ArticleJournal of medical Internet research2020
A Double Triage and Telemedicine Protocol to Optimize Infection Control in an Emergency Department in Taiwan During the COVID-19 Pandemic: Retrospective Feasibility Study.
Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Telehealth-Based Services During the COVID-19 Pandemic: A Systematic Review of Features and Challenges.Frontiers in public healthPooled it
- Virtual Care and Health Care Access: Pragmatic Evaluation of Implementation, Acceptance, and Use in General Practice and Aged Care Homes.Journal of medical Internet research · 2026Article
- Article
- Enhancing women's access to healthcare in rural regions: Global innovations and solutions.Journal of Taibah University Medical Sciences · 2024Article
- Application of telemedicine system on the management of general patient in quarantine.Scientific reports · 2023Article
- Comparing telehealth to traditional office visits for patient management in the COVID-19 pandemic: A cross-sectional study in a respiratory assessment clinic.Journal of telemedicine and telecare · 2023Article
- Impact of telemedicine on clinical practice patterns for patients with chest pain in the emergency department.International journal of medical informatics · 2022Article
- General practitioners' perceptions of using virtual primary care during the COVID-19 pandemic: An international cross-sectional survey study.PLOS digital health · 2022Article
- Exploring Quality Differences in Telemedicine Between Hospital Outpatient Departments and Community Clinics: Cross-sectional Study.JMIR medical informatics · 2022Article
- Healthcare professionals' perception and satisfaction with mental health tele-medicine during the COVID-19 outbreak: A real-world experience in telepsychiatry.Frontiers in psychiatry · 2022Article
- The integration of mHealth technologies in telemedicine during the COVID-19 era: A cross-sectional study.PloS one · 2022Article
- Changes in Clinical Characteristics among Febrile Patients Visiting the Emergency Department before and after the COVID-19 Outbreak.Yonsei medical journal · 2021Article
- Overview of Technologies Implemented During the First Wave of the COVID-19 Pandemic: Scoping Review.Journal of medical Internet research · 2021Article
- Opportunities and Challenges of Telehealth in Disease Management during COVID-19 Pandemic: A Scoping Review.Applied clinical informatics · 2021Article
- Physicians' Attitudes Toward Telemedicine Consultations During the COVID-19 Pandemic: Cross-sectional Study.JMIR medical informatics · 2021Article
- Telehealth use in emergency care during coronavirus disease 2019: a systematic review.Journal of the American College of Emergency Physicians open · 2021Article
- Resuscitation teamwork during the COVID-19 pandemic in the emergency department: Challenges and solutions.Resuscitation · 2021Article
- Telemedicine Awareness, Knowledge, Attitude, and Skills of Health Care Workers in a Low-Resource Country During the COVID-19 Pandemic: Cross-sectional Study.Journal of medical Internet research · 2021Article
- The most used questionnaires for evaluating telemedicine services.BMC medical informatics and decision making · 2021Article
- Seroprevalence Surveys for Anti-SARS-CoV-2 Antibody in Different Populations in Taiwan With Low Incidence of COVID-19 in 2020 and Severe Outbreaks of SARS in 2003.Frontiers in immunology · 2021Article
Corrections and comments
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Authors and funding
14 authors.
Funding
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Abstract
backgroundFrontline health care workers, including physicians, are at high risk of contracting coronavirus disease (COVID-19) owing to their exposure to patients suspected of having COVID-19.
objectiveThe aim of this study was to evaluate the benefits and feasibility of a double triage and telemedicine protocol in improving infection control in the emergency department (ED).
methodsIn this retrospective study, we recruited patients aged ≥20 years referred to the ED of the National Taiwan University Hospital between March 1 and April 30, 2020. A double triage and telemedicine protocol was developed to triage suggested COVID-19 cases and minimize health workers' exposure to this disease. We categorized patients attending video interviews into a telemedicine group and patients experiencing face-to-face interviews into a conventional group. A questionnaire was used to assess how patients perceived the quality of the interviews and their communication with physicians as well as perceptions of stress, discrimination, and privacy. Each question was evaluated using a 5-point Likert scale. Physicians' total exposure time and total evaluation time were treated as primary outcomes, and the mean scores of the questions were treated as secondary outcomes.
resultsThe final sample included 198 patients, including 93 cases (47.0%) in the telemedicine group and 105 cases (53.0%) in the conventional group. The total exposure time in the telemedicine group was significantly shorter than that in the conventional group (4.7 minutes vs 8.9 minutes, P<.001), whereas the total evaluation time in the telemedicine group was significantly longer than that in the conventional group (12.2 minutes vs 8.9 minutes, P<.001). After controlling for potential confounders, the total exposure time in the telemedicine group was 4.6 minutes shorter than that in the conventional group (95% CI -5.7 to -3.5, P<.001), whereas the total evaluation time in the telemedicine group was 2.8 minutes longer than that in the conventional group (95% CI -1.6 to -4.0, P<.001). The mean scores of the patient questionnaire were high in both groups (4.5/5 to 4.7/5 points).
conclusionsThe implementation of the double triage and telemedicine protocol in the ED during the COVID-19 pandemic has high potential to improve infection control.
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