Taizhou’s COVID-19 prevention and control experience with telemedicine features

Shao, Cenyi; Li, Shijian; Zhu, Feng; Zhao, Dahai; Shao, Hui; Chen, Haixiao; Zhang, Zhiruo

doi:10.1007/s11684-020-0811-8

Cited by 9 publications

(20 citation statements)

References 3 publications

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“…A number of articles described a process of offering ‘e-counselling’ support to patients who were struggling with the physical and psychological effects of the disease (Hao et al, 2020). In addition to providing a greater monitoring and awareness of the individual patients, this intervention also allowed the staff to collect data to use in the improvement of in-hospital treatment (Yang et al, 2020, Shao et al, 2020). Strategy 4: Developing and using onsite IT services and infrastructure.…”

Section: Resultsmentioning

confidence: 99%

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Lessons learned from the resilience of Chinese hospitals to the COVID-19 pandemic: a scoping review

Stennett

Hou

Traverson

et al. 2021

Preprint

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As the SARS-CoV-2 pandemic has brought huge strain on hospitals worldwide, the resilience shown by China's hospitals appears to have been a critical factor in their successful response to the pandemic. This paper aims to determine the key findings, recommendations and lessons learned in terms of hospital resilience during the pandemic, as well as the quality and limitations of research in this field at present. We conducted a scoping review of evidence on the resilience of hospitals in China during the COVID-19 crisis in the first half of 2020. Two online databases (the CNKI and WHO databases) were used to identify papers meeting the eligibility criteria, from which we selected 59 publications (English: n= 26; Chinese: n= 33). After extracting the data, we present an information synthesis using a resilience framework. We found that much research was rapidly produced in the first half of 2020, describing certain strategies used to improve hospital resilience, particularly in three key areas: human resources; management and communication; and security, hygiene and planning. Our search revealed that considerable attention was focused on interventions related to training, healthcare worker well-being, e-health/ telemedicine, and work organization, while other areas, such as hospital financing, information systems and healthcare infrastructure, were less well represented in the literature. We identified a number of lessons learned regarding how China's hospitals have maintained resilience when confronted with the SARS-CoV-2 pandemic. However, we also noted that the literature was dominated by descriptive case studies, often lacking consideration of methodological limitations, and that there was a lack of both highly-focused research on individual interventions and holistic research that attempted to unite the topics within a resilience framework. Research on Chinese hospitals would benefit from a greater range of analysis in order to draw more nuanced and contextualised lessons from the responses to the crisis.

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Section: Resultsmentioning

confidence: 99%

“…The effectiveness of telemedicine interventions was reported in many papers and largely viewed as an effective substitute or complement to onsite healthcare (Shao et al 2020). They were also cited as being popular among the majority of users in a single study (Li, Chan et al, 2020).…”

Section: Impactsmentioning

confidence: 99%

Lessons learned from the resilience of Chinese hospitals to the COVID-19 pandemic: a scoping review

Stennett

Hou

Traverson

et al. 2021

Preprint

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“…Prehospital management comprises the online establishment of prevention and control teams who make online diagnoses and establish treatment models (including consultation, screening, and psychological intervention). These teams also promote online publicity and education, with foci on prehospital screening, early detection, and early treatment [ 30 ]. In confirmed COVID-19 inpatients, multiple systems may be involved, requiring the implementation of a multidisciplinary treatment strategy.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Mental Health Status in Recovered COVID-19 Subjects at Two Years after Infection in Taizhou, China: A Longitudinal Cohort Study

et al. 2022

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According to previous studies, mental status in 1-year COVID-19 survivors might range from 6–43%. Longer-term psychological consequences in recovered COVID-19 subjects are unknown, so we analyzed longer-term quality of life and mental status in recovered COVID-19 subjects at 2 years after infection. Among 144 recovered COVID-19 subjects in the Taizhou region, 73 and 45 completed face-to-face follow-ups at the first year and second year after infection, respectively, with a 61.7% follow-up rate. The questionnaire, which was administered at both follow-ups, included questions about quality of life, psychological health, and post-traumatic stress disorder (PTSD). The Mann-Whitney U test was used to the differences of each scale between the first and second year. Among the 45 people who completed both follow-up visits, the incidence of psychological problems was 4.4% (2/45) in the first year, and no new psychological abnormalities were observed in the second year. Quality of life improved, while the General Health Questionnaire (GHQ-12) and Impact of Event Scale-Revised (IES-R) scores did not improve over time. The incidence of mental disorders was lower than those in previous studies. Multidisciplinary management for COVID-19 in this study hospital may have reduced the frequency to a certain extent. However, among those with mental health problems, such problems may exist for a long time, and long-term attention should be given to the psychological status of recovered COVID-19 subjects.

