ArticleJournal of the American Medical Informatics Association : JAMIA2020
Rapid design and implementation of an integrated patient self-triage and self-scheduling tool for COVID-19.
Article in Journal of the American Medical Informatics Association : JAMIA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07073898 (Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial), which is not on this map. Cited by 111 papers, 7 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial
Who cites it
111 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Safety and Efficacy of Digital Check-in and Triage Kiosks in Emergency Departments: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Media Framing and Portrayals of Ransomware Impacts on Informatics, Employees, and Patients: Systematic Media Literature Review.Journal of medical Internet research · 2025Pooled it
- Understanding How the Design and Implementation of Online Consultations Affect Primary Care Quality: Systematic Review of Evidence With Recommendations for Designers, Providers, and Researchers.Journal of medical Internet research · 2022Pooled it
- Applied techniques for putting pre-visit planning in clinical practice to empower patient-centered care in the pandemic era: a systematic review and framework suggestion.BMC health services research · 2021Pooled it
- Quantifying Patient Portal Use: Systematic Review of Utilization Metrics.Journal of medical Internet research · 2021Pooled it
- Adoption of Digital Technologies in Health Care During the COVID-19 Pandemic: Systematic Review of Early Scientific Literature.Journal of medical Internet research · 2020Pooled it
- Telehealth-Based Services During the COVID-19 Pandemic: A Systematic Review of Features and Challenges.Frontiers in public healthPooled it
- Precision public-health intervention for care coordination: a real-world study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Trial
- Interactive Versus Static Decision Support Tools for COVID-19: Randomized Controlled Trial.JMIR public health and surveillance · 2022Trial
- Authentication status and AI triage concordance among care seekers in a US health system.npj health systems · 2026Article
- Identification of Barriers to Digital Patient Portal Adoption Among Patients With Prostate Cancer Undergoing Curative Radiotherapy at a Canadian Provincial Cancer Program: A Quality Improvement Study.JCO clinical cancer informatics · 2026Observational
- Economic evaluation of a digital symptom checker for endometriosis using a Markov decision process model.NPJ digital medicine · 2026Article
- COVID-19 symptoms associated with smoking and vaping tobacco and cannabis: A cross-sectional analysis.Preventive medicine reports · 2025Article
- Infectious Disease Surveillance in the Era of Big Data and AI: Opportunities and Pitfalls.Cureus · 2025Review
- To Choose or Not to Choose: Patients with Chest Pain Often Do Not Choose to Triage for Chest Pain During Online Self-Triage.Health services insights · 2025Article
- Enhancing the Performance of Patient Appointment Scheduling: Outcomes of an Automated Waitlist Process to Improve Patient Wait Times for Appointments.Health services insights · 2025Article
- Leading the way in pediatric sexual health screenings: evaluating pediatric emergency department workflows for the integration of STI screening tools.Frontiers in health services · 2025Article
- Contrasting rule and machine learning based digital self triage systems in the USA.NPJ digital medicine · 2024Review
- Triage Accuracy and the Safety of User-Initiated Symptom Assessment With an Electronic Symptom Checker in a Real-Life Setting: Instrument Validation Study.JMIR human factors · 2024Article
- Article
51 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo rapidly deploy a digital patient-facing self-triage and self-scheduling tool in a large academic health system to address the COVID-19 pandemic. MATERIALS AND
methodsWe created a patient portal-based COVID-19 self-triage and self-scheduling tool and made it available to all primary care patients at the University of California, San Francisco Health, a large academic health system. Asymptomatic patients were asked about exposure history and were then provided relevant information. Symptomatic patients were triaged into 1 of 4 categories-emergent, urgent, nonurgent, or self-care-and then connected with the appropriate level of care via direct scheduling or telephone hotline.
resultsThis self-triage and self-scheduling tool was designed and implemented in under 2 weeks. During the first 16 days of use, it was completed 1129 times by 950 unique patients. Of completed sessions, 315 (28%) were by asymptomatic patients, and 814 (72%) were by symptomatic patients. Symptomatic patient triage dispositions were as follows: 193 emergent (24%), 193 urgent (24%), 99 nonurgent (12%), 329 self-care (40%). Sensitivity for detecting emergency-level care was 87.5% (95% CI 61.7-98.5%). DISCUSSION: This self-triage and self-scheduling tool has been widely used by patients and is being rapidly expanded to other populations and health systems. The tool has recommended emergency-level care with high sensitivity, and decreased triage time for patients with less severe illness. The data suggests it also prevents unnecessary triage messages, phone calls, and in-person visits.
conclusionPatient self-triage tools integrated into electronic health record systems have the potential to greatly improve triage efficiency and prevent unnecessary visits during the COVID-19 pandemic.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.