Coronavirus disease (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that is rapidly spreading across the globe. The clinical spectrum of SARS-CoV-2 pneumonia ranges from mild to critically ill cases and requires early detection and monitoring, within a clinical environment for critical cases and remotely for mild cases. The fear of contamination in clinical environments has led to a dramatic reduction in on-site referrals for routine care. There has also been a perceived need to continuously monitor non-severe COVID- 19 patients, either from their quarantine site at home, or dedicated quarantine locations (e.g., hotels). Thus, the pandemic has driven incentives to innovate and enhance or create new routes for providing healthcare services at distance. In particular, this has created a dramatic impetus to find innovative ways to remotely and effectively monitor patient health status. In this paper we present a short review of remote health monitoring initiatives taken in 19 states during the time of the pandemic. We emphasize in the discussion particular aspects that are common ground for the reviewed states, in particular the future impact of the pandemic on remote health monitoring and consideration on data privacy.
翻译:Corona病毒疾病(COVID-19)是由全球范围迅速蔓延的严重急性呼吸系统综合症冠状病毒2 (SARS-COV-2)造成的,肺炎的临床范围从轻病到重病不等,需要及早发现和监测,在临床环境范围内,关键病例需要及早发现和监测,而轻病则需要远距离监测。由于担心临床环境受到污染,现场转诊治疗的病例急剧减少。人们也认为需要不断监测非严重COVID-19病人,无论是从家中的检疫地点,还是专门检疫地点(例如旅馆)监测,因此,这种流行病刺激人们革新、加强或创造远距离提供保健服务的新途径。特别是,这为寻找以创新方式远程有效监测病人健康状况创造了巨大动力。在本文件中,我们简短地审查了在流行病流行期间19个州采取的远程健康监测举措。我们强调,在讨论中,所审查的各州,特别是该流行病今后对远程健康监测和数据隐私的考虑,有着共同之处。