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“…A number of articles described a process of offering e-counselling support to patients who were struggling with the physical and psychological effects of the disease [34]. In addition to providing a greater monitoring and awareness of the individual patients, this intervention also allowed the staff to collect data to use in the improvement of in-hospital treatment [35][36][37].…”

Section: Contextmentioning

confidence: 99%

“…Telemedicine interventions were reported as an effective substitute or complement to onsite health care [35][36][37] and were also cited as being popular and time-saving among the majority of users [32]. The introduction of teleconsultations also reduced the difficulties of patients with chronic illnesses regarding the management and purchase of medicines [28].…”

Section: Impactsmentioning

confidence: 99%

Lessons Learned From the Resilience of Chinese Hospitals to the COVID-19 Pandemic: Scoping Review (Preprint)

Stennett,

Hou,

Traverson

et al. 2021

Preprint

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BACKGROUND The SARS-CoV-2 pandemic has brought substantial strain on hospitals worldwide; however, although the success of China’s COVID-19 strategy has been attributed to the achievements of the government, public health officials, and the attitudes of the public, the resilience shown by China’s hospitals appears to have been a critical factor in their successful response to the pandemic. OBJECTIVE This paper aims to determine the key findings, recommendations, and lessons learned in terms of hospital resilience during the pandemic; analyze the quality and limitations of research in this field at present; and contribute to the evaluation of the Chinese response to the COVID-19 outbreak, building on a growing literature on the role of hospital resilience in crisis situations. METHODS We conducted a scoping review of evidence on the resilience of hospitals in China during the COVID-19 crisis in the first half of 2020. Two online databases (the China National Knowledge Infrastructure and World Health Organization databases) were used to identify papers meeting the eligibility criteria. After extracting the data, we present an information synthesis using a resilience framework. Articles were included in the review if they were peer-reviewed studies published between December 2019 and July 2020 in English or Chinese and included empirical results pertaining to the resilience of Chinese hospitals in the COVID-19 pandemic. RESULTS From the publications meeting the criteria (n=59), we found that substantial research was rapidly produced in the first half of 2020 and described numerous strategies used to improve hospital resilience, particularly in three key areas: human resources; management and communication; and security, hygiene, and planning. Our search revealed a focus on interventions related to training, health care worker well-being, eHealth/telemedicine, and workplace organization, while other areas such as hospital financing, information systems, and health care infrastructure were less well represented in the literature. We also noted that the literature was dominated by descriptive case studies, often lacking consideration of methodological limitations, and that there was a lack of both highly focused research on specific interventions and holistic research that attempted to unite the topics within a resilience framework. CONCLUSIONS We identified a number of lessons learned regarding how China’s hospitals have demonstrated resilience when confronted with the SARS-CoV-2 pandemic. Strategies involving interprovincial reinforcements, online platforms and technological interventions, and meticulous personal protective equipment use and disinfection, combined with the creation of new interdisciplinary teams and management strategies, reflect a proactive hospital response to the pandemic, with high levels of redundancy. Research on Chinese hospitals would benefit from a greater range of analyses to draw more nuanced and contextualized lessons from the responses to the crisis. CLINICALTRIAL

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Taizhou’s COVID-19 prevention and control experience with telemedicine features

Cited by 9 publications

References 3 publications

Lessons learned from the resilience of Chinese hospitals to the COVID-19 pandemic: a scoping review

Lessons learned from the resilience of Chinese hospitals to the COVID-19 pandemic: a scoping review

Quality of Life and Mental Health Status in Recovered COVID-19 Subjects at Two Years after Infection in Taizhou, China: A Longitudinal Cohort Study

Lessons Learned From the Resilience of Chinese Hospitals to the COVID-19 Pandemic: Scoping Review (Preprint)

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