Corpus overview


Overview

MeSH Disease

Human Phenotype

Transmission

Seroprevalence

There are no seroprevalence terms in the subcorpus

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    Direct-to-Consumer Chat-Based Remote Care Before and During the COVID-19 Outbreak

    Authors: Dan Zeltzer; Alina Vodonos Zilberg; Yehuda Edo Paz; Roy Malka

    doi:10.1101/2020.07.14.20153775 Date: 2020-07-16 Source: medRxiv

    Objective. To compare the patient population, common complaints, and physician recommendations in direct-to-consumer chat-based consults, before and during the COVID-19 outbreak. Data sources. Data on patient characteristics, patient complaints, and physician recommendations from 36,864 chat-based telemedicine consults with physicians in an online-clinic by patients from across the United States between April 2019 and April 2020. Study Design. We perform a retrospective analysis comparing patient characteristics, visit characteristics, and physician recommendation before and after the COVID-19 outbreak. We examine patient age TRANS and gender TRANS, visit time, patient chief complains, and physician medical recommendation (including prescription drugs, reassurance, and referrals). Principal Findings. Before March 2020, most patients were female TRANS (75 percent) and 18-44 years old (89 percent). Common complaints such as abdominal pain HP abdominal pain MESHD, dysuria HP dysuria MESHD, or sore throat suggested minor acute conditions. Most cases (67 percent) were resolved remotely, mainly via prescriptions; a minority were referred. Since March 2020, the COVID-19 emergency has led to a sharp (fourfold) increase in case volume, including more males TRANS (from 25 to 29 percent), patients aged TRANS 45 and older (from 11 to 17 percent), and more cases involving mental health complaints and complaints related to COVID-19. Across all symptoms, significantly more cases (78 percent) have been resolved remotely. Conclusions. The COVID-19 outbreak in the United States has been associated with a sharp increase in the use of chat-based telemedicine services, including by new patient demographics, an increase in both COVID-19 and mental health complains, and an increase in remote case resolutions.

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MeSH Disease
Human Phenotype
Transmission
Seroprevalence


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