COVID-19 Home Monitoring: An Institutional Approach to Bridging Care during a Pandemic

Gregory J. Wong, Katherine Douglas, Stephen Fuest, Peter J. McDonnell, Nickole Forget

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Introduction: Coronavirus disease 2019 (COVID-19) has widened patient care gaps and created gaps in medical student clinical training. The care gaps are often most obvious in primary care medicine clinics (PCMCs) where residents and medical students care for a vulnerable population. Materials and Methods: We designed an outpatient telehealth program to support and monitor PCMC patients who had been diagnosed or were suspected to have COVID-19 and were confined to their homes due to public health mandated isolation. To support the program, we recruited medical student volunteers. We recruited patients from our institution's primary care clinic who were recently diagnosed with COVID-19 and were currently not hospitalized. Feasibility of the home monitoring program (HMP) was assessed and mortality data for all patients were collected. Results: Over 800 monitoring phone calls were placed during the 8-month study period to 296 patients, with an average of 2.79 calls per patient. A total of 30 medical students participated. A total of four patients died during the study period. Conclusions: Our institution was able to rapidly design and implement a COVID-19 HMP integrated with our primary care clinic to ensure continued access to care during a pandemic.

Original languageEnglish
Pages (from-to)1044-1049
Number of pages6
JournalTelemedicine and e-Health
Volume28
Issue number7
DOIs
StatePublished - Jul 1 2022

Keywords

  • home telecare
  • telecare
  • telehealth
  • telemedicine

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