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?:abstract
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BACKGROUND: The outbreak of the coronavirus disease 2019 (COVID-19) has caused a continuing global pandemic Hospitals are integral in the control and prevention of COVID-19 but are met with numerous challenges in the midst of the epidemic OBJECTIVE: Our study aimed to introduce the practical experience of design and implementation, as well as the preliminary results, of an online COVID-19 service platform from a tertiary hospital in China METHODS: The online COVID-19 service platform was deployed within the healthcare system of the Guangdong Second Provincial General Hospital-Internet Hospital, a program function which provides online medical services for both public individuals and lay-healthcare workers The focal functions of this system include COVID-19 automated screening, related symptoms monitoring, online consultation, psychological support, and it also serves as a COVID-19 knowledge hub The design and process for each function were introduced The platform services usage data were collected and represented by three periods: the pre-epidemic period (2019 12 22~2020 1 22, 32days), the controlled period (2020 1 23~2020 3 31, 69days), and the post-epidemic period (2020 4 1~2020 6 30, 91days) RESULTS: By the end of June 2020, the COVID-19 automated screening and symptoms monitoring system had been used by 96,642 people for 161,884 and 7,795,194 person-times The number of general online consultation service per-day scaled up from 30 visits in pre-epidemic period to 122 visits during the controlled period, and dropped to 73 visits in the post-epidemic period The psychological counseling program served 636 clients during the epidemic period For people who used the COVID-19 automated screening service, overall, 160,916 (99 40%) of the users were classified under the no risk category 464 (0 29%) of the people were categorized under the medium to high risk class, and 12 people (0 01%) were recommended for further COVID-19 testing and treatment Among the 96,642 individuals who used the COVID-19 related symptoms monitoring service, 6,696 (6 9%) were symptomatic at some points during monitoring period Fever was the most frequently reported symptom, with 2684 (40%) of the people having had this symptom Cough and sore throat, with 1,657 (25%) and 1,622 (24%) people respectively, were also relatively frequently reported among the symptomatic clients CONCLUSIONS: The online COVID-19 service platform exhibited as a role model for using digital health technologies to respond to the COVID-19 pandemic from a tertiary hospital in China The digital solutions of COVID-19 automated screening, daily symptoms monitoring, online care service, and knowledge propagation have plausible acceptability and feasibility for complementing offline hospital services and facilitating disease control and prevention
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