Experience of the rapid implementation of a pioneering telehealth service during the COVID-19 crisis

Abstract: Introduction: Based on a national ordinance that regulates and operationalizes telemedicine as one of the measures to cope with the public health emergency resulting from the COVID-19 epidemic, a partnership was established between the federal university and municipal management for the rapid implementation of the telehealth service for COVID-19. Experience report: Experience report on the implementation process of the specific telehealth service for COVID-19, a partnership between the academy and the service. Discussion: The implementation process requires team sizing, physical space and technological resources, training and continuous education of the team to align the actions, for the agreement and articulation of the call center and telemonitoring flowchart with the local health network at all levels of care, disclosure of the service to the population, attention to ethical aspects, criteria for issuing documents, standing out and integration of the team regarding the clinical approach in teleconsultation and telemonitoring. Conclusion: The experience of implementing the Telehealth Covid service in 27 days is reported in this article, and it is likely to be replicated by other municipalities, as a contingency measure due to COVID-19. The significant number of visits, the social mission of the public university and its articulation with the local health system stand out after two months of operation.

摘要：
引言：依据一项规范并推动远程医疗（telemedicine）作为应对新型冠状病毒肺炎（COVID-19）疫情引发的突发公共卫生事件举措之一的国家法令，联邦大学与市政管理部门建立合作关系，以快速落地针对COVID-19的远程医疗服务。
经验报告：本报告针对院校与服务方合作开展的COVID-19专属远程医疗服务的实施流程进行经验总结。
讨论：该实施流程需考量团队规模规划、实体空间与技术资源配置，需对团队开展培训与持续教育以统一行动步调；需协调呼叫中心与远程监护流程，使其与各级医疗照护的地方卫生网络达成契合与协同；需面向公众宣传该服务；需关注伦理规范与文件出具标准；还需强化团队在远程问诊与远程监护临床诊疗中的协作配合，并凸显团队的诊疗表现。
结论：本文报告了该COVID-19远程医疗服务在27天内完成落地的实践经验，该模式可作为COVID-19疫情下的应急措施被其他市政单位复制。运营两个月后，该服务的高就诊人次、公立大学的社会使命属性及其与地方卫生系统的协同联动成效均十分显著。