Covid-19: a remote assessment in primary care
Open accessAbstract
What you need to know• Most patients with covid-19 can be managed remotely with advice on symptomatic management and self isolation• Although such consultations can be done by telephone in many cases, video provides additional visual cues and therapeutic presence• Breathlessness is a concerning symptom, though there is currently no validated tool for assessing it remotely• Safety-netting advice is crucial because some patients deteriorate in week 2, most commonly with pneumonia
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The NHS swiftly implemented guidelines suggesting that the majority of COVID-19 patients should be monitored remotely with advice on symptom management and self-isolation, given that information on safety netting was provided.
“The NHS swiftly implemented guidelines suggesting that the majority of COVID-19 patients should be monitored remotely with advice on symptom management and self-isolation, given that information on safety netting was provided [19].”
From A prospective observational real world feasibility study assessing the role of app-based remote patient monitoring in reducing primary care clinician workload during the COVID pandemic (2021) · cites this paper as [19]
In “What you should do,” the paper says most community-based patients can be managed by remote advice, including symptomatic care and self-isolation; “Safety net advice” says safety-netting is important for all patients. But the Abstract says the article is not an official guideline and that national and local guidance was still being produced. It therefore does not support the attribution that the NHS had swiftly implemented these guidelines. (LLM, conf=0.88)
Experimental — accuracy not yet measuredCase identification by online symptom reporting, as seen in Singapore and the UK, traditionally used for surveillance, now offers advice on isolation and referrals to further healthcare services, such as video assessments and testing.
“Case identification by online symptom reporting, as seen in Singapore 48 and the UK 49 , is traditionally used for surveillance, but it now offers advice on isolation and referrals to further healthcare services, such as video assessments 50 and testing.”
From Digital technologies in the public-health response to COVID-19 (2020) · cites this paper as [50]
Some consider telehealth to be a threat due to a prospective weakening of therapeutic relationships, reduced stability of care, and compromised confidentiality.
“Indeed, some may consider telehealth to be a threat due to a prospective weakening of therapeutic relationships, reduced stability of care, and compromised confidentiality [38,39,40].”
From Telehealth and COVID-19 Pandemic: An Overview of the Telehealth Use, Advantages, Challenges, and Opportunities during COVID-19 Pandemic (2022) · cites this paper as [39]
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- Authors
- Greenhalgh, T., Koh, G. C. H., & Car, J.
- Affiliations
- University of Oxford (GB)
- National University of Singapore (SG)
- Nanyang Technological University (SG)
- Corresponding author
- Greenhalgh, Trisha
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2020-03-25
- Volume
- 368
- Pages
- m1182
- ISSN
- 1756-1833 (ISSN-L)
- OpenAlex
- W3012867801
- Cited by
- 705
- References
- 12
- Citations by year
- 2026: 12 · 2025: 19 · 2024: 55 · 2023: 71 · 2022: 114 · 2021: 216 · 2020: 218
- FWCI
- 115.74
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Spiral (Imperial College London) (submittedVersion)
- Funders
- Wellcome Trust (WT104830MA, 104830/Z/14/Z)
- National Institute for Health and Care Research (BRC-1215–20008, 13/59/26, NF-SI-0512-10031)
- Economic and Social Research Council (ES/V010069/1)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- COVID-19 pandemic, remote patient assessment, primary care, telephone consultation, video consultation, self-isolation, symptomatic treatment, dyspnea, safety netting, pneumonia, deterioration
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, COVID-19 Testing, Hypoxia, Communication, Humans, Medical History Taking, Medical Records, Patient Admission, Physical Examination, Pneumonia, Viral, Primary Health Care, Professional-Patient Relations, Severity of Illness Index, Telephone, Coronavirus Infections, Disease Notification, Remote Consultation, Clinical Laboratory Techniques, Videoconferencing, Pandemics
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