarily in health systems expecting, approaching or already exhausting existing health care capacity, such as in China, South Korea and Italy. 2,4,5 In April 2020, the World Health Organization recommended that health systems prepare and activate designated COVID-19 hospitals in response to various stages of community transmission. 6 Many health systems adopted a model of having a designated COVID-19 hospital, with contingency plans in place to redeploy medical staff from other areas 4 and stream non-COVID-19 patients to other hospitals to manage increases in COVID-19 activity.…”

Section: Introductionmentioning

confidence: 99%

Should Australian states and territories have designated COVID hospitals in low community transmission? Case study for Western Australia

Ferguson

Fletcher

Ho³

et al. 2020

Aust. Health Review

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This case study describes the process of selecting the most appropriate state-wide hospital system to manage COVID-19 cases in a setting of low community transmission of COVID-19 infection. A rapid review of the literature was conducted of the advantages and disadvantages of having designated COVID hospitals. This led to three different options being presented for discussion. Following consultation, the option chosen was for all hospital facilities to remain prepared to care for COVID-19 patients where they present rather than having specified designated hospitals because this was considered the most practical option currently.

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Mobile field hospitals, an effective way of dealing with COVID-19 in China: sharing our experience

Cited by 39 publications

References 3 publications

Using mHealth to Increase the Reach of Local Guidance to Health Professionals as Part of an Institutional Response Plan to the COVID-19 Outbreak: Usage Analysis Study

Using mHealth to Increase the Reach of Local Guidance to Health Professionals as Part of an Institutional Response Plan to the COVID-19 Outbreak: Usage Analysis Study

COVID-19 Surge Capacity Solutions: Our Experience of Converting a Concert Hall into a Temporary Hospital for Mild and Moderate COVID-19 Patients

Should Australian states and territories have designated COVID hospitals in low community transmission? Case study for Western Australia

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