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Written by: Chen Shuxia
2020-04-06 00:01
Last update date: 2020-04-06 04:09The outbreak of new coronary pneumonia continued, and non-emergency medical services were greatly affected. The Kowloon East Cluster piloted the remote medical pilot program. Six departments took the lead in conducting online follow-up consultations with patients with stable conditions through video conferences. Over the past month, 32 patients have successfully participated. After trial, some patients think they can avoid entering and leaving the hospital, reduce the risk of infection, and think that video conference is simple and easy to use.
The Hong Kong Hospital East Kowloon Hospital Information Technology Co-ordinator Dr. Zheng Hongjia said that he hopes that it will be extended to more departments in the future. At present, the HA mainly uses the Zoom video conferencing platform. He pointed out that the bureau has studied its privacy settings and made additional encryption to ensure security and not worry about data leakage.
The Kowloon East Cluster of the Hospital Authority piloted the pilot plan for teleconsultation. Dr. Gu Jiaming (right) and his medical team demonstrated on-the-spot with the patient Xiaotong (yellow shirt) video consultation. (Photo by Chen Shuxia)
Refers to the Zoom video conference with encryption, not recording and not archiving
Dr. Zheng Hongjia said that with the advancement of technology, video conference consultation, follow-up consultation and nursing teaching are new trends. In recent days, hospitals need to gradually adjust non-emergency services in response to the epidemic situation, concentrate human resources, and have many outpatient and appointment surgery Need to postpone, telemedicine can help increase social distance and reduce the risk of infection. He revealed that the pilot plan was started last year, and it was systematic in January this year, and began trialing within the network last month.
The video consultation of the HA mainly uses the Zoom video conferencing platform, and there is a risk of data leakage for worries. He stated that doctors will not record or archive files during consultations. He also emphasized that the Hospital Authority holds an institutional license, and the Ministry of Information Technology has also studied privacy and encrypted it to ensure security.
Dr. Zheng Hongjia (right) said that telemedicine can help increase social distance, reduce the risk of infection, and help fight outbreaks. (Photo by Chen Shuxia)
32 patients are the first to try the future for free or expand to other departments
Dr. Zheng Hongjia continued that there were six departments involved in the first stage of the Video Consultation Pilot Project, including the Kowloon East Hospital Cluster Psychiatry, United Christian Hospital Anesthesiology, Tseung Kwan O Hospital Internal Medicine Hepatology Nurse Clinic, and Kowloon East Hospital Cluster Otolaryngology, etc. At the end of last month, a total of 32 patients tried the service for free. The HA has purchased an iPad to facilitate the use of video consultation by healthcare providers. It is hoped that as the plan matures, it can be extended to other departments in the future.
Dr. Hyun Ka-ming, head of the Department of Otolaryngology at United Christian Hospital and Tseung Kwan O Hospital, said that since the end of January, the HA has launched an emergency response level. The department has accumulated more than 6,000 patients who need to postpone follow-up consultations. Its department has invited more than ten patients Participation, the main target includes patients with relatively stable condition, "try water temperature first", he believes that 20% of patients are suitable. Before the video consultation, the medical staff will check the ID card with the patient; after the consultation, the patient can arrange the time to pick up the medicine on the basis of the doctor's medicine list. If there is an emergency or there is a question, you can call to arrange an interview Consultation.
Video consultation takes 30 minutes to prepare twice as much as face-to-face
Gu pointed out that the video consultation is the same as the consultation service provided by the face consultation, but it takes a longer time to prepare. The joke is not time-saving. "It usually takes about ten minutes to see the patient, and the video consultation will be about 30 minutes." He said that he paid particular attention to the layout behind the camera, "I hope that the patient will look at the consultation room like a consultation room." In the epidemic, many patients could not follow up as scheduled. He pointed out that the latest situation of the patient was informed through the video. ! "
Dr. Gu added that the difficulty of videoconferencing is mainly a connection problem. He admits that videoconsultation may have limitations, including the inability to perform physical examinations, and may not cover all patients, but he believes that telemedicine can break geographical boundaries.
